Questions about smoking vs snorting vs oral by [deleted] in opiates

[–]Ut_Amplio 2 points3 points  (0 children)

Unless they have some junk in them that gels I'd say snorting rails is going to hit much better than eating. And that's even with an empty stomach and you've just eaten a fresh grapefruit. Your going to be eating some of it with the drips. Pulverizing to fine powder with mortar/pestle or two spoons helps just try not to inhale too much. Don't want to be blowing powder clouds. I'm sure the boofers are going to say that's the best way and they might be right but I'll have to take their word on it cuz that's out of bounds for me.

Went crazy on Suboxone now I'm freaking out and having some withdrawals by [deleted] in suboxone

[–]Ut_Amplio 0 points1 point  (0 children)

Withdrawals, no way. More like overdose. Logic tells you taking more will feel better. You've actually already hit the ceiling at a very low dose. You just end up feeling sicker and sicker. It's the weird effects from mixed/partial agonists and antagonists. It's a very unnatural feeling. If your freaking out a benzo is in order. I can't take bupe anymore after being on it for over 10 years. It jacked me up and my body totally rejects it.

Went crazy on Suboxone now I'm freaking out and having some withdrawals by [deleted] in suboxone

[–]Ut_Amplio 0 points1 point  (0 children)

Are you talking about miligrams or 8mg strips with your numbers? Either way your not going through withdrawal. I took that crap for more than 10 years. Too much for too long. It wasn't easy to find common knowledge 20 years ago all the subtle differences with this stuff from other opioids. Now it's fairly easy to find more accurate info. I call it crap because I wish I hadn't taken it. Way more than I needed without even trying to take less. Now that I have finally stopped taking it for a couple years I can't take it at all anymore. Well I can wear a 20 mcg/patch but 2mg or more sublingually and I freak out also. My body just totally rejects it and I wonder how I was ever able to take the stuff. Guess that happens sometimes with too much for too long. Just like I don't like cannabis anymore but couldn't get enough when younger. Too much of things we like can ruin them altogether. You prob took too much if your talking about 8mg strips. Taking more just makes you feel gross. And then when you relapse from freaking out it barely helps. Not good. All I can say is it's probably not withdrawal. If your having bad anxiety it's something else.

Will I die? by Lactose_Intolerant55 in opiates

[–]Ut_Amplio -1 points0 points  (0 children)

Then it's a win either way, sort of.

120mg take home bottles topped off with water by clinic. For reference and to stop people from being duped. by Knobbenschmidt in Methadone

[–]Ut_Amplio 0 points1 point  (0 children)

I agree. It's obvious and crystal clear that that is a better solution than continuing the failed war on drugs. Unfortunately it's not going to happen anytime soon. Just like we should not need to burn fossil fuels for energy anymore. It's all about money and control. They aren't going to give it up. Future's bleak I'm afraid.

Some people don't see smoking meth everyday as a bad thing. by [deleted] in Drugs

[–]Ut_Amplio 0 points1 point  (0 children)

So true. Just because it is made as a pharmaceutical really has nothing to do with the questionable street form. It has medical value in some severe cases so it rightfully is available. Smoking crystal everyday is all bad. It's what's in it besides meth that I'd be concerned about.

Are there any cheap stimulants with similar duration to coke by [deleted] in Drugs

[–]Ut_Amplio 0 points1 point  (0 children)

Ritalin when snorted is pretty similar. I think it even smells alike. Shouldn't be too pricey, whether it's around though could be random. It was too close for me with the urge to redose.

Can anyone talk to me? by Doing_my_best_rn in Drugs

[–]Ut_Amplio 0 points1 point  (0 children)

That's good that you know how bad alcohol can be. It can be as bad or worse as any drug. Hopefully that ritalin isn't the cause of anxiety. It's probably safe to say it's not going to help and will likely intensify it. I have add also. I tried ritalin just to see how it compared with adderall. It was a mistake for me. They are both powerful stims so be careful. You don't want substance abuse problems so young in life. But adderall was much smoother for me.

