Remove this ad
avatar

proudpoppa

Newbie

Posts: 5 Member Since: 04/14/14

Lead

Apr 14 14 1:43 AM

Tags : :

Hello everyone I am new to the community and I have been on MMT for 6 months and I have been clean (no other opioids) for 3 months. I am at 110mg daily and have noticed that I am starting to sweat profusely at night again. This problem subsided when I thought I reached a theraputic dose. Now its back and my question is am I at too low a dose still. Cannot sleep the whole night through anymore. I was able to for a while. Have I built up an immunity? Thanks all for any feedback.

Last Edited By: proudpoppa Apr 14 14 1:52 AM. Edited 1 time

Quote    Reply   
Remove this ad
Remove this ad
avatar

wayovermyhead

Posts: 4,350 Member Since:07/16/11

FORUM ADMINISTRATOR

#1 [url]

Apr 14 14 3:48 AM

WELCOME TO THE DAWG

So glad you have come by....I hope we can help.  NIGHT SWEATS well they can be a sign that you are not at a therapeutic dose yet but they also could be the very fact that Methadone does have a tendency to make one sweat more than usual even at a therapeutic dose.  A little more information could be very helpful such as....Is there anything else in the withdrawal effects that are still bothering you?  You spoke of one very important factor that could lean that way with sleeplessness.  How long have you been at 110?  Do you take other medications that could in anyway be lending such side effects?  


How is your clinic as far as increases?  What State are you in?  What time do you take your medication?  The minute you wake up in the morning and before you dose, how do you feel at that moment?  Do you feel okay?  Or are you already needing to dose the minute your eyes open?

FORUM ADMINISTRATOR
Wishing You Best In Love & Life 
wayovermyhead

Quote    Reply   
avatar

sapphire76

Posts: 3,678 Member Since:02/22/10

FORUM ADMINISTRATOR

#2 [url]

Apr 14 14 4:49 AM

Hello proud poppa and welcome to the Dawg.

Apart from the sweats are you getting any other symptoms? If you are having other withdrawal symptoms or are desperate to dose again in the morning, it could well be that you are not at an optimal dose.

However, when one is fairly new to treatment (and for some that have been on for a while), methadone can make one sweat a lot. There are things that one could do about it, such as magnesium supplements and cinnamon supplements. Some people say that Vitadone works wonders for stopping sweating, but then some people say it's useless, so that's something you'd have to make your own mind up about!

Quote    Reply   
avatar

chip salsa

Newbie

Posts: 7 Member Since:07/25/13

#3 [url]

Apr 14 14 6:27 PM

Another possibility:

If you have a fast metabolism, it could be that your body is eliminating a larger than normal percentage of the methadone from your system during the first 12 hours after dosing. Some (though not enough) clinics allow "split dosing," where they give you half of your dose in the morning and the other half in take-home form. These clinics use what's known as a "peak and trough" test to determine if split dosing is appropriate in your case.
As someone with a lot of take-home doses, I prefer to split dose at home, but I have to take the whole dose when I go to the clinic which kinda messes up my day a little.

best of luck!

Quote    Reply   
avatar

proudpoppa

Newbie

Posts: 5 Member Since:04/14/14

#4 [url]

Apr 14 14 8:39 PM

re re night sweats

Thanks for the replies and heres some more info on my situation. I have been at 110 for almost 2 months after get upped because of strong cravings. Once I got to 110mg everything became manageable. I stopped craving and stopped using street drugs. I was able to sleep the whole night through and didnt sweat although sweating was a problem before I got to this dose. I have been clean for two months and as of last week the sleeplessness and sweating returned. I dose once a day at 7a.m. our clinic in Illinois doesnt allow split dosing.
I feel fine when I awaken in then a.m. .

Quote    Reply   
avatar

proudpoppa

Newbie

Posts: 5 Member Since:04/14/14

#5 [url]

Apr 14 14 9:05 PM

re re night sweats

Thanks for the replies and heres some more info on my situation. I have been at 110 for almost 2 months after get upped because of strong cravings. Once I got to 110mg everything became manageable. I stopped craving and stopped using street drugs. I was able to sleep the whole night through and didnt sweat although sweating was a problem before I got to this dose. I have been clean for two months and as of last week the sleeplessness and sweating returned. I dose once a day at 7a.m. our clinic in Illinois doesnt allow split dosing.
I feel fine when I awaken in then a.m. .

