Diet's Role in Addiction Recovery
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@Kooree-lc1zc
@Kooree-lc1zc 9 күн бұрын
Diazepam!!! Nuts.
@medheads
@medheads 3 күн бұрын
Diazepam is often used in withdrawal management to help ease symptoms and provide comfort, under medical supervision. It’s important to consult with healthcare professionals for the safest and most effective treatment options. If you have any concerns or questions, discussing them with your doctor can help you understand the best approach for your situation.
@merocaine
@merocaine 15 күн бұрын
I think a long taper is probably the best way to go. Not sure if thats possible in a in patient setting. This is the best way to handle the insomnia. Count down to slmost nothing over a month before quitting. By that srage your endocannabinoid system has started to regain funtion. Doing this is almost impossible for an addict. If there was someway for a doctor to dole it out every evening during the taper, I feel this would be best. Then if needed all the other measures you guys are talking about. I really feel cannabis dependency is much greater than realised.
@medheads
@medheads 3 күн бұрын
Thank you for sharing your insights on cannabis withdrawal. Tapering can indeed be an effective strategy, especially for managing symptoms like insomnia. Implementing such a tapering schedule in an inpatient setting can be challenging but not impossible with proper medical supervision. Involving healthcare professionals to oversee the tapering process and provide necessary support can significantly improve outcomes. Cannabis dependency is often underestimated, and your comments highlight the importance of a comprehensive approach to treatment.
@merocaine
@merocaine 3 күн бұрын
@@medheads thanks for the reply, and apologies for the spelling mistakes, the perils of commenting on your phone!
@merocaine
@merocaine 15 күн бұрын
There is an entourage with tabacco which moderates the high from cannabis and prolongs its effects. It feels quite different to pure cannabis.
@medheads
@medheads 3 күн бұрын
Thank you for sharing your thoughts! Tobacco can indeed alter the experience of using cannabis by interacting with its effects. While some people might find that it moderates and prolongs the high, it's important to note that combining substances can also introduce additional health risks. Always use caution and consider consulting with a healthcare professional about your substance use.
@maevey3
@maevey3 27 күн бұрын
What if you have a friend who is already doing both cocaine & alcohol, is underweight & also consuming high amounts of energy drink?
@medheads
@medheads 15 күн бұрын
Your friend's situation is concerning and multi-faceted. Combining cocaine, alcohol, and high amounts of energy drinks poses significant health risks, especially for someone who is already underweight. Here are the key issues and potential interventions to consider: Substance Interaction and Health Risks: Cocaine and Alcohol: This combination can form a substance called cocaethylene, which increases the risk of cardiovascular issues, liver damage, and sudden death more than using either substance alone​​​​. Energy Drinks: High caffeine intake can exacerbate the cardiovascular strain from cocaine and alcohol use, leading to increased heart rate, blood pressure, and potential heart complications​​. Underweight Concerns: Being underweight can indicate malnutrition, which can be worsened by the appetite-suppressing effects of cocaine and the empty calories from alcohol and energy drinks​​. Physical and Mental Health Impact: Malnutrition and Dehydration: Your friend might be missing essential nutrients, which can affect their overall health and ability to recover from substance use. Alcohol and cocaine use can also lead to dehydration and electrolyte imbalances​​. Psychiatric Symptoms: Substance use can lead to or worsen mental health issues such as anxiety, depression, and psychosis. For instance, cocaine withdrawal can lead to severe depressive episodes and psychotic symptoms​​​​. Immediate Actions and Support: Medical Assessment: Encourage your friend to seek medical help immediately for a full assessment. This should include a nutritional evaluation, cardiovascular check, and mental health screening​​. Hydration and Nutrition: Encourage small, frequent meals that are nutrient-dense and easy to digest. Hydration with water or electrolyte solutions is also crucial​​. Cocaine and Alcohol: This combination can form a substance called cocaethylene, which increases the risk of cardiovascular issues, liver damage, and sudden death more than using either substance alone​​​​. Energy Drinks: High caffeine intake can exacerbate the cardiovascular strain from cocaine and alcohol use, leading to increased heart rate, blood pressure, and potential heart complications​​. Underweight Concerns: Being underweight can indicate malnutrition, which can be worsened by the appetite-suppressing effects of cocaine and the empty calories from alcohol and energy drinks​​. Encourage your friend to seek medical help immediately for a full assessment. This should include a nutritional evaluation, cardiovascular check, and mental health screening​​. Encourage small, frequent meals that are nutrient-dense and easy to digest. Hydration with water or electrolyte solutions is also crucial​​. Reducing or eliminating energy drinks can help decrease the cardiovascular strain and potential for caffeine-related anxiety and sleep disturbances​​. Long-term Support and Resources: The combination of cocaine, alcohol, and energy drinks, along with being underweight, requires immediate medical attention. Support your friend in seeking professional help and making healthier lifestyle choices to address both the substance use and nutritional deficiencies.
