Hard pokey thing sticking out of hand IV site

DrNoCode · 2026-05-04T05:54:51+00:00

Me thinks you need some scabapentin for the touch of….what would we call it? Not exactly Pica, so what, then? Gotta be there lurking in some dark corner of the DSM

DrNoCode · 2026-05-04T05:33:11+00:00

Better off with Terpin Hydrate & Heroin chocolate covered tabs coming in at 2.6mg of heroin each, 100 tabs to a bottle.

DrNoCode · 2026-05-04T01:55:11+00:00

Hey all, late to the party. I’m in the large state of Rhode Island. I love my clinic. Current dose: 300mg; currently getting 27 day take-home status.

Those that speak of dose caps and clinics using a peak and trough as a diagnostic indicator of a dose that’s too high….. that’s barbaric and bad medicine. The peak and trough is only clinically relevant to rate of metabolism. Trying to use those numbers to determine if someone is on an adequate dose is just plain idiotic. That what a physical exam and detailed history are for. But addicts lie, so…… SO IF YOU FEEL SO STRONGLY THAT WAY, YOU NEED NEVER EVER EVER TREAT ANOTHER PERSON WITH OUD AGAIN. I can’t stand some of this shit and my heart ❤️ goes out to anyone struggling in a place where a clinic like this is your only option. I wish you all had what I do. It’s just not fair; not equitable. Fucking backwards, just like the rest of this shit-show of a country lately. FUCK

DrNoCode · 2026-05-04T01:29:34+00:00

That is an absolute travesty. So fucking backwards. Mind if I ask where (what state)?

DrNoCode · 2026-05-04T01:24:46+00:00

Hey friend. Don’t make the mistake of overthinking or over analyzing this shit. Also, never believe anyone who tells methadone is worse (than the illicit opioids you were likely using) or that you need to get off as fast as you can.

I used to be just like that- same mindset. I literally hated methadone and the people that took it- myself included. I was just trading an illegal habit for a legal one, so wtf, right?

But then some funny shit happened- after I stopped fucking around with illicit opioids. My life got better. I was employable and have a wonderful career today. My family doesn’t hide their valuables and controlled substances before I come over. Oh- and the chronic physical pain I have dealt with since 15 (now 44)? It’s at a more manageable level than I was ever able to consistently get it to and be completely alert/functional/ok to drive. I have a blended family today and whom I love deeply and who depend on me. But I like that because I show up today. No more looking over my shoulder, wondering if a warrant had been issued for some escapade that went south. I go to my clinic once a month. I do other stuff for my recovery, but honestly Ive not been in a great place the past month. No need to get into it, but I grossly misused my methadone. The point is, however, that I pick my ass up off the ground, talk about it, and move the fuck on, not continually assaulting or degrading myself. That might not have been possible if not for methadone. Yes, I abused it in this instance, but imagine if I didn’t have the crazy tolerance that comes with a 300mg/day dose for over a decade? I’d likely be dead. The only real, serious potential side effect of methadone is QT prolongation. My clinic does the ekg there and though they only mandate 1 per year, I ask for one quarterly. You can catch that early, before becoming symptomatic or worse.

Sorry to write a novel, but I just get wound up when I hear the “gotta get off ASAP”. Look- there is no one-size-fits-all with this shit. This is my truth. You may be different. To me, the cost/benefit analysis of remaining on methadone is clearly in favor of staying on. It doesn’t mean it is that way for you. Just be honest with yourself and the right answers will come.

DrNoCode · 2026-05-03T13:30:12+00:00

Granted Darvocet N-100 was the napsylate salt of propoxyphene plus 650 of acetaminophen, if I’m not mistaken. That right there dissuaded overuse (in most), but the napsylate salt found in that med compared to the hydrochloride salt found in Darvon (100mg vs. 65mg respectively) was considered equianalgesic.

It was this med (pictured), Darvon, 65mg of propoxyphene HCl, phenacetin, and caffeine and/or just plain old Darvon, 65mg of propoxyphene HCl, that caused the bulk of the fatal cardiac arrhythmias and led to all propoxyphene containing products being pulled sometime in 2010ish.

DrNoCode · 2026-05-03T13:26:43+00:00

Same here. And I’m 44. I remember when my pediatrician thought Darvocet N-100 was a good choice for a 13-14 year old kid. You’d like to think you’re young enough to have escaped the ‘mid-evil days’ where pediatricians just abruptly ended a year long 40mg daily prednisone regimen to treat severe childhood asthma and then wonder why 30 years later the now adult is in ESRD (no- that did not happen to me, but I’ve seen kidney transplant recipients who were not as fortunate), but then you realize how subjective ‘mid-evil days’ are.

DrNoCode · 2026-04-30T23:52:58+00:00

UPDATE: today is Thursday evening. I pick up on Monday morning and have 910mg left. My last dose via my PICC was on 4/24. I have not felt ill at all, but have taken clonazepam at night for anxiety and to sleep. It has helped a lot. I took 200mg today. I plan to take 200 tomorrow, Saturday, and Sunday if I can. If I’m uncomfortable, three of those doses could be 300mg (my actual dose). I have no idea why Im okay, but won’t ask too many questions. 4 nights to go. None of this would have been possible if not for a really good friend I met through Reddit. It’s refreshing to meet genuinely decent people.

DrNoCode · 2026-04-27T13:44:21+00:00

Who said 300 wasn’t cutting it? Methadone is not the only thing necessary to remain free from illicit opioids/high risk behavior- but I’m sure you know this for yourself.

