Welcome to the Methadone Mêlée

You have reached the new site for The Methadone Melee.

Due to domain issues, we have moved our blog to WordPress, and are currently in the process of uploading our archived posts from the Ning site.  While we had a good run at Ning, we have even higher hopes for the WordPress site, and have completely revamped the way in which information will be organized.  In an effort to  make finding specific information and topics more efficient, we are integrating a new tagging system, and will have a three-fold focus that is interlinked through the blog site. 

Over the years, we have been blessed to have so many loyal and pro-active readers & supporters; your comments, suggestions, and even occasional frustrations have been the driving force in this move, and are, as always, most welcomed and appreciated.  Without your support, this blog and our efforts  would not be possible, and the fact that even now, as we’re under construction, our membership continues to rise, is perhaps the greatest evidence of this.

During this time, if you have questions, concerns, etc., you can still email us directly.  We will do our best to reply within 48 hours to all email, even if it is just to confirm we have received it, and are currently working on any request.  If you have not heard back from us within 3 days, please check your spam folder first, in the event our reply got shuffled into there; if not, please re-send the original email.

A few things to keep in mind when emailing us:

  • If you have an urgent issue that requires documentation, help facilitating entrance into a clinic/program, or other time-sensitive requests, please be sure to state so in the subject line, and include any deadlines that apply.  I will do my best to assist any requests during this time, but please understand that we are limited in terms of manpower, and 1 or 2 days is not usually enough time for us to properly prepare the information you need.    If requesting documentation or studies for probationary, clinic, or court, you will need to give me at least 2-4 weeks notice to research, obtain, and complete any editorial commentary as it relates to your case/circumstances.   For those of you ISO basic information, law, or documentation, I ask that you please use the resources listed at the end of this entry to first try to find the information.  Most of the requests we get are for information that is easily found with a google search, and unfortunately, that ties us up from answering more urgent issues that are not so easily found.  If, after looking through them, you still can’t locate what you need, then please email us, and we will help you find what you need.
  • While the blog site is under construction, our Facebook group is not.  You can still connect with readers and us there, and we encourage you to do so.  Membership there is beginning to pick up, but is nowhere near as high as it is for the blog.  While we know the FB group is still fledgling, the ratio of blogs that are against Methadone, versus those that support it, is far too uneven- coupled with the blatant disregard for factual information & the level of stigma and ignorance surrounding MMT, the FB group has great potential for strengthening our efforts to support the education, preservation, and regulation of Methadone Maintenance Treatment as a viable treatment  option in opiate addiction.  We are proud to say that our membership over there reflects great diversity in the fight: we have members who are seeking or in recovery via MMT; RN’s, clinic physicians, and clinic administration, and friends & family of those struggling with addiction, or who have gained sobriety via MMT.  This rich and variegated membership provides us with a unique opportunity to discuss, debate, and share experiences and perspectives from the many faceted ways in which opiate addiction, and methadone maintenance treatment work. Take advantage of this opportunity, get pro-active about recovery and your rights, and work together to find better solutions.While we encourage open discussion and debate on the board, I do want to clarify a few things:
    • If you have specific questions or concerns regarding your treatment on MMT, the board is a wonderful place to hear what worked with others.  Dealing with the many side-effects of MMT , the process of getting stabilized on it, or withdrawing from it, can all be long journeys. Many things that worked for others might work for you- or, may not.As we often remind MMT clients who are stabilizing upon entering treatment, Methadone affects different people in different ways: doses do not follow the typical guidelines used with other medicines; height, weight, and previous opiate tolerance often have no bearing on what dose of Methadone works for you.  For that reason, it’s essential you not get frustrated if one person’s suggestions don’t work for you-and imperative that you don’t rely on any one as a conclusive source. 
    • While we DO have many amazing clinic physicians and medical staff who actively participate on the board, we also have had some less than honest individuals, claiming to be those persons, who were not. Usually, these charlatans are reported and removed from the group, but it is important to be aware of who’s advice you are taking.  If the individual offering you advice claims to be a physician, then they should be easily found online and confirmed. Regardless, though, you should really take up any concerns with your clinic- there are so many individual factors that can affect your treatment, that no one here is really capable of providing you with specific treatment solutions.  Think of it like this: if you’re struggling with a common side effect, and are looking for suggestions that worked for others, then you’re fine. But if you’re taking several additional medications on top of methadone, and having a side effect that is not commonly associated with MMT, then you should talk with your PCP & MMT Clinic Physician. 
    • If you are withdrawing or stabilizing, there are established, proven, protocols which we have available in PDF format, that will outline the basics, and provide suggestions for the more common issues you might be facing.  PLEASE DO NOT take any drugs (Rx, illegal, or OTC), alter your dose yourself, double up, or give up, based on the advice of other members.  Again, it’s okay to ask how others got through it, but you really need to discuss any changes with your clinic physician.  If someone recommends a medication or herbal supplement that worked for them, ask your clinic staff- they should be happy and willing to assist you in this.
  • In light of all the above, I also wanted to touch on another topic. I’ve been asked several times in the last few months if we are affiliated with any treatment centers of MMT clinics- the answer is no.  We’re not affiliated with anyone; The Methadone Melee blog and facebook group are advocacy based, non profit endeavors. I was also asked why we have a no rehab-promotion policy here:   If you want the names of state MMT clinics, they can be found here, or asked for.  I do not allow private treatment centers to promote themselves, or share links to their website because there is no way for me to determine if they are a legit, reliable, and reputable facility- and more importantly, it’s a bit uncouth.  You want advertising, pay for it.  If you need information on what’s available in your region, your best bet is your County Board of Alcohol and Drug Addiction Services.  If you cannot locate them, drop me an email and I’ll try to get the information for you.

