Does Methadone Wear Off If You Sleep

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I take 70mg of methadone every morning as maintenance to stay off of H. Sometimes I get tired and want to take a nap and there have been a few times that I have taken a nap in the past. Those few times when I woke up I felt like I had not had any methadone that day. Does methadone wear off when I go to sleep and why does it feel like I haven't had any even if I take a nap only 2 hours after taking it?

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Hello, Chrissy! How are you? I'm sorry about the problem that you're having.

No, it shouldn't do that. Did you take any other medications at that time? Did you do anything else different?

Does anyone know more about this? I've heard of other medications affecting it, but not sleeping.

This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation.

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2

The Methadone doesn't wear off in your system when you sleep actually as you may know it has a long half life. One thing that popped to mind was do you take vitamins? Even a multivitamin? If you do, it can disrupt the way meds get absorbed into your body. Keep vitamins away from meds by about two to three hours. That could be a reason for what you're feeling. Best of luck. Warren

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3

he/she's right, it DOES wear off when you sleep

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4

Yup,it doeas the same to me i wake up n after a while i start to feel sick n i had a question i wake up now like around 6@m so i go to the clinik early wen i get off work i feel sick also which before i use to take(methadone) it like around 12pm i wonder does it wear off while your working n moving

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5

I have a theory on this, hallucinogens including dimethyltryptamine or DMT push opiods out of your receptors, when you get into deep sleep your pineal gland releases DMT, in fact that's why we dream, we trip balls. I have noticed that if stay in a lighter state of sleep, you know the kind where you can feel everything going on around you, I wake up feeling completely dosed, its when I get into that deep sleep, the kind where you either have crazy dreams or feel like you where in a coma, that's when I wake up with an eaten dose feeling, the deeper the sleep, the more DMT released into receptors, the more methadone pushed out. This is my theory.

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6

You could be more right than u think... The same thing happens to me when I sleep and when I wake up I feel as if I haven't taken anything.. Those who say this doesn't happen obviously don't know crap.. They obviously aren't taking methadone or aren't on it long enuff to notice it like we do... I've been on this for 15 years!!

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7

I am not saying this to be trite, but you should not post information on a subject that could cause any harm if you are not well-versed in it. Of course methadone is habit-forming! It's an opioid! The drug is most widely used for stabilizing an opiate/opioid addict and subsequently tapering them, meaning that they were dependent on it from the get go, as it is cross-tolerant among opiate/opioid drugs. Also, your body does quite a bit of work on itself in the sleeping process, causing it to potentially 'detox' a little quicker than normal. Not only am I a physician, but also a patient. I stumbled across this when I was doing some research for a defence thesis on (something similar to) this subject, as it is something I've had patients talk to me about, and have also experienced it, myself.

You can get your dose split so that you take it twice a day in order to stave off the feeling of general malaise.

I'm not trying to call you out, but when giving medical information, you should really know the facts, and if you don't know the facts, but you have a hypothesis, then please explain that it is only a hypothesis as well as explaining why you have come to said hypothesis. It's good to be safe and ask questions when you're not necessarily sure, y'know?

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8

Im currently seven months pregnant and have been falling asleed for a couple hours in the day and i feel coldsweats and chills when i wake up if so many other people are feeling withdraw the way i am i think the topic should be further studied.

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9

When people say things like "Im not teying to call you out" or "Im not trying to be an ass" it mean thats exactly what you are doing calling you out or being an ass. You arent a doctor so stfu.

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10

Dude, you are clearly on the wrong dose here. If you feel sick just doing your day to day activities, you're either not at the right dose or you're trying to get stoned off it. You do realize that your reason for methadone is to be able to function in your family life without drugs right? If you can't do anything simple as nap, work, or even walk around without feeling sick or feeling like your dose wore off, you need to see your doctor for an increase because methadone should get you BACK to your normal routine, not disrupt it.

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11

Wow can you read she is a Dr.and on methadone.She is right some people take what they read as gospel true or not.Rather than asking people she should be talking to her clinic, her dose might not be right.There are 991 different t drugs,over the counter and vitamins as well that can affect your dose as well as if you work exercise ect...The best advice is to get professional advice.

