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Suggest The Ideal Dosage Of Methadone Taken For Drug Treatment

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Posted on Wed, 8 Jun 2016
Question: How often does a person addicted to codeine have to go on methadone
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Answered by Dr. Dr. Matt Wachsman (37 minutes later)
Brief Answer:
not quite sure of the question

Detailed Answer:
Methadone is a once a day drug. The amount needed varies on the amount the person needs to remain drug free. There is not a plain conversion between the codeine and the methadone because if the person feels they need more, then the dose is increased and if they feel they want to lower it, then it is (slowly and gradually reduced). 60 mg a day would be a low dose, and 120 mg a day would be a high dose.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Matt Wachsman (35 minutes later)
I am very concerned about my mental health and my whole well-being. I have chronic depression, anxiety disorder, and ptsd. I do see a counselor and a physicatrist. I take clonazepham, seroquel, effexor, and lyrica.
I have been addicted to codeine on 3 separate occasions for years at a time. The first time was when I was in my early twentys which lasted a couple of years in which I got over easily.The second time I was in my 30's for about 5 years and that was hard with the process of the withdrawl. Now I am 47 and it has taken me five years to say enough is enough. Now it feels entirely different this time as I stopped for only one full day and I felt like I could jump out of my skin very frightening. I have used clonidine before with withdrawl and I am hoping it will help me again but I am very worried that the withdrawl will be to much for me so I just would liked to be well informed with my options. Do you think that methadone could be a viable option. I know it seems like its trading one addiction for another and that also worries me!! Please help
doctor
Answered by Dr. Dr. Matt Wachsman (24 minutes later)
Brief Answer:
Viable options

Detailed Answer:
when many things are going on it is best to do one at a time.


taking a stabilizing opiate under supervision is better than taking an unsupervised one and not telling the other docs.

methadone is one suboxone is another
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Matt Wachsman (30 minutes later)
Is it harder to taper of methadone or withdraw from a 5 year codeine addiction in my late 40s?
doctor
Answered by Dr. Dr. Matt Wachsman (0 minute later)
Brief Answer:
Methadone is harder.

Detailed Answer:
Its a fairly unqualified plain answer:
1) methadone is generally given in higher doses than what people take in codeine addiction
2) methadone has a long duration and the withdrawal is the most prolonged and typically is described as the most unpleasant.
3) people report more unpleasantness from the methadone.
But, methadone is a long term, gradual, supervised program and coming off of a narcotic by oneself is not supervised and has a poorer outcome generally
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Matt Wachsman (2 minutes later)
Please refer to my past posts ty


I'm not quite sure what your answer was does opiate's or methadone have a poorer general outcome?
doctor
Answered by Dr. Dr. Matt Wachsman (7 hours later)
Brief Answer:
a bit of clarification

Detailed Answer:
all narcotics are called opiates because they are like opium.
Dilaudid, heroin, percocet, morphine, codeine, suboxone, methadone are all opiates.

You can come off of them various ways.
Not taking anything
taking something that blocks any of them from doing anything. If you take naloxone (blocker) then you probably go into withdrawal because it blocks all opiates out of your system.
Taking less of whatever you are taking. (taper)
going on another opiate and then stabilizing on that one then tapering that one off.
People get into trouble less the more supervision they have. Giving addicts nothing at all... allowing them to try whatever they can get .. BUT PUTTING THEM ON PROBATION AND DRUG TESTING, does quite well on lowering dying, but lousy on getting off drugs.
Putting people on a substitute narcotic but watching them does better that probation. Methadone and suboxone are both substitute narcotics BUT suboxone blocks the action of other narcotics taken.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Suggest The Ideal Dosage Of Methadone Taken For Drug Treatment

Brief Answer: not quite sure of the question Detailed Answer: Methadone is a once a day drug. The amount needed varies on the amount the person needs to remain drug free. There is not a plain conversion between the codeine and the methadone because if the person feels they need more, then the dose is increased and if they feel they want to lower it, then it is (slowly and gradually reduced). 60 mg a day would be a low dose, and 120 mg a day would be a high dose.