Addiction Recovery with Medications-First Person Experiences

Emma Yasinski

Interviews with people who have recovered from opioid use disorders using medications like methadone, suboxone, and sublocade. They share what it's like to get started, how it feels to find stability, and the difficulties they experienced along the way. dailymat.substack.com

Episodes

  1. Feb 17

    Starting Suboxone in Prison

    Tone Prada, in his early 40s, was recently released from prison after a 25-year sentence. While there, he’d developed an opioid habit. He was shocked when the prison started offering Suboxone, but he decided to take the leap, and he’s glad he did. “My life is just so much better,” he told me. He started on Suboxone, and eventually transitioned to the Sublocade injection, which allowed him to avoid stigmatizing dosing rituals. Listen to his experience or read the transcript of our conversation below. If you’d like to hear more from Tone about his experience in prison and release, check out his Substack. Emma You started on Suboxone while already incarcerated, right? So can you tell me a little bit about your opioid use before that moment, before you started Suboxone? To the extent that you’re comfortable. Tone So just a quick backstory that leads into that. In January of 2001, I was arrested and charged with a homicide offense, and a couple years later, I was sentenced to 25 years to life. So as an 18 year old getting that amount of time, that’s life, right? It’s death by incarceration. I had to mentally cope with that and deal with that in prison. In prison culture—I think people who have never been in prison don’t understand the extent of how much drugs and money, the drug trade, is involved in prison—there’s a lot of drugs and a lot of money made. Aome people stay away from it. Some people indulge in it. It’s dangerous, but it’s a culture, though. So when I first was incarcerated, I didn’t do nothing. I just was focused on doing my time and surviving. Sometime later, years later, you meet people, you grow, you network. This is my life. And I had somebody who was an early mentor. I was smoking a lot of weed. That was my normal habit. There came a time where I just, I had this super like anxiety attack or panic attack when I tried to smoke weed and I couldn’t do it no more. I wouldn’t get high. I would just get super paranoid. So I was sober for about 2005 to 2006 and somebody who was really influential in my life, like a mentor... I found out that he was using heroin. He was snorting heroin in prison, and I didn’t know how prevalent that was. It opened my eyes to that in there. And, you know, he kind of introduced me to that world. And once I had seen it, I couldn’t unsee it. The high looked really appealing, and it looked like it would treat what was going on with me as far as my anxiety and depression, right? So I took to it immediately. Went through my ups and downs with it, and tried to leave it alone. And I did. I was pretty successful leaving it alone. It’s expensive. It was dangerous in prison, and I had a pretty good head on my shoulders to leave it alone. But once you get a taste of that, there’s nothing like it. It never leaves you. So years later, I was introduced to this orange pill that people were crushing up and snorting. I didn’t know anything about it. This is 2008-2009 ish. And, yeah, they’re telling me it’s this stuff called Suboxone. I was snorting the pill. They called it “stop sign.” I didn’t like it. It was too strong. It was making me throw up. It just wasn’t worth the high at the time. Years later, the strip came out—the film, and that took over the prison. It got to a point where people didn’t want the heroin. They wanted the Suboxone, because the Suboxone was guaranteed to work. There was no such thing as “bad Suboxone.” There is such thing as bad dope. It would do the trick every time, and it was just prevalent. And it got to the point where it was very cheap, and you get a bunch of it, and people are severely addicted to snorting it. And for guys like me, it’s considered contraband in prison. If the officers or administration finds that you have it, they’re treating it just like if you have weed or dope. You’re going to the box. But it worked its way into the prison system, and slowly, slowly took over. So by the time 2015, 2016, 2017 comes around, it’s everywhere. And, you know, people who like are addicted to opiates...we all gravitated towards the Suboxone. I ended up going to the box over my addiction. And the moment I get into the box, this is March of 2022, and we have tablets in the prison system. Emma When you say you have tablets in the prison system, you mean that those are, you know, official Suboxone tablets. They’re coming from the doctor in the prison? Tone I mean iPad-type things. So we have a law library, we have podcasts, we have everything. So we get this alert [on the tablets] that Suboxone is being introduced into the prison system now. And now I’m in the box reading this— imagine my frame of mind at this time— I’m in the box because of