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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy To Overcome Methadone Addiction

My daughter entered a detox clinic for methadone. She tapered down for 2 years. At the time she entered the clinic she was down to 8mg per day. Tomorrow she is supoosed to come home but she feels so lousy that she doesn t think she will be able to go to work and fears of loosing her job. She is now thinking of going to a low dose of suboxen for 2 months but doesn t want to substitute one addiction for another! Any suggestions as to what she can do to feel better and function?
Tue, 6 Sep 2016
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Addiction Medicine Specialist 's  Response
Further taper the methadone and get medications for the symptoms with the withdrawal. A suboxone treatment is likely to be on a higher dose than 8 mg a day methadone (wrong direction). Clonidine is helpful for the shakes/sweats/agitation but makes someone feel even more blah. Anti-depressants often have a role in coming off of druge even though they do not have a direct effect on the drug, the withdrawal symptoms, nor addiction.
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General & Family Physician Dr. Ralph Chambers's  Response
Hello

The suboxone can immediately take her out of any opioid withdrawal she may be having now and allow her to go to work and function.

Then, after 2 months, she can slowly taper off the Suboxone
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Suggest Remedy To Overcome Methadone Addiction

Further taper the methadone and get medications for the symptoms with the withdrawal. A suboxone treatment is likely to be on a higher dose than 8 mg a day methadone (wrong direction). Clonidine is helpful for the shakes/sweats/agitation but makes someone feel even more blah. Anti-depressants often have a role in coming off of druge even though they do not have a direct effect on the drug, the withdrawal symptoms, nor addiction.