Posted by Declan on November 5, 2005, at 17:36:23
In reply to Re: Heroin withdrawal and abstinence, posted by SLS on November 5, 2005, at 7:49:18
Hi Scott, here's my 2 bob's worth on what you said.
My problem with heroin was the instability of the effect, always going up or down, too much or (more often) not enough, and methadone deals with that nicely when substituted for it.
Injecting heroin means more spikes and troughs, and therefore more needs to be taken, over and above anything else.
Most people who inject heroin do so because of economic factors, at least that's how I think it should be.
I don't mean to quibble, but I don't think a motivation to stay clean amounts to much. You have to have had a gutfull of it and to lose interest. OTOH if he was only shooting up for a couple of weeks and is determined, the withdrawal is minimal compared to a methadone+heroin withdrawal after decades of use.
People on methadone continue using heroin for rational reasons. They think 'if I have to take this terrible stuff, at least it will stabalize my smack habit. If I don't take smack, why take methadone?', if you can follow the drift.
I would strongly reccommend bupe over methadone.