@roro-mm7cc
@roro-mm7cc Ай бұрын
Mathadone is good for maintenance but I was only able to taper and get off opioids completely when my doctor transferred me from 100mg methadone to the equivalent (1000mg morphine per day) - tapering off using the morphine was much easier and enabled me to quit altogether once I was ready. I was static on methadone 3 years then when transferred onto morphine quit within a few months.
@medheads
@medheads 15 күн бұрын
Thank you for sharing your experience. It's great to hear that you found a path that worked for you! Methadone maintenance can be a vital tool for many, but transitioning to morphine for tapering off completely clearly made a significant difference for you. Your journey is an inspiring reminder that there are multiple pathways to recovery, and finding the right approach can lead to lasting change. Well done on your success!
@marclee6991
@marclee6991 Ай бұрын
How about gabapentin?
@medheads
@medheads 15 күн бұрын
Regarding the question about the use of gabapentin in GHB withdrawal, gabapentin can be a useful adjunct in managing withdrawal symptoms. Gabapentin, primarily used for its anticonvulsant and analgesic properties, can help alleviate some of the neurological and musculoskeletal symptoms associated with GHB withdrawal, such as anxiety, insomnia, and muscle pain.
@justincredible196
@justincredible196 Ай бұрын
If you cant beat a little cannabis addiction you are a straight up pussy. Be tough on yourself. Workout, drink water and ignore those so-called doctors that try to put you on benzo;s and other shit.
@medheads
@medheads 3 күн бұрын
Thank you for sharing your perspective. It's important to recognise that everyone's experience with addiction is different. Cannabis withdrawal can be challenging for some people, and it's okay to seek help. Working out and staying hydrated are great tips for overall well-being, but professional medical advice can provide safe and effective support when needed. Let's respect everyone's journey towards recovery.
@justincredible196
@justincredible196 Ай бұрын
This guy says use Diazepam to counter cannabis withdrawal syptoms. What a disgrace this guy calls himself doctor. Valium and othr bezodiazepines are MUCH more addictve that cannabis. Probably the dude gets a little bonus from the Sackler family?
@medheads
@medheads 15 күн бұрын
While it's true that benzodiazepines like diazepam (Valium) carry a risk of dependence, they are sometimes used in short-term, carefully monitored settings to manage acute withdrawal symptoms, including those from cannabis.
@julesjoyinc
@julesjoyinc Ай бұрын
.. on point - comprehensive
@silas1414
@silas1414 2 ай бұрын
Is there a risk of creating hypertension in patients through long term use of Clonidine? I have heard from an ICU Psyc that they encountered patients with BP 180/100 but once medical history was acquired and Clonidine added back in it would resolve. These appear to be patients without hypertension history.
@medheads
@medheads 15 күн бұрын
Indeed, Clonidine, when discontinued abruptly, can cause rebound hypertension, even in patients without a prior history of hypertension. This phenomenon, which you have encountered in ICU settings, occurs because Clonidine suppresses sympathetic outflow; sudden withdrawal can lead to a significant surge in blood pressure. It's crucial to taper Clonidine gradually under medical supervision to mitigate this risk. If a patient presents with severe hypertension after stopping Clonidine, reintroducing the medication, as you mentioned, can help stabilize their blood pressure. Always consult a healthcare provider before making changes to Clonidine treatment to ensure safe management of the medication.
@taianifong2203
@taianifong2203 2 ай бұрын
The worst withdraw ever😢....
@Trynmliminatm
@Trynmliminatm 2 ай бұрын
4 months out from my last shot of 64mg monthly. Unless you have to get off strips or full opiates or oxy /similar be very mindful as i have heavy insomnia . I sleep 0 to 3 hours a night and trying to do my best with my the depression. Yoga, meditation, hot showers. Stretching , good sleep health helps but its a tough, tough battle. Buvidal got me off 8mg strips so unless you are deep in the weeds it isnt the be all and end all ok. Respect the withdrawl because NOBODY gets away with a free ride.
