One Comment

  1. MW

    When you claim understanding of methadones pharmacology it’s really funny since you appear to have missed the boat completely. Yes, methadone is a ‘pure’ agonist, but to claim no difference between in and morphine and other short acting agonists is really naive. The sole reason methadone is used is beacuse it’s different pharmacological profile. You claim that tolerance is as much an issue with methadone as with morphine/heroin, how is it then that patients stay on the same dose for decades?
    And to claim that a methadone patient is still an active, using addict but yourself on suboxone is in recovery, that’s the biggest load of BS that i’ve seen in a long time. Sure, buprenorhpine is only a partial agonist, but there’s still stimulation of opiate receptors going on. People without tolerance gets just as high on buprenorphine as they do methadone, and tolerant users don’t get high with neither buprenorphine nor methadone.
    Having been on both substances myself, I can testify that the only difference I find between the two is that methadone has (for me) the ability to take away my cravings completely whereas buprenorphine didn’t quite do so.
    I don’t consider myself a methadone advocate, I can only tell you what works for me (and what didn’t work).
    Re-reading this I see that my tone was quite mocking in the beginning here, sorry for that, but I got annoyed when you’ve written stuff that is twisting the truth, if not lying, about the treatment that has quite litterally saved my life. And calling methadone patients active, using addicts(also something many many doctors would disagree with you on).
    Why can’t you accept that our treatments are very similar to eachother? I know that you in the US can percieve them to be oh so different, since one can be prescribed in an office-setting and the other can’t. I can see that it can lead to a them-and-us-thing, where suboxone can appear “better” or “more refined” or “less dirty” or whatever. I live in Sweden and here we don’t have ‘clinics’ per se, here both buprenorphine and methadone is prescribed in the hospital, and we have to go there to get our meds daily, for the first 6 months and then we get take homes at certain intervals(if we’re clean that is). Here buprenorphine and methadone alike is looked upon with judgement by many many people, since the treatment(s) are so misunderstood. Here buprenorphine (and methadone) patients are called addicts by people who don’t know better.
    You seem to have a little of the mentality that if I can do it, so can you. And I find that a bit strange since then you could easily have become sober without medication at all, since other people have been able to do so. Do you see what I mean? I’m just saying that while suboxone works for a lot of people, it doesn’t work for all, and it’s just naive to think so.
    Sorry if this offended in any way.
    /Mikael

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