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help methadone is rotting my teeth

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  • help methadone is rotting my teeth

    iv been on methadone for 4 years iv come down from 170mg to 26 mg and back up to 55mg and my teeth are rotting out of my head is that normal.

  • #2
    Yes I have heard that people that go on methadone end up having teeth problems,and also end up gaining alot of weight...Since you're getting lower with your methadone,why not try switching to suboxone?You wont have these problems while on suboxone,and it appears to be a better route then methadone for opiates..I've been on subs for almost 5 months,and i am clean,and doing great!...Good luck!

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    • #3
      What happens is methadone causes dry mouth as you don't produce enough saliva.The acids in your mouth are then able to attack the teeth causing the decay.I always tell people that first start to get their teeth cleaned and to make sure they always have a bottle of water around. The people that I know that do this don't have any problems at all.Also alot of doctors fail to tell patients that methadone can cause cravings for sweets.These should be avoided anyway but alot of people end up sitting around all day eating sweets and nodding out.Methadone patients have to be active or the sedating effects of methadone can take over.Also there are to many people on methadone that shouldn't be and they make it hard on the people that really need it..Good luck......Dave

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      • #4
        IF you are having problems with your teeth then GO TO THE DENTIST! I see post after post about people complaining that their teeth are rotting but they never mention that they are seeing a dentist. I use methadone and I see the dentist every 6 months like clockwork and I have not had any problems.

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        • #5
          meth rotting teeth?

          i've also been on methodone for four and a half yrs. at 165mgs.i hear people talking about meth rotting out your teeth but for me personally i don't believe its the methodone. I think its the 20 odd yrs of drug abuse thats rotted our teeth and we were too medicated to realise it. of course you check it now cause you'reon the path of normalcy.and as i said since being on the meth these four an' some years none of my teeth have given me any trouble ...so i will have to say NO.But i'm sure someone will beg to differ........

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          • #6
            Originally posted by dinosmom View Post
            i've also been on methodone for four and a half yrs. at 165mgs.i hear people talking about meth rotting out your teeth but for me personally i don't believe its the methodone. I think its the 20 odd yrs of drug abuse thats rotted our teeth and we were too medicated to realise it. of course you check it now cause you'reon the path of normalcy.and as i said since being on the meth these four an' some years none of my teeth have given me any trouble ...so i will have to say NO.But i'm sure someone will beg to differ........

            No its true that methadone does rot the teeth...I say do as others have said,stay away from sweets(as much as possible of course),and brush/get your teeth cleaned more often then usual,and that should really help things out...

            Also as far as what Dinosmom said about it just being our past drug use thats the culprit.I dont really believe in that because rotted teeth is more prone for people who smoke crystal meth,and crack NOT opiate users...

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            • #7
              my tooth broke!

              I have had my share of cavities, and HATE to go to the dentist, but when I went in a few weeks ago with acute pain, she said my teeth were fine...no cavities, some really DEEP pockets with plaque in them (yuk) that I will have to get cleaned....and then she proceeded to tell me that METHADONE causes people to produce a lot less saliva, which in turn can cause big probs with teeth. Hope that helps??? Don't quite know how to amp up the saliva (lol), but at least I am not going crazy when I look around at others I know on methadone and they look like they have severe nobru********************is.

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              • #8
                I have been doing drugs since 1972, had a few problems with my teeth over the years, in 1997 I was put on methadone, 120mg a day, in the last ten years I have lost over half of my teeth. I also have serious osteoporosis which the doctors have no explanation for, since I am only 52 and male. I have the spine of an 80 year old male. But I also had been doing opiates
                heavily from 1990, I was one of those unfortunate people who had a basic
                endless supply and did $400 a day for seven years without missing one day
                until I checked myself into a hospital and paid $7000 for a 5 day withdrawl
                program and then was put on methadone after falling off the wagon 48 hours later. I have been told that methadone will reside in your bones, but have not seen any medical articles on the subject, I also haven't bothered to search the internet. For me it is too late, if I was only on methadone for a short while I would definitely look into it. When I was at a clinic in the 90s that was one of the "facts" that most of the other patients believed to be the truth.

