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Thread: Australian Opiate Withdrawal Maintainance Medication Prescribers

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    #26
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    doloxene; dextropropoxyphene is a horrible drug, avoid it. very similar in structure to methadone, but also has bad reactions with any type of seretonin related drug... caused me to wind up with seretonin syndrome once
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    #27
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    Quote Originally Posted by leftwing View Post
    is it? i know it fits the description of a β2-Receptor antagonist but without taking the time to read more right now thats as far as my understanding goes. i know for sure its GABAa-ergic and is classed as a muscle relaxant - im scripted it also.

    if it is then thats definitely good to know because i had intentions on using it for meth comedowns, but wiki says - and i know it states overdose, but what wiki considers an overdose is probably just a high dose for someone like me, so im still not sure -
    this thread is turning out some brilliant, harm reduction based discussions. and no body slurring eachothers ideas off..

    Baclofen i found good in combo with valium to be honest, even though they're contraindicated according to mims - someone like you or i, who most likely has alot of experience with benzos and the like wouldnt have any kind of trouble with it. in reasonable doses.

    And iv'e known doctors to prescribe the two at once to various people ive known
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    #28
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    Quote Originally Posted by algiz86 View Post
    saw my doc today.
    I guarantee u all i will jump off 'done' at 30mgs. I am too determined NOT to turn out like the cockheads in that waiting room.
    Im not exactly jumping off all opiates yet tho...
    My drs help for a home detox and what ive read online and have in supplies will be of great help:
    He prescribed valium, clonidine, buscopan, brufen and even some doloxene (a weaker opiate).
    Ill be using some health supplements along the way... which ones to be decided.
    Honestly, you're gonna find eating extremely difficult during this period, i suggest you start on a whole shitload of Spirulina, a seaweed that is extremely nutritious and comes in tablet form, filled with all sorts of vitamins and minerals.
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    #29
    Quote Originally Posted by MrIbis View Post
    this thread is turning out some brilliant, harm reduction based discussions. and no body slurring eachothers ideas off..

    Baclofen i found good in combo with valium to be honest, even though they're contraindicated according to mims - someone like you or i, who most likely has alot of experience with benzos and the like wouldnt have any kind of trouble with it. in reasonable doses.

    And iv'e known doctors to prescribe the two at once to various people ive known
    i know theyre contraindicated, that would be due to their synergism and both working the GABA. and youre right, someone with experience wouldnt have any trouble with it. i dont see how anyone taking therapeutic does of each together without much experience would run into trouble either as long as theyre not mixing any other CNS depressants into the equation. ive only got an outdated mims from 06, so ill have to ask my doctor if he can get me a newer version because what i have does have some outdated info in it.

    i get baclofen in combination with valium/temazepam on ocassions. after my dr weaned me off from my valium addiction he has been very sparing of benzos, he wanted me off a year before hed even consider scripting them regularly again. thats where baclofen came in - its basically replaced the benzos, though obviously nothing alike recreationally. i feel a lot safer on baclofen as well because im not scoffing ridiculous amounts of benzos on top of my morphine every week.

    im still to determine whether baclofen is really classed as a beta blocker - i havent checked beyond last nights quick search and im about to head out the door now. do you have any links for me to check out?
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    #30
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    if you need net mims access, this is something i am able to provide... screw books off
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    #31
    definitely, that would be greatly appreciated. pm me with more details
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    #32
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    Anyone else who is on an opiate maintenance program, please forward your details in this thread - the more doctors/chemists i can list the better.
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    #33
    Bluelight Crew madmick19's Avatar
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    heya mr ibis, good luck with your getting clean and arresting your lapse

    Canberra:

    The Alchol and Drug Program Opiate Treatment Service
    Building seven The Canberra Hospital
    Palmer Street Garran
    Phone: (02) 6244 2591

    Canberra'a public clinic for opiate maintenance and treatment; doctors there are a part of the chapter of addiction medicine, there is a psychiatrist on staff and a psychiatric registrar part time, access to counselling services, social work, sexual health clinics, and case management services. People wanting to start on methadone treatment are assessed by an Alcohol and Drug Program (ADP) medical officer to determine if they are suitable for treatment. This involves taking a history and conducting a physical examination. If suitable, an induction process will be started, usually on the day of medical assessment. Clients continue to be reviewed by a medical officer while receiving methadone. The doctor enquires about drug use, health and other psychological and social factors. Prescriptions for methadone are reviewed every three months.

