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underide
08-21-2007, 09:57 AM
Hi all!
I'm new to this forum and this is my first post.
Just a bit curious about the methadone system throughout the European Union. Things like availability of methadone treatment, the amount of money (if any) people pay for methadone treatment, amount of time it takes them to get on the program, any positive/negative aspects of their treatment etc.
Would appreciate any feedback about your experiences with methadone by people from the UK, France, Germany, Spain, Norway, Sweeden... anywhere in Europe for that matter.

I have been reading quite a bit on this forum, and some others about the done scene in the US, so i feel somewhat familiar with it.

Just in case you ever wondered what the scene is like in Ireland - here is a little basic info with a brief introduction about myself:

I am 23. First opioid i tried was Palfium (dextromoramide - which is abit more potent than morphine) when i was 16. Followed shortly by heroin. By the age of 17 i made a quick transition from the foil to syringe and occasional use made way for full time occupation. I was in my last year at school but somehow managed to pass all my exams and did quite well, considering my all-consuming 'hobbie'. Come to think of it I am now more inclined to think that I only did that well in exams because i had heroin every day of the last semester.
The problems only started after the summer holidays, when my inheritance fund dried up.
First thing i sold was my PS2 along with a good few games. Then, my dvd player, cd collection and my beloved Fender Jag. within about a month or two my room would be empty of any valuable belongings.
But I didn's stop there. First i would ask my parents for various 'loans' and it didnt's take long before they got suspicious.
Shortly after that I was kicked out of the house, for pawning my parents' belongings.
I stayed with various friends, in squats and even slept rough a couple of days. This routine lasted another 3 months. It was very painfull to realise that I could degrade so fast over a bunch of dust people stash in their anuses. Still, I just couldn't last longer than 3-4 days in withdrawal. I would beg, steal and borrow and eventually allways ended up back on the horse.
Eventually I swallowed my pride and came back to my parents for help. I was in tears as soon as i saw them. They were more than willing to help. My dad offered to take me abroad, away from the scene, but i felt that was abit to much for me at the time.
I went to the Drug Treatment Centre in Dublin, which is a Government-sponsored organisation that does reaserch, psychological and medical treatment for various drug addictions (namely heroin and cocaine) and boasts the biggest Methadone clinic in the country within its walls.

After waiting another month and a half(which is quite quickby irish standards) and a few assesments I was put on lime-green Methadone(1mg/ml racemic mix). one week before that i had to give my first supervised urine test, of which i had to give 3 in total in the first week prior to starting the program. All three of them were opiate positive, which i guess is the norm. For my first month on the program I would have to give a supervised urine sample twice every week. After that and to this day it would be once every week and always closely supervised. A bit too closely if you ask me. If you cant provide a sample you have to try again anyhow for the next hour and a half. If you still cant provide one by the end of your visit, your urine sample would automatically be deemed 'dirty' and you would be docked 5 mils of your dose.they're very strict in this regard. There are exceptions, but very rarely. Depends on the doctor and his mood.

Everybody gets a starting dose of 20 mils but they would gradually increase it by 5-10 mils------------------------------------------
Over the next month/s you would usually increase your dosage much more. How much more depends entirely on how much you can whinge and moan and how convincing you are. a lot also depends on the doctor youre assigned to. I am currently on 85 mils (quite standard dose at our clinic) which took me a few months of moaning and groaning, but at the start it really did feel like i didn't have enough. i know a few people on 140 mils which is considered a high dose here
All methadone in Ireland is free by the way, always has been, even if you've no insurance. thats why i was quite surprised to learn that in places like US you have to pay for your juice.

When you first start on the program here you have to come in every day. After a month, if your urine is clean of opiates and benzos(on which they are surprisingly strict here) you get your first take home bottle, which they always give you either saturday or sunday. Another month of clean urines - you get another take-home, and so forth. So far i've got 5 take homes, which means i only have to come in on tuesdays and fridays. this took me over 3 years to accomlish. If your urine comes up 'dirty', ie opiate/benzo, and in rare cases coke positive, you lose one of your take homes. Again - there can be exceptions, all depends on your honesty, use history, behaviour and doctor's mood.

