Methadone anyone?

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Regular Member

Date Joined Nov 2007
Total Posts : 146
   Posted 5/22/2008 1:42 PM (GMT -6)   
I was just at my pain management Dr.'s office and I asked about adjusting or trying a different med as mine was not working as well as before. I have been having issues with this for months and I needed to do something. In the past I was on morphine at several different doses, so my options (they say) were running out. So I was asked to discontinue with the morphine and start taking Methadone 10mg x3 a day, so I guess my question is that is the Methadone for pain releif or is it a subtle way of saying I am some sort of addict. Also I was asked if I would like to start seeing a phsychiatist too, they gave some other name, but I know that's what it was. I know all this is for my own good, but I have doubts about the intent.

Veteran Member

Date Joined Dec 2007
Total Posts : 639
   Posted 5/22/2008 2:03 PM (GMT -6)   
Hi, Chronie.

I am not on Methadone, but I know several people (and I think there are several here too) who do take it for pain relief. Did they say "neuropsychiatrist" when they asked you about speaking with someone? I've seen one, and I know many PM clinics have one on staff and it is really a very valid part of pain management - sort of the "treat the whole person" philosophy.

Good luck with your decision. I hope they figure out some way (methadone or something else) to manage your pain.

Veteran Member

Date Joined Jun 2005
Total Posts : 610
   Posted 5/22/2008 3:08 PM (GMT -6)   
Hello crohnie1985,

I have been taking methadone for 3 years, the highest i was on was 20mg 3 times a day but at the moment I take 10mg 4 times a day, and I think it works wonderful for me, and I ahve tried EVERYTHING else, and I mean everything, and I find to get the best pain relief from methadone. It has nothing to do with drug addiction, I started on it cause I lost my "good" insurance and had to go on state insurance and it would only pay for methadone or morphine and morphine didnt work for me, and i was up to 100mg 3 times a day of mscontin and it did nothing for pain. UI also have several friends on it too, in cluding a friend that was shot in the lower back and is paralized fro mteh waist down and he likes it alot also. The only problem I have about methadone is the weight gain, which could be cause by lots of things but im pretty sure its the methadone, but the pain relief is worth a few extra pounds.

Lower back pain, migraines, chronic Pancreatitas
Peanutbuttercups, skittles, m&ms, gummybears, oreos, Baskin Robin's PRN

Regular Member

Date Joined Aug 2007
Total Posts : 69
   Posted 5/22/2008 9:36 PM (GMT -6)   
crohnie: I take methadone as a pain relieving medication, and I honestly believe that your doctor is trying everything he can to get you the best pain relief that he knows about. Methadone, as a chemical compound, has a much better upside then morphine. Methadone has an extremely long half life. A half life regarding to medication is the time that it takes for the medication to reach one half of its concentration in the blood. Morphine, percocet, vicodin...these all have relatively short half lives compared to methadone, which has a very long half life. This means that as you take the methadone, it builds up in your system progressively over time in much higher concentrations then you would get with sustained release morphine. As a result of this buildup, you get a much better overall pain relief level. This is my point of view because it has worked for me, but not everyone adjusts well to methadone because it acts so differently compared to morphine. Also, it takes a few days for the medication to build up in your blood. I have tried Oxycontin, MS Contin, Kadian, and none of them gave me the overall level of pain relief that I get with methadone. Not to mention, its extremely cheap. My month supply is only 38 dollars and thats for 240 of them; I don't have an drug coverage, either. All in all, methadone is also a stronger narcotic then morphine. Now, there is a downside: many people have found that the usual short acting breakthrough meds like Vicodin and Percocet no longer offer any relief once they start taking the methadone. Most people on methadone usually end up taking a short acting fentanyl drug like Fentora or Actiq. Your doctor has been put into a tough position; to get you the best pain relief he can at the cheapest price. This usually means methadone. Don't take this as an insult or an insinuation of drug dependance. If this doctor thought that you were a drug addict, he would not treat you period. He would kick you out of his practice and straight into drug rehab. No, this doctor is doing the best that he can for you, I presume. The addition of the psychiatrist is an additional attempt to regulate your pain because depression is so often associated with chronic pain. Most people do something called catastrophizing; that is, they obsess over the injuries that caused their pain. Constant activities like praying and worrying actually lead to depression, which can increase your pain. Yes, a psychiatrist is a valid contributor who may want to add an anti-depressant to your medications. This is pretty common in pain management. Either way, keep us posted about what you decided to do.


Regular Member

Date Joined Nov 2007
Total Posts : 146
   Posted 5/23/2008 10:23 AM (GMT -6)   
Thank you to everyone who has posted, I have to admit so far I do feel better. I like to keep a positive outlook so I do feel less stressed without the pain being so bad. The only reason I have been reluctant about seeing a head DR. is that in the past those records have haunted me because your mental state can be used against you if it is negative, for example when I was going through divorce I was asked by the judge why I was seeing someone for mental health issues.
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