Methadone Then, Methadone Now, An IntNSA, PCSS Joint Hosted Webinar
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- Опубликовано: 29 июл 2021
- Methadone Then, Methadone Now. This webinar will focus on Methadone Treatment as in a historical background beginning in the mid-1960’s through 2021 and discuss how a Methadone Treatment program in Cincinnati has dealt with the many changes in treatment. It will review the changing of treatment from using methadone as a medication replacement therapy to part of a bigger treatment that includes specialized medication, individual counseling, and group therapy. With more potent opioids compared to the early years, it has become a challenge for Opioid Treatment Programs to maintain replacement strong enough to help individuals from becoming a statistic of overdose and possibly death. Presented by John S. Silvani, RN, CARN, CAS, LCDCII, FIAAN.
Funding for this initiative was made possible (in part) by grant no. 1H79TI081968 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
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Thanks for the info! I am a retired family doctor who has been practicing MAT for 1.5 years. I am getting ready to be part of a new methadone clinic in the UP Michigan.
As a long-term methadone abuser/user/patient, I'm beyond thankful for you and every doctor or person who decides to be involved in the fight. Its nice to be reminded that there are compassionate people out there.
Methadone saved my life. I think God and all of you involved in treatment. Thank you!
Axe Addict was almost there at 3mg ! He broke the number one rule when tapering , never go backwards . The "fun" doesn't start until you get to zero , pure hell for 30 days !!
I want to start a methdone clinic I am scared to death , been taking 10 oxycodone 15 mg daily an I’m ready to change my life
Is it profitable to start it in a tea treatment center in my local area I am in Phoenix Arizona?
How could a patient be better for using a full agonist opiate like Methadone rather than a partial agonist opiate like SUBOXONE. That’s ridiculous. There is a ceiling effect on respiratory Depression ?
A lot of patients do better on methadone than buprenorphine.
Maybe, but 2/3rds of all MAT patients take Benzodiazepines. Being on a full agonist opiate like methadone, coupled with benzodiazepines, prescribed or not, ups overdose deaths at least 30%.Because, 30% of all full agonist opiate overdose deaths, when toxicology is done show benzos are present as well. Meaning respiratory depression is increased exponentially when you take benzos with methadone, heroin, fentanyl, oxycodone. SUBOXONE, being a partial agonist opiate is almost completely safe to mix with therapeutic doses of benzodiazepines.
@@Davo2233 can you provide a citation for that study that 2/3rds of oud patients being treated with methadone take benzodiazepines?
@@Davo2233 That statistic you fabricated is complete BS. Grow up
@@Davo2233 you sound mad lol.... Did methadone hurt your feelings?
Methadone was a Terrible detox. The withdrawals went on and on for at least 90 days. Was on clinic for 13 years.
It's still ridiculous that methadone is so cheap and clinics are charging people who make hardly any money 15 dollars a day. That's ridiculous. I'm in Cleveland and there is more clinics but it's still all about making money. I'm a fast metabolism and I been on 135mg and I've been on as low as 3mg (terrible withdrawal) I'm on 50 now and you get used to the dose and then you start getting withdrawals again early in the morning.
Not true you need to increase your dosage I too had the problem of waking up withdrawing I'm currently on 90mg
@@ethanmedlen2013 what part wasn't true? Now that you're on 90mg do you still get sick in the morning?
@@manicmurph up your dose,or take it twice a day but you should up your dose.
@@Sandwich13455 I did. Doctor gave me a 15mg increase. Now I feel good all the way till the next morning. I just wonder if I'll ever be able to get off this shit. I'm currently trying to get my takehomes back. I had to quit smoking weed but I think the take homes are worth it. Weed was giving me anxiety anyhow. I'll still smoke a little here and there like after I get my urine I'll take a couple hits but the take homes I need cause I'm sick of all the gas money and putting miles on my car.
$18.00 a day here in Tampa,FL! Goes up each year like one's rent does!!
It’s not anywhere near as difficult to swap from Methadone to SUBOXONE.. as you stated. That’s ridiculous Ive done it twice seamlessly!
How did you switch from methadone to subs? I heard it's rough cause you have to wean down really low then not take any methadone for a week. Lots of people go into precipitated withdrawal.
@@manicmurph At the MMT clinics I was at they made you go down to/be at 50mg of methadone (daily) before switching you over to suboxone.
Everyone is of course different, but on average you'll have about 36 to 48hrs of rather slight withdrawal symptoms before comfortably acclimating to the suboxone.
I've never heard of any MMT/MAT clinic making you be off methadone completely before suboxone... if true(?) that's just insane and really seems designed for failure.
Just an FYI, as an Army combat vet, I've been a patient in/worked & volunteered at many MMT Clinics across California and Nevada for the last 25 yrs now.
@@paynekiller75 I figured when I was down to 3mg I would've been able to switch over to Suboxone but almost every doctor I called said I have to be off methadone for a week or I'd go into precipitated withdrawals. I've also heard that they could've started me at a really low dose of Subutex without the naloxone in it and slowly gave me more but I guess I'll never know now unless I start coming down off the methadone again. I thought the same thing about no methadone for a week. That would almost assure someone would go out and use. I don't have any dope hookups anymore cause I haven't fucked with it in years but I'd certainly be asking my dad for some of his Norco and perc 10's, and maybe even kratom again. It was so scary being that low and getting panic attacks 2-3 times a day and having them last for hours. I became suicidal for the first time ever. I know if I would've maybe had some benzos at the time it would've helped. I wasn't switching at my methadone clinic, this was other places and doctors that specialize in addiction and that told me I'd have to wait a week with no methadone. If there was actual real heroin around still I'd get a couple grams of that and just do that until I could get on the subs. The subs have their pros and cons and methadone has it's pros and cons.
@@manicmurph I swapped 20 mgs methadone for 8 mg suboxone, rattled for 4 days till I took 16mg of sub and fell asleep, woke up normal,friend swapped 60 mg methadone for 24mg of subs,took 8 days to sleep and woke up normal,crazy stuff.
@@Sandwich13455 no shit? They were telling me I had to be off methadone for a week and wean down as low as I could.
I appreciate this talk being posted but some of the information is here is less than what is considered progressive or in line with the newer best practices.
Please elaborate?
such as what..?
I see all these quitters on here, I'm sorry to put it that way,but8 already 23 yrs in,onlevel 7 going monthly,always had a hard physical job.and I'm Definitely not getting any younger.
Tell my question is why I go to life hurting. When there's no need,it took me years of driving 200 plus miles every day,week month.to give up my 170mg. For $12. I know just gonna due drugs agin because this life sucks & stressfull. Was addicted all my life since age 13.but they never took my kids Until last year at 41.me and wife of 24 yrs.had baby,I got Terminal brain cancer, lost wife in childbirth,after 1.5 yrs of chemo and radiation treatment, they took my only reasonto fight,because they afraid I might not be mentally able to care soon,but still no ssdi or disability check.so don't be a quitter and before you die take as many of them out as you can.#nomoreCPSkidnappers.