Hi Di, I have been on Methadone for so long that I consider myself an expert... Seriously, I have been on it for over 7 years with great relief from my pain...I have had 2 back surgeries..the last one was 4 years ago and it was Spinal Fusion at L4-S1 without the hardware... When I first started seeing my current PM Dr. he only put me on Lortab 10's for about a year, then when the pain was worsening he asked me if I had heard of Methadone...I had taken it before so I knew all about it. He started me on 80 mg. a day along with the Lortab 10's for BT pain....eventually he got me up to 120 mg. a day and now I take Oxycodone IR 30 mg. 4/day for the BT pain. Last month my Dr. wanted to try something new...originally we were going to try the Opana ER 20 mg. 2/day and only 80 mg. of Methadone...insurance reasons kept that from happening..so he put me on 150 mg. Methadone and NO BT pain meds!!! That didn't work. Not only did I still need something for BT pain, but the extra Methadone, even though it was only an extra 30 mg. a day kept me from sleeping. So, on my last visit a few weeks ago I asked to be put back on 120 mg. Methadone and 30 mg. Oxy IR....
That being said, my tolerance has changed and Methadone is like any other pain med.. you may need more to get the same results. My next visit is on Dec. 18th and I think I'm going to try the Opana ER...I have heard so many good results that I think I should try it for my own peace of mind. Plus I hear that changing things up every now and then makes your meds work better...
If you have any questions about Methadone please email me...Oh, and the "Nodding" stops after a while so don't worry..and the constipation is tolerable with a stool softener.
I have been a spectator for so long..Now it's time to participate.......
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/ 30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 35 units at bedtime with Solostar Pen
When I switched from oxycontin to methadone my PM doc did a gradual taper off of the oxycontin onto the methadone. He tapered the oxycontin slowly down over a two week period at the same time gradually increasing the methadone. Ask your doctor about the concerns you have with withdrawals from discontinuing the oxycontin. Although, he might have left your b/t med in there for you to take if you find yourself going into any kind of withdrawals. I do want you to listen to what others have said about being carefull with methadone. I am not trying to scare you but do not exceed the dose your doc instructs. With methadone when you start taking it you may feel like you have not taken anything so you feel you have to take another but do not do this. My PM doc told me methadone does not peak until 3 hrs after you have taken it so just be carefull. I am not a doctor so please discuss this with yours. I also speak with experience from being on it. It has helped with my pain levels and I also do not have the highs and lows I had on the oxycontin. I do have b/t pain at work mostly in which I take 1-2 5mg oxy ir. In the past I was on 15mg oxy ir with my oxycontin and this worked great. My PM doc will not put me on 15mg oxy ir now I quess because of the methadone. Sometimes when I take the b/t med it does not work as well as I would like it to but oh well there is nothing I can do about it exept deal with the pain. I actually have one of those stress balls that I carry around with me when I can. When my pain flares up and nothing else helps I squeeze on it for a bit. Sounds funny but it helps and I figure if something helps I will do it.
I take 80mg of Methadone a day, it really helps me but it is easy to get sleepy on it. It is cheap and doesn't really have a high. I am new here but I will pray for your and your difficulty.
Wow! Dilane, so happy for you...It doesn't surprise me that it took about a week for you to get some relief..Methadone has to build up for you to get the full effect. I think Methadone is great!! I've been on it for so long though and I might have to try something else soon, but I will always be an advocat for Methadone.
As for the BT pain... I never realized before that the BT meds helped me. I now take Oxy IR 30 mg. up to 4X daily and sometimes I don't need that much. But it's nice to know that I have it. I have been on many other pain meds since this first started when I was 20....and Methadone gives me the best relief...Nothing will get me down to a 3 as far as pain goes...but I'll take my 5 any day.
Good Luck with the Methadone...Don't forget to take something for constipation though....it can sneek up on you and make you miserable....
Also, eat bananas. Methadone has a bad habit of making you get muscle cramps...