Methadone Clinic Stopped Dose Increase At 85 Ml
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My Methadone dose increase was stopped by my counselor at 85 ml. I'm on week 5 fresh off Fentanyl and Hydromorphone. The crazy thing is my counselor looked pleased that she stopped my dose as if she caught a drug addict trying to use drugs lol??? So I was told to see the doctor, I entered the office and my counselor came in with me she jumped on the patient's bed Indian style and a smirking grin as my doctor asked what was my issue? I said I'm trying to get to a blocking dose of methadone like 120/140. The doctor says there is no such thing as blocking does of methadone and told me No. What do any of you think about this? Feedback is appreciated good and bad thanks.

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Re: R P Nick (# 33)

Of course RP Nick, starting a patient off on a dose that high is pure fiction. No Methadone maintenance clinic starts patients off on the huge dose she is talking about, it's a lethal dose, pure and simple. The starting dose is 35 or 40 for everyone. If it isn't holding you you must see the clinic doctor who will probably raise you 10 mgs. But there is no way in hell that they are being liable for a death. Protocol is 35 or 40, regardless of your tolerance, people lie and claim all kinds of things. It's better to be safe than sorry, and they are not going to lose their license because of you and your fantasies.

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Re: Joseph (# 9)

I agree! The starting dose at my clinic is 30 milligrams for everyone! The next day you can go up from 1- 10 milligrams, the day after that is the same then every 2 days. Not sure of the maximum dose because 60 milligrams was too much for me!!

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Re: Lori (# 4)

Well said! Go to another Methadone clinic!

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Re: Joseph (# 30)

Joseph I don’t care what you think and I am not going to defend myself to you any longer.

You apparently are close minded and you are one of those people who is a narcissist and thinks that you know everything. There’s absolutely no reason for a person like me to try to attempt to get a narcissist like you to see the reality and the facts and you are absolutely no one to me. I’ve never met you, I’ve never seen you, I’ve never been around you and I don’t plan on ever in encountering you in person.

You believe what you wanna believe Joseph because it truly makes no difference to me or my truth or what the reality actually happens to be and I have an under no obligation whatsoever to try to attempt to educate you on what reality truly is.

I want to know obligation to try to explain to some stranger who thinks he knows it all it it’s an beneficial to me because no matter what you are a close minded person you think you know everything and people like you remind me of Donald Trump. OK so Joseph I wish you a happy life and I hope that you would sometime in the future take time to educate yourself about every single aspect of pharmaceuticals and individuals and the type of people that wind up taking methadone for whatever their individual personal needs are and how it will help them and their quality of life substantially OK whether they used illicit drugs, whether they had a back injury and got addicted to Percocet, and then got into all pharmaceutical drugs and no got caught up in the vortex of being addicted to narcotics and they had never taken heroin but they somehow a majority of them wind up becoming MMT patients. OK and that’s what’s gotten their life manageable again I am one of those people. I nearly died when I was 19 from a very very serious motorcycle accident and I was lucky to be alive but ever since that day and all the injuries that I’ve sustained that still affect me to this very day they caused me the most horrible pain and issues that it would just take me to Hung to to even describe four or five of them I mean my whole body is just messed up and there is no fixing me OK.

For 25 years I took every single schedule II narcotic that was on the market they tried everything with me. Fentanyl, Dilaudid, obviously the other ones like Percocet, Percodan, Vicodin, Norco, the patches, the Fentanyl lollipops. Used to have shots of Demerol and Dilaudid that I could give myself at home when they needed. It and it made my quality of life I couldn’t drive because I was impaired, I couldn’t cook because I know might nod off and and forget and blow up the house. I mean I couldn’t do anything my life was horrible. After 15-20 years my my pain management doctor suggested that I transfer the methadone and it was the smartest thing I’ve ever done. Granted I still have medication for the breakthrough pain you know on hand immediate release but I use them less and less and the last almost 18 years of my life have been some of the best years of my life and that’s why and then when he died or retired he retired and then he died shortly after I had to go to the methadone clinic and I had been on 150 mg for nine years with my doctor. So of course that was my starting dose and then it wasn’t working so much is good so they raised me to 160 and then like several months later they raised me to 190 and the last race I got was 213. And I’ve been on that for about four years. I want to say I go to Janus of Santa Cruz. You are welcome to call them and ask them what you think, oh and why starter dose is what everyone is an individual and depending on how much opioids they have been taking or the amount of illegal narcotic pills that you know they were taking.

But using that’s how they determine what the doses and then at my clinic and I was with the other one after you’re on it and it’s not working you tell your counselor and they moved in they bump you up you know a certain percentage like with me it was one 51-60 it was like I mean I started 150 and I was like yeah no so they moved me to 163 percentage that they moved me to a 90 and then the next one was 213 and that’s what I had my maintenance on for a good four or five years and it works great. You know I do hear breakthrough pain and I am prescribed dilaudid 8 mg tablets for when it’s super bad but luckily it’s not that often.