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12

Folks,

Attacking other posters serves no purpose in helping others that are truly in need of help. ADDICTION is a deadly disease that NO ONE CHOOSES!! So I'll simply correct the stated misinformation. If you're dosing clinically there's always staff that you can report these inconsistencies to. Dosage adjustment is normally sufficient enough to correct metabolic irregularities. Labs exist that can decipher metabolic rates most commonly a peek and thru blood evaluation. Once clinical evidence is established resolution to stabilization can be achieved in most legit cases. Hope this helps those serious about recovery utilizing an opiate/opioid assisted protocol, as I do. Whichever one chooses recovery is an individual journey and reintegration into a quote "more normal life" should be the goal. Until we can buffer this stigma, acceptance of good people who are ill will never be achieved.... So very sad....but I digress, this is my attempt to assist others in need. Best of luck to all.

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13

The same thing happens to me and everyone I know. I usually fall asleep after taking my methadone and without fail, whether I sleep for 20 minutes or 4 hours, when I wake up its as if i didn't take it. I've spoken about this a lot and no one can give me an answer

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14

How is tha being dangerous? Were sick of feeling sick in the morning before our doses so were just trying to make it through the morning until we dose. You don't need to be rude or "wise". I experience this too and was looking for answers but when I see stupid comments like this it's NOT helpful so keep your thoughts to yourself and let us find answers to how we can feel better between that 24 hour period. The split dosing is actually done at the clinic both doses but you get half in morning and half at night so if anything it's safer

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15

Thank god it ain't just me. I wake up at 6 and feel like crap, but if I take my methadone and fall asleep for a bit, maybe half hour to 2 hours, I know I will feel crap with hot flashes during the day.

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16

It may not wear off as such but it sure feels that way, I have been in methadone for about 10 yrs now I currently take 45ml, I am in conflict about when to take it because it does when taken before bed, knock me right out , I know this as Iv taken it in the day or morning whichever/both and been asleep for at least 4 hrs, but if I take it in the morning and stay awake I will have a good day and feel energetic/normal, but if I take it at night before bed say 11pm/12am I will feel the aches (where a woman feels it) and a quite a bit tired and weak, so I have come to the conclusion that I take only 5ml at night before bed otherwise I find myself waking up in the middle of the night for it, and I will wake up in the early hours between 5am -7am go back to sleep till 7:30-8am and sometimes don't wanna wake up but I do and I feel much better, hope this helps

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17

So as Iv been looking on this subject I have come to the conclusion that splitting my dose (well not exactly splitting equally) taking a percentage of it b4 bed and the majority in the morning gives me a good day, tho I don't know how this will work as I'm reducing, I'll prob just reduce the majority first and work on that when I get there

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18

I used to take 130mg a day and yes it did me the same way. And I am not sure why . But I got off that crap. I now take suboxon. And It is much better. If you are only taking 70mg get off it now.

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19

I've been on methadone for years and was on 170 ml and am down to 7 ml and if i go to sleep during the day it definitely wears off and can make u feel a bit ruff. My best advice is get into a routine taking it at the same time. Then cut down very slowly. I am cutting down 1ml every 6 weeks now. It used to be 5 ml but I will get there and am clean so definitely sleep on them. You will feel it.

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20

When I take naps my methadone wears off. I'll wake up feeling like I haven't taking anything.

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Re: methadonesavedmylife (# 6) Expand Referenced Message

All I can tell you is sleeping doesn’t affect your methadone at all that’s simply in your mind and I’ve been taking it long enough to know

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32

I believe this happens, because whenever the body is asleep, it increases its metabolism, meaning it's "overclocking" thus increase the methadone consumption, AND also whenever in sleep the body is releasing the good hormones on its own, resulting in the body experiencing increase in the good hormones dosage, and when you wake up and the body suddenly stops its part of the good stuff- you feel worse. Also a big part of "feeling good" depends not only on the current, momentary availability of good hormones, but on the trend, if the body feels the percentage is dropping, even if its still in the high availability- it was even better a moments ago (even if not consciously perceptable) and is slowly on its way down, e.g the time dimension also plays a role in the "feeling good"-ness. The formula for feeling good is mainly temporal mood stability, then the amount of good hormone.

