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mr_lebowski

(33,643 posts)
4. Well, KUDOS!!!
Sat May 12, 2018, 07:21 PM
May 2018

Last edited Sat May 12, 2018, 09:19 PM - Edit history (1)

I do (perhaps unfortunately, but maybe not) have to point out, however, that getting off the Kratom at this point is going to be another spat of a miserable experience, should you choose to go that route.

Reason being, Kratom is a mu-opioid-receptor agonist as well, and while significantly more 'mild' than morphine, of course, there is inevitably a LARGE difference between taking 'some opioid agonists' ... and 'zero opioid agonists'. There just is ... for someone with a physical dependency ... even if it's just 1mg of hydrocodone vs. 0mg of hydrocodone ... a big difference.

To be clear, I'm definitely saying that you've gotten a LONG WAY towards getting well, so please, don't get me wrong, and you have my utmost support and congrats!!!

I just want to point out that particular detail. You are, perhaps ... not 'done' ... unless you plan on taking Kratom forever. Which you may very well prefer to do, I don't profess to know your situation, nor would I judge in any way. But that 'last step', should it happen to be 'your goal' ... is going to involve another rough stretch of 7 days or so. And it will involve a level of pain you did not yet just go through.

On Edit: actually, a 'type of anguish' is probably a better description than 'level of pain'. You very well may've been through the worst of the physical pain, esp. since you're taking morphine for a legit pain problem. And a lot of how 'anguishing' you'll find dropping off completely feels depends a lot on how you emotionally deal with the sensation of 'cravings'. Some people, for better or worse, feel really 'bad' ... about the sensation of having drug cravings. Like "I feel bad about myself that I WANT this stuff, I'm 'better than this'". You know what I mean? Dropping off completely will kick in level of craving that you didn't go through before ... I mean, I'm SURE you 'craved' ... but when you quit completely ... it's noticeably more intense and attention-consuming ... put it that way.

Not saying you can't do it (AT ALL!), nor saying specifically that you should fear it ... only that you'll want to be prepared, if that route is indeed in the cards for you. Word to the wise, is all ... and by all means, the LESS you're taking of the Kratom at the time you take that step (should you need to), the more it will help

But ... no matter how low one goes, the sensation created by completely quitting ... it cannot be entirely avoided. Not after 6 years of morphine (end edit).

Again, GREAT JOB. 180MG of daily oral morphine is no picnic to get off, esp. if you quit suddenly w/zero weaning from that dosage.

Considering the relatively low bioavailability of morphine when taken orally, offset by the usual impurity of street H, I'd say that's roughly the equivalent of kicking about a 1/4 gram a day injected H habit ... which is no joke of a habit ...

I'm just saying ... that 'last bit' ... where you go from 'some' to 'zero', no matter HOW LOW the dose, no matter how slow you've weaned ... no matter what the 'last agonist you took was' ... it's never a picnic. You don't want to have to go to your job (if you have one), put it like that. Have some Pedialyte, something like Ensure, something to help ya sleep, and LOVED ONES TO HELP handy, should you need to take that final step.

Best of luck, you're doing AWESOME!!!

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