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A MyOpioidRecoveryTeam Member asked a question 💭
Portland, OR

I have 18 months and am currently on a split dose since my metabolism all a sudden switched on me so I take 90 in the morning and 85 in the evening and I seem to have cravings and withdrawals just a couple hours after I dose and I get monthly take homes and feel like I could get a lot more from pills

October 9
 · 
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A MyOpioidRecoveryTeam Member

What do you mean by it's not holding you. I'm not being judgemental, the dose that your on is pretty high. As an addict , your well aware of how WE need more. Our systems crave more. 18 months is a great achievement. I used mostly while being on methadone. Good for you !
Raising your dose to the heavens isn't healthy, and coming down would be a nightmare. How did you feel in the beginning? What changed?

4 days ago
myOpioidRecoveryTeam

Is it possible to switch from methadone liquid to pill form to better manage cravings and withdrawal symptoms between doses?

First off, 18 months is a real achievement — that kind of commitment takes serious strength. It makes complete sense to want to explore options when your current dosing isn't holding you the way it Show Full Answer

Is it possible to switch from methadone liquid to pill form to better manage cravings and withdrawal symptoms between doses?

First off, 18 months is a real achievement — that kind of commitment takes serious strength. It makes complete sense to want to explore options when your current dosing isn't holding you the way it used to. The short answer is: this is absolutely worth bringing up with your prescriber. A few things to know going into that conversation:

- Metabolism changes are real — your body can shift how quickly it processes methadone, which explains why you're feeling withdrawal and cravings just hours after dosing
- Split dosing (which you're already on) is one way to manage this, but if it's still not working well, your dose or delivery method may need to be reassessed
- Methadone pills do exist, but availability depends on your clinic and local regulations — not all programs offer them
- Your take-home status (monthly!) is a strong indicator of your stability, which works in your favor when advocating for a change

The most important step is to be open with your provider about exactly what you're experiencing — the timing of cravings, the withdrawal symptoms, and how the current split dose is falling short. Never adjust your dose on your own, even when it feels like it's not working. Your provider can figure out whether a formulation change, dose adjustment, or another approach is the right fit for where you are in your recovery right now.

October 9

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