The agony of opioid withdrawal — and what doctors should tell patients about it | Travis Rieder
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The agony of opioid withdrawal — and what doctors should tell patients about it | Travis Rieder

“How much pain medication are you taking?” That was the very routine question
that changed my life. It was July 2015, about two months after
I nearly lost my foot in a serious motorcycle accident. So I was back in my orthopedic
surgeon’s office for yet another follow-up appointment. I looked at my wife, Sadiye; we did some calculating. “About 115 milligrams
oxycodone,” I responded. “Maybe more.” I was nonchalant, having given
this information to many doctors many times before, but this time was different. My doctor turned serious and he looked at me and said, “Travis, that’s a lot of opioids. You need to think
about getting off the meds now.” In two months of escalating prescriptions, this was the first time
that anyone had expressed concern. Indeed, this was the first
real conversation I’d had about my opioid therapy, period. I had been given no warnings, no counseling, no plan … just lots and lots of prescriptions. What happened next really came to define
my entire experience of medical trauma. I was given what I now know
is a much too aggressive tapering regimen, according to which I divided
my medication into four doses, dropping one each week
over the course of the month. The result is that I was launched
into acute opioid withdrawal. The result, put another way, was hell. The early stages of withdrawal
feel a lot like a bad case of the flu. I became nauseated, lost my appetite, I ached everywhere, had increased pain
in my rather mangled foot; I developed trouble sleeping
due to a general feeling of restlessness. At the time, I thought this was all pretty miserable. That’s because I didn’t know
what was coming. At the beginning of week two, my life got much worse. As the symptoms dialed up in intensity, my internal thermostat
seemed to go haywire. I would sweat profusely almost constantly, and yet if I managed to get myself out
into the hot August sun, I might look down and find myself
covered in goosebumps. The restlessness that had made
sleep difficult during that first week now turned into what I came to think of
as the withdrawal feeling. It was a deep sense of jitters
that would keep me twitching. It made sleep nearly impossible. But perhaps the most
disturbing was the crying. I would find myself with tears coming on for seemingly no reason and with no warning. At the time they felt
like a neural misfire, similar to the goosebumps. Sadiye became concerned,
and she called the prescribing doctor who very helpfully advised
lots of fluids for the nausea. When she pushed him and said,
“You know, he’s really quite badly off,” the doctor responded,
“Well, if it’s that bad, he can just go back to his
previous dose for a little while.” “And then what?” I wondered. “Try again later,” he responded. Now, there’s no way that I was going
to go back on my previous dose unless I had a better plan for making
it through the withdrawal next time. And so we stuck to riding it out
and dropped another dose. At the beginning of week three, my world got very dark. I basically stopped eating, and I barely slept at all thanks to the jitters
that would keep me writhing all night. But the worst — the worst was the depression. The tears that had felt
like a misfire before now felt meaningful. Several times a day
I would get that welling in my chest where you know the tears are coming, but I couldn’t stop them and with them came
desperation and hopelessness. I began to believe
that I would never recover either from the accident
or from the withdrawal. Sadiye got back on the phone
with the prescriber and this time he recommended
that we contact our pain management team from the last hospitalization. That sounded like a great idea, so we did that immediately, and we were shocked
when nobody would speak with us. The receptionist who answered
the phone advised us that the pain management team
provides an inpatient service; although they prescribe opioids
to get pain under control, they do not oversee
tapering and withdrawal. Furious, we called the prescriber back
and begged him for anything — anything that could help me — but instead he apologized, saying that he was out of his depth. “Look,” he told us, “my initial advice to you is clearly bad, so my official recommendation
is that Travis go back on the medication until he can find someone
more competent to wean him off.” Of course I wanted
to go back on the medication. I was in agony. But I believed that if I saved
myself from the withdrawal with the drugs that I would never be free of them, and so we buckled ourselves in, and I dropped the last dose. As my brain experienced life
without prescription opioids for the first time in months, I thought I would die. I assumed I would die — (Crying) I’m sorry. (Crying) Because if the symptoms
didn’t kill me outright, I’d kill myself. And I know that sounds dramatic, because to me,
standing up here years later, whole and healthy — to me, it sounds dramatic. But I believed it to my core because I no longer had any hope that I would be normal again. The insomnia became unbearable and after two days
with virtually no sleep, I spent a whole night
on the floor of our basement bathroom. I alternated between cooling
my feverish head against the ceramic tiles and trying violently to throw up
despite not having eaten anything in days. When Sadiye found me
at the end of the night she was horrified, and we got back on the phone. We called everyone. We called surgeons and pain docs
and general practitioners — anyone we could find on the internet, and not a single one of them