Once you test positive for opiates, they give you a week to clear it up. If you stil test positive in a week, they put a yellow sticker on your chart and take another of your take homes(which you can 'earn' back in a months time). If that test is still positive they put a blue sticker on your chart. and if the next urine is still positive they stick a red sticker on your chart. you can clear any sticker within a four weeks.
So basicaly, if say you have a blue sticker on your chart and your urines have been clean for three weeks, but on the forth you get a positive, they give you a RED STICKER.
Once you get a red sticker they still give you a week to clear your urine. If it doesnt come back clean, well then your on the 'night train' as the local junkies say. which means that all your take homes are taken of you( if any) and youre brought down to 20 mils over the course of the week no matter what your stabilised dosage was. Youre also allocated a particular time slot at wich to appear at the clinic, usually in the afternoon whereas if you still have your full privilages, you can come in any time between 9am to 5pm. 'Night train' lasts 5 weeks and is a right bummer as you can see.

I myself did manage to get on it once at the start of my 'treatment', and it sucked bollocks big time. First you get angry and say something along the lines of "fuck this shit! I aint coming back to this shithole for some stinking 20 mils!! you can stick them up your ass!!" but then 2-3 days go by and youre knocking that door down screaming "Give me my fucking 20 mils!"

At our clinic youre onlly allowed 2 red stickers in your chart history. Get your third night train and your out of the clinic for good. Chances are you won't ever be able to get back on it or any other one for that one, Although we don't actually have to many of them. Ours is a small county and most of the few clinics you get are in the capital - Dublin.

That doesn't mean that there is no drug problem in our country. There is in fact quite a big heroin/cocaine problem in Dublin. Waiting lists to get on methadone are ridiculously long, sometimes as long as 5 months! I got very lucky.
There are on the other hand a lot of 'harm-reduction' projects like needle exchange points(i can think of 10 different places to get cleen needles in the city all legitimate), where they don't just give you clean needles, citric, water, swabs, condoms, etc., theres actually a nurse present at the needle exchange place, that would show you how to inject properly( without actually injecting ofcourse). From what i gather the situation is alot more lax on this particular subject at least, than in say the US where I keep hearing horror stories of set up stings where cops actually pretend to be drug dealers. That kind of malarkey is aLMOST UNIMAGINABLE OVER HERE. theres even been talk of actuall legit shooting galleries, but nothing just yet.

Thats not to say we dont get hassled by the cops here. We do but much more rarely and leniantely. I remember one of my mates has actually been let of with just his id details taken after a cop searched him and found a baggie of heroin on him. I have been let of without arrest with a few extasy tablets, no shit! The cops here seem to concentrate mostly on big-time dealers.

By all accounts though, methadone clinics in Ireland seem to be more strict that in the US. That might be because it's all gov-ment sponsored.

I have been on the done over 3 and a half years now and do feel tied up in many ways by it. The next step for me I suppose would be to try to transfer to a GP (general practitioner - private doctor), and get my methadone from him. this is another system here, also free of charge(SAVE FOR CONSULTATION FEE) which is even more difficult to get on to. you have to be at the clinic for at least 2 years, which is atick for me, before you can get a transfer to a GP which gives you a script for done once or twise a month, and also takes your urine. You then get your done in a pharmacy (still liquid-we never get done tabs over this side of the pond). This system appears to be much more flexible and lax and is the next step for me, on my road hopefully, to recovery. I am talking to my counsellor at the clinic abouth this move, but theres also along waiting list for this. Fingers crossed...

Anyways, sorry for making a book out of it. Just in case youre ever curious about some basic aspects of methadone treatment in Ireland.