Quote    Reply   
avatar

wayovermyhead

Posts: 4,350 Member Since:07/16/11

FORUM ADMINISTRATOR

#6 [url]

Apr 15 14 4:29 AM

@chipsandsalsa is correct....a fast metabolism could be a issue

I myself take 210 milligrams 100 in the morning and 110 in the afternoon.  Split dosing is always the last answer to the clinics and many do not allow it which is terrible because as we all know everyone is individual and yes most people do well on one time a day dosing but what about that one or two patient that needs that special consideration and is told NO just because of a rule?  In medication considerations of any type individuality is a necessity what works best for me may not be best for you etc....


Peak and trough testing can be helpful in determinations of split dose needs or not.  The bad thing is clinic use this test to determine dose increasing and decreasing which is apt to represent figures in lieu of being over medicated when indeed it is untrue because of mirrored isomers....but when used to see how fast the body is metabolizing the methadone....so I encourage patients to take the testing if they are being offered the test for the right purpose to establish split dose NOT INCREASING...  

If clinics would use this test to see if a patient needs split dose and would do so before they begin a series of increases they might find the patient does not need increasing they actually need split dose.  I believe my clinic could have had me satisfied at 160 to 180 milligrams in split dose instead of increasing me and increasing me and reading the results to determine if I needed increases in my case the results encouraged the doctor to increase me but had he done split dose I would not have needed as much of a dose.  Now I am afraid to decrease but I feel 160 would be just as effective for me. iyswim.

FORUM ADMINISTRATOR
Wishing You Best In Love & Life 
wayovermyhead

Quote    Reply   
avatar

sapphire76

Posts: 3,678 Member Since:02/22/10

FORUM ADMINISTRATOR

#7 [url]

Apr 15 14 5:08 AM

Proudpoppa, if you feel OK apart from the night sweats, I don't think it is dose related. We have a tendency when we are on methadone to put all of our ailments and weird things that happen down to our dose.

It could be that methadone is just causing sweating, which it is well known for doing, and usually wears off once you're settled into treatment after the first year or so. It can persist, and if it does there are several things that your GP can do about it for you.

Or, it could be hormone related. I think that specifically because it's night sweats, that it is particularly likely to be hormone related. Do you sweat in the day, or is it just bad at night?

Quote    Reply   
avatar

wayovermyhead

Posts: 4,350 Member Since:07/16/11

FORUM ADMINISTRATOR

#8 [url]

Apr 15 14 7:49 AM

great question sapphire

I have the night sweats and I do not see it dose related at all....

FORUM ADMINISTRATOR
Wishing You Best In Love & Life 
wayovermyhead

Quote    Reply   
avatar

nama4u

Newbie

Posts: 3 Member Since:03/07/10

#9 [url]

Apr 15 14 8:43 AM

Night Sweats

Often patients confuse sweating with - not enough methadone and they raise their dose.  Unfortunately sweating is a side effect for some patients. Considering the side effects of many drugs - like anti-psychotic medications (Parkinson's like effects although newer meds don't have this problem) - sweating although annoying is a luck out.

Now here is something that most doctors don't understand -- methadone under dosing and over dosing have the same effects - basically most patients mistake over dosing as being under dosed because you wake up in the middle of the night uncomfortable etc, etc, etc.  So they ask for a raise and 3 months later the same thing happens and they go up again.  The real  problem is that they need to go down.  And that can be hard to convince someone that experiences what feels like the start of withdrawal symptoms.  So I always suggest to patients to not take their full dose and to leave 5 or 10 mgs out and that they will have it should they feel really uncomfortable.  It takes about 3 days of doing this but if the symptoms stop then you are b eing over dosed and going down is the answer.

There is a possibility that Proud PaPa is being over dosed and the only reason that could be a possibility is he is hitting the 3rd month mark. That is usually when  you really feel stable - or should feel stable after a dose change.