would help me. The few that we could
speak with on the phone advised us to go back on the medication. An independent pain management clinic
said that they prescribe opioids but they don’t oversee
tapering or withdrawal. When my desperation
was clearly coming through my voice, much as it is now, the receptionist
took a deep breath and said, “Mr. Rieder, it sounds like perhaps
what you need is a rehab facility or a methadone clinic.” I didn’t know any better at the time,
so I took her advice. I hung up and I started
calling those places, but it took me virtually no time at all to discover that many of these facilities are geared towards those battling
long-term substance use disorder. In the case of opioids, this often involves precisely not
weaning the patient off the medication, but transitioning them
onto the safer, longer-acting opioids: methadone or buprenorphine
for maintenance treatment. In addition, everywhere I called
had an extensive waiting list. I was simply not the kind of patient
they were designed to see. After being turned away
from a rehab facility, I finally admitted defeat. I was broken and beaten, and I couldn’t do it anymore. So I told Sadiye that I was
going back on the medication. I would start with
the lowest dose possible, and I would take only as much
as I absolutely needed to escape the most crippling
effects of the withdrawal. So that night she helped me up the stairs and for the first time in weeks
I actually went to bed. I took the little orange
prescription bottle, I set it on my nightstand … and then I didn’t touch it. I fell asleep, I slept through the night and when I woke up, the most severe symptoms
had abated dramatically. I’d made it out. (Applause) Thanks for that,
that was my response, too. (Laughter) So — I’m sorry, I have to gather myself
just a little bit. I think this story is important. It’s not because I think I’m special. This story is important
precisely because I’m not special; because nothing that happened
to me was all that unique. My dependence on opioids
was entirely predictable given the amount that I was prescribed and the duration
for which I was prescribed it. Dependence is simply the brain’s natural
response to an opioid-rich environment and so there was every reason
to think that from the beginning, I would need a supervised,
well-formed tapering plan, but our health care system
seemingly hasn’t decided who’s responsible for patients like me. The prescribers saw me
as a complex patient needing specialized care, probably from pain medicine. The pain docs saw their job
as getting pain under control and when I couldn’t
get off the medication, they saw me as the purview
of addiction medicine. But addiction medicine is overstressed and focused on those suffering
from long-term substance use disorder. In short, I was prescribed a drug
that needed long-term management and then I wasn’t given that management, and it wasn’t even clear
whose job such management was. This is a recipe for disaster and any such disaster would be interesting
and worth talking about — probably worth a TED Talk — but the failure of opioid tapering
is a particular concern at this moment in America because we are in the midst of an epidemic in which 33,000 people died
from overdose in 2015. Nearly half of those deaths
involved prescription opioids. The medical community has in fact
started to react to this crisis, but much of their response has involved
trying to prescribe fewer pills — and absolutely,
that’s going to be important. So for instance,
we’re now gaining evidence that American physicians
often prescribe medication even when it’s not necessary in the case of opioids. And even when opioids are called for, they often prescribe
much more than is needed. These sorts of considerations
help to explain why America, despite accounting for only five percent
of the global population, consumes nearly 70 percent
of the total global opioid supply. But focusing only
on the rate of prescribing risks overlooking
two crucially important points. The first is that opioids just are and will continue to be
important pain therapies. As somebody who has had
severe, real, long-lasting pain, I can assure you these medications
can make life worth living. And second: we can still fight the epidemic
while judiciously prescribing opioids to people who really need them by requiring that doctors properly
manage the pills that they do prescribe. So for instance, go back to the tapering regimen
that I was given. Is it reasonable to expect that any physician who prescribes opioids
knows that that is too aggressive? Well, after I initially published my story
in an academic journal, someone from the CDC sent me
their pocket guide for tapering opioids. This is a four-page document, and most of it’s pictures. In it, they teach physicians
how to taper opioids in the easier cases, and one of the their recommendations is that you never start at more
than a 10 percent dose reduction per week. If my physician had given me that plan, my taper would have taken several months
instead of a few weeks. I’m sure it wouldn’t have been easy. It probably would have been
pretty uncomfortable, but maybe it wouldn’t have been hell. And that seems like
the kind of information that someone who prescribes
this medication ought to have. In closing, I need to say that properly managing
prescribed opioids will not by itself solve the crisis. America’s epidemic
is far bigger than that, but when a medication is responsible
for tens of thousands of deaths a year, reckless management
of that medication is indefensible. Helping opioid therapy patients
to get off the medication that they were prescribed may not be a complete solution
to our epidemic, but it would clearly constitute progress. Thank you. (Applause)


