Hey Mike!
I've got rsd, tos, cervical, and lumbar discs (both lower quadrant), tbi...

I've been on Methadone since about 1991, started @ the "standard dose" (I know, what's that?) 60 mg. Wow, I got my life back, kind of!
I was busy, a single parent and running a business.
I was in another accident, as time went by, I first lowered ALL my meds to the lowest possible levels, and that brought my methadone down to 10-15 mg/day..
I also took and still do, diazepam.
After the second accident which caused the tbi, my dose went up to 100mg/day.
As long as I was busy, or on that (imho) "Evil Provigal". (for me, incredible migraine, and it was just legal "speed"). It did it's job with the tbi for a few years. Now, I can't even lick a pill without getting ill.
back to the methadone.
Now, I'm back to 50-60 mg. / day.
Along with diazepam, zonegran at bedtime (prophylactically for migraine), I recently stopped Keppra, due to behavioral side effects (Thanks Allison), and migraine meds as needed.
Also, some altzheimer meds for the tbi.

The methadone has always had a "Male sexual effect" on me, as I would imagine it would for a female. What numbs you, numbs you. I never had any "performance issues", I had "enjoyment" issues. (Wife ALWAYS finished before me, if I even did, how's that for role reversal?)

It does NOT fog my brain or thinking at all. No Buzz, No High.

Now that I'm more sedentary, and eat less healthier (bachelor) I use Miralax for my bowels. I use just what I need, no more.. And, I use it daily, Never prn!

And, I won't lecture you on the dangers, all these drugs are dangerous if not respected!
With my tbi, however, I developed sleep apnea, and I DO stop breathing!
I use a cpap machine now, and it makes all the difference. Don't get Drunk using methadone.


There are some "pains" that it does absolutely nothing for. Headaches, Migraine. I also occasionally worry that it "masks" other pain that might raise concern, normally, because I take a lot, everyday. (Although there are others who take 3X what I take). My teeth for example, it can mask tooth pain.
It won't do anything for "upset stomach", I still take a Tum or two, about once a week..

Other than that, any questions, I"m here for you!
I've been using it for close to 20 years. I've never found that I "needed more" just because.
I'm very happy with it.

I wish you Be Well, Mike!

Pete
asb