how to taper hydrocodone

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how to taper hydrocodone

Postby tenn_smoothie » Fri Oct 11, 2013 1:36 pm

I spent 7 years on sub and have now switched back to an SAO (10 mg hydros) to get clean.

I know, I know, some will tell me this is just extending the cycle. thanks for the caring advice.
I do have someone who holds my supply for me to help me stay on schedule.

my question is regarding the mechanics of the taper .................................

I was doing real well with the change to SAO's until I went thru a drinking binge that resulted in a big spike in my dose of pain meds for 5 days after the drinking ended (my WD's are horrible) + I am over 50 years old. since then, I have had a strange experience with the hydros.

I was at 60mg hydros when I first switched after 10 days off everything (sub included) - at that amount I was fairly comfortable. after the drinking and dose spike, I needed 80 - 90 mg per day to keep the WD symptoms to a tolerable level. I have fought my way down to 70 mg this week, but it has been hell.

the thing is - I wake up in the morning around 10 am (not working right now, which is good) feeling a lot of WD pain. so I dose 20 mg to get stable and then will take some 5mg doses thru the day. around 8pm I will take another 20mg and then 5mg's every hour until I go to bed. weird thing is that as the nite gets later (around 11:00 on) I feel worse and worse. by midnite, I almost feel as bad as I did when I woke up. I go to bed and don't take any doses thru the nite, the logic being to allow my receptors to become empty and maybe some healing to take place while I sleep. by morning, i'm in a world of hurt and go thru it all again.

i'm guessing steadier moderate doses might be a better way to do this, but i'm no doctor.
what is the best way to get to zero from where i'm at ?

oh yeah, one more thing. would taking a 1/2 mg of sub every day help me reduce or is that just gonna increase my tolerance. I really don't want to take that stuff anymore.
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Re: how to taper hydrocodone

Postby mynameisDAN82 » Fri Oct 11, 2013 9:21 pm

You said in another post earlier about the same thing, Something along the line of some peeps around here will probably disagree with what your about to say.. I personally think your a good path with the sao's. If that's what's gonna work for you then more power to you. Its def walking a line but you seem to understand the risks pretty well. I would not mix sub in, that's for sure. I know nothing about tapering and don't want to act like I do :D

No judgement zone :thumbup: its all about what works FOR YOU!
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Re: how to taper hydrocodone

Postby mano » Fri Oct 11, 2013 10:50 pm

Hmmmmm, so is your plan to get some distance from the sub so that maybe you won't have to go through the long sub detox? Because i don't think that's a terrible idea, and it might just work.

but hey, who ever is doling your pills out apparently isn't doing a very good job if they gave you extras when you got drunk :lol: just busting your ass...i know you can always get them if you want to bad enough.

But that the problem....you do a few extra when you are having a bad day or get drunk or it's Friday so you want a lil extra buzz, etc. you know the risks so I won't harp on you.

But I think you're doing ok. I'd say to split them in half and take 5 mg at a time, and get yourself a prescription sleep aid to help a little, but you'd need more to make it through the night comfortably. You could keep a 5 mg tab next to the bed and take it at like 2-3 am if you are in w.d.

The important thing is to not increase your dose.

At 60 mg's a day, you could take 5 mg's every 2 hours round the clock...and since you would hopefully sleep through at least one dose you could start your day with a 10 mg dose, then stick to 5 mg doses all day after that initial am boost.

And really i wouldn't even try to wean for a month...then after a month maybe wean a little, and get down to 40 mg's over the course of the 2nd month, then jump from 40 mg a day....tast will give you a few months distance from sub.

Get yourself some Trazadone, maybe try to line up a handful of some type of benzo, and start exercising NOW so you;re in the habit of doing so.

That's how i'd do it. I would NOT mix any sub in. you chose to go this route, so i would not have any sub to your availability. give the sub to your pill holder person and tell them not to give you nothing when you drink. :think:

And really, you should eliminate alcohol from your diet for a while....like a year.

Good luck...try the 5 mg doses and see. it will take some getting use too and you're not gonna feel great, but that's not the goal i don't think.
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Re: how to taper hydrocodone

Postby Justjules13 » Sat Oct 12, 2013 7:22 am

What about using something like high dose lopermide or Kratom instead of the all too easily abused SAOs? Neither is particularly enjoyable...so it might be better to step down to those. They still tickle your opiate receptor, but not enough to be "fun". I sure chased my tail going from methadone to Sub to meth to sub to meth..(you get the idea :roll: ). You need to find a opiate you don't like (is there such a thing? :wtf: ) Maybe a week or two on Tramadol.
I sure know that feeling...trying to find a way off the merry go round.
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Re: how to taper hydrocodone

Postby tenn_smoothie » Sat Oct 12, 2013 8:12 pm

thank you for the help and support.

it was after the drinking binge that I gave my supply to a trusted friend who wants to help any way she can ........... as for the subs, I don't particularly want to take them - just thought taking a very small amount might be a method to aid the taper.

I have help with the sleep and anxiety and also have some tramadol - but thought I might use what supply I do have of it at the very end since it is so weak.

