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Reducing pain medication should preferably be done with the help of a multi-disciplinary team of doctors, psychiatrists/psychologists and other healthcare providers who specializes in pain (if you suffer from pain) and dependence. If you are a pain sufferer, before withdrawing from pain medication, you should be assessed by a pain clinic and advised. Its useless to try and stop if the pain will come back and drive you back to the meds, although sometimes a break is required to make the medications more effective.

Although withdrawal can be done alone, it is much harder. In essence the idea is to reduce the meds slowly, so the body does not recognize the lowered dose. For opioid addiction, some clinics offer methadone withdrawal treatment, which basically replaces the narcotics and then is reduced slowly. Because it lasts a long time in the blood, it helps prevent withdrawal. There will be times during the process where you will not be able to continue going down, without first staying on that dose, or even upping the dose a little for a short period. The body needs to stabilize on that dose before going down further. Other drugs are often used to help someone with drawing from pain medication, such as benzodiazepines, clonodine, sleeping tablets, anti-inflamatory drugs etc. but they must be used with caution as some are addictive or have other side effects.


If you are a legitimate pain sufferer, you will most likely need to check into a hospital or drug treatment program - preferable not one that deals only with street drug users (heroin etc.) - so that the pain can be treated when it returns without addictive medication. Addiction programs often have little understanding or sympathy for the needs of pain patients, which can cause distress and unnecessary pain.


Beware! A note of EXTREME caution - people withdrawing from narcotics are more likely to overdose at this time - this is because they are feeling lousy and they take the same dose as before they started lowering the dose, and this can be fatal. The body adjusts to the lower dose and taking additional narcotics, even the same dose more often, can leave the body more susceptible to overdose. It's best done under medical supervision.

Some highly recommend suboxone (Buprenorphine) but you would have to come down
to a lower dose first (to the opioid equivalent of 30mg Methadone per day). There are other protocols, including withdrawal under anesthetic, but it's essential to find out if it's appropriate for you.


Good luck!

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16y ago

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