|>> || >>613742 |
If I were you, I'd taper down to 30mg minimum, honestly more like ~20-25mg methadone/day, and stabilize on just 20mg methadone/day for at least ~7-10 days before going (if they'll allow you) on a rapid taper of like 3mg, 4mg, or 5mg reduction per day until you completely run out. Personally I'd make the best of it via using a script of ondansetron, clonidine, remeron (at night for sleeping), if they'll give it to you gabapentin or lyrica, and/or benzos and/or z-drugs, as well as an NSAID, loperamide (no huge doses, more like 20mg/day max or ~16mg/day for under a week, spread out in 4mg doses), and a fuck ton of kratom.
Once you hit 0mg methadone, you need to wait a minimum of like 120 hours, honestly more like ~168 hours (7 days) before even considering bupe induction.
There is NO comfortable way to do what you're asking of, there just isn't. Unfortunately this is the situation you knowingly or unknowingly signed up for when you shackled yourself to daily/weekly methadone take homes, not to mention constant healthcare costs.
If you do switch to short acting opioids, you still need to take them for at least ~5-10 days, otherwise it's pointless. And yes, you will be in WD as you taper, in bad WD as you eventually hit 0, and likely will still experience precip WD when you induct suboxone, and will continue to experience WD whilst on daily suboxone until you eventually stabilize.
If you have a doctor that doesn't seem to have their head up their ass, see if you can convince them to prescribe subutex instead of suboxone at least for the first month. I don't want to start a lengthy debate about naloxone, routes of administration and bioavailability differences, and its effect in terms of precip WD, but this is one of the few situations where I'm convinced that naloxone is capable of making precip WD worse no matter what method of consumption.
Just don't have the mindset that there must be some WD-free method to achieve what you seek, because it's totally impossible if you're not willing to slowly taper the methadone for at least like ~60-120 days before transitioning. As a past high dose binge user of the most potent PST on the planet, I can tell you right now that opioids with long effective halflives like methadone and arguably fire UK PST, pretty much blow conventional time charts totally out of the water. I've had like ~8-9.5/10 severity precip WDs from "only" waiting ~5.5-6 days from last PST dose before inducing just 1mg of subutex. One time I waited something like ~8-9 days and I still got fucking precip WD, albeit more like a ~5-6/10 in severity.
It eventually took a 3 week properly followed taper plan followed by roughly 7 days of only being on kratom before 3 days of 0 opioids (~31 days total) before I was able to transition onto subutex successfully, and even then you better fucking believe that the first ~2-4 or 5 weeks on subutex fucking sucked.