@medheads
@medheads 2 ай бұрын
True
@TurnerDrummer-pb6lj
@TurnerDrummer-pb6lj 2 ай бұрын
Fantastic episode thank you..
@medheads
@medheads 2 ай бұрын
Thank you. glad you liked it
@jacobkain4721
@jacobkain4721 2 ай бұрын
This is most timely, I am currently in a dual-diagnosis rehab facility where we're privileged with a gym and this sort of "backs up" what we've been experiencing in terms of exercise, addiction and mental health. Thank you for this! - Jacob from Atlantic Canada
@medheads
@medheads 2 ай бұрын
Hope it helps. Take care
@bluethunder6801
@bluethunder6801 2 ай бұрын
Benzos are one of the hardest complex drugs to withdrawal from . Still going through it, wouldn't wish it on anybody
@medheads
@medheads 2 ай бұрын
Yes it can be extremely difficult. Best wishes, stay strong.
@Alejandroiraola789
@Alejandroiraola789 3 ай бұрын
time stamps would be great
@medheads
@medheads 3 ай бұрын
ok
@archibaldmeatpants1722
@archibaldmeatpants1722 3 ай бұрын
" Cracking addiction" no pun intended I assume 😮
@medheads
@medheads 3 ай бұрын
none🙂
@Michelinman420
@Michelinman420 3 ай бұрын
Crazy dreams
@user-sz2jf8xp1v
@user-sz2jf8xp1v 3 ай бұрын
Five times an hour....wow. I wish. In between breaths. You feel like you are dying.
@user-sz2jf8xp1v
@user-sz2jf8xp1v 3 ай бұрын
I know the moment my episode is starting. Hot water gets me through until I can get myself to emerg.
@gaiusoctavian7062
@gaiusoctavian7062 4 ай бұрын
Quit various times, baclofen by far is the only thing that really works by far, 50mg for the first three days then 30mg for the following 7 days. I can’t stress enough how important baclofen is
@medheads
@medheads 3 күн бұрын
Thank you for sharing your experience! Baclofen can indeed be very helpful during GHB withdrawal. It’s crucial to tailor treatment to individual needs, so always consult with a healthcare professional for personalised advice. Stay safe and take care!
@mixmastermorris
@mixmastermorris 4 ай бұрын
I have had CHS diagnosis after smoking weed every day for the past 25 years, mainly ultra-potent sativa strains (haze, amnesia, etc). I have been in hospital numerous times, never ever getting the correct diagnosis. 😢 I was never motivated to quit smoking weed until I had the correct diagnosis. Now I am clean for 14 days and I am convinced it is the only way forward FOR THE REST OF MY LIFE. also, the synthetic variant of THC, being HHC gives the same syndrome. To my experience even worse. Good luck for all the people being diagnosed with CHS. Find pro help, go to self-help groups, do meditation for sleep improvement, and change your life for good. It is the only way forward. ❤
@medheads
@medheads 3 ай бұрын
Thanks for taking the time to comment. Glad to hear you have been diagnosed
@mixmastermorris
@mixmastermorris 3 ай бұрын
@@medheads looking back, first symptoms already occurred 15 years ago. With interval of 1 to 2 years. Now, in the end I was hospitalised every other week. Only then I got the right diagnosis. Doctors in Europe were unaware of CHS until recently. 🤯
@mixmastermorris
@mixmastermorris 3 ай бұрын
Even the rehab center I joined is expanding its knowledge extensively due to my input. Spread the word people. This CHS stuff is for real. 😬
@getllonglegs
@getllonglegs 4 ай бұрын
I wonder why i never had withdrawl from xanex. It just doesnt make sense. Glad i never got addicted, i havent had any in years. Weird
@Shiny54
@Shiny54 4 ай бұрын
Thank you.
@brianthompson8828
@brianthompson8828 4 ай бұрын
Thank you! My partner is currently in detox and this information is important for me to understand his next steps from a pharmaceutical standpoint.
@medheads
@medheads 4 ай бұрын
Best of luck!
@banneduser978
@banneduser978 5 ай бұрын
I use kamini Vidrawanras multani brand which one of these brands contain heavy metals or are they all laced with led I only use it for the opium I wanted to know if there was a way to extract the opium out of these tablets.