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31

Re: zippo (# 3) Expand Referenced Message

I wouldn't say it wears off in your sleep. For me if I I am sitting or laying down watching TV or something, the methadone will tend to make me very relaxed and then I can become so relaxed I just want to sleep and then they are X I am so tired it's almost as if it's sucking me in my dad and it doesn't want to let go but if I force myself to get up it takes about 5 or 10 minutes after walking around and then all of a sudden it reverses itself and becomes energy and then I'm running around like a jackrabbit. It's as if it compensates depending on what you're doing so if you are active then it helps you stay active but if you lay down and chill then it helps you I guess you can say chill and/or sleep. That's what it does for me but the medicine does not wear off while sleeping like I said it just compensates. It's like a chameleon, the medicine adapts if you're being active or you want to be a couch potato. This is how it works for me I don't know about anybody else but I've been on liquid methadone for almost 3 years.

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30

No it doesn't wear off when u sleep. It peaks at 4 hours after dosing. But lasts 24 hours. You may need a higher dose. Talk to your clinic doctor. I've been on 120mg for years for pain, and I'm fine. I also take adderall which seems to increase the effects. Hope this helps you.

{edited for privacy}

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29

Re: Verwon (# 1) Expand Referenced Message

I too take methadone, but for pain. It has been found that in higher doses, once a day, that the patients get good pain control for 24 hours. Yes I have some breakthrough pain that requires some additional medication, but for the most part it's all I need.
Methadone peaks 4 hours after taking your dose. If you're feeling very sleepy then, did u take any additional medicine that particular day?? Or not sleep well the night before?? Because normally it's not good if it makes u very tired and means u need a lower dose. So that's why the other factors involved make a huge difference. Most who get cravings and feel like they need more methadone or other drugs, then your dose may not be high enough. This is why all the factors surrounding your tiredness/cravings, need to be documented and shared with your methadone clinic or doctor. Also, it sounds like having a peak and through done is really crucial to your diagnosis and getting you on the correct dose. I hope this helps you a lot.

I am a nurse and work in a doctors office that gives scripts for methadone. It's not a conflict of interest as I've never been an addict, and also, our office gives scripts to the patients. So no medicine is given at our office. We require that the patients have weekly drug panels, and they attend therapy at least once a week, and we hold groups several times a day. It's cheaper and much more personal then clinics the patients say....and here they see the doctor weekly. Not once a year.

I hope that this answer helps you. Best of luck. Get that peak and through as I've seen people die from too high of a dose or from mixing a benzo with methadone. Please please please don't do that. My friend of whom I had referred to our office, managed to fake her urines and hid the fact she took them. Her little girl called me one morning and said her mom wouldn't wake up. She was already dead and her daughter was 4 hours alone with her dead mom trying to wake her. My daughter was the same age. So that's why I'm so passionate about the methadone program. It changes lives when the person is on the correct dose and follows the rules.....and has counseling and support. And I hope wherever you get your methadone that you are getting all this. If not, please look for another clinic. {edited for privacy}. If you or anyone else has any questions, comments, or even if you are having a hard day and need a friend who won't judge you, you all can talk to me about anything and I'll try my best to help. Day or night. Take care and get that peak and through done.

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28

Do yourself a favor and get the hell off the methodone. S***s just as hard to get off of as H, maybe even harder no matter if they try to wean u off or not. It took me 2 1/2 to 3 years to get off methadone. I was dope sick for that long, and couldn't sleep for years after quitting also.

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27

It could just be a matter of your metabolism. Bc your sleeping it just is taking a lot longer to kick in or something.

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26

I've been experiencing the same issue. I dose early in the morning after my daughter is dropped off to school. I then go home and if I lay down I fall asleep and wake up feeling like I haven't dosed. I been wondering this same thing. Does it wear off while sleeping I wake feeling groggy and not good at all.

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25

Re: Kathrynne (# 7) Expand Referenced Message

I completely agree with you. I do feel like I'm going into cold sweats when I wake from a nap.. I take 150 miligrams a day. When I sleep and wake up that's what happens every time.. I have had my dose split to combat this and try not to lwryself sleep after my dose. But sometimes I'm just to tired and That's what happens..

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24

Re: Jerry (# 23) Expand Referenced Message

Hi Jerry! Are you saying you went straight from taking methadone to taking Suboxone without a break in between?? When I asked my doctor if I could switch to Suboxone from methadone, he informed me the Suboxone would send me into immediate withdrawal!!! So, did you have a 3 day break, or so, from the methadone, and THEN begin Suboxone (and if so, were you uncomfortable experiencing withdrawal symptoms in between or when the Suboxone ridded your body of the methadone)? Or, did you have a comfortable transition?
Thanks for your time!

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