I would love to hear about the system in other European countries, or anywhere around the world for that matter, feel free to share, would appreciate any info or any stories on the subject.
Thanks! :)

ProdigalSon
08-21-2007, 10:23 AM
Welcome to the grind bro.

Very interesting read. I know nothing of Methadone maintanence really, except you gotta go eveyday for awhile, then theyll give you some takehomes, basically the same system ya'lls got there.

Always love hearing about others stories

Saint
08-21-2007, 11:55 AM
That was an interesting read, more of a novel than a post ;-) but I read every single word of it. Nice to see an Irish opiophile here btw. I know a few Dubliners and never failed to have a good time with them (and a lot of beers as well). So welcome.
About your question: I'm Dutch and our system is very similar to yours: methadone is free here. Normally you need to have some kind of insurance but even without insurance there are other ways to get it (legally).

Your story sounds VERY familiar. I also started using at a very young age, soon trading sniffing for IV-ing, and ended up with a major heroine-addiction. One day I simply woke up sick as hell. When I was 16 I went to a clinic and here too the standard rule was to give you a startingdose of 20 mgs (in 5 mg pills). But most people tend to moan their way up to about 100 mgs: this is far more common practise now than it was 20 years ago. Back then they would never give a higher than 60 or 70 mgs-dose, nowadays the 'specialists' in Holland are generally in favour of a high dose: 70 to 120 mgs).

I had to go to the clinic or 'methadone-bus' daily (the methadone-bus drives through town every day and stops for 2 hours in different neighbourhoods: ''don't go to the clinic, the clinic will come to you''!! Very handy when you have to get your methadonedose during your lunchtime at school).
In the bus you will get liquid methadone which you have to drink in front of your 'helper' and a nurse is usually present as well. They can also check for other problems: signs of diabetes, hepatitis etc. etc. at no cost.
The only downside is that you have to wait outside when it's too busy so 'friends or colleagues' might spot you waiting in line with the other 'junkies'...

After one year I was 'upgraded' and finally allowed to pick up my methadone 'only' twice a week, but I had to do 'pee-controls' to return the favour.
There were sanctions when they found benzo's or heroine/coke, like having to show up daily again, but I can't remember that they ever refused me my dose except for being late.
Like you I miraculously managed to finish highschool without studying that much - I hardly attended classes as far as I remember - and then I went to university (didn't finish that though :-(....
Then, after a few years of 'good behaviour' I finally got my methadone prescribed by a private doctor.

She is still prescribing my methadone today. In Holland most people that behave responsably (keep appointments, act respectfully etc) will get their methadone prescribed by a private doctor sooner or later. This is certainly the case when you have a steady job.

The 'selling your DVD, fender and pawning-your-parents-stuff-story' is like reading my own history (with the exception that dvd-s didn't exist back then so I pawned my stereo instead and sold my Bowie, Lou Reed and Velvet Underground bootlegs.. fuck.. I really wish I'd never done that.

We also have the needle-exchange points (in the big cities anyway, I live in Amsterdam). And they are great: they sell anything from spoons, ascorbine to dissolve heroine, sterilized water or cottons to condoms for like 50 cts total. In fact normally the needles and condoms are free and they will give them anyway when you're broke and desperate. This has worked miracles for the HIV and hepatitis C problem. Infections have diminished by 80% or so.

O.k. I stop before I write the next novel on this thread... hope the info is of any use.

btw: are the Virgin Prunes still alive and kicking, I really liked that band, saw them live twice but haven't heard of them in 15 years? :) Wonder what became of them.

nhop
08-21-2007, 12:09 PM
I lived in Brussels, Belgium for several years, and found their system very agreeable. I went and did about 1 hr assessment at a harm reduction center downtown, along with a basic urine test to verify opiate use, and was then handed a script for 10 methadone pills. (30 mgs starting dse) To pay for this script is a max of 2 euros, though it is an "honor" system and if you are broke you do not have to pay. To pay for the methadone at the pharmacy was a bit more (about 9 euros) though if you are European with insurance this is reimbursed. So for a foreigner in Belgium I was able to stay well for less than 1 euro a day. Not bad.

