jimc,i really really highly suggest that you try upping the methadone and stay the heck away from opana.does your doc know about your past problems with the oxycontin?if you can obtain any good relief,stay with the methadone just at a higher dose,it is much safer for you to this than to actually get yourself involved with something as very strong as opana is,really.once an addict always an addict.i am in this same situation,was clean for many many years til my spinal cord was injured rather severely and all the secondary SCI syndromes started popping in,i really did not have much choice at that point as without the use of narcotics,honestly i would be in bed curled up in the fetal position wishing for death to come and take me,my pain is that bad.
sooo,after some deep soul searching and many talks with family and my doc who is aware of my past history,i did stay on the narcotics but under very strict guidelines that they have set up at my pain clinic.if you are not in actual pain management,this is where you really need to be.they will have you sign a narcotic contract with many many very strict rules to go by,and in the event you break a rule,you are gone in a heartbeat,no questions asked.i needed this type of situation in order for me to be able to do this and so far(the past four years now) i have remained totally and completely compliant,mostly because of the fear of actually having to feel the full over the top effects of my pain.going without even one of my daily doses really just terrifies me to death.it is that fear component that i did not have when i abused pain meds way back when that makes the total difference for me now.
For you,this IS a VERY big deal.you need to be completely honest with every medical professional that is treating you and really really sit down and think about what it is that you are contemplating here and be honest with yourself as to whther or not you even feel comfortable in doing this and what you really feel about the possibility of ending up where you were with the oxyontin.while it is very possible to be able to go onto narcotics after being in an addicted state,only because of no other options,it HAS to be done a very very different way than most people and under very very strict monitoring and rules.my pain clinic can and has called me out of the blue to just bring my meds in within the next 24 hours for a random pill count and has tested my urine randomly too at an appt for something else."by the way,can you pee in this cup on your way out?"
i really don't mind tho as i havenothing to hide from them and they are helping me with my pain and to stay compliant.i NEVER forget that i was and always will be an addict.i am also never too comfortable in having to be on my narcotic meds.i never think that i have it over this addiction cuz i know,under certain circumstances,i could go back to where i was at any time.the fear helps alot in keeping me on the straight and narrow.i hope you will give this ALOT of thought and consideration before commiting yourself to this.it IS a big deal for you.please let us know how things go and what you decide to do here.i wish you all the best of luck with this.Marcia