  • Jared Harris

    I know this feeling all too well! I am in Day 1 now!! I have a massive migraine, insomnia, tossing and turning hot and cold. I REALLY WANT to kill myself NOW

  • Remy Zero

    dude, i lived in Cambodia- the 3rd world – for a DECADE….people sleep on dirt floors of wooden shacks on a garbage dump…. `government assistance`???hahagaaaaaa…. a phone? a real toy??? not a chance…. but people are sooo sweet and clever and generous…..i was a cokehead in hollywood. soooo embarrassing now….soooo ridiculous….in no way Heroic, worthy of Sympathy/Empathy, even…. America is soooo Spoiled…. `these meds can make life worth living`…. not in my experience….. THANX, CIA !

  • Jane Doe

    Oh my God. I completely, to the bottom of my Soul resonate 100% with every symptom you went through. I cried while watching and listening to you speak about your painful overwhelming experience.

    Unlike you fortunately did though, I haven't made it out yet.

    I'm proud of you.

  • bobby

    It's sad you didn't know about kratom and legal hemp for opiod withdraw. As well as a better option for some pain. Also the conjunction of cbd as well as all canabbanoids with opioids for pain management.

  • VAC2

    Mine was Xanax and I had the same issue….no one knew what to do…..they said i needed the meds to prevent seizures and panic attacks. Im clean off it now….much like you, at home, shaking, seizing, wishing for death. It gets better and im happy to say that I have found a medication that helps with my seizures and panic attacks 10000000000% better than Xanax and med is CBD oil.

  • Steph K

    Don’t use a methadone or suboxone🗣🗣🗣 it’s only substituting the opioid!!!! You will still have the same withdrawals as quitting pain pills! Ask your doctor for Naltrexone! Look it up

  • Rayban Rudy

    Sorry this does NOT DO WITHDRAW SYMPTOMS ANY JUSTICE except at about week 4 that's pretty legit. AGAIN A LIE BECAUSE METHADONE DOES HAVE A TAPER PROGRAM

  • Because Kittens & Paint

    Opioids affect opioid receptors which take weeks to months to upregulate compared to GABA receptors in the CNS, GI tract, brain & muscles down regulated by benzos which take months to years to upregulate. #worldbenzoday
    Detox centers treat benzos as opioids. This leads to seizures, psychosis & even death. Patients are not advised of the real side effects of benzos which include increased panic attacks, benzo rage episodes, GI tract issues, muscle problems, more insomnia, suicidal ideation, plus increased eating disorder thoughts & behaviors.
    World Benzodiazapine Awareness Day is July 11th…also Dr. Heather Ashton's birthday who wrote the Ashton Manual which explains what benzos really do & how to safely taper off.
    Thousands of people are tapering in benzo withdrawal support groups on Facebook. You'd be surprised at how many Rx drugs have support groups on there for people damaged by the side effects or forced to cold turkey.
    The FDA states that physical & psychological dependence on a benzo is not the same as drug addiction according to Rx drug inserts. Tolerance withdrawals occur when every bodily system becomes dependent on the chemical components specific to the benzo. This is when Dr's increase the dose telling patients their anxiety disorder, PTSD, or whatever is getting worse. This is medical negligence & dangerous.
    The National Center for Biotechnology Information (NCBI) has studies & statistics on the real side effects of Rx drugs that Dr's will not advise patients of.

  • Sandy J Renfroe

    I had gotten, somehow, Acute Pancreatitis. I was in ICU for two months. The finally took me to exploratory surgery and removed my colon and fashioned an Ileostomy.

    I was in a Nursing Home for awhile, then was placed into a group home. I was in constant pain, I had prescriptions for Dilaudid and Norco. My PCP, after 6 months, stopped writing those prescriptions for me. No tapering, just cold turkey.

    I went to a Pain Clinic, and was put on Buprenorphine (Subutex). I was on that for 4 years. My PCP kept urging me to quit. I tried but never had any luck.

    After a suicide attempt, I was placed in a Psychiatric Facility for a few weeks. They would not provide Subutex for me, so I was going through withdrawal. They told me it was all in my head.