    and you get to see me there
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    #34
    Quote Originally Posted by MrIbis View Post
    if you need net mims access, this is something i am able to provide... screw books off


    yeah?
    cant pm at the moment, im new.
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    #35
    Methadone withdrawal: feels like my spinal chord is curling up my back at times.
    Clonidine and Valium - Saviours. I'm going to try LOW dose 25-50mg Seroquel tonight at the worst hours.

    Im not having much trouble eating, sticking to fruits and cereals...No cramps or vomiting yet.

    Withdrawal climaxes (FOR ME) between the hours 2 - 6 AM, i think because i used to dose my methadone late afternoon.

    Craving alot of sugar! Am about to go research the effect of nicotine on opiate withdrawal.
    Any help?
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    #36
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    algiz, sorry im not about to provide a newbie with private information.

    i found wd to be the worst during those hours - just a general i cant sleep kinda thing, it was shit.

    id usually wake up around 3am, and sit up til about 6... go have baths and shit... i used bath salts and juniper of a morning to help my muscles relax during the hard period
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    #37
    Thumbs up
    Quote Originally Posted by MrIbis View Post
    algiz, sorry im not about to provide a newbie with private information.

    i found wd to be the worst during those hours - just a general i cant sleep kinda thing, it was shit.

    id usually wake up around 3am, and sit up til about 6... go have baths and shit... i used bath salts and juniper of a morning to help my muscles relax during the hard period
    Ha! Yeh dont blame you man, fair is fair.

    I also have sleeping problems without withdrawals so it only makes sense for it to be worse at these times.

    I make a 50/50 mix of pure sea salt/epsom salts (magnesium). I prefer lavendar and clary sage myself ... Hows karma right, our electric hot water system died yesterday and wont be ready til monday earliest.

    A HOT SHOWER through withdrawal beats any drug.

    Im supplementing spirulina, magnesium, electrolytes, minerals ontop of the usual multi V's and B's. Fish oils are always ritual too me. Stacking high doses of vitamin C helps clear it all out but seems to precipitate slight withdrawal at times.

    To be honest i cant see what all the fuss is about. I jumped off 30-35mg o fmethadone and have conquered greater than this.
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    #38
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    you sound like you're goin to a great deal to stop any kind of withdrawal and are still not ready... to be honest when i was withdrawing worst, i couldnt stand to use my pc... that was 60mg of methadone daily too... double your dose
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    #39
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    god people like you, shit me the worst.

    why do you have to be a smartass and hi-jack a useful thread?

    I really couldn't care less what you think you're going through, you evidentally have enough to manage with it - cant see why you need to go on about your woes?

    Im not having a dicksizing competition, and this thread has has discussion of doses of methadone previously. And it seems to be worst at about 60mg +... don't get your nickers in a knot. No one is blaming anyone else for anything in this thread.. delete your cocky comments or i'll get the mods to do it for you - we don't need your shit here - this is for people seeking help and treatment, not people who are too good for everyone else. Evidentally if you're using this thread - you're probably a junkie, just like the rest of us.
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    i hear ultra lights are cumfy 
    #40
    thnx, such a supportive thread, and i guess u beleive i dont need any help so ill be off.
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    #41
    oh and hijack?

    Why dont people just call DIRECT LINE.

    Those experts (probably non junkies) will give all the information needed.

    Talk to me about wasting thread space....
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    #42
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    this thread already refers people to fucking direct line...

    you havn't made any input to the thread re: prescribing doctors, so i don't see what help you can be?

    This thread isn't to acknowledge the 'pain' you're going through. It's to help people find PRESCRIBING DOCTORS EASILY IN THEIR AREAS.