Now I am in the USA and would never consider methadone given the complex clinic system they have, plus the expense.

underide
08-21-2007, 01:51 PM
Thanks for the info saint!:)

Methadone bus - that sounds familiar. I have actually heard about pretty much the same thing here in Dublin. But you can only get 40 mils from it as far as I know.

"Virgin Prunes"- I have to admit I have never heard of them. I'll look them up

As for the needle exchange, here you dont have to pay a penny for your works. It amazes me how people over here still manage to get HIV or Hep C due to the intravenous drug use.
But I do believe the transmission rate now is very low as compared to 20 odd years ago

nick
08-21-2007, 05:25 PM
I'm in the Uk and we have a free clinic system here.You go to a gp,he sends you to a ddu and all 'done is free and plentiful.

There's a lot more,but Nick jr's "creating".

Duckfeet
08-21-2007, 08:39 PM
Glad you're here, and welcome to you, underide. Yeah, it was a bit of a long post...but we don't get that many people from outside of US and Canada, and I always like reading all Nick or anybody from "over that way" posts. Like a lot of yanks, I dream of living somewhere where they have heroin maintenance, like where Nick lives, and I thought maybe Ireland had it too, but I guess not.

And hear, there have been a lot of changes in the methadone prescribing clinics. Sounds like the system in Ireland is like what we *used* to have here. Clinics pretty much used to be free, and takehomes not too hard to get. But once we got oxycontin, and a lot more middle-class white kids started getting strung out, they started private clinics, where we had to pay. Before, when it was just heroin, and inner cities and such, seemed like nobody much cared about the people going to the clincs, and every one I ever bumped into was free. It still seems strange and somewhat sinister, that the came out with oxycontin and at the same time the *for-profit* clinics really got going here. Wouldn't surprise me if someday it turned out the the guy who made money from the new clinics was brother in law to the makers of oxycontin..uh-oh, paranoid alert!

Just saw great movie about a couple of Dublin junkies...Adam and Paul, I think it was called.

I'm at daily 100mg. Do you have injectable methadone, or can you get it? Also, can you get split doses I wondered? I"ve been thinking of going to split doses at another clinic, since I think it works better, spreads it out more, and I've got a lot of "old guy" aches and pains, anyway....

Anyway, wanted to say welcome, my friend!!!


Hi all!
I'm new to this forum and this is my first post.

<snip>

I would love to hear about the system in other European countries, or anywhere around the world for that matter, feel free to share, would appreciate any info or any stories on the subject.
Thanks! :)

Canis aureus
08-22-2007, 02:14 AM
Hello!

I'm in Europe, in Finland.

I used to be opiate user without any special usipate to be fixed on; maybe it was heroin if any, but I have used as well morphine, oxys, fentanyl, poppies etc. Evrything but not bupe (subutex), though it is one of the most typical sreet drug in Finnish scene. But there is very good quality heroin as well. It is because this is somewhat middle point between east and west... Thre are many good places in russia also...

underide
08-22-2007, 04:27 AM
To Duckfeet:

Thanks man!http://forum.opiophile.org/images/icons/icon13.gif
yes, i've seen Adam and Paul too a while ago. A very gloomy film. Too sad for my liking. But thats the reality of it i guess.

Never heard of injectable methadone over here. Maybe you could get it in hospital or something. No done tabs over here either. I know that some older junkies are able to get monthly (or weekly) scripts for dihydrocodeine (which is just as potent or maybe a bit more potent than codeine). DF 118s is what they're called here. You can also get Subutex here in odd cases but for some reason I could never trust an opiate that is also a partial antagonist.

Never heard of split-dosing. Not in our clinic anyway. But I presume it can be done, since the clinic is open 9-5 with a lunch at 1-2pm.