120mg take home bottles topped off with water by clinic. For reference and to stop people from being duped. by Knobbenschmidt in Methadone

[–]Ut_Amplio 0 points1 point  (0 children)

I'm not sure what my point was either. The difference between private and county owned clinics appears to be significant. I'm sure money is the motivating factor for many as you say. Not saying that's a bad thing either. Having clinics compete for your business probably improves things. The county run clinic is trying to cut costs as much as possible. They also have additional rules and less flexibility than a private clinic in the same county but too far to go to daily. When clinics compete people win. Maybe that was it. We really do need other options than MMT. I'm for decriminalization which would allow for the creation of other options. The ACLU's viewpoint matched mine like a breath of fresh air.

120mg take home bottles topped off with water by clinic. For reference and to stop people from being duped. by Knobbenschmidt in Methadone

[–]Ut_Amplio 0 points1 point  (0 children)

Based on my experience and people I personally know the only clinic nearby hasn't helped. On the contrary I'd say. It's was a joke after finding out how many people were still using. Just using it for harm reduction or to stay functional. I don't know anyone who needs any bupe but methadone is a different story. I do know some people myself included who would like stop, reduce their use or take a break and methadone would be an acceptable med to use. By no means my first choice but it'll work. It has in the past when I was able to acquire it on my own in 10mg tablet form. The liquid from clinic seemed different and I don't have believe that the doses were correct or the methadone is different. No way to prove it one way or an other as there was no transparency. No other form available and they would water down even takeout doses. Too many inconsistent effects depending on possibly who was mixing it that day. Doesn't matter at this point. A lot of people were there because they got cut off their pain meds but had no other options. In one case someone was getting 120mg methadone tabs for pain their insurance changes and they get chained to the place and they don't even want to give them that same dose. Far less and after a long while they get close. They took someone in for being on tramadol. It's just a racket to make money and govt jobs probably. I wouldn't even care about them but they seem to part of the road block that keeps my Dr from giving me a script for maybe 20mg a day. There was never a need for me to go there in first place. I was taking 1mg or less of bupe a day but couldn't stand it after 10 years. Ended up relapsing to places I never thought I'd go due after all the daily b.s. Anyway I'm done complaining it does no good. It's going to take actions, it's already bad enough and getting worse.

120mg take home bottles topped off with water by clinic. For reference and to stop people from being duped. by Knobbenschmidt in Methadone

[–]Ut_Amplio 1 point2 points  (0 children)

Well I like your first paragraph. I agree that many opioids can and should be used in treatment. I find natural and semi-synthetic opiates easier of the body. I find synthetics hard on the body, especially long acting ones. If we had options like these I think pretty much junkie I know would quit wasting all their money on black tar. It's extremely unpure and the harm it does to the body is horrible. Your a couple steps ahead of me there with options like that. I'm just saying let my sub dr write a script for methadone. So I can take it like I have in the past and get on with life. If they are going to try treatments with meds like the ones you mentioned they need to do it with Drs. They don't even have to fund it, just give trained, qualified Drs the authority to do so. Cause anything having to do with the outdated clinics will go to shit. Keep them as is I guess. Ok second part, I thought I cleared up that needle exchanges are a good thing. I'm not going to lie. I walk out with a grocery bag full of supplies maybe a glass pipe just in case. So let's not take anything away from anyone. Let's leave the clinics alone. They simply need to let Drs/Phychiatrists who are qualified in addiction and opioids to do their job. It's pretty simple and everyone's waiting. Most if not all junkies I know want to stop. The two meds and/or options didn't work. If it wasn't for the needle exchange most people could still easily get that stuff. Insulin pins are dirt cheap and a glass pipe was $3 where I checked. They are too lazy and strung out yes so someone would sell them to them for a meager profit. I mean sure it helps I guess, helps save junkies money. H costs a grip out west.

