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Thread: Should I get on methadone or keep tappering the trams/fents and morphs?

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    Should I get on methadone or keep tappering the trams/fents and morphs? 
    #1
    So as some of you know I'm still addicted to tramadol, as my tolerance is at 1500 mg again (very dangerous dose for someone with low tolerance so WARNING! ) and I'm using fentanyl and morphine ( IV both) frequently as tramadol (orally, not worth it shooting over 30 ampoules) does no shit apart from keeping my brain zaps away and maybe keeping the w/d at bay.

    Do you think I should move on to methadone and tapper that or just tapper the tramadol and ignore the rushes of morph + fents?

    I'm a bit skeptical as the methadone would replace the o-desmethyltramadol but not the nortramadol (snri side of things -> brain zaps, depression, mood swings).

    Or what about subs? I need an all day option this is why I like to take trams with everything the extended release ones as I take 15 x 100 mg they last me all day without w/d and the rest of the cocktail is just for risky fun but I'm very calculated when it comes to my dosing and ROAs.

    The all day thingy would help me with me getting a job in IT again and going to college more often as I rarely nod out nowadays.
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    #2
    Hmmm that's a tough one. Normally I would recommend that people stay away from methadone as it's a real bastard to come off and if you try to cold turkey, it is literally the definition of hell (and believe me I know). However, the amount of tramadol you're on is really dangerous in terms of possible serotonin syndrome so finding a level that keeps you stable (after eliminating the morphine and fentanyl) and then being able to taper from that amount would be quite tough as I imagine this would involve an awful lot of tramadol. As for subs, I think this would probably be a better idea although subs themselves are quite difficult to come off involving a lengthy taper and cold turkey being an absolute pitch as with the methadone. Fom your posts, am I'm right in thinking that you're from the States? If so, then I gather you are able to get monthly prescriptions for subs whereas methadone involves having to turn up at the clinic every day for supervised consumption I believe... That being the case, you would need to weigh up how much of an inconvenience this would be for you. I would love to hear other people's opinions on this before coming to a solid conclusion but I think subs would be the best choice all things considered...
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    #3
    I'm from Romania in the North-West region, methadone is pretty rarely prescribed anymore, in south where the heroin scene is big ( Bucharest) they have lots of clinics but the waiting lists are long and the road to bucharest is long too but I got pharmaceutical owners in my pocket to say so so it's pretty easy to get anything with the original pharmacy price no plus added money wise.
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    #4
    Quote Originally Posted by morpheuspapaverus View Post
    I'm from Romania in the North-West region, methadone is pretty rarely prescribed anymore, in south where the heroin scene is big ( Bucharest) they have lots of clinics but the waiting lists are long and the road to bucharest is long too but I got pharmaceutical owners in my pocket to say so so it's pretty easy to get anything with the original pharmacy price no plus added money wise.
    Ahh OK. Irs just when you mentioned the price of something in dollars i though you were from the US. Your English is so good i would never have guessed eastern Europe. Pretty much flawless English... better than many English people

    If you can get anything then id suggest oral morphine to taper on... my only concern for you would be if you got cut off half way through and were stuck with not being able to get it...

    Would subs be easy for you to get worth a prescription then?

    Would it be possible for you to stock up on something with enough to do a taper on?
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    #5
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    I do not think that their is anything that would mitigate the discontinuation symptoms from the selective re - uptake component of the tramadol with the exception of perhaps a quick taper simultaneous to the final upward titration of whatever opioid you use to manage the situation overall, but it seems to make sense to address that side of things while stabilising on a substitute opiate and not to even think of stating a reduction until the brain zaps and mood issues have abated.

    Getting a rush really isn't going to be an option if you are going to get this down a few levels at least. If you have access to prescription only drugs and are not beholden to methadone, there are xr oral morphine products available which might split the difference in terms of user satisfaction but if you find difficulty in managing and / or funding any or all of your drug use methadone is always a good option for regaining overall control of your life.
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    #6
    My english is pretty good because I always read studies,books, I watch movies and listen to music only in english even the books which are translated I always read the english version bc the sense of the words is not changed in such a way. I think I'm gonna tapper down to 25 mg, 50 mg - per week it will take me 5 months but I have a constant supply. easiest thing to get is the tramadol as I'm an artist in manipulating fragile pharmacist minds.
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    #7
    I would suggest Methadone to regain full control of your life. Yout addiction to opiates seems to be pretty out of hand and with that amount of tramadol even with a tolerance iss extremely dangerous. Go with Methadone and go over tapering off that with the help of your doctor, it's easier than most people think. Of course you'll get withdrawls but that's the joys of opiates. Best of luck and hope everything goes well for you bro, Stay Safe, Peace, Mr.Heffo94.
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    #8
    I'm still thinking about the switch, but even if I decide to do it it will be made after the trams are reduced to more than half of my current dosage so the brain zaps and mood swings would not be as noticeable, only a big fat shot of morphine or fent make them go away but even those two tend to do it just because I nod the hell out so I don't really notice having them but this whole snri part of trams is anoying.

    thinking of the snri part, I find it ironic that when I got out of rehab (and even in the rehab) around this time last year, they prescribed me seroquel (anti-psyhotic), valdoxan (anti-depressant) , convulex (anti-convulsant) and effexor which is an snri and ssri veeeeery similar to tramadol. of course as soon as I got out I tappered of those 4 quickly but the effexor withdrawals ( the last ones I got rid of from all those 4 ) had veeeeery similar effects on my mood and physical well being ( with the brain zaps and all that neurological jazz )
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