So you know why don’t you get off your high horse and start looking at every single one of those patients as an individual OK? There’s people that start or mature that they have like people that have the need. I don’t know the amounts but see they spent $300 down there have anybody who takes that much though he’s gonna need a very very high dose of methadone so they don’t start getting sick. I mean everyone’s an individual. I don’t know what state you live in I really don’t care. I don’t know what experiences you’ve had with those types of clinics but I’m telling you get on the f***ing phone call Janus of Santa Cruz and get 411 and talk to someone there and they will prove and tell you every thing I said.

After this I’m not going to respond you again because you’re ignorant and I don’t want to deal with your BS but you need to stop talking to me and other people that way because you do not know everything you may think you do and you may be educated but you do not know everything and people come visit for them to ask for help and it doesn’t do good when you start s*** with people like me who actually know what I’m talking about OK.

If anything we may have to agree to disagree but I know you’re 110% wrong and I can prove it and I’m done going back-and-forth with some stranger on the Internet who’s a narcissist and thinks he knows everything when I know for a fact what is my personal experience and situation and I’ve been on this now since 2006. So I don’t know where you think you get your information from but you’re 110% wrong.

Goodbye I wish you and your day and a good day and I hope you educate yourself from this point forward and stop attacking people like me who actually know what I’m talking about and I’m not talking about everyone else in the world I’m talking about my experience.. I’m also talking about the at least 50 people that I know closely from the clinic that I go to who who are also living the experience that I have in regards to milligrams dosing and what not so yeah good luck ??

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Re: Lori (# 29)

Lori, please spare us with your lies.

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Re: Nicky Nub (# 26)

New York has its own rules. Every state has its own rules. California has its own rules and in Janus of Santa Cruz where I have been a patient in MMT there for over about seven years now, so I don’t care what you think I don’t care what you say what you do.

I’m an individual, I have an extremely high tolerance to Dilaudid, Demerol, Morphine, Fentanyl, Percocet, OxyContin, everything you can think of. I even had fentanyl lollipops. So I’ve never taken anything illicit.

I've suffered from excruciating severe pains from motorcycle accident when I was 18 years old and I’m 53 now. Ever since then I’ve had to be on some type of severe narcotic schedule two drug. I couldn’t take it, it was too much for me. I couldn’t function. After 15-20 years my pain management doctor started me on 150 and then he retired after eight years or nine years and that’s when I had to go to the Janus MMT program in Santa Cruz. And when I got there they took me from 150 to 160, then a little while later from 160 to 190, and then from 190 to 213 which is my current dose that I’ve had for many years. I don’t care what people say, you’re wrong, that’s it. And I will not be responding to you ever again.

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Re: Nicky Nub (# 25)

For the last time I don’t give a f*** who you are, and I know what my experience has been in the last 18 years and what I take, what I started on and, I don’t give a f*** what any of you say OK.

I’m done talking to you people you’re ignorant you have no idea what you’re talking about. I told you to call Janus in Santa Cruz California and just ask them what their deal is and what their starting doses, especially for someone that transferred from a clinic. I was at a clinic for over 9 years and that's what they started me on because that's what my dose had been for over 9 years at the time. When I transferred to Janus they started me on 150 which is what I had already was on for 9 years, then I was raised to 160, and then I raised again to 190, and then I was raised again and now I’m currently on 213. Goodbye and good luck.

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Re: Lori (# 24)

You may be on 150mgs now, but you were definitely not started off on that huge dose. I have been on MMT since they stopped making Doriden, which is about 1993 and I'm on 140mgs and I'm a 27 bottle take home carrier. I remember when I first got on, the very first day was 35 and the next day was 40. And 40mgs held me pretty good. But a starting off dose of 150, come on now.

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Re: Lori (# 7)

Been on since 1971 and never, NEVER was more than 40 mgs given and I'm in NY City which is one of the best methadone states. Bronx, NY.

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Re: Lori (# 21)

I don't care what your tolerance is, no program would give you over 40mgs or the DEA would close them down and strip their license!!!!

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Re: Joseph (# 23)

I am not a liar and that is what I am on.. I honestly don’t care what you think or say.. I was going to take a photo of my take home bottle however my name and personal information is in clear view and I don't know you personally so I have nothing to prove to you Joseph.. Believe what you want to believe; I truly don’t care.. Call Janus of Santa Cruz in California and ask them yourself.. Every clinic is different and so are each State has their own rules of conduct for MMT Patients.. Every individual human being has different circumstances for their needs for Methadone.. An example: I’ve never taken heroin.. I was in a motorcycle accident at age 18.. I am 53 now. I was permanently damaged and I suffer from extreme severe pain for which I was prescribed a myriad of different schedule two narcotics for over 20 years before my pain management doctor advised me to switch to Methadone because I couldn’t function on all those heavy duty narcotics and my quality of life was awful because of the sedation side effects of narcotics like Morphine Dilaudid Demerol fentanyl.. I couldn’t drive or cook or do a myriad of things because of the narcotics so in 2007 I switched and I’ve never looked back.. I had to transfer to an actual clinic setting in 2016 because my doctor retired and I moved to Santa Cruz from San Mateo Ca. And I was on 150 at the time and since them my dose has been increased first to 160 then 213 which is my current dose.. believe what you wanna f***ing believe..