Saint
08-22-2007, 02:26 PM
Don't you have free heroine-programmes in Ireland? I know they have them in the UK. In Holland you can get on a heroineprogramme but there are about a thousand rules to get in... for example you have to be

- a *hopeless* case
- a total failure at trying all other sorts of detoxprograms
- a recidivist (is that the right word?) simply put: a longtime criminal ;-)
- and so on and so forth

So I don't really apply, even after being a lifetime junky. I really think that sucks and that these programs should be available for everyone who really needs them. That would save society, as well as 'us junkies', a lot of unnecessary pain and trouble..

btw: Gavin Friday was the main man of the Virgin Prunes, maybe his name rings a bell? But then again: you are a bit too young to have heard of them I guess. They made this gloomy music that I used to like a lot back then, with songs like 'the King of Junk' or:... 'If I die, I die'..
well, if THAT won't cheer you up than I honestly don't know what will :-)

underide
08-22-2007, 04:01 PM
To saint:
no, as far as i know we have no heroin substitution in Ireland. We definately should have. Methadone gram per gram is almost as strong as heroin (stronger than street heroin anyway) yet it is legal for addiction treatment. And it is so much harder to kick than heroin, if only i knew that before going on the program.
They basically substitute us one hard-ass addiction for an even harder one. It lasts so long that it is just way easier for the organization to distribute it and control you. They would have a much higher success rate in retaining people and therefore really helping them if they had heroin programs instead of methadone ones.
Even some oral medication like oxycodone would be preferable to most people i think.
But then ofcourse oxycodone and heroin have that dreaded (by doctors at least) side-effect called euphoria, not that methadone doesn't have it but its very subtle because of the tolerance and the way it is metabolized by the body.
But then a lucky few seem to be able to receive 'proper' treatment in the UK and your country. I evern saw it on Sky News a while ago: this lucky fella dropping into his GP in London (he didnt seem awfully old or decrepit by the way, maybe 30 odd yrs) and his GP would dispense this guy right from his office a few packages of Diamorphine hydrochloride tabs along with afew packets of Dexedrine - supposedly for his coke addiction!
How sweet is that!!? needless to say that footage had me drooling. Thats the way it should be.
Apparently theres just a handful of GPs in britai with a license do do something like that. I imagine getting reffered to a GP like that must be like winning a lottery. What else does a humble junky need in this world.

Duckfeet
08-22-2007, 05:20 PM
Yep, as a matter of fact, most people I know in UK who *do* end up on diamorphine use that very term, "hitting the lottery," when they talk about it. Problem is uprooting, and then moving. Always seems very possible until I see what I *really* would have to do to leave everything, and of course, no guarantees, and since I too, am on a daily 100mg dose of mdone, I have to be ohso careful I don't run out, and that a foreign national like me could get on it.

It does seem *so* fucking sane tho, but like over here, people are still just so fucking calvinist in their thinking, just so godamned scared we might get some little bit euphoria along with our dose, I guarantee you, if they could take the *euphoria* out of heroin, we'd be able to get it tomorrow...but happiness just infuriates the godfearing of this world, and why I despise them...

Ah well, just really enjoy your posts, man, nice to know what it's like over there, and most junkies always travel or dream of it, so u keep me thinking someday I'll be going to a clinic in Dublin...and who knows, maybeee.....

Take care,,,


To saint:
no, as far as i know we have no heroin substitution in Ireland. We definately should have. Methadone gram per gram is almost as strong as heroin (stronger than street heroin anyway) yet it is legal for addiction treatment. And it is so much harder to kick than heroin, if only i knew that before going on the program.
They basically substitute us one hard-ass addiction for an even harder one. It lasts so long that it is just way easier for the organization to distribute it and control you. They would have a much higher success rate in retaining people and therefore really helping them if they had heroin programs instead of methadone ones.
Even some oral medication like oxycodone would be preferable to most people i think.
But then ofcourse oxycodone and heroin have that dreaded (by doctors at least) side-effect called euphoria, not that methadone doesn't have it but its very subtle because of the tolerance and the way it is metabolized by the body.
But then a lucky few seem to be able to receive 'proper' treatment in the UK and your country. I evern saw it on Sky News a while ago: this lucky fella dropping into his GP in London (he didnt seem awfully old or decrepit by the way, maybe 30 odd yrs) and his GP would dispense this guy right from his office a few packages of Diamorphine hydrochloride tabs along with afew packets of Dexedrine - supposedly for his coke addiction!
How sweet is that!!? needless to say that footage had me drooling. Thats the way it should be.
Apparently theres just a handful of GPs in britai with a license do do something like that. I imagine getting reffered to a GP like that must be like winning a lottery. What else does a humble junky need in this world.

