Cold turkey, methadone, physcosis

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Hi, my brother quit cold turkey from methadone and physcosis kicked in. He was hospitalised yesterday. We can't believe it. What I am wondering is what is the treatment used to help the physcosis and will they make him take methadone again. He is on day 3 now off methadone after long term drug abuse. We are so worried they will send him home to stabilise but he is adamant that he will not take it anymore. He is experiencing delirium and hallucinations and we are not capable to mind him. Anyone any advice on how to approach this if phys ward says no admission as drug related and hospital say he's ok if he takes his meth or other drugs. Thanks in advance

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  • Posted

    Hi. I'm so sorry to hear that and you must be very stressed especially not knowing how to help and who can help your brother.

    I'm afraid I have no experience with methadone so I can't advice you. Have you tried ringing an addiction help line?

    Tomorrow when everything is open again maybe get in touch with his local drug centre see what they advise. You can always ring the NA helpline? Think they are there at weekends

    Sorry I can't help more.

    I hope everything works out. I have been where he is been cold turkey and then everyone told me I did it too fast. For me they were right and I'm now doing it slowly with subutex.

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  • Posted

    Bless you, sucks seeing family in that horrible place.

    Sudden withdrawl is usually a bit messy, and pretty dangerous,  the body just can't handle removing it suddenly without some other suitable anti-withdrawal or substitute. Ideally they put him on a very short course of subutex/suboxone to keep the withdrawl at bay for another few weeks - withdrawl takes about 3 weeks, every day of it is vile.

    Hope it goes well at the hospital, let us know how it goes.

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  • Posted

    They will most likely give him an anti-psychotic. Haldol or Haliperidol should calm him down. Though it does have an interaction with Methadone because if used together it can cause problems. 

    There are alternatives to methadone like suboxone, buprenorphine and Orlamm *they have been used together. 

    I think an addiction problem is serious and I feel badly for you but not only have I heard that Methadone is expensive, I also hear that it has horrible side effects and if taken with other drugs it can cause an accidental OD.

    I take mood disorder drugs and there were so many that didn't work for me...but when it comes to the strong stuff you should be self informed. In the Psych Ward they should stabilize him and even keep him there under watch until he is ready to go to treatment. There are other places besides Narcotics Anonymous.

    His brain is unstable from the drug abuse so I wouldn't expect your brother to be able to clearly communicate with the doctor's so unfortunately his family has to be his advocate. 

    I am sorry about what happened. I hope your brother gets healed. Its not easy to get off of a drug problem though when you feel like the doctors are against you or unwilling to help and people hound you.

    I feel sorry for him too. Friends of mine have encountered doctors that would not help them. My feelings on that is if one place won't help, call another until you get the results you need. Since he can't be trusted its possible to prevent an Overdose that somone in the family needs to give him his medication. Remember that he got the Methadone from a doctor or facility in the first place and he is physically and mentally addicted. Just the withdrawal alone from these types of drugs will drive anyone crazy. 

    Good luck to you! 


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