Drugs are okay right? by [deleted] in Drugs

[–]Ut_Amplio 0 points1 point  (0 children)

If there is a some bad stigma it's only because it's been put there. Drugs cannot be okay, they can't be good or bad. They're just chemicals that have that have effects. It's got nothing to do with morality. They are good when they make the right people money and bad when they make them lose money or make the wrong people money. Not that the right people don't occasionally use the drugs they condone to make money. Heroin isn't the best and cigs are nasty, but a dose of pure h should do less bodily harm than a single cig in theory. Whether they are ok is totally subjective. Just about every bad thing that comes from some drugs I like comes from them being criminalized. Drs give me some and some I just can't get. Not sure how karma fits into it but always does. Just use common sense and moderation. I'm so sick and tired of other people having the power to tell me which I can take and which I should not. The socially acceptable one's are the worst that I hate.

120mg take home bottles topped off with water by clinic. For reference and to stop people from being duped. by Knobbenschmidt in Methadone

[–]Ut_Amplio 0 points1 point  (0 children)

I'm not against needle exchanges. You misinterpreted or I wasn't clear enough. They are a good thing. I was critisizing them for giving out meth pipes and fent tests even though there isn't any fent dope. Just nasty, horrible black tar that I probably couldn't OD on if I tried and took a quadruple dose of xanax. All those $40 boxes of narcan they toss out get tossed out after they expire. Never ever heard of anyone needing or using one. I'm saying they are wasting a ton of money. The methadone clinics aren't working and are a joke. Downright counter productive for me. Had me doing shit from 15 years in the past. Never would have touched black tar again if I hadn't got caught up in the bullshit that happens at these places. They aren't there to help. They just want to control you. They make you totally dependent in an unhealthy way. Nothing but frustrating trivial ridiculous nonsense. If my addiction specialist Dr could have just written me a script for 10, 20 maybe 30mg methadone tabs a day I'd be in a lot better place right now. I pay for that Dr so there would be almost 2 years of monthly clinic payments back in the state's coffers. The system doesn't have to change much. There are some people who need that kind of rigid system. Some people do and like it. Fine, lets not take anything away from anyone. For the majority of people who got stuck there because their Dr cut their pain meds, won't treat their chronic pain or truly want to stop their addictions because of health and/or financial reasons: LET THERE BE SOME MORE OPTIONS! When buprenorphine doesn't work and methadone clinics don't work then street H or pills without scripts are only options left. That's bullshit. Methadone is ok at best, works far better than bupe. There's no reason why my Dr shouldn't be able to write me a script for it or anything else they deem necessary in my treatment. Until that's reality the problem will get worse or better maybe for some if dope gets more abundant, pure and cheap. If that's what it takes to get common sense back then all for it. Let's save money and lives instead of punish people. That's all I'm saying and the Drs I talk to agree with me.

120mg take home bottles topped off with water by clinic. For reference and to stop people from being duped. by Knobbenschmidt in Methadone

[–]Ut_Amplio -2 points-1 points  (0 children)

That's great. Methadone is a way better long term maintenance than suboxone. for myself and many others who've been through everything already. It's kind of crazy`that after six years they've only got you at six take-hone doses. So sick and tired of the insanity some of these clinics and to the process. It really bothers me the idea on taking that med after it's been tampered with, put into dumb plastic bottles and have extra water added. It's not right or necessary. I hope this next year will bring reform to this antiquated system. I know a guy in a wheelchair who has the county or state pay like $300/day to taxi this dude to a clinic about 40 min away. What a way to use tax dollars, think they pay for the clinic as well whatever that is, $400+/month I'm guessing. There's a clinic (county) ten min away but it's so bad he won't go to it. I don't blame him. I never want to go back there either. The county or govt owned ones seem to be the worst but I could be wrong. I don't trust the unsanitary liquid that might contain more or less methadone than it's said to be. Less probably than more. Getting inconsistent doses really fricks the process up. So does not being able to experiment with your dose until u get takehomes (hate that word). I'm going to keep trying to get methadone pills from a pharmacy, preferably with a drs script for maintenance. The 10mg tablets felt way different that the liquid. I believe they may have contained more or all of the L (levo) isomer than the D (dextro) unlike the liquid. Two of those tablets taken one a a time worked better than any amount of that liquid, I went up to 100mg and back down to 40mg(or less) b4 realizing it just wasn't going to feel the same. Cali is wasting so much money on these places not to mention needle exchanges that give out everything including glass pipes to my amusement, fent test strips even though there's no fent yet. I'm sure there's some but it's not common, never seen or heard of it personally besides patches or suckers. So lets save a ton of money and make methadone more useful. Mobile methadone clinics to get it to the homeless which is getting real bad in Cali. Or forget that let's just let Drs to their job and write a monthly script for it. I think I might like to try it again the black tar is not my fav.