nick
08-22-2007, 05:22 PM
Treatment in Ireland is a totally different beast.Rxing there is kinda in the stone age.


Oh and Cainus bro......good to see you around,I was getting worried about you.

geanine.aurora
08-22-2007, 11:32 PM
I find the posts about Methadone Maint in the UK/Ireland/Europe to be very interesting. I was on MM at a clinic 20 years ago and now am on with an American doctor for pain. I don't think I could take the constant monitering and rules about pickup times. I think all internal med docs should have to carry a couple MM patients. That would spread us out and offer the flexibility of private clinic.

Ragdoll
08-23-2007, 02:42 AM
Very compelling post, underide. Thanks for taking the time and energy to so well describe your situation and system.

I don't know anything about the methadone system outside of California and some other states, and here everything costs money - if you don't work yourself into the grave and have private health insurance/money for a private clinic, you might as well not even exist. It's quite disgusting.

Canis aureus
08-24-2007, 06:50 AM
Yeps,

the biggest difference between European and American clinical system is that in Europe clinics are usually for everyone and free of costs and in America clinics are private. Indeed in Finland private clinics are excluded by law; there could be no such clinic, unless it is pain-clinic (and then it would be no clinic for real addicts).

There are good and bad implications of that... but in principle we pay our health services in taxes and such things.


One of the worst thing is long lines to mainetnance. WE had SIX MONTHS WAITING to our clinic when I got in. The WHOLE PROCESS TOOK one FULL YEAR from me. I was two times in emergency (almost died), and several times in jour or whatever that is where one goes to have rapid help to withdrawals and such... and in one final detox before I got in. That detox was just month of subutex with tapering schedule (when I hit the zero, I had real troubles to get to dealer because I was so weak that my feet barely carried me); there was no real point in that. I just had to go trough it.



First there were involuntary and final detox, then piss thest after that (so that I was using again) after it. Then six months waiting and then two weeks induction with increasing dose. And hel yeah, they put me on suboxone first; although it was just one more failure. THat one mistake took six months also!!! Six Months in suboxone just to lower my tolerance; that was the main point, I guess.

That is the common and free maintenance of Finland.

WOULD ANYBODY WANT TO GO TROUGH IT?


Editting (adding): And oh Nick, I have been working so much recently. I got job in greenhouses... but it's momentarily over now; I hope I*ll get the job back when they start planting tulips soon. (http://forum.opiophile.org/Editting%20%28adding%29:%20And%20oh%20Nick,%20I%20 have%20been%20working%20so%20much%20recently.%20I% 20got%20job%20in%20greenhouses...%20but%20it%27s%2 0momentarily%20over%20now;%20I%20hope%20I*ll%20get %20the%20job%20back%20when%20they%20start%20planti ng%20tulips%20soon.)

underide
08-25-2007, 07:40 AM
Canis:

Yeah, Buprenorphine is availible on request here. i have only seen people get Subutex here, not Subuxone(with Naloxone). Subutex does seem to be the favorite of the two pretty much everywhere, i gather.

Do you always get Subuxone in Finland? or can you get Subutex? does it even matter which one?
I suppose not, unless you intend to inject your bupe. Then Subutex all the way ofcourse.