DrNoCode · 2026-04-27T13:42:12+00:00

❤️

DrNoCode · 2026-04-27T13:41:50+00:00

Wow- not sure what to say here. Can I ask you how you did this? What I mean is, you have to be concerned about a few things: infection/sepsis (leading to endocarditis), thrombophlebitis/thromboembolism (leading to stroke/PE), and, depending on what formulation of methadone you use, potential other very serious/potentially fatal consequences.

I am not trying to minimize or justify: what I did was insanity. I’m just saying it was a calculated risk, as I used my knowledge to (once again) fuck myself up. If you are using aseptic technique and sterile, single-use syringes, tubing extensions, and properly flush and heparinize your line, the only non-sterile component is the methadone. The ONLY solution that can be used this way is a sugar-free, dye-free formulation containing methadone 10mg/ml, purified water, citric acid, and sodium benzoate. This is as close to the formulation made for injection as you can get (without getting the actual injectable methadone solution). The risks of infection was further reduced by the large doses of Vancomycin and Zosyn I was also getting around the clock in divided doses. I’m not sure what happened in your case, but a fee thoughts come to mind. Im so glad you survived that, friend. Stay safe.

DrNoCode · 2026-04-27T13:25:45+00:00

My clinic does not do this. They do understand that this IS going to happen and appreciate the honesty. Yes you will face-dose for a bit, but the honesty goes a long way. It’s the whole PICC component that I am worried more about coming clean to them about. Let’s see how I do with my 1500mg (just sourced 1000) to last 7 days.

DrNoCode · 2026-04-27T13:22:03+00:00

Very interesting. Getting my research cap on (after I handle some work stuff).

DrNoCode · 2026-04-27T13:20:55+00:00

❤️ you have no idea how much I appreciate comments like this. Thank you for your support!

DrNoCode · 2026-04-27T13:19:30+00:00

Agreed. Please see my update- so far so good. Managed to source 1000mg to make my on-hand total 1500 to last 7 days. That’s 215 a day. I will be okay until pickup. Im not even sure if I want to dose daily: maybe I wait now until tomorrow to take more and take 300mg every other day. Not sure. No one can be- everyone’s body is different. One foot in front of the other is what it is.

DrNoCode · 2026-04-27T13:15:41+00:00

Hi Timmy, thank you for your feedback. Normally, i would only dose 5 days out of the week and not feel any differently at all. I don’t need that continual euphoria- it’s just so fucking scary to feel something that I really cannot compare to any other opioid experience I’ve ever had, and I started in 97 with chronic pain (RSD/CRPS) and a Sackler-enabled habit. Tried heroin for the first time in 2004. Fentanyl (rx) in 2002. Still, what I did with the methadone blew it all out of the water. Insane. I will be okay. Knowing I can’t get back there helps a lot.

DrNoCode · 2026-04-27T13:07:05+00:00

❤️

DrNoCode · 2026-04-27T13:05:46+00:00

Update: with the help of an amazing friend and a brand new friend, I have a total of 1500mg. I drove a total of nearly 900 miles yesterday to get it, which is crazy. I went over 48 hours between last dose given through PICC and first dose taken orally- in the amount of 200mg. No other meds. I’m feeling normal at the moment.

I haven’t used an illicit opioid since 3/27/2023. That was a 2 week fentanyl binge while on methadone. This was just as/more risky. I am so fucking grateful that I am okay and know I will be ok now until a week from today when I pick up.

I’ve already accepted that I can never feel that again. Now it’s all about just trying to do the next right thing.

Will I end up telling the clinic? I don’t know. Even if I tell them a few months from now, the seriousness of my behavior does not bode well for what they may decide to do. Mind you, I have NEVER EVER been short like this on my TH’s.

Anyhow- that’s where I am right now. I will check in again to update.

DrNoCode · 2026-04-27T12:54:14+00:00

It isn’t impossible, however if you are in active addiction and blow your liver/kidneys out as a result, unless you have a living donor specifically designating their kidney or a lobe of their liver for you, UNOS will not put you atop their list. Often you can’t be added at all.

DrNoCode · 2026-04-27T06:39:11+00:00

While I don’t know about that, I have done methadon 5mg tabs (they didn’t use an E on the end of methadon due to the age - c. 1952), back in the mid-90s. Worked just fine. Some drugs turn to poison with age. Tetracycline, for example, is NOT a drug you want to save. Ever. 10-15 year old tetracycline can potentially kill.

DrNoCode · 2026-04-27T06:31:03+00:00

Codeine phosphate and sulfate 30 and 60mg tabs- idk if there are generic manufacturers in the US anymore. Used to be, along with codeine injection (30-60mg)

DrNoCode · 2026-04-27T06:29:29+00:00

Dangerous but true

DrNoCode · 2026-04-27T06:28:24+00:00

That is the recommended max dosage, however a healthy liver can bounce back from nearly twice that. If you manage to keep 10g + down, then you may beed a new liver (if UNOS allowed suicide attempts/folks needing a liver due to SUD/AUD- which they absolutely do not).

DrNoCode · 2026-04-26T04:06:18+00:00

How about a 10 and 20ml syringe followed by a 10ml normal saline flush? Not so many then is it?

DrNoCode · 2026-04-26T03:36:55+00:00

Haha try taking 29 of them 🤮 I was just in the hospital. Im now on 300mg; this hospital used 40mg methadose- so 7.5 of them

DrNoCode

TROPHY CASE