I have started exercising, walking my neighborhood most early evenings - very good for a lot of reasons.

why do you say, don't try to taper the hydro for awhile - i'm curious because I have found it much more difficult than I thought, so your knowledge would help me. I have actually been off the sub since the 1st of August, except for 4 days about a month ago when I temporarily ran out of SAO's. the sub effects stay with us that long huh ? I was on subutex for 7 years @ 3 - 4 mg most of that time, but still, they ran me into the ground.

I have taken the 5mg dose of the hydro more frequently the past two days to level out instead of the yo-yo I was doing and it has definitely helped. I will take small doses thru the night so I don't wake up and spike in the AM.

I have tried the lopermide - not much help at all, though I was taking it while tapering subs. is kratom legal and is it effective ? whatever works - i'm fine with getting my dose down around 20mg per day and jumping. I can handle a few rough days of SAO WD - the loooooong sub WD just got to me after 10 days and no improvement. but at least I am off them.
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Re: how to taper hydrocodone

Postby gillabug » Sun Oct 13, 2013 12:39 pm

welcome to SS. Your story sounds familar, and I am older than you..lol So that should help your feelings.

I was on sub for 7 years to.. and toward the end I took sub in the a.m. and hydro late in the evening. Was a horrible thing to do.

So yes, I used hydro to get off sub... I have been off sub quite some time now, but just had surgery so I am back on hydro and percocets... If I ever get totally clean I will tell you how I did it..lol

Yes, kratom is legal and is a great tool to get off opies with. Just make sure you stick with the mild forms of it, and not the extracts.

Good luck! :cheers2:
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Re: how to taper hydrocodone

Postby Justjules13 » Sun Oct 13, 2013 2:15 pm

Yes...like Gill said, stick to the leaf if you get on Kratom, no extracts. It's expensive unless you buy in bulk. If you PM me I can point you to a reliable supplier...It's legal in the US. You have to be careful not to change one addiction for another..but Kratom is the very bottom rung on the opiate ladder, but you can get WDs from it...It's got a natural ceiling, if you take too much you get the Kratom wobbles and puke. It won't get you high..not even close, but it will take 80% of the WD away..but lopermide will work too.
So your three days free of all opiates?
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Re: how to taper hydrocodone

Postby mano » Sun Oct 13, 2013 2:22 pm

why do you say, don't try to taper the hydro for awhile - i'm curious because I have found it much more difficult than I thought, so your knowledge would help me. I have actually been off the sub since the 1st of August, except for 4 days about a month ago when I temporarily ran out of SAO's. the sub effects stay with us that long huh ?


I was thinking it would be good to get some time (a few months) away from the sub before you get into any serious tapering, but you have that now.

i don;t think you need to do much tapering either...I'd get down to 40 mg's a day or less, then you could use the Tramadol after that is need be.

you're gonna have a few rough weeks no matter what route you go but it sounds like you are getting close to being ready.

Not sure where you live, but if it's in a cold climate that's something to consider too...Better to get through the worst of a detox before it gets real cold, IMO...although maybe that's just because I have arthritis and don't like the cold.
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Re: how to taper hydrocodone

Postby tenn_smoothie » Sun Oct 13, 2013 10:09 pm

climate ? just look at my screen name

ok - I had a good weekend and have at least leveled my doses out so i'm not going up & down so abruptly.
I spent the past 3 days at 80 mgs per day, so I've got some tapering to do. it is a blessing to be without a job right now (sort of) though I have found that too much sitting around is not good either. i'll work on a balance.
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Re: how to taper hydrocodone

Postby gillabug » Mon Oct 14, 2013 11:54 am

what dose of sub did you jump off of??

Reason I ask is 80 mgs of hydro is a lot.

Of course in the begining, I probably took that much too..

Next step is to taper the hydros and then do the immodium and talk to JJ about some kratom.

You don't want to get stuck on the hydros like I did.
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Re: how to taper hydrocodone

Postby tenn_smoothie » Sat Oct 26, 2013 2:19 am

No Gillabug - I don't want to stay stuck on the hydros.

I was on subutex for 7 years @ 3 - 4 mg per day most of that time - got it down to 1mg with the help of Librium and tramadol - was @ 1mg for almost 2 weeks and jumped off completely - no sub, no tram, no hydro, no opes at all. endured it for 10 days and there was no improvement, so I took some hydro to ease the WD. I was taking 60mg and was very comfortable at that and would probably have been fine, but I drank and spiked my dose to 100+ for five days and blew the whole thing up.

i'm still on the hydros, but have tried taking two 40mg oxys instead for a few days and it almost seemed like the WD were not so bad as those doses wore off - is that possible or was it just the remnants of a stronger time-release med in my system that made it seem that way ?

I won't lie - it's been difficult to get my hydro dose heading downward,
but at least I haven't drank and I haven't spiked it anymore.

doesn't the kratom serve the same purpose as the sub or will it work differently and be easier to come off of ?

btw Gill - I like your signature -
that is a good message for an issue I've really been struggling with in my life lately.
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Re: how to taper hydrocodone

Postby addseo1115 » Sun Jul 26, 2015 2:24 am

I probably took that much too...
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