I think that covers it!  If you have a question or concern that isn’t found here, drop me an email, and i’ll do my best to help you. 

Again, I want to thank you for being such great supporters and for getting pro-active about your rights to recovery.  Keep up the good work, and we look forward to building a new site with you, even better than the last.

Below is a list of resources that we are most often asked for.  If you have questions, please first try   researching the following websites, as most of the general documentation & medical/physiological related requests I get are easily found on them.  If you cannot find what you are looking for after skimming them, then please email me at

  1. METHADONE TODAY-The official newsletter of Detroit Organizational Needs in Treatment (DONT) http://www.methadonetoday.org/ Methadone Today puts out a monthly newsletter that tackles the political, legal, and medical aspects of MMT for opiate treatment.  In addition to the regular articles, there is a monthly doctor’s column that features Dr. Marc Shinderman of Center for Addictive Problems, and several other physicians specializing in addiction treatment & MMT.  Each issue they answer three or more client-asked questions related to MMT & you will find an unbelievable amount of information here. To help ensure everyone has access to this information, DONT has been archiving the monthly newsletters online in PDF format, one month after it first circulates.  You can access these on the website above, but I also highly recommend subscribing to their newsletter, which is very cheap, and will put their monthly print in your hands as it comes out.  If you don’t wish to subscribe, or can’t afford to, please also consider making a small donation to the website; which is run completely on a non profit & volunteer basis, and is always in need of funding.
  1. NAMA (National Alliance for Medication Assisted Recovery)http://www.methadone.org/ Their website archives contain a great deal of medical information and relative legal documentation. 


  2. Treatment Agency links by State: http://www.methadone.org/library/state_links.html  
  3. International Regulations of MMT & Opiate Based Treatments by Country: (will explain what regulations are placed on treatment based on your region) http://www.methadone.org/library/national_agencies.html
  4. USA- Code of Federal Regulations:http://www.nap.edu/openbook.php?record_id=4899&page=120  
  5. The Drug Addiction Treatment Act of 2000, as it relates to buprenorphine monotherapy product, Subutex®, and a buprenorphine/naloxone combination product, Suboxone®, for use in opioid addiction treatment: http://buprenorphine.samhsa.gov/data.html  
  6. Office of National Drug Control Policy: http://www.whitehouse.gov/ondcp  
  7. NAMA Policy Statements Index: http://www.methadone.org/library/index_policy_statements.html  
  8. Substance Abuse and Mental Health Services Administration – SAMHSA www.samhsa.gov     SAMHSA is one of the best resources available to you in regards to federal (US) policy and program related to opiate addiction treatment & MMT.  You can order the majority of their publications online, and they will ship them free- those few which have a price are almost always available free online for printing also

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