Mind you even so, Subutex is a very unpopular option, as opposed to methadone in Ireland. I only know of a few people that willingly chose buprenorphine maintainance here, and a lot of people that did, don't stay on it very long, saying they much prefer methadone and switching back.
Bupe seems to only have been somewhat popular when it was first introduced here for maintainance(2004 if I'm not mistaken) and that was partly because of curiosity i presume.
I myself have never tried Buprenonriphine in either form. I don't have any desire to. The fact that it's a partial agonist/antagonist gives me the creeps. Plus i have been on methadone over 3 years now, which means that if i take bupe right now it'll send me into withdrawal, as i'm sure you know that yourself.

The system in Finland, the way you desribe it - with ridiculously long waiting lists and so forth, seems to have a lot in common with the system we have over here. Its free also Free. Thank god for the European Union.
Can you get a private doctor to prescribe it to you after being a while on the clinic?
Thats what i'm trying to accomplish for myself now.

Can you get methadone prescribed in prison in Finland?
In some jails in Ireland, if you're on the done program at the time of going to prison, you can continue it in prison.
This system is somewhat perplexing thou and there's a lot of ifs and buts. You need a good lawyer, thats for sure.

Thanx for the feedback

Saint
08-25-2007, 09:56 AM
Well I took my last 5 mgs (five! holy shit, never thought I'd ever get that low) of methadone 36 hours ago, after tapering from 15 to 5 last week. And I just went to the pharmacy to get my script. But they didn't fucking have subutex in stock.
I called them yesterday to make sure thay had them but something went wrong ordering them... So I freaked out because I'm starting to get somewhat sick here.
After two hours of waiting and many phonecalls I could pick up a script for only 2 days but I had to go to 2 different pharmacies in town to get them. AND.. before closingtime as well, which was only 20 minutes later (and needless to say tomorrow it's sunday so no way I can get them then). I'd never guessed I would have been able to ride a bike that fast in withdrawals... but I made it and got a 2-days script. But obviously it's not a commonly used medication here (Holland)

And why do you say subutex will make you sick? Only if you'd take the subutex too soon or when your methadonedose was very high (above 30 mgs) you'll get really sick. If you wait 48 to 100 hours -depending on how high your last dose was - you won't get too sick as far as I know.
But yes, you definitely will get sick before you start taking them because you have to wait untill all opies are off your receptors... so untill you are in withdrawals enough. I'm going through that WD-shit right now and it's not much fun..

I also don't know if subutex will be the right thing for me and like you said I will switch back if they won't do the trick. But I'm not looking for a high (anymore) so maybe that's a plus, I really don't know. Only way of finding that out is by trying it anyway.

So.. I didn't take any methadone for 36 hours now but so far I 'only' have restless legs, a little sweating, a few goosebumps now and then, yawning and some sneezing/diarrea. So I am not sick enough yet I guess (remember I could still ride a bike...). My pupils aren't even that big yet... So I will try to wait another 24 to 36 hours..

Saint
08-25-2007, 10:06 AM
By the way: in Holland you will always get methadone in prison, especially if you were officially on it. You'll get the same dose your doc prescribed. But you can also get it when you're a heroine user. You get to see a doctor the same day you come in.

Canis aureus
08-25-2007, 10:07 AM
Theyy claim in clinics tthat they will give medication in prison also and I believe that that is the case. At least one guy whom I know got it there. I mean one who was in same group as I; in same addict group, not prisoner group.

BTW, I get my done from usual health clinic.. it's not methadone clinic but common everymans health one.

I was six months in special addiction clinic untill I got stable and then thpse clinics send meds to those usual clinics and we could get them there. It is practical and there is no sttigma in that; no one knows what I get there or what is my business there.

BTW almost all or majority of addicts are on bupe here. In addiction policlinic there were about 80 to even 90 percennt is on bupe, and on suboxone (just to prevent shooting).