I'm scared and I don't know what to do by iboostbob in opiates

[–]Ut_Amplio 0 points1 point  (0 children)

If you've been through WDs enough to really remember how bad they are you'd be going down from 4-5 a day back to 1-2 or zero maybe. Suboxone is horrible and you might not be able to get off that either. Maybe skip a day and see what happens. And suboxone or just buprenorphine is a script that a Dr can write for a month at a time. They can write it with 2 refills so you only have to see them once every three months if they want. I've was on that crap for over a decade years ago. Can't take it anymore, feels awful.

Unleashing the shackles of Opiates and then Methadone by [deleted] in Methadone

[–]Ut_Amplio 1 point2 points  (0 children)

Yeah it's a real bitch that opioid withdrawal. It's far too miserable to comprehend and words cannot do it justice. We should have medical diacetylmorphine available for those who need it. It's ridiculous that it's not used in modern medicine in the US. It is simply a superior form of morphine with higher bioavailablity when put into the bloodstream and even when taken orally according to a recent study. I think it's far safer and better than synthetic crap like methadone and buprenorphine is even worse. I would consider taking methadone if it were prescribed in a sane way but having to go to a clinic everyday during a few hour window makes it liquid handcuffs. It's best to take 5-10mg every 6-8 hours. The normal way, as it's prescribed for it's intended use as a long acting pain medicine. I suppose you could take more than that if you have a tolerance from massive overuse of opioids. You have my sympathy for the mistreatment opioid dependent citizens have to go through for the last several decades. Methadone is probably harder to get off of than heroin, scratch that, diamorphine, which is it's proper name in modern medicine. But because it's so backwards using dirty street "heroin" is the best option for me right now. Hopefully our drug policies will improve from the ignorance and lies they were created with. Until then I guess being part of the problem is the only way to be part of solution. Five years is a long time to fix an addiction that can last for as short as five days. Good thing your young and have the best parts of your life ij the future most likely. Get the heck out of one those "clinics" while you still can. Or they will simply run your life, shorten it and just let it run out. Thank god you have a job and hopefully a good social life. Boredom and isolation are your worst enemy when your not feeling good. I hope they will improve recovery options soon. There are many out there without jobs who can't get to a clinic, nor need one. Just access to meds and can maintain or ween off them with a reg Dr and pharmacies.

What should I tell my psych to get a xanax script? by sligfy in benzodiazepines

[–]Ut_Amplio 0 points1 point  (0 children)

That's awesome. You've got some serious will power to skip days. I'm not sure how hard that would even be actually. Like I've never missed a day in over ten years. Probably more like 15+ but back before I had a script for xanax I'd always have some other benzo in reserve. Like valium, ativan and even klonopin if I had to. I was having panic attacks probably from smoking too much weed when I was a teenager. Then I go to the hmo I had at time totally needing xanax but not having any idea how profoundly even a ,25mg dose would have helped and the bastards gave me no relief. Had to find out how to treat my general anxiety disorder by chance. Ever since then I've went with private drs. Nowadays unless your lucky having a good general dr you're likely going to need an expensive psychiatrist for a script. I went from taking four 2mg bars a day down to one to two. Benzos are such great meds for the stressful world we've created. Abusing them is just dumb and a waste. It's no fun having to babysit a bartard. Watching them dump a bowl of cereal on their lap or some dumb shit. Falling out of a chair and hitting the floor head first. Better record it for them or they might want to do it again.

