A friend of mine has recently ceased his methadone maintainance dosing after 8 months on. His last dose was Saturday morning, which means he’s currently at hour #96 cold turkey. I’ve looked around online, and personal accounts about this seem to really be across the board. My friend, so far, has been doing amazingly well. He’s sore, sweating, and tired but so far there haven’t been any intense symptoms of withdrawal. This is especially surprising to us because he was at an insanely high daily dose (200 mg).
The half-life of methadone is only 24-36 hours from what I’ve read, which seems like it would put him in the thick of his withdrawal now. But is this true? We’re both just so anxious, waiting for the axe to fall, and if we knew that this was likely the worst it would get that would be a big weight off.
I’ve had a bit of experience with other opiate withdrawals, but methadone seems to be a bit of a different beast. So, any factual feedback on this process would be much appreciated.
Mainly my questions are----how long should it take for the most severe withdrawal symptoms to manifest?
—could the high dose he was on be delaying his withdrawal?
—how long does the process usually last?