Methadone For Pain Control (Page 2) (Top voted first)

How well does methadone work for chronic pain management? I went from 10 mg oxycodone then dropped down to 7.5 mg hydrocodone and my pain is totally out of control. I have no relief. I am out of options except methadone or Suboxone. Please help.

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Methadone is great for pain. Once a day. It does not need to be raised unless u r seeking euphoria. It is hard on the Cardiovascular system. Retaining water, lowers B.P. and can deplete calcium of the bones. But compared to Suboxone, and other opioids, I have to say Methadone is the most dependable med. Alas if you stop Methadone you will feel pain that is unbearable. It has to be a serious decision as to whether u will be able to ALWAYS get it for home daily use. 30mg average is more than enough.

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Re: TIM (# 22)


I have been taking methadone for approx 15years. I have an EKG every 6 months. There has never been any problems thus far.(knock on wood!) When I was taking oxycontin or anything with a "codone" in it, 20 mins after I should have taken my next dose I was sweating. With Methadone I can go a couple hours without feeling bad. I have DDD and arthritis in most joints. It has been a godsend for me. Side effects that Ive noticed are constipation and lethargy. No feelings of being "high" or disconnected. I think if you have chronic pain you should give it a good month for the build up as TIM states in his answer.

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New to methadone. Before now, my PM regimen was 60mg morphine 3x a day with 10mg Hydrocodone 12x a day (liberal I know) for in between morphine doses. I've seen my PM dr for 4 yrs. Now, he is pulling all patients off anything other than: Zohydro ER, hydrocodone, and methadone. No oxy, morphine, morphine ER, fentanyl patches, dilaudid. He said the govt is cracking down too hard (don't blame him, he isn't a pill mill). So, I lost my morphine and now on Methadone 10mg 3x a day with 10mg hydrocodone 8x a day (lost 4 a day). Manufacturer of methadone is Mali (read there are differences, but I know no other brand so not what this is about). My topic has a couple of questions:

PROBLEM: Methadone doesn't seem to bring me pain relief. Onset is SO slow and I've read I'd be better off finding a new dr who's not afraid to prescribe alternatives. I don't want to change doctors because he performs rizotomy and those DO help for a few months. With that said, I hurt. My dr will not budge.

ADVICE SEEKING: After reading on those sites where people get REALLY creative on methods of ingestion, I hurt so bad I'm seriously considering trying other methods than oral. I'm not a chemist, nor do i understand half of what people refer to using acronyms on those sites. Any opinions, other than DON'T do any other method (cuz I wouldn't be on here asking if my pain was under control). Thanks in advance. All nice and layman's term replies would be appreciated.

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Methadone or Suboxone? It depends on how your brain comprehends a drug. Methadone is amazeing for pain, and is dependable. Suboxone my body rejected, took care pain, but the med gave intense state of Euphoria, that came and went as in unpredictable. If Methadone is tried, and not seeking Euphoria, it can stabilize you. But, if for any reason you would stop it, seek hospital for withdrawal. Usual stable dose 30 mg once day.

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Re: Stormydays (# 25)

Research generally shows that people get the most pain relief from as stable a dose as possible throughout the day. Methodone accomplishes this better than most due to long half life. You are not supposed to really notice pain relief from your next pill unless you are withdrawal from you last dose. That rarely happens with methodone.

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I was taking 10 mg oxycodone 4 times a day. I was forced to go to PM for my pain and got prescribed 7.5 hydrocodone 3 times a day, had to agree to mbnb injections if I wanted my meds. All I need is my pain controlled to get some quality of life back so I'm thinking maybe I should try methadone if it would help me. I need an honest answer.

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I would say never to go on methadone, it's goes to your bones and it's so bad. Talk with another doctor first. It's not good at all for you.

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