    There is already a list of doctors, and for anyone not in those areas, a referral to councellors online or directline, and actually, alot of directline staff are junkies.. If you've ever been to turningpoint....
    Last edited by MrIbis; 01-12-2009 at 02:41.
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    #43
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    If you're in Melbourne there are 5 health services for injecting drug users that were set up at beginning of this decade - good places to go if you inject anything - also have needle exchanges attached:
    Collingwood - Inner Space on Johnson St near cnr Smith. They have their own prescribing doctors too
    St Kilda - Access Health on Gray St - next to Crisis Centre which has 24hr needle exchange
    Footscray - Health Works cnr Nicholson & Buckley
    Dandenong - SEADS Foster St clinic
    Melb CBD - Living Room Hosier Lane
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    #44
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    Thanks Ayjay. good to see some more positive feedback. and info, i'll add all of that to the OP
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    #45
    im pretty sure i mentioned dr andrada at mediclinic in clayton (melbourne) theres a couple of docs there who are helpful./
    Box hill dispensary has closed and the closest are in nunawading and mitcham.
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    #46
    Getting help in Australia
    Drug and Alcohol Services SA
    Eastern Drug and Alcohol Services - VIC/NSW
    Direct Line 1800 888 236 - Counseling, detox and maintenance in Melbourne
    Alcohol Tobacco and Other Drugs Branch - QLD
    -Damascus Health Services - Suboxone, In/Out patient treatment of alcohol and Rx dependency in Brisbane
    Drug and Alcohol Office - WA
    http://www.na.org.au Narcotics Anonymous SA

    theyre all that were in there unfortunately, i thought there were more for some reason. but theyre usefell none the less ill be sure to go through my own links as well.
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    #47
    Bluelight Crew madmick19's Avatar
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    By the way according to the national pharmacotherapy guidelines it is good practice to check for dependance prior to starting some one on a maintenance therapy. Even though the DSM is not widely recognised in australia the criteria are used nonetheless. Incase people were wondering how you are assessed as dependant these following criteria are listened for in the initial consult with the medical officer/ or prescribing doctor


    DSM-IV Substance Abuse Criteria

    Substance abuse is defined as a maladaptive pattern of substance use leading to clinically significant impairment or distress as manifested by one (or more) of the following, occurring within a 12-month period:

    1. Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (such as repeated absences or poor work performance related to substance use; substance-related absences, suspensions, or expulsions from school; or neglect of children or household).
    2. Recurrent substance use in situations in which it is physically hazardous (such as driving an automobile or operating a machine when impaired by substance use)
    3. Recurrent substance-related legal problems (such as arrests for substance related disorderly conduct)
    4. Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance (for example, arguments with spouse about consequences of intoxication and physical fights).

    Note: The symptoms for abuse have never met the criteria for dependence for this class of substance. According to the DSM-IV, a person can be abusing a substance or dependent on a substance but not both at the same time.

    DSM-IV Substance Dependence Criteria
    Substance dependence is defined as a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring any time in the same 12-month period:

    1. Tolerance, as defined by either of the following: (a) A need for markedly increased amounts of the substance to achieve intoxication or the desired effect or (b) Markedly diminished effect with continued use of the same amount of the substance.
    2. Withdrawal, as manifested by either of the following: (a) The characteristic withdrawal syndrome for the substance or (b) The same (or closely related) substance is taken to relieve or avoid withdrawal symptoms.
    3. The substance is often taken in larger amounts or over a longer period than intended.
    4. There is a persistent desire or unsuccessful efforts to cut down or control substance use.
    5. A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects.
    6. Important social, occupational, or recreational activities are given up or reduced because of substance use.
    7. The substance use is continued despite knowledge of having a persistent physical or psychological problem that is likely to have been caused or exacerbated by the substance (for example, current cocaine use despite recognition of cocaine-induced depression or continued drinking despite recognition that an ulcer was made worse by alcohol consumption).

    American Psychiatric Association. 1994. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Washington D.C.: American Psychiatric Association. (pp. 181-183)
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    #48
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    3 weeks clean, w00t
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    #49
    nice one man! good work with the clean time so far how are the PAWs setting in?
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    #50
    has anyone seen the little 30 mg straight codeine tabs? man them little fuckers are so small, it makes me believe that the old splitted N+ side of nurofen plus is a falsity in all its glory!
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