But sweating is a side effect of methadone in general.  Fortunately most patients don't experience it.  And it can be fixed completely or partially with dose adjustments. So start here. image

Here are some other ideas:  
1. Wear loose fitting clothing, light weight and natural fibers.
2. Some people swear by talcum power and some say it is awful.  Give it a try -- especially at night.
3. Stay calm -- no scary or adventure movies just before bed.
4. Drink water -- a no brainer Huh.
5. Lose excessive weight - fat heats us up and carrying extra fat also makes one exert themselves and sweat.
6. Get fit.  A good cardio vascular system will deal with exertion better.
7. Don't eat spicy food. Chili peppers heats you up and makes you sweat and you don't need help with that one.
8. Wear antiperspirants instead of deodorants -- there is a difference.  You can get a prescription for an antiperspirant.
9. When you leave the shower use cold water -- that helps to cool you down.
10. There's Botox Injections in the sweat glands but often methadone is sweating all over so this can be minimal help considering the risk.
11. Oral medications often work best for sweating caused because of a medication (methadone).  They are anticholingerics and they work by blocking the chemical messenger (acetylcholine)  to the receptor on the sweat gland.  They can have side effects like dry mouth, constipation, impaired taste, uninary retention, blurred vision and heart palpitations because acetylcholine is a general chemical messenger.  Nerve gas and roach  sprays block acetylcholine causing breathing to stop.  But these medications ~~ glycopyrrolate, oxybutynin, benztropine, propantheline -- are small doses and adjusting the dose of these medication might help a lot with sweating. 
12. Talk to the clinic doctor and see what experience he/she has with treating sweating - some do and some know nothing - maybe you can help them learn something new.

Joycelyn Woods
Executive Director
NAMA Recovery
image Visit our forum:  We Speak Methadone and Buprenorphine too www.methadone.org/wespeakmethadone

 

Quote    Reply   
avatar

proudpoppa

Newbie

Posts: 5 Member Since:04/14/14

#10 [url]

Apr 15 14 12:16 PM

re re re mmt night sweats

I want to thank all of you for your input. While asking around I had someone on reddit tell me sweating on mmt was due to a release of histamines. Last night I took an antihistamine before bed and I did not sweat at all. Hopefully this continues to work. While I do not enjoy the thought of a nightly benadryl if it keeps me from profusely sweating so be it.
Thanks again friends. I am enjoying this website. Do people write blogs on here and what else is there on this site? I guess I could just explore.

Quote    Reply   
Remove this ad
avatar

wayovermyhead

Posts: 4,350 Member Since:07/16/11

FORUM ADMINISTRATOR

#11 [url]

Apr 15 14 12:50 PM

First of all Welcome Jocelyn always glad to see someone of your position coming to the DAWG and giving your thoughts

as we all should know we owe you a lot of homage for the job you do....


The Benadryl consideration well I have also heard of this and the best I can try to explain this is histamines are more than blocking the hayfever, sneezing and allergy that people commonly associate it to....IT BLOCKS SIDE EFFECTS IN GENERAL...If the body is going to show a side effect and sweating indeed could be a side effect then indeed benadryl could be attributed for relief of this side effect.  

In saying this I tend to agree with jocelyn...your body may very well be reacting to an over stimulation of the medication which often times will create side effects the same as under stimulation of something our body needs or wants.....So, what I might add to this since benadryl did help relieve the sweats (a common side effect) it could very well be in and with the histamine blocking considerations....

FORUM ADMINISTRATOR
Wishing You Best In Love & Life 
wayovermyhead

Last Edited By: wayovermyhead Apr 15 14 1:07 PM. Edited 1 time.

Quote    Reply   
avatar

sapphire76

Posts: 3,678 Member Since:02/22/10

FORUM ADMINISTRATOR

#12 [url]

Apr 16 14 5:31 AM

Hi Jocelyn and welcome to the Dawg, I look forward to your input!

@Proudpoppa - I'm glad the antihistamine worked. If you have zero other symptoms of either under or over medicating, then it may just be a side effect that the Benadryl will remove for you.

