How to Safely Stop Using Methadone

How to Safely Stop Using Methadone Addiction Coping and Recovery Overcoming Addiction Print How to Stop Using Methadone Safely By Elizabeth Hartney, BSc., MSc., MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial policy Elizabeth Hartney, BSc., MSc., MA, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 02, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on January 21, 2020 Westend61/Getty Images More in Addiction Coping and Recovery Overcoming Addiction Methods and Support Personal Stories Alcohol Use Addictive Behaviors Drug Use Nicotine Use Methadone can be an important aid in the treatment of opiate addiction, yet it can also bring mixed feelings. In fact, the majority of people on methadone maintenance treatment (MMT) dont plan to take the drug for the rest of their lives, although a period of 12 months is the minimum recommended course.?? MMT service providers, however, often have the opposite goal â€" they want to keep you on methadone because research consistently shows that it is less likely that you will relapse to heroin addiction. People who participate in MMT programs are also less likely to spread diseases such as HIV and Hepatitis C if progress is maintained on methadone long term.?? Methadone maintenance programs vary a great deal, as do methadone prescribing doctors. Some are extremely supportive and follow best practices for wrap-around services in addition to prescribing the drug, such as drug counseling, psychotherapy, housing assistance, help with financial issues and welfare if you need it, and healthcare services. Others do little more than check that your urine does not contain illicit drugs and refill your methadone prescription. If your main reason for wanting to come off methadone is because of the attitude of your doctor or the staff at your methadone clinic, you should look into finding another methadone service provider.?? It may even be worth moving to a different area to be able to access a really good service that meets your needs. As far as coming off methadone cold turkey is concerned, this is very risky. While it is not as dangerous as coming off alcohol or benzodiazepines, it is typically very unpleasant and depending on your dose, you may feel very ill. The withdrawal from methadone is similar to heroin withdrawal.??? Tapering Off Methadone On the other hand, it is possible to withdraw from methadone more gradually. There are several ways of doing this, including tapering off methadone and using another drug, such as suboxone, to assist the process over the course of several weeks. If a taper is done properly, it will be slow and gradual enough for your body to adjust to lower and lower amounts of methadone without you having to experience withdrawal symptoms. Always take your methadone as prescribed and talk to your doctor about any adjustments in your dosage.?? Your doctors goal will be to go slowly enough that you wont be uncomfortable and experience cravings and have a relapse, whereas your own goal may be to get the drug out of your system as quickly as possible. Research shows that slow and steady is much more likely to work than tapering too quickly, so it is important to be patient. The research on the success of people tapering off MMT is very mixed, generally ranging from about 10% to nearly 90% success rates, with the most common success rates being from 25â€"50% of people successfully tapering off methadone remaining abstinent from opiates. Some research suggests that many people to attempt to quit methadone on their own will relapse to opiate use and that success occurs most frequently when methadone is tapered very slowly with periods of stabilization.?? Obviously, this wide variation of success proves that coming off methadone is not a straightforward physical process, and involves many other factors. Of course, it only makes sense that your doctor will be preparing for a relapse, simply because this is a very common occurrence. If you are sure you are ready to come off methadone, tell your doctor, and consider a slow taper. Also, plan for how to handle a relapse â€" which can be much more life-threatening if you reduce your dose â€" and plan for how to re-initiate methadone if it turns out you arent ready to manage without it right now. People should also be aware that there is a significant risk of overdose if they discontinue methadone maintenance and resume opioid use, including an increased risk of death.??