What's Good About Methadone.

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Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 4/16/2009 10:01 AM (GMT -7)   
I have been trying to understand methadone. We've all pretty much agreed
that it's different from other Opiods. It's been explained to me several
times. Despite the explanations, I can't get it.

Uniquelyme/rhonda sent me some material about Methadone. It was almost
understandable. Unfortunately, the type was too small and very difficult
for me to read on my Mac. Mac sees different from other computers. Anyway,
thank you, rhonda.

What I've learned so far:

1) Methadone isn't as hard on your body (especially your liver) as other
Opiods.

2) Methdone rushes to many receptors in your brain and gets to work
making your pain less. It's the most effect Opiod for certain types of pain.

3) Methadone is particulary good for nerve pain (neuropathic pain) and not
so good for visceral pain. It wouldn't work good for surgery pain.

4) It has a long half life. That means the Methadone can be a potentially more
dangerous medication than others. For instance, you might take your usual
dose and find it doesn't help your pain so you take more. Taking more could
become an overdose!!
I don't think a doctor would prescribe Methadone to a patient he/she didn't
trust. If you take methadone, FOLLOW YOUR DOCTOR'S INSTRUCTIONS.

5) It takes quite awhile for Methadone to start working in your body. During
that time, I remember calling my doctor 3 times in less than a week. That's
bad!

6) It not the drug of choice for those people who rob pharmacies for Opiods.
With Methadone, you will not get the Euphoria that so many people complain
about.

7) I don't think there's a limit to the amount of Methadone one can take. My
doctor prescribes 120 mg a day and he has told me unofficially that I can take
an extra one with every dose. He has not yet prescribed that amount. Also, I
don't know how much my insurance would be willing to pay for.

If you are an expert in the subject of Methadone, please feel free to make
comments. I tried to extract the information and make it readable. I think
it's the right information but it could use some polishing.

Post Edited (Pamela Neckpain) : 4/16/2009 11:08:43 AM (GMT-6)


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/16/2009 10:31 AM (GMT -7)   
Pamela,

Doesn't it not only not provide Euphoria, but doesn't it also STOP the Euphoria that other opioids offer?

So if you take Methadone in conjunction with another opioid that might otherwise give you a 'high', doesn't the Methadone stop you from feeling that 'high'?
Wife: Liz, the choice of a lifetime
Dogs: Koshka Prayer & Chomp Prayer


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 4/16/2009 10:45 AM (GMT -7)   
Tony,

With what you wrote above, I do believe you are a born story teller.

I TRIED to say that. The words twisted.

Congratulatons.

More congratulations will be in order if you can find out if Methadone
blocks the use of other opiods during surgery. That's the big one I'm working
on.

I can't have anything removed or added to my body until I have the
answer to that.

Pamela

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 4/16/2009 11:30 AM (GMT -7)   

Pamela,

I sent you a link to some of the best information that I have ever found about the use of methadone and pain management. I hope that you can find some of the answers that you are looking for in those pages.
Sandi


PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/16/2009 11:48 AM (GMT -7)   
Pamela,

You covered that Methadone *itself* doesn't give a person euphoria. Or at least I thought you did.

What I was saying was that it DOES block OTHER opiates from giving a person their feeling of euphoria.

If I am right (just from my understanding since I came here), then it would block that feeling of euphoria at any time. The limitation being opioid.

But it doesn't block the **pain-deadening*&* properties/capabilities of those opioids.

If I understand correctly!
Wife: Liz, the choice of a lifetime
Dogs: Koshka Prayer & Chomp Prayer

Post Edited (TonyMcGuire) : 4/16/2009 12:55:09 PM (GMT-6)


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 4/16/2009 4:57 PM (GMT -7)   
OK Tony,

If you are correct, and I believe you are, if I (or anyone) was taking Methadone
for pain control and was hospitalized for another problem like gall stones or
foot surgery, the opiods that would be given -- say Demerol or ??? would take
away the pain but you wouldn't be able to float away on a cloud.

I will be so happy to have completion of my concerns about Methadone. It took
me some work. Yee gad, I had to THINK.

Thanks Tony. Pass on any additional information you might have. I'm kinda
waiting to hear from R.

Pamela

uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 4/17/2009 7:13 AM (GMT -7)   
Pamela,

good job girl..now about surgery. I have had 2 back surgeries while on Methadone...Luckily, the Dr.'s know what to do...They had me on Dilaudid in the hospital after surgery...Then when I went home I took my Methadone along with Dilaudid for pain...it worked great!! I had never had Dilaudid before and could see why people liked it!! So, don't worry about what happens, they will take very good care of you..

Rhonda ( Me )
 
We are all in the same boat...unfortunatley it seems like it's sinking...
Post Lamenectomy Syndrome
Hemi Lamenectomy/Spinal Fusion(Lumbar)
60 mg. MS Contin 2Xdaily/15 mg. Oxycodone as needed
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2Diabetes: (March 16, 2009)
Metformin 850 mg. twice daily (so far)
ME. (Rhonda)                                                                    

 


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 4/17/2009 8:10 AM (GMT -7)   
Well, Rhonda ...

Thank you so much for that. I feel better. I am ready to get an
appendectomy or whatever may come along. . Wooo Hooo!

Talk to you later.

Pamela smilewinkgrin

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 4/17/2009 8:17 AM (GMT -7)   
MISTAKE MISTAKE MISTAKE!

In #7 of the material above, I wrote this

"I don't think there's a limit to the amount of Methadone a person can take."

That is misleading. Very.

You know you're not supposed to believe whatever you read on a forum.
Don't you?

OK ... A correction:

I believe a person can take a fairly high dose of Methadone. I don't know
how much. A lot.

THE THING IS: YOU HAVE TO BUILD UP VERY SLOWLY TO A HIGHER
AMOUNT. DON'T TRY THIS AT HOME. METHADONE TAKES CAREFUL
WATCHING BY YOUR DOCTOR. IF HE/SHE BELIEVES YOU NEED MORE,
THEY WILL LET YOU KNOW.

Pamela

Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/17/2009 9:40 AM (GMT -7)   
Thank you for correcting that, Pamela.

The first version kinda worried me.
Wife: Liz, the choice of a lifetime
Dogs: Koshka Prayer & Chomp Prayer


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 4/17/2009 11:05 AM (GMT -7)   
People in Methadone Clinics have taken as much as 300 mg. a day...for how long you ask? Years!!! I know, that seems like it's defeating the purpose of getting off drugs (Heroin or other pain pills). But, some people, like me, are very tolerant when it comes to opiates, and I can see taking up to 200 mg. a day.. And yes, if you have surgery, like me, they will make sure they give you something that overrides the methadone for a bit... I never had any pain after my surgeries...and I took Dilaudid. It was wonderful!! And I still took my methadone. So, it all worked out...

Me. (stands for Methadone Expert) ha ha
 
We are all in the same boat...unfortunatley it seems like it's sinking...
Post Lamenectomy Syndrome
Hemi Lamenectomy/Spinal Fusion(Lumbar)
60 mg. MS Contin 2Xdaily/15 mg. Oxycodone as needed
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2Diabetes: (March 16, 2009)
Metformin 850 mg. twice daily (so far)
ME. (Rhonda)                                                                    

 

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