    I was released and promptly attempted suicide again. They placed me back in the Psychiatric Facility for another few weeks.

    It has been over a year, and I am doing better now. Nobody believes I was going through withdrawal. They know I'm off the Subutex but just consider it a matter of will.

    I still suffer some long-term withdrawal symptoms that nobody pays any attention to. I take Tylenol every day for pain. My PCP continues to tell me that I have Chronic Pancreatitis but it is NOT the cause of my pain.

    I am just existing. I am in pain all the time, but nobody listens. Nobody believes me.

  • Richard Foran

    For the less serious short term injuries it seems better to simply put them to sleep for 1 2 months then puttting them through this

  • delcyrus

    Oxycodone, OxyContin and dilaudid prescriptions for use outside a clinical setting should be used for terminal and cancer patients only. Prescribing any of them for chronic pain is a recipe for disaster. Best not to do it at all to begin with.

  • Tiny Gypsy

    I want to be off opiates so bad. I decided to quit cold. The rehab facility here turned me away because I’m female. The doctors told me they couldn’t help me even though I had researched some medications that were supposed to help. I’m only about thirty hours into and usually the 48 hour mark is when it starts to get really scary. At this point I don’t even care if the awful symptoms kill me I just want to be off. It gets to the point I can’t walk and my heart races so fast parts of my body go numb. The leg cramping is the most painful out of everything. Skin crawling, sweating, nausea, all that’s fine compared to the high heart rate. all I can do at this is point is pray.

  • 12from121

    Suck it up baby 115mg is nothing and you were only on it for a few months. Try 450mg per day for 20 years and coming off with no support

  • Mary Ippolito

    After just a few weeks of narcs?? I call bullshit. I lived with immense fibroid pain for years. I then had a huge hysterectomy. Over 300 internal stitches. I found after 2 days post surgical that the motrin 800 worked better than the norco that I was written. I work health a student RN. Now. But then..I did not. I know docs write RX FAR M0RE THAN THEY SHOULD. But you as a normal person.. should not need these Rx to control pain. 10 years ago plus was unheard of.

  • Claire Will

    METHODONE clinics are horrendous….
    I’ve been turned in to a Opioid addict by my addicted Pain Clinic Dr – an American consultant and NHS contracts her to manage pain!
    A necrotising hip, damaged and broken.
    Refused amputation or repair…. until age 55.
    A decade of 140mg – 200mg per day.

  • Drew John

    I went through this my self I went through 3 doctors the 4th one have me muscle relaxers so I could sleep it really helped me dramatically I was able to sleep every night after 4 weeks on them he took me off them and I felt better than ever . I love that doctor with my life . I was on Vicodin for 6 months not anymore my friends will never take them ever again

  • Anthony Gambale

    Should've used suboxone or Subutex. Methadone is more for long time opiate users that have lived in the addiction lifestyle for years. Around 80% of opiate users that use methadone stay on it for life. Your pain Dr's were idiots for detoxing you that fast. I've kicked cold turkey from OxyContin and Heroin multiple times. Props for not going back and staying clean.

  • Jeffrey Palma

    FOR THOSE WATCHING THIS VIDEO TO HELP THEMSELVES. Use Suboxone or Kratom for the initial withdrawals, BUT DO NOT CONTINUE TO TAKE EITHER CONSISTENTLY EVERY DAY OR YOU WILL JUST HAVE ANOTHER MONKEY ON YOUR BACK. Then use pot only everyday for the remainder of your recovery which could take pretty much a year. If possible try using only pot with the initial withdrawals but it only made me feel worse when I tried using it to feel better during my first few days without opiates but maybe that was just me. So basically you want the pot to be the only thing you take every day but only use the Suboxone or Kratom as you need it for only the first couple of weeks or so. Good luck.

  • Christa Hines

    thank you! to a physician of over 30 years, what you said seems so completely common sense.  I don't understand why so many of my colleagues don't see what seems so obvious; sharing your experience will hopefully open more eyes

  • Mormorda 666

    Exactly, I’m currently withdrawing from my pain pills and like you say the doctors just don’t control things after they throw the pills at you. Even though I’ve told a doctor that I’m addicted and now withdrawing I’m still getting 200×30/500 & 100x50mg tramadol every 25 days. It’s been over four years and never once was I pulled in the see about coming of them.