addiction-related issues. And then I get this alert on my tablet, like, “hold on, so if you have this addiction or this disease, you can apply to get on this?” And I couldn’t believe what I was reading. I’m like, “No, there’s no way they’re doing this. Kathy Hochul, the governor and commissioners, they’re allowing this. There’s no way.” And when I get out the box, I go to another facility, and sure enough, they’re doing these medication runs where guys are going to get their Suboxone. And I was scared to sign up because, you know, I’ve been trying to break free from this addiction, right? I’m trying to break free. Emma That’s already what you were using. You weren’t using heroin and switching to Suboxone. You were already on Suboxone. Tone Right. And again, there was nobody selling heroin in prison no more. It just didn’t exist. Everybody was on Suboxone who had the opiate use disorder. I want to say this too, because this is important. So there’s another drug that is the number one drug in prison is K2. Guys smoke K2 and guys who are signing up on the MAT program getting the Suboxone, what most of them were doing was they were taking the Suboxone...Sometimes they take it... but most time they’re trying to sell it, so they could get K2. So this is what I mean by the gift and a curse. It depends where you’re at in your addiction or trying to be sober. So if you don’t care about being sober, you’re going to the medication line, getting your Suboxone, trying to cheek it so you could take it back and sell it—and you might keep a little bit for yourself—but you’re trying to sell it so you could trade it and get some K2. For somebody like me, Suboxone was a godsend, because I’m really taking it and going about my life. Emma What made you decide to take it? You described being so shocked and you were already taking it. Tone I was taking it like illegally. I was buying it off the street. And I didn’t want to sign up and get it. Because I said to myself, “if I sign up for this, I’m really all-in getting this every day, and I just might as well accept that I have this and take this, because it’s like, the more you take it, the more you’re addicted?” I didn’t want to have withdrawal, so I battled with it on and off, on and off. And you know, if you’re buying it off the street in prison, it takes money. You’ve got to spend commissary money and that can lead to trouble. It can lead to drug debts. So I’m like, “I have to make a decision.” So I ended up signing up for it, and I got on it. Actually, I think the first of April in 2023 is when I officially got on a program. That day changed my my life, my time in prison, because I’m no longer worried about getting money to pay for it. I don’t have debts or to use my own money for this. My mental health is 100% better. I always told people that Suboxone is like a mental health drug, if that makes sense. Emma It is for a lot of people, for sure. Tone It took care of just everything I was dealing with, no anxiety, no depression. I could just go do my time in prison. I was working in the print shop in the prison, then I would go work out at night and my well being was just so good when I got on that program. Every day at four or five o’clock in the afternoon, I go up there, get my Suboxone, and I’m just... I’m good. My life is just so much better. Maybe a year and a half after I got on the program, I got transferred to another facility, a lower security facility, and in this facility, the the staff, they made it like a spectacle of it. So in the first facility I was at where you could get Suboxone, it’s just, you get in line, they give it to you. They couldn’t care less if you cheek it, if you take it, whatever. They didn’t care. They just gave it to you. The facility I went to after, it was awful, you know, it makes you think of the old Seinfeld episode with the soup Nazi. That’s what it was like. They really ridiculed us. It was awful. You know, they made us really feel like straight up addicts in there. And everybody complained about it, and I said to myself, like, “I got too much time in. I’m of a different mind frame and I’m mature. I carry myself like a man. I’m not gonna let these people treat me like this because I’m on this medication.” So they started giving people this option of getting the shot. Now most people don’t want the shot, the Sublocade, because you can’t cheek it, you can’t hide it, you can’t bring it back. People want the oral Suboxone so they can hide it on their tongue, to take it like I said, sell it, whatever, trade it. But I’m not into it. I’m taking it just to really take it. So I’m like, “you know what? Sign me up for the shots. I’m not going through this every day. The way they’re treating us going to get it...They’re really treating us, really bad.” And so, I started getting the injections. And to me, that was even better, because now it’s like, it’s private. Because there’s a stigma in prison around it. Emma I mean, that’s something even I hear people who are not in prison say. One of the reasons that they choose the shot is that there

