Author Topic: Need some help with Methadone/Morphine dose conversions  (Read 3930 times)

Offline Dog Food

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Re: Need some help with Methadone/Morphine dose conversions
« Reply #14 from previous page: November 26, 2016, 03:25:25 AM »
Ya with oxymorphone or dilaudid, you wouldnt have to iv it.  Simply sniffing a portion of the pil would be stronger than taking the whole thing orally.   A way to get up to 4 times as much meds by just sniffimg a line instead.   Obviously iv would make it almost ten times as much meds but not necessary if 4 times as much is good enough to hold you. 

Offline Tainted

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Re: Need some help with Methadone/Morphine dose conversions
« Reply #15 on: November 26, 2016, 03:39:02 AM »
I just switched from a 300+mg a day morphine IV habit to methadone maintenance (oral) and honestly 30mg was keeping me from getting sick after like 3 days, I was surprised how little done I needed. I'm at 60mg now but only because the clinic keeps upping my dose against my wishes.
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Offline Tainted

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Re: Need some help with Methadone/Morphine dose conversions
« Reply #16 on: November 26, 2016, 03:44:50 AM »
Ya with oxymorphone or dilaudid, you wouldnt have to iv it.  Simply sniffing a portion of the pil would be stronger than taking the whole thing orally.   A way to get up to 4 times as much meds by just sniffimg a line instead.   Obviously iv would make it almost ten times as much meds but not necessary if 4 times as much is good enough to hold you.

I haven't looked it up recently but I'm pretty damn sure that isn't true for Dilaudid. Ive never sniffed pills hate putting drugs up my nose but it's airways been my under standing that opana and Roxy are good intranasally but Dilaudid isnt (waste to do it any way but IV, really low BA orally and intranasally)
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Offline Dopeless Hopefiend (OP)

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Re: Need some help with Methadone/Morphine dose conversions
« Reply #17 on: November 26, 2016, 03:57:56 AM »
Ya with oxymorphone or dilaudid, you wouldnt have to iv it.  Simply sniffing a portion of the pil would be stronger than taking the whole thing orally.   A way to get up to 4 times as much meds by just sniffimg a line instead.   Obviously iv would make it almost ten times as much meds but not necessary if 4 times as much is good enough to hold you.

I haven't looked it up recently but I'm pretty damn sure that isn't true for Dilaudid. Ive never sniffed pills hate putting drugs up my nose but it's airways been my under standing that opana and Roxy are good intranasally but Dilaudid isnt (waste to do it any way but IV, really low BA orally and intranasally)
I've honestly only snorted roxi like twice in my life, but I didn't think it was much different than just swallowing them. I mean, I felt it quicker but as far as the effect the difference was miniscule.
Now, dilaudid IV on the other hand. I was in the hospital years ago & they were giving me 8mg oral dilaudid every 3-4 hours. I also had a picc line in so had very easy access. I cheeked those fuckers & booted them just about every time. Without a picc or a central line in it wouldn't even be worth my time anymore though. My veins gave up a long time ago lol.
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Re: Need some help with Methadone/Morphine dose conversions
« Reply #18 on: November 26, 2016, 04:03:35 AM »
I just switched from a 300+mg a day morphine IV habit to methadone maintenance (oral) and honestly 30mg was keeping me from getting sick after like 3 days, I was surprised how little done I needed. I'm at 60mg now but only because the clinic keeps upping my dose against my wishes.

Its surprising how much stronger methadone is.  All of that redosing in a 24 hour period makes a huge difference.

For pain management I think most docs do a smaller dose more often.  It isnt a straight division though so you might get a bit more medication.  Maybe its psychological and docs just prefer to write 30mg 3xdaily instead of 90mg.

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Re: Need some help with Methadone/Morphine dose conversions
« Reply #19 on: November 26, 2016, 04:53:16 AM »
I just switched from a 300+mg a day morphine IV habit to methadone maintenance (oral) and honestly 30mg was keeping me from getting sick after like 3 days, I was surprised how little done I needed. I'm at 60mg now but only because the clinic keeps upping my dose against my wishes.