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Re: Lori (# 21)

I have to say this, you are either confused or a flat out liar. No Methadone maintenance clinic in the US is going to start you off with 150 mgs, not one! I'm not sure about it, I am positive about it! That high of a dose is so lethal that it can kill two people. So please spare us your fantasy life because you are barking up the wrong tree with this one.

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Re: Sick and Tired (# 20)

30-40 mgs is the standard starting dose with Methadone maintenance, methadone is tricky and has a long half life, so it's very easy to overdose on a dose as low as 70 mgs. Your body literally forgets to breathe. For a new patient just getting on it the starting dose is enough to make you feel better and stronger and no withdrawal symptoms. As for the different companies that market Methadone, it's all probably made by one or two pharmaceutical companies and marketed by many. As a registered pharmacist I must point out that there is no difference, just names, such as Methadose which is Mallinckrodt's brand of Methadone. A company can call it Fresh Sardines brand of Methadone if they choose to do so. Think of Ibuprofen and the Advil or Motrin brand, and then think of the store brand. Pretty much all the same thing, Ibuprofen.

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Re: Joseph (# 18)

My starting dose was exactly 150mg and over the last 15 years I’ve increased my dose to 213mg which is my current dose.. I have an extremely high tolerance levels and what might be lethal for one person and non-lethal for another person.. you need to listen to every individual person and their experience with methadone before you start putting in your two cents worth of opinion which is 100% wrong

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That is the reson why I left the Methadone Program and switched to Subuxone. 40mgs is not a high dose and if they are dosing with that red crap you need more.
I got down to 30 mgs and left the program and went on subuxone and I am glad I did

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I’m a registered college educated the substance of use counselor. You have every right to talk to your doctor without your counselor in the room.

It sounds to me like this is a typical case for the counselor is pushing their own recovery on the client.

Remember no matter what just don’t use illicit drugs. Talk to your doctor and request to do so alone

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Re: VaCDXX PETE C (# 12)

Correct, that Lori is claiming that her starting dose was 150. Laughable. No way in hell that a clinic is going to start you on a dose that can literally kill you. Standard protocol is 30-40 mgs starting dose.

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Re: Lori (# 16)

100 mg is a potentially lethal dose for someone just getting on the clinic. Protocol is 35 or 40 mg. as a starting dose. And that is every where. The clinic can have their licenses revoked. Believe what you want.

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Re: Joseph (# 9)

I don’t care what you say my starting dose was 100 and then was increased to 150 and then when I transferred to Santa Cruz clinic call Janus. They raised it first to 160 then to 190 and then my dose now it’s 213 mg. I suffer from severe chronic pain from a motorcycle accident I had when I was 19. Right now my left hip is bone on bone and I’m going to have to get a total hip replacement and I’ve already spoken to my doctor and they’re going to keep me in the hospital for at least a week on very high doses of method of Dilaudid to control the pain.

Back in 2016 I had a routine gallbladder removal which I suffered severe complications from I was in the hospital for over 26 days and I was on a Dilaudid pump every 10 minutes. I got .4 mg and if you do the math one hour of 10 mg hitting the thing gave me 2.1 mg per each hour so I don’t know where you’re getting your information from but in California you are totally 150% wrong... It depends on the severity of your conditions. I’ve never abused heroin or anything like that. I was on a series of fentanyl Dilaudid, Demerol, you name it, and I could not function.

My pain doctor recommended to switch me to methadone and it was the best decision I ever made in my life. I don’t know where you people are getting your information from but you are 110% wrong... I also don’t care what you say about what you think blocking doses or whatever the hell you’re trying to talk about because in my opinion there is no blocking doses. I’ve never had a blocking doses and in times again when I’ve been hospitalized for a myriad of reasons with severe excruciating pain they had to give me a multitude of Dilaudid to even affect my pain relief. And all the while I was still taking my 213 mg of methadone while in the hospital except the hospital had to compound it and make my medication that way... You are 110% wrong I don’t know where you get your information but you are 110% wrong. PERIOD. END OF STORY.

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Re: VaCDXX PETE C (# 13)

Same goes for me Pete, I'll probably be on it for the rest of my life and gladly so. I started doing the Doriden and codeine thing, which was the most euphoric and blissfully long lasting experience ever. There's science behind it, there's a lot of info online about them. They were very big in the northeast US. Anyway the government practically forced the couple of pharmaceutical companies that were still making them to discontinue. By that time they were obsolete and the only people being prescribed Doriden, were for illicit use. The Benzodiazepine family replaced the old sedative-hypnotics. So by then the closest thing to "hits", as they were called on the streets, was heroin. So I'm a 27 bottle carrier and living a normal drug free life, and MMT plays a big part of it. Thanks and good luck to you

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