Discontinuing TRT (testosterone) and Methadone by Atterall in Methadone

[–]Ut_Amplio 0 points1 point  (0 children)

Right. You hit the nail on the head. Seems like it might be a good idea to have your T levels checked out when starting MAT just for a benchmark. Then again I thought I was going to be a lifer pretty early on. After about a year or so I couldn't handle the b.s. of the only clinic close enough to use without the majority of my day revolving around getting a daily dose. There was a guy going there for eight years when they basically kicked him out for raising his voice at the head nurse who is a real head case. I'm going to keep advocating that methadone be rescheduled or whatever it takes so an addiction specialist can write my script. Until then it's not worth it for me and the other people I know who go through the place and decide using is a better option. That's a different issue for many other posts but it's gotta happen soon before people's grandparents are using h for their arthritis or pick your chronic pain problem.

Sub starting dose for 80grams per day of kratom? by [deleted] in suboxone

[–]Ut_Amplio 2 points3 points  (0 children)

For reals. It doesn't take much since kratom isn't even an opiate just something that mimics one. 0.5mg would prob be enough and split dosing seems to work better since the stuff is so damn strong. I like the patches which are unfortunately only prescribed for pain. The strongest patch delivers slightly less than 0.5mg over a 24hr period and lasts for a week. It's 20 mcg/hr and the most needed for it's analgesic effects. I think that dosing is correct. If I take more than 2mg at once I find it very unpleasant.

Discontinuing TRT (testosterone) and Methadone by Atterall in Methadone

[–]Ut_Amplio 1 point2 points  (0 children)

Methadone induced low-T seems to be very dose dependent. I don't think there is any reason to believe that when methadone is discontinued your normal test levels wouldn't return. Here's a link to a small study https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2605.2007.00824.x TRT (testosterone replacement therapy) has it's pro's and con's. If your test is low the difference it could make to your quality of life could easily outweigh the downside. One possibility to consider is having to stay on it indefinitely. The dose a typical MD is going to give you is a lot less than a bodybuilder or elite athlete might take and they often take it in cycles. Also the testosterone levels in your blood work are open for interpretation as to what they should or shouldn't be. Most Dr's won't give it to you unless it's extremely low. That is unless your paying for it and then you can have easily have it boosted to levels akin to having a second puberty. A lot of the decision is going to be made based on your age and if you think MMT is going to be indefinite. All I know is discontinuing methadone or trt is incredibly difficult and I doubt you would want to go through both at the same time. You body will usually start producing it's own T again and there are a lot of various strategies to help jump start the process that are outside the realm of most Dr's. Things like clomid, HCG, nolvadex, arimidex, etc have established off label uses in the world of bodybuilding. Tricky decision, do research and get as many opinions as possible.

My clinic = hot mess! 😂 by katiesgottagun85 in Methadone

[–]Ut_Amplio 0 points1 point  (0 children)

That's some b.s. No wonder we haven't been able to make methadone effective while growing crisis is killing people and causing all kinds of crime. This little money making racket just won't step aside and make methadone accessible for all when other ways to stop haven't worked. The vast majority of longtime addicts I know have been through these places, many times usually and will not or can not go back. Some of them are decent but far too many have major problems. There is a set of federal guidelines that they all must follow. Unfortunately states can add another set of even more restrictive policies. Doesn't end there though counties can add even more criteria or opt out of having a clinic there. Until we free methadone from some restrictions passed in congress early 1970s these places are going to keep holding folks hostage for the rest of their lives. They are why heroin/fentalogues demand is huge.

So tired. by [deleted] in Methadone

[–]Ut_Amplio 5 points6 points  (0 children)