  • Mormorda 666

    It’s really strange as like you say tapering should be done slowly but I decided to go extreme. I was taking between 20-55×30/500 a day and some days up to 15x tramadol a day. You’d think that would require a very slow taper however I started of going right down to only 5x30mg codeine a day for a few days and now for the last four days I’ve been taking only 76mg of codeine which has been keeping me going for up to 32 hours before the RLS gets to bad. The strange thing is even though I’ve tapered so drastically I’m not experiencing much withdrawals, only the restless legs, sneezing, body aches and fatigue due to lack of sleep. Since tapering I’ve only taking 6 tramadol, 4 one day to see if it helped the legs then two the other night as my legs were going crazy.

  • lunaticatiga

    Im crying coz im going thru it right now. And nobody will understand us ever! Im crying coz strories like yours give me some hope that i will survive it and feel better someday.

  • Sit Down!

    Why are you even apologizing for needing a second to reset?? The brazenness of the medical system to let this happen to people!!!!

  • Nabael

    Methadone and other partial opioid agonist actually have physical withdrawal 3 times as long so once you go to those clinics you are basically locked in forever.

  • 9Finger-Frodo Baggins

    I was on opioid pain medication for over 5 years for back pain sciatica. I knew there was going to come a point when my doctor was going to cut me off so I started tapering off myself and when the day came that he did cut me off it wasn't so bad for me. Since then though I just deal with my back pain on a regular basis. It really is a catch-22. I'm certainly glad I did not have to go through what you and many others had to go through.

  • Jason Lionbar

    What the freak docs won't tell you is this … You can smoke heroin for time ' .. And only be ill for 3/5 days .. And would have taken weeks off the pain .. It's all the other crap that these Qaks prescribe that is in the prescription drugs that messes you up '… Really is stupid .

  • Jones's Outdoor Adventures

    I was in some bad accidents and lived a rough life tore up my back. I was presribed to opiates back in 2003 and I quit them in 2016-2017. God blessed me with great Surgeon's and guided their hands. One of the best choices I have ever made was get off them and use natural things. All glory to God I couldn't of done it without him. Still think about them some when I'm in pain but stay strong in His Wonderful mercy and grace! Like any addiction you can beat it. Just got to believe in yourself and those you love. Praying for all I know what it's like I have been there not easy but not impossible. God bless

  • jesse d

    this is a joke, try 2 quit a 1gram of héroïne a Day habbit, most people hook on oxycodone use about 10 pills of 80mg oxy every day

  • Gilbert Lopez

    Dr pontius pilate nearly committed manslaughter and the just washed his hands when he realized this guys could wind up dead because of this pill pusher. What a disgrace to the human race.

  • Deeter

    during my opioid withdrawal i felt despair deeper than i ever thought imaginable. it was horrendous. undoubtedly the worst experience of my life.

  • Humanimal

    True. Getting off it is fkn hard. Its shown though that people give up or in, whether to cravings or kicking something, just before the pain gets slightly more then drops right off. Also…let's not be disingenuous here….people ASK For and INSIST on these meds often too.

  • Thot Ramen

    All the information this guy gave in his speech is 100%. I wasn't put on pain meds, but got introduced to them which then turned into a heroin addiction. I'm 3 years clean today. I only did opiates once, but it was a 10 year run. Opiates are seriously the devil and addicts know more about how to get off of them than doctors do.

  • A Fox

    its nearly impossible to get any form of opioid med prescribed here in austria if youre under the age of 70 or got late stage cancer.
    Opioids are the last resort, before you get them, you would have to go through physeotherapie, physical rehab center, pain managment training, acupuncture, nerve blockers etc. Welp thats what a third world medical system gets you

  • Cynthia O.

    Opioids INVOLVED in 33;000 deaths….but prescription opioids ALONE rarely cause overdose….the problem is when other things are mixed with them …I wish mr. rieder would make an updated video. This one is very good, but incomplete.

  • nwil804

    I wonder what would happen if the price ( probability ) of these medications was reduced? I in no way say they should be more available actually the opposite, just that they should not be so profitable too supply.

  • Margarita Beil

    tomorrow my husband is dead for 5 months. he died from acute phentyanal posoining , no heroin in his system. this is really hard to wrap my mind around this, as ive never ever did drugs. the police wont do anything, but not answer my calls. as of this very day they still havent notified me. i had to see his body caried out on my fb feed. his own daughter posted it on fb. his daughters are in active addiction as well.