@manvindersingh5422
@manvindersingh5422 Ай бұрын
Lol 😂 if u extract how much will it contain from one tablet come on man
@bryanutility9609
@bryanutility9609 5 ай бұрын
GBL is a mucus membrane irritant. What happens to your stomach if you take it 5x/day for years? Does it harm the stomach lining?
@medheads
@medheads 5 ай бұрын
Repeated exposure to gamma-butyrolactone (GBL), especially at high frequencies and doses, can lead to serious health consequences. If taken five times a day for years, the stomach lining would likely suffer significant damage, potentially leading to ulcers, gastritis, and increased risk of gastrointestinal bleeding. Additionally, long-term use of GBL can cause liver and kidney damage, neurological issues, addiction, and respiratory depression. It’s crucial to seek medical assistance immediately if you suspect GBL abuse or if you’re experiencing any adverse effects.
@bryanutility9609
@bryanutility9609 5 ай бұрын
@@medheads Thank you, My doctors don’t know what GBL is. There are no medical professional who can help. Let’s say someone has been taking 5x/daily for 10 years, with no measurable effects including perfect blood markers. All I have is worry about possible side effects due to “membrane irritant”. I have not seen a single paper or report about GBL physical harm. Can you please help me with data? Where can I get actual scientific & medically backed answers? Is there an online telemedicine expert I can talk to?
@medheads
@medheads 3 ай бұрын
While GBL isn't as extensively studied as some other substances, there are still resources and avenues for obtaining accurate, medically backed information. Firstly, it's essential to acknowledge that long-term use of GBL, especially at the frequency and duration you mentioned, can pose significant health risks, even if you haven't experienced noticeable effects or changes in your blood markers. GBL is metabolized into gamma-hydroxybutyric acid (GHB) in the body, which can have central nervous system depressant effects and potential for addiction and withdrawal symptoms. While there might be a scarcity of mainstream medical literature specifically on GBL, academic research databases like PubMed or Google Scholar can still yield valuable insights. Look for studies on GHB, as the two substances are closely related pharmacologically, and many findings about GHB may be applicable to GBL.
@bryanutility9609
@bryanutility9609 3 ай бұрын
@@medheads Well said yes I do that kind of research. I can attest to many of the side effects of overuse. Thank you for your response.
@hunnybeee6702
@hunnybeee6702 5 ай бұрын
Why chuckle @ 2.37 Anderson??
@do9djgs
@do9djgs 5 ай бұрын
Lea问要我问你的皮肤怎么这么亮....?
@medheads
@medheads 5 ай бұрын
Not a good webcam
@Zulethe992
@Zulethe992 6 ай бұрын
I wish Backofen would get more exposure cause I’ve used this with great success
@eliotness100
@eliotness100 6 ай бұрын
Anybody that needs to be managed during cannabis withdrawals is totally weak minded.
@M0SCON1Audi0
@M0SCON1Audi0 7 ай бұрын
Not true withdraw start in the 7th day and will last for 2 weeks not sleeping and cravings, and everything he said. On the 6th week the withdrawal will subside and you should start feeling a little bit better then the 2 week or 3rd week. And not true that will last weeks after 2 months or months. After 2 months you should start feeling better and on 13th to 14th week all thc will leave your body and you should feel great with a lot of energy and sleep and pass a drug test. I know because I smoked 11 oz plus no more then 12 oz’s for 129 days, almost 2.5 g a day including 2 grams of wax. This doctor did not have pothead but probably drug addicts, that’s why he said months. 🙄🙄🙄🙄🙄🙄 I’m a true POTHEAD and never used no other drugs but nicotine and maybe a little bit of alcohol one time. And don’t use cbd, thca , thc-8, thc-10 it will make it worse, the only way to feel great is by taking a break not to use THC-9 for 13 weeks to get back feeling great. I know because I’ve smoked for 15 years already. 🙄🙄🙄🙄🙄🙄
@merocaine
@merocaine 15 күн бұрын
What are you talking about, 7 days, nonsense.
@benclarence1996
@benclarence1996 7 ай бұрын
Not wrong.