I'm on high dose methadone my self (like it is said or put here), now on 180mgs. I would not like to go higher, and Idon't need to go, unless I start to feel like shit in the mornings; as I used all the way to 160...

underide
08-25-2007, 05:46 PM
Holy crap saint! (excuse the pun)
You must be feeling pretty funky right about now, having dropped 15 mls within aweek. I cant even bare to think to reduce my dose by some measly 5 mls, just not my time right now.
What i meant was that theres no way i could handle going 48-72 hrs without my done as you say, if i were to try subutex. Just way too much unpleasantness in my life and on my mind lately, and you know how withdrawal only makes that sort of mood even worse.

I remember when i started the program, the first few months i was able to go about 36 hours without noticing any major withdrawal symptoms.
Nowadays it takes about 26 hours and i hit the jones. By about 40 hours i am shaking, aching all over, throwing up every few minutes, well you know the drill i'm sure.
I ended up without my 'done a few times lately, it was terrible.

Anyway, congrats to you for going that far!! Really is an accomplishment in my opinion.
Be good

underide
08-25-2007, 06:10 PM
Canis:
180 mls? That is one high dose by our standards. I think the highest i have seen get in our clinic is 140-150 mls, and that is considered pretty damn high here, but i'm sure there are exceptions. I'd hate to be in your position when or if you decide that you've had enogh of done. Will be one long-ass taper man. I presume cold turkey off that dose would be suicidal.
I wish you luck in either case!

Personally, i'm not sure when i'll be able to get off this shit. It just seems so hard. I think that there are definitely certain windows of opportunity, or certain times that are easier to get off dope than others. Now is just not my time. But it is starting to get very stale. I'm starting to get very bored with the situation and the fact that I can't feel some good old heroin euphoria every once in a while just doesn't help. Like some sort of limbo.
what would be a lot easier is switching to a short-acting opiate and then detoxing. when the time comes, if i ever get an opportunity, i would probably even settle for dihydrocodeine, before detoxing. Maybe 2-3 months of stable dosing on that before taper and then eventually detox. Dihydrocodeine is actually prescribed to some addicts over here. Just have to find a doctor willing to take one on-board.
That in my opinion would be a lot easier that methadone taper and detox.

Canis aureus
08-26-2007, 01:21 AM
There are different phases there in maintenace, or replacement therapy, and they have different goals. I'm in position where goal is harm reduction and sort of quality of life ie. not long term detox. I'm regarded hopeless in that... 'cause I'm bit old and have used since late eighties. My last detox was quite well recorded and did lead to different substance abusing -- benzos, alcohol and then back to opiates; and the involuntary one was just few days WD-check out.

And I know that if I would detox, I would relapse surely.

tui
08-26-2007, 01:55 AM
Hey there, and welcome...

i've been on the 'done in Canada and New Zealand... though both are British colonies and havely pretty similar health care sytems, the methadone clinics operate v diff.

In Montreal, i never got any takehomes cos i used heroin and cocaine the whole time... i was honest about it, they didn't even bother giving me pee tests. However, there's no way they'd kick me off the program, instead they kept increasing my dose until i was up to 95mgs and falling asleep standing up. (They start you on varying doses in Canada- i was started on 50 or 60mgs i think). Some programs are super hard to get onto- i remember one you had to call every monday at 1pm, and the first caller through got on the program!! nuts. they also usually charge: $2 a day if you have a "poor card" or insurance... $5 without. Montreal has heroin maintenance but it was severely restricted. I wasn't eligible. You had to be a pretty hard core crim to get on it.

In New Zealand, in some cities you can get on a program the next day- others it takes up to 6 months. They start you on 30mgs and raise you from there. There are stories about women junkies getting preggers just so they can get on the 'done- effed up, eh.
But 'done is free here, and again, once on, i don't think they can cut you off. it's bloody expensive to buy on the street though. $1 per mg.

(Duckfeet- in NZ 'done in injectable and it actually feels damn good... usually i hate the buzz of 'done... but IVed it's lovely)

It's fascinating finding out how other countries do things. Good thread.

t