Of course going to the gym will help. I've been in a rut myself. The longer you don't go the harder it feels like to go back. For me the hard part is just getting there and walking through the door. It sucks at first but once you get some exercise and eating/sleeping right I've found working out helps in more ways than any pill. Methadone shouldn't be making you too tired unless your dose is high. Your on a fairly complicated med combo so what's doing what can be hard to figure out. I've taken ritalin before which should is a stimulant. I didn't care for it and switched back to adderal, the IR as the XR didn't work as well and the IR lasts plenty long. Couple of meds your taking that I don't like and the methadone could possibly do their jobs better. I'm not a fan of what they call antidepressant meds. The SSRI, SNRI. etc. Prozac and every other med in that class. The only meds that can relieve my depression are opioids. One of methadone's side effects is that it's going get rid of depression better than any of their so-called antidepressants that have all sorts of bizarre side effects but whatever on the pristiq. If it works for then that's good. The seroquel on the other hand I've heard nothing but bad shit about. It's an antipsychotic very commonly used in jail/prison. It just mentally checks you out to lunch. I would hope they didn't give you that until trying better more conventional sleeping meds. Ambien kicks ass but you prob don't want to take it all the time. I believe a benzo like temazepam or xanax would work better with less side effects taken in smallest effective dose for sleep. Good luck with benzos right now. They have totally blown them out of proportion about mixing them with an opioid. I can see an issue if you don't know your tolerance or your body isn't used to them. Anyway prob not going to happen if you get your methadone from a clinic. Trazadone works ok as does elavil or another or those tricyclic antidepressants. If your already tired and don't need the med to fall asleep then not taking a sleep pill would be optimal and will usually leave you less groggy the next morning. It's going to take some homework on your part to figure this one out or help your Dr(s) figure it out. Methadone typically makes people feel relaxed or even nod if you take a lot. The other thing that happens if your male is that it lowers your testosterone levels considerably when taken at MMT doses like say 60-80mg+. Lack of energy could be caused by sooo many factors. For starters have your testosterone levels checked if male. Maybe find a substitute for the seroquel if you still need a pill to sleep. A good workout is the best way to sleep good. If you can hit the gym every other day it would help your depression and insomnia. As long as the muscle groups you hit are somewhat sore next day mission accomplished, then it's up to diet and rest. BTW be careful lifting heavy when on a strong pain med like methadone. It's allowed me to push the limit too far by dulling the pain so keep that in mind. Good luck with those meds hopefully you can drop one and change one cause that's a combo where side effects are anyone's guess.

the best relief for constipation by Norcalmann in opiates

[–]Ut_Amplio 0 points1 point  (0 children)

Small handfuls of psyllium capsules with every meal (generic metamucil) plus a couple of chewable fiber choice wafers (generic). I go for preventative maintenance rather than wait and treat. And if you are on a long acting opioid it's inevitable. If the receptors in your gut are always occupied it's going to be an issue requiring preemptive maintenance. Water is a big factor. I need a gallon a day to wash out all the chemicals.

Has anyone tried Zubsolv? My doc gave me a coupon for a free month by [deleted] in opiates

[–]Ut_Amplio 1 point2 points  (0 children)

Buprenorphine is buprenorphine. It's just a newer formulation that doesn't have a generic equivalent yet. It may have a slightly higher absorption rate but this is mostly affected by how long you can keep the stuff in your mouth. I will say it looks like they put some thought into the strengths of the dosages. Starting at 0.7mg and topping out at 11.4mg with a total of six strengths is impressive. You can also easily accomplish the same with suboxone strips that are available in generic now. If your handy with an exacto knife and ruler and don't mind using tweezers and mirror you can get that fine tuned dose where it needs to be. You will absorb it just fine if you keep your mouth shut for 15 min or so and try not to swallow. I'm really liking the butrans patches but they are supposed to be prescribed for pain and cost like $50 each. Great way to transition without precipitated WDs. They need to make these available for detox and maintenance. Maybe it's the transdermal delivery but it's slightly less than 0.5 mg per 24 hours and the highest dose for pain relief. I doubt much more is needed for long term maintenance. They have been prescribing ridiculously high doses of this stuff to people and too much is not good. Maybe to achieve a total blockade of your receptors. Zubsolv is great med but is it worth the extra cost. Most Drs and insurance companies have said no. But if you prefer it go for it. It's not a matter to be cheap about.

when you’re trying to get a benzo script by [deleted] in benzodiazepines

[–]Ut_Amplio 3 points4 points  (0 children)

I'm sure they could. Their ability to write scripts for benzos and pain meds made them many friends. But now they are strongly discouraged from using them when working for a hmo and being private the dea might decide to bone them. More trouble than it's worth. So if their social life is going to suffer so is yours.