@jacksonexodus8
@jacksonexodus8 7 ай бұрын
I can improve myself more and give up the Drug Recovery Addiction 🙏🏽🙏🏽🙏🏽🙏🏽❤️❤️💯💪🏽💪🏽
@lisasmith814
@lisasmith814 7 ай бұрын
I'm in Hobart Tasmania and I desperately need help but no one down here believes me 🥺💔
@lisasmith814
@lisasmith814 7 ай бұрын
I've just been weaned off 20mg valium, after 26 years, in 4 weeks to ZERO in The Hobart Clinic in Tasmania. This is day 32 ZERO. It has been HORRENDOUS !! I lost the ability to put words together and speak properly, if I close my eyes I lose my balance, my body odour is FOWL, inside my head sounds like a boiling kettle whistling, all my limbs feel like they're on fire, I have absolutely NO emotions 😢 I feel so alone. I now have a brain injury and there is absolutely NO support. I'm very very unwell 😢
@medheads
@medheads 7 ай бұрын
Have you tried contacting www.primaryhealthtas.com.au/for-the-community/programs/alcohol-and-other-drugs/
@logantuttle3518
@logantuttle3518 7 ай бұрын
Is it just me or does there symbol look like The Grateful Dead 💀
@logantuttle3518
@logantuttle3518 7 ай бұрын
I see now that is intentional 🤦‍♂️
@pebblepod30
@pebblepod30 7 ай бұрын
California & Seattle did the same and it was a total utter predictable disaster. Because in Portugal they did it very differently.
@deletedcomment2478
@deletedcomment2478 8 ай бұрын
Crack ing Addiction 😂
@ved..7
@ved..7 8 ай бұрын
И почему ни слова как соити с бувидала ? Сложно это и на сколько сильный синдром отмены???
@medheads
@medheads 8 ай бұрын
not sure what you mean. but like all opioid agonist therapy, your dose would be reduced slowly when ready to stop.
@user-lq1tb1eq7z
@user-lq1tb1eq7z 8 ай бұрын
"... and take a little wine for your stomachs sake & thine oft infirmities." -Apostle Paul to Timothy A little is good for you > me > everyone.
@gggg-kq5ty
@gggg-kq5ty 8 ай бұрын
I lost my girl to ghb ova dose at Easter ,,,so devastated and I miss her dearly and I never got to say goodbye
@medheads
@medheads 8 ай бұрын
Sorry for your loss, that’s unimaginably sad.
@bryanutility9609
@bryanutility9609 4 ай бұрын
That’s so terrible & so easily avoided. I’m sorry for your loss.
@user-xe8zk9xp8t
@user-xe8zk9xp8t 8 ай бұрын
Check your facts, doctor? Eager to post but not true, fatal dosage 20 micrograms, not milligrams, and I have an 8th grade education, but that was 1983, SMH
@medheads
@medheads 8 ай бұрын
Ferghal is correct. 2mg or 2000 micrograms is a lethal dose. 20 micrograms is a therapeutic dose
@chaisiewsyn1956
@chaisiewsyn1956 8 ай бұрын
If you have not been prescribed and taken benzo and AD, you dont know what you are talking about. You are not qualified to talk about the subject, let alone about withdrawal. I had in September 2005 and a forum, BenzoIsland, taught me and I learnt everything about these medicines and how to taper off safely which I did successfully after 2 attempts and was off all medicines in August 2006. I was on 0.5 mg of clonazepam and 15mg of lexapro to be taken before bed. They didnt work but make my life hell. When I couldnt sleep well, life was bearable but my life turned upside down when I started taking these medicines which supposedly would help you to get well. Wrong. The medical profession blame patients or mental illness. If you are not born with mental illness like down syndrome, then you dont have mental illness. A word of caution. Don’t stop or increase your dosage suddenly. If you stop suddenly, the withdrawal symptoms can be so bad, death would be a relief and you can kill yourself. Many did as you can read in the newspapers. Why do patients stop? Bcos they don’t work and they make the patient’s life hell. Or don’t increase your dosage as you can go into psychosis or maniac and harm or kill someone, then kill yourself. You can read so much news about shootings in USA and the shooter kill himself after the shooting. It is so sad. If you have to, taper off slowly and properly. Never increase or overdose. These are very addictive and dangerous medicines. They don’t work. Benzo sedates you and make you into a zombie. AD or brain stimulant can kill an already tired brain by over stimulation. You cannot feel happiness or joy but anxiety and misery. The BenzoIsland forum told me to taper off the clonazepam or benzo first bcos it is the worse of the two. You can only taper off benzo using valium only. Read and learn the Ashton Manual. I crossed over from 0.5 mg of clonazepam to 10 mg valium slowly in 3 weeks successfully with minimum symptoms. In my 1st attempt, when I tapered down to 