Does methodone have a withdrawal when... - Restless Legs Syn...

Restless Legs Syndrome

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Does methodone have a withdrawal when you go off it. I'm suffering terrible.

lorri214 profile image
13 Replies

I went off methodone about 4 days ago and switched to oxycodone.

do you get withdrawal when going off methodone. I am suffering so bad - the same as when i went off mirapex. I need to sdo something. I have been walking for 2 days and I can barely stand up. Please help. It is bad. I feel like I am dying

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lorri214
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13 Replies
Joolsg profile image
Joolsg

Methadone has a long half life of 25 hours. That's why it covers RLS symptoms so well. If you switch to another opioid with a short half life- like oxycodone- you'll get opioid withdrawals from the Methadone.Oxycodone has a short half life of 4 hours.

So you would need to switch to the same equivalent dose of Methadone and take the oxycodone more regularly throughout the day ( every 4 to 6 hours) to prevent rebound RLS.

Why did you stop Methadone?

lorri214 profile image
lorri214 in reply toJoolsg

I didn't like the side effects of being sleepy all day and it did not let my restless legs go away comletely

Joolsg profile image
Joolsg in reply tolorri214

Understand.It's trial & error to find the right combination of meds that covers the RLS but with side effects you can tolerate.

Average effective dose of oxycodone is between 30 & 40mg.

You could try 5mg 6 times a day or 10mg 4 times a day.

Here in the UK we can get lower dose pills of oxycodone and Buprenorphine.

I seem to recall that 10mg is the lowest dose pill of oxycodone in the USA.

I hope you find the right meds for you.

SueJohnson profile image
SueJohnson in reply toJoolsg

The lowest dose is 5 mg.

Joolsg profile image
Joolsg in reply toSueJohnson

Thanks Sue.

lorri214 profile image
lorri214 in reply toJoolsg

You would take methodone and oxycodone together? If so, for how long?

Joolsg profile image
Joolsg in reply tolorri214

No. Either methadone OR oxycodone.

You ask doctor to give you the equivalent dose to the methadone you have been taking. He will calculate the oxycodone dose you need. BUT- be aware that the short half life of oxy means it may not cover your RLS symptoms as well.

Johnson326 profile image
Johnson326 in reply toJoolsg

You might want to ask your Dr. about substituting buprenorphine for methadone and not using oxycodone since it has a half life similar to methadone.

lorri214 profile image
lorri214 in reply toJohnson326

I have tried buprenorphine. It doesn't work well for me. I am using the oxycodone now. That is what I have. Is that a problem

Johnson326 profile image
Johnson326

Hi Lorri,

If it works for you, it's not a problem. The nice attribute of buprenorphine is that you can use a much smaller quantity of bup., usually .2-1.0 milligrams to totally eliminate RLS effects for around 24-30 hours, about the same as methadone.

Email Dr. B. and he'll help you out.

Good luck.

Paul

lorri214 profile image
lorri214 in reply toJohnson326

Why doesnt the methodone eliminate the rls for 24 hours. After I go to sleep at night I wake up a few times with rls. I was taking 10 mg methodone

TheDoDahMan profile image
TheDoDahMan in reply tolorri214

In my case, 10mg covers my RLS quite well, but not perfectly. But I have heard that up to 20mg/day is sometimes allowed. Of course you might experience daytime sleepiness even more at that dose.

bumblebee_tuna profile image
bumblebee_tuna

There is extended release oxycodone, I was on it for a while. I now take Percocet, that also seems to work better for me than short release oxycodone (no side effects).

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