Seriously? The clinic puts your dose up against your wishes and despite being stable ? Why would they do that? I have never heard of that happening ... it makes no sense whatsoever ! I thought that abstinence was the end game and pulling that shit is counterintuitive.
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Re: Need some help with Methadone/Morphine dose conversions
« Reply #20 on: November 26, 2016, 05:03:12 AM »
I just switched from a 300+mg a day morphine IV habit to methadone maintenance (oral) and honestly 30mg was keeping me from getting sick after like 3 days, I was surprised how little done I needed. I'm at 60mg now but only because the clinic keeps upping my dose against my wishes.

Seriously? The clinic puts your dose up against your wishes and despite being stable ? Why would they do that? I have never heard of that happening ... it makes no sense whatsoever ! I thought that abstinence was the end game and pulling that shit is counterintuitive.

I only just started so they have it set to raise every 3 days until I get to 90, but I had to see a counselor yo ask them to stop and the request I guess hasn't been processed. Other ppl I've talked to said they tend to push really high doses on people and they can be dicks about going down (if it's what they perceive yo be too quickly)
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Offline Chip

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Re: Need some help with Methadone/Morphine dose conversions
« Reply #21 on: November 26, 2016, 05:38:46 AM »
That clinic policy is absurd and is akin to the drug dealer mentality.

You are doing the right thing because the side effects of Methadone and the likelihood of suffering more at the end of your dose, all increase when the dose goes up. High doses of Methadone make me miserable.

I always recommend that patients keep decreasing their dose so there is room to use other opiates to be used sporadically and to never get too comfortable with their clinic.

I can't help but be cynical and state that the private clinics want your money and often care little about your dependency.

Morphine ER, twice a day, is a far better option than Methadone, IMO.
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Re: Need some help with Methadone/Morphine dose conversions
« Reply #22 on: November 26, 2016, 03:16:10 PM »
Just picked the first chart i found.  Click on one of the first posts, its blue i believe.

https://www.reddit.com/r/opiates/comments/3ucu69/opiate_bioavailability_chart_very_useful/

Dilaudid is at 35% oral and a lil over 50% insufflated( sniffed)
Not THAT drastic, but still worth it imo over oral

And you know Roxys are just instant release oxycodone right?  Oxycodone is at about 90% oral and 50% insufflated, which sounds just about right for what i remember from years ago when i did oxy daily.

Opana has a huge difference, from 15% oral to 45% sniffed

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Re: Need some help with Methadone/Morphine dose conversions
« Reply #23 on: November 27, 2016, 03:50:35 AM »
Everyone knows the only right way to do roxy is to snoke it on foil.  G÷t irnr #

Offline Dopeless Hopefiend (OP)

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Re: Need some help with Methadone/Morphine dose conversions
« Reply #24 on: November 27, 2016, 11:01:29 AM »
Everyone knows the only right way to do roxy is to snoke it on foil.  G÷t irnr #
You know, I actually tried doing that once, but it did not work out at all. I broke it into quarters, then put a piece of it on the foil. All that happened is that the pill got all fucking burnt. It didn't roll down the foil like h at all. I just ended up eating the burnt piece along with the rest of it lol. 😂
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Re: Need some help with Methadone/Morphine dose conversions
« Reply #25 on: November 28, 2016, 03:19:58 AM »
It used to get said a lot on the phile.  It's a pretty useless thing because you would be better off just eating it.  Sort of like you did I guess  8)   They showed it on an intervention episode at one point.  I never really got into oxy for some reason.  Dilaudid or morphine were the big ones in my scene and when I saw oxy I was already on H.  My tolerance was too high to make the prices worthwhile.




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Re: Need some help with Methadone/Morphine dose conversions
« Reply #26 on: August 09, 2018, 04:13:16 AM »
These CDC guidelines are scaring the fuck out of me. Every doctor is reading them way too literal and I have a feeling they're all gonna just RX everybody 2 x 30mg MScontins a day with maybe a percocet for B/T pain and leave it at that because they're not gonna want to or know how to convert everything to MMEs.

I also read that the CDC doctors that helped write those guidelines meant those doses as max STARTING doses for pain mgmt. and not the be all, end all end of the fucking spectrum for folks that develop tolerances over years/decades and not meant for folks that have already been well above the guidelines for a long time.

Some state was trying to pass a law regarding these fucking guidelines and one of the CDC doctors that helped write the guidelines had to come out against the bill 'cause they said it'd lead to unnecessary quick tapering and/or folks getting cut off completely.

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