2 mg of valium, I had bad symptoms, mostly anxiety and very shallow sleep. The symptoms was so bad, it was hell on earth that death would have been a relief and I wanted to kill myself and I attempted 3 times. Thank the Creator, I was not successful. During that time, I was told by BenzoIsland forum that when the valium or sedative was low, the lexapro or stimulant acted up and caused the worsening symptoms. I had to stop tapering and went back up to my original dose of 10 mg slowly in 3 to 7 days to give me a buffer. I checked in my Company’s private hospital and the doc prescribed 10 mg Stillnox or Ambien for sleep. It didnt work. I still had very shallow and tiring sleep, like I didn’t sleep at all. After taking for 3 nights, I felt I was having memory lapses. So I stopped and told the doc. The BenzoIsland forum also told me that 15 mg of lexapro was too high for my weight. Normal dose was 10 mg. They also told me that AD or stimulant must not be taken before sleep as it interfered with sleep. It must be taken in the morning. So I shifted the lexapro from a night to morning dose safely in 3 weeks. Once done, I felt I began to sleep better and deeper and was feeling better. In my 2nd attempt, I started feeling I was getting better the moment I started tapering. As I tapered down the valium, I felt I was rushing or in a hurry. It was the lexapro or stimulant acting up. So I started tapering the lexapro as well by breaking large chunks with my fingers and was off it very fast as the valium provide a buffer. I continued to improve until I was off all valium. I recovered fully and regained my life. The practice was to report back to BenzoIsland forum after 2 years. I reported back in August 2008 that I was doing fine, Unfortunately, BenzoIsalnd forum closed down in 2009 due to lack of funds and people to run it. After having other life crisis myself and getting better now and reading so many young people committed suicides, I want to help and if I can prevent 1 death or 1 suicide, I am happy. If you are on benzo or AD and interested to learn and withdraw safely with minimum symptoms, I am willing to help and share my experience. Join my Facebook group, New BenzoIsland. See you there.
@jamiekatz7591
@jamiekatz7591 8 ай бұрын
Mental pain, emotional pain is number one!!! It's the self addition not created by doctors.
@medheads
@medheads 8 ай бұрын
Indeed!
@saved777
@saved777 8 ай бұрын
I experienced extreme withdrawals when i quit ghb. Now i try to get that same high but with alcohol. Is there a supplement that I can take that is similar to ghb?
@bryanutility9609
@bryanutility9609 4 ай бұрын
If you’re taking something like this more than once or twice a week it’s abuse. I can’t handle more than a couple glasses of win a week. So the need to be fucked up all the time is the issue. Moderation these things are fine. I find lifting weights being an athlete precludes nicotine & alcohol due to side effects interrupting gains. Being athletic gets me high.
@user-fr2px5vq4j
@user-fr2px5vq4j 8 ай бұрын
Love this for my NMP course addiction specialist
@ferguson8143
@ferguson8143 8 ай бұрын
Does it make a noticeable difference on the method of using meth like smoking, shooting, snorting, oral or anal along with the amount of meth used in a setting like a quarter of a gram to one gram a day
@medheads
@medheads 7 ай бұрын
The route of Methamphetamine consumption does not positively impact on harm reduction. Therefore changing from intravenous to snorting or oral ingestion does not reduce the risk of complications
@peaceisthegift9961
@peaceisthegift9961 8 ай бұрын
This was an INCREDIBLY interesting, informative and useful for me! Thanks
@medheads
@medheads 8 ай бұрын
Glad it was helpful!
@elbanner1
@elbanner1 8 ай бұрын
I am a Methadone specialist from the Netherlands. I use 100 mg methadone a day , for the last 15 years. And i use it 45 year . The way you prescribe methadone is how it was prescribed here 45 years ago. I have had it for the last 13 years from my doctor, in tablet form that I get delivered to my home every week from my pharmacy. I got it the same way before, from the addiction clinic via their methadone post, 10 years before to my pharmacy every week.For that again, I had to go to the methadone post 3 times a week, (alcoholics also got there, for example; Librium and/or Refusal) there we got it in liquid form and for Tuesday, Thursday and the end of the week, Saturday and Sunday. we got it That was because they closed for the end of the week. Also for emergencies!