I'd be really interested to know if anyone else has tried antihistamines for sweating and had it work?

Quote    Reply   
avatar

sapphire76

Posts: 3,678 Member Since:02/22/10

FORUM ADMINISTRATOR

#14 [url]

Apr 17 14 6:51 AM

Yes, it would be really interesting if other people that suffer from the methadone sweats could try taking a Benadryl to see if it does stop the sweating.

Quote    Reply   
avatar

wayovermyhead

Posts: 4,350 Member Since:07/16/11

FORUM ADMINISTRATOR

#15 [url]

Apr 17 14 7:59 AM

I am sure I have written it on here somewhere.....

Maybe not talking Sweat only but for all the side effects we associate with methadone both in taking methadone and tapering from methadone....We had a long post about it and some people chimed in with lots of suggestions even vistaril being prescribed for such....

FORUM ADMINISTRATOR
Wishing You Best In Love & Life 
wayovermyhead

Quote    Reply   
avatar

sapphire76

Posts: 3,678 Member Since:02/22/10

FORUM ADMINISTRATOR

#16 [url]

Apr 18 14 5:33 AM

Ok, I mentioned this on Zac's FB page, and got 2 people post back saying that they take antihistamines every day for allergies, and it has zero effect on their sweating. I don't know if that is because they are tolerant to the antihistamines, or because they really do not work for methadone sweats and Proudpoppa'a sweats are caused by something else?!

I'd be interested to know if any one on here who has sweats could take a Benadryl and see if it helped? I don't have sweats or I would try it myself.

Quote    Reply   
avatar

wayovermyhead

Posts: 4,350 Member Since:07/16/11

FORUM ADMINISTRATOR

#17 [url]

Apr 20 14 5:33 PM

Benadryl is much like anything else....if you take it daily such as 25 to 50 milligrams then


you would need to take 100 milligrams to try stopping effects to something else....Such as people who get bee stung that take daily benadryl for hayfever etc...they are instructed to take 4 times their daily dose to nullify the allergy to bee stings....


Now I am not saying I know for sure that benadryl will indeed for sure no doubt help the sweating...I am just saying that if the sweating is associated with a response from the body considered a "side effect" of something they are taking or not taking there is a good chance benadryl will target the histamines that are reactive of this.....

FORUM ADMINISTRATOR
Wishing You Best In Love & Life 
wayovermyhead

Last Edited By: wayovermyhead Apr 20 14 5:36 PM. Edited 1 time.

Quote    Reply   
avatar

sapphire76

Posts: 3,678 Member Since:02/22/10

FORUM ADMINISTRATOR

#18 [url]

Apr 21 14 6:35 AM

That what I was saying, that we need someone who doesn't take antihistamines every day, and has methadone sweats to try taking an antihistamine to see if it does stop the sweating. I'd be really interested to know what happened.

Quote    Reply   
avatar

kar92

Full Member

Posts: 60 Member Since:02/12/11

#19 [url]

May 23 14 3:14 AM

People sweat on Sub too once they get to a higher dose. I do not unless my dose is too low or I forget to take my Sub and start to get hot,cold,hot,cold, and other early symptoms of WDs. But Bup has a reputation for making people perspire excessively when ppl are on a higher dose too. I DO find that Benadryl and other meds I take for my stomach keep me from even perspiring at all. One of the meds says on the label to be careful because if you cannot perspire the body can't cool itself, so to be aware of it.

Quote    Reply   
avatar

sapphire76

Posts: 3,678 Member Since:02/22/10

FORUM ADMINISTRATOR

#20 [url]

May 23 14 3:42 AM

Now that my dose is much lower, now the weather is starting to heat up, I have noticed a distinct lack of sweating. When I was on my maintenance dose I used to sweat like crazy, but now it's not noticeable which I am really pleased about!! I think that the weight loss has a lot to do with it as well.

But, I would never have come off methadone, or even considered it, because of something like sweating. There are plenty of things a doctor can try to stop excessive sweating.

Quote    Reply   
Remove this ad
Add Reply

Quick Reply

bbcode help