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                • #9
                  Out of curiousity I searched for research posted on the internet, I only looked at one article, but it is a legit study, you can go to sciencedirect.com
                  and read it. They did a medical study in Boston on bone density of methadone maintenance treatment (MMT) patients, which I have been one for ten years. I had my bone density done on my spine a year ago, it was scary, if you have ever seen an xray, how your bones are white against the black, that is what a bone density scan looks like, except when your bones have little density, they are very faint, my spine was at .3.7, it is so faint on the film it almost looks like part of it has disappeared. The study was on 92 MMT patients, they found that 76 of the 92, 83%, had bone density T-scores less than -2.5 which is in the osteoporosis range. They concluded that methadone patients should be warned of this and that they should take steps to prevent bone density loss. One treatment is to take drugs like Fosamax which my doctor put me on a year ago to stop the loss, another drug is the one the Sally Fields pushes on TV, I forget the name. But if you are going to continue to take methadone, I would definitely talk to a doctor about taking something to stop bone density loss. That is the same reason opiate addicts loss their teeth, you lose the density in your teeth and they crack easily when you bite down on something. That unfortunately happened to me a few times, but not until after years of opiate and methadone use, it might take ten years, which was what happened in my case, but it will happen if you use a lot for a long time. You may have only been on it for five years and don't see anything, believe me you have density damage already. You can't reverse the process and make it better, but the drugs can stop the process so you can save what you have.
                  Last edited by Anonymous; 07-06-2007, 09:16 PM.

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                  • #10
                    I think this is what Steves55 is referring to
                    http://www.sciencedirect.com/science...44e7c5f9e6dcc4
                    Does anyone have the full text of this study? I'm not about to pay the $30 SD charges.

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                    • #11
                      Originally posted by tayler View Post
                      iv been on methadone for 4 years iv come down from 170mg to 26 mg and back up to 55mg and my teeth are rotting out of my head is that normal.
                      TAYLER, METHADONE-IS KNOWN -TO ROT TEETH. YOU MAY WANT TO LOOK INTO -SUBOXONE. IT'S TRULY A MIRACLE DRUG--SAME USE INDICATED AS METHADONE- WITH MINIMAL SIDE EFFECTS TO ME.

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                      • #12
                        methadone and crystal meth = rotten teeth

                        I was on methadone for about two years until I was arrested and had to kick 150mg cold-turkey in the county jail. It was hell, needless to say. I did see a decline in my oral hygeine while on methadone and had a front tooth basically erode from the side as if it were dried clay. I was living a very hard lifestyle during this time. I was getting my methadone free from the San Francisco VA Hospital (because of my status as an honorably discharged veteran), but became addicted to methamphetamine while on methadone. Methadone, taken consistently on a maintenance level, really never gave me the opiate buzz that I've always loved. It also blocks other opiates from working while you are on it. A hand full of percocets may as well be just plain tylenol. So, I found my high with crystal meth. I was mainling and staying up for days at a time. When I would finally crash, I would usually miss my dose and feel like death until I could get back to the VA. And, yes, my nutritional intake was nothing but sweets and sodas. I've been off methadone and speed for about three years now, but I'm still struggling with painkillers. I've got a terrible back and eventually will have to have a spinal fusion at L4/L5. Like every addict I've ever known, I will find a way to lie to myself and rationalize my need for narcotics.

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                        • #13
                          I had this problem with my Valuim, i had such dry mouth plus im a diabetic. There is some dental products out there that help put the so called "saliva" back in your mouth to help keep your mouth wet, I like Oasis its a spray you can find at a Pharmacy or Walmart. And then there is Biotene toothpaste and Mouthwash that works pretty good. I've lost many of my back teeth because of dry mouth and not paying attention and not knowing what was causing the problem.

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                          • #14
                            Im detoxng from methadone, I started on July 2 and I was on 85mg it is now Aug 26th and Im down to 10 mg but I am struggling desperately. I have to get off of it because I am moving and I hate the sh*t anyway! It made me gain weight, crave sweets, sleep all my spare time away Ive been on it now almost 2 years and Im only 23, I had no idea what I was in for 2 of the best years of my life wasted! I just wish I wasnt so sick, any suggestions would be helpful.

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                            • #15
                              You're coming down way to fast.Methadone detox takes time.The receptors in your brain need time to change back to normal.Also your not producing enough endorphins yet and thats another reason why you feel so lousy.
                              Methadone detox should go like this----10% drop every four to six weeks especially when you get to 50mgs or less.
                              If you can't stop the detox then start going for short walks in the am and again after supper.This helps promote endorphin production.Drink lots of gatorade or any other kind of sports drink.Tay away from energy drinks like red bull.
                              Advil gel caps for aches and pains and imodium AD for stomach problems.
                              Try and eat a high protien diet for at least 3 months after you stop the methadone.
                              Good luck to you......Dave

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