  • Milquetoast Eugenicist

    It feels like the marrow has been sucked from your bones and replaced with ice water. You know that feeling when you run your hands under incredibly cold water? That cold burn right before your hands go numb? Yeah, that. Only throughout the body. For me it's concentrated in the legs. The joints where the femur slots into the pelvis and the knees are also always throbbing. I'm a lifer now. Never quitting.

  • Vix Crush

    This guy is kinda over dramatic. I just can't believe how much it costs to attend Ted talks. I have gone through drug withdrawl maybe 20 or 30 times and have gone through cold turkey like 2 month long heroin with drawl 2 or 3 times and it sucks but I don't break into tears talking about it now because nobody really cares or wants to hear about it. Plus I kinda feel guilty about it.

  • philippe Alvarez DeLa Cadena

    Oh. My. God. He basically took a cold turkey detox and stretched it into a month. I feel so Fucking bad for him lmao

  • Beau Truex

    This is nothing! I am not trying to diminish what he went through…. However, I went through withdrawls in Jail. I went off 75mg of methadone, about a gram of Black Tar heroin, benzos and meth. I was up about 15 days straight! I was locked in a closet with another dude and there was heroin in the maximum security unit I was in. Talk about temptation. I thank the Father God in Jesus' Mighty Name that I am still here. I just pray for anyone who is going through this.

  • Sonja Morrison

    In the1980s, Ronald Reagan deregulated the marketing of pharmaceuticals, which introduced television advertising directly to the public for corporate profit. Investors were delighted! Doctors and pharmacists enjoyed promotional junkets. Patients could ask for drugs of choice. And the pharmaceutical industry transitioned from a research-based industry to a free market enterprise. The trickle-down result of this "brilliant" idea is what you see today.

  • killa buds

    Worst thing is withdrawing in prison!
    YOU GET NO HELP WHATSOEVER!!!! Non violent inmates on small drug charges have died from withdrawals in jail because they give no medication at all.

    I was dying in there withdrawing in jail the worst crawling screaming for help and the. Sherrifs would just look at us and leave and all of us screaming for help and medication! When the damn hospital was across the street.

    A poor mother was a good person only flaw she was as heroin addict and she was crying for help and she asked for medication and there response was ." I'm not taking you to get your fix "
    Fucking pigs don't understand how withdrawals are horrible to endure .

    You can't detox someone cold turkey u just can't!!!
    We addicts need help especially those who are not threat to society…they just good people with a disease they put on themselves.

    It's sad they don't care about us at all!!! They just wanna go home that's what the C.Os think they just wanna leave.

    Just look at YouTube "death by detox" death in jail " search it up. .
    We get no help what so ever wee need help not a cell.

    They've never lived through this so they will never understand.
    If you never lived it then trust me you'll never get it!

  • digitaldirtnap1

    Haven’t watched this yet. I’ll tell you personally as a recovering addict, it’s absolute torture and if you’re in deep,you’ll do almost anything to get off sick.

  • digitaldirtnap1

    Depression is not the worst by any fuckin stretch pal. Not even close. Unless you are prone to being weak. Everybody is different. The worst for me was,the kicking and sweating freezing,no sleep,no eating. By far the pain and kicking from wd

  • Lisa Valenti

    After being on them for 15 years my doctor cut me off cold turkey . The first time I had a heart attack the second time is just over a month now. I will never take another one.Not only did they take those away but even the non controlled pain pills for my nerves and my muscles.

  • Тайбирияс Чайковский

    What about those of us who are chronic pain patients, who are considering (and many have) suicide, a casually of the war on opiates?

  • wildflower

    Wow. I’m getting major surgery soon and now i’m even more nervous lol. Almost every person in my family is an addict whether it’s drugs/alcohol so i’ll make sure to be careful.

  • felicity carter

    KRATOM. KRATOM, KRATOM. anyone in opioid ithdrawal get KRATOM. Sad to see so many suffer when kratom is a solution few know about

  • vin 950

    its really sad that so many people are not aware of how bad opiod withdrawals can be, especially doctors. If you are addicted and/or dependent to opiates, you have a way out that is easy to access in the US and in Europe- Methadone clinic. Its a pain going there everyday initially, but you can taper off as slow as you want over a year or more, or stay on methadone and not taper if you want. Only thing is, you can't use any other drugs while you are in there since you get drug tested randomly every month, and you can get kicked out if you test positive repeatedly, especially if its for benzodiazepines. As long as you test clean, you will eventually only have to show up once a month or so to pick up your doses. the waiting list is the worst part, but you lose nothing by setting up an appointment immediately while you try something else.

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