    22 min
  2. 12/09/2025

    Addiction, Treatment, and Survival: Chris's Recovery Journey Through Methadone, Kratom, Suboxone, & Sublocade

    Chris (name changed for privacy) first sought treatment for his drug use around age 21 from a local methadone clinic, over ten years ago. This is a long interview, in which Chris describes his experience with methadone, the first medication to help stabilize his life, Kratom, which helped stave off withdrawal but gradually became a problem for him, Suboxone, which helped him through incarceration, and Sublocade, which he’s using to taper off of medication for opioid use disorder today. His story highlights so many themes common in the lives of people with substance use disorders: transportation problems, untreated conditions, grief and loss, and trouble with the law. I hope you appreciate his candor and his insights in this interview. You may see yourself in his story, or it’ll help you understand your loved ones or your patients. It’s definitely worth the read or the 54-minute listen. If you want to share your story, please reach out. Emma: You said methadone is the first thing you tried. So what led you to try that? Chris: So it was just a cycle. At some point my using was just way too chaotic. My life went downhill significantly. It was kind of controllable for a while, but when it got bad, it got bad quickly. A lot of legal issues. I was just trying to get my life together and I got tired of being sick. Methadone, I knew about. I knew about Suboxone, but something about methadone appealed to me in that it would kind of give me the pleasurable effects of opioids at first. I could choose my dose, and it was just like the easiest thing to do. The clinic I went to—they didn’t penalize you for using. It was definitely a gradual thing because their view on it is you can use until you feel comfortable to stop. But really, the idea was just stability. It was convenient, but it kind of wasn’t. The clinics are pretty far apart. Getting Started on Methadone for Opioid Use Disorder Emma: How far were you from the clinic where you were getting the methadone? Chris: So the clinic was 12 miles away, which it’s not extremely long compared to some people, but I don’t drive because my license is suspended, and my mom, at the time, wasn’t driving... It was an Uber or a Lyft. Every day for three years, I paid $20 to $25 every day. My logic was, I was spending anywhere from $120 to $300 every day on heroin. So it was cost efficient. My mom helped me a lot. I found an Uber driver that I was cool with, and I just paid them a flat rate every day to take me there and back. Emma: That’s nice. You said you knew a little bit about it before starting. How did you learn about it before you got started? Chris: I’ve always been into pharmaceuticals and that kind of stuff, and I always knew that methadone was an option, but I didn’t know anything about how it worked. I just was tired of using one day, and I just called the clinics around me, and I researched it as best as I could. I just jumped into it. Emma: And what was the initiation process? Like, Chris: The initiation at my clinic—and this is pretty standard from what I know in my area, at least—the initiation process, I went in, I did an intake, and that was with a counselor, and they did your evaluation. They did a COWS (Clinical Opioid Withdrawal Scale) score to address your withdrawal, if you were going through withdrawal. They also address your use and they do a drug test. And within 24 hours after that, they started me on—I think it was 30 milligrams—what they started me on. Emma: So they’re starting to do a little more now. But that was a very standard starting dose in the recent past. Chris: This was before fentanyl was popular. I first went to a clinic in 2014. So you could go up 10 milligrams a week. Okay, a lot of that was just consistency. You have got to go every day and I slowly got up to a dose that worked for me. It was nice, because that dose was holding off the worst part, but I was still kind of feeling uncomfortable, and I think I was still using for about five months. Emma: Were you using almost every day? Or was it more like the methadone kept you stable in between uses? Chris: I was using when I was able to. If I could do something, and I could earn some money. And because of the stability, I was able to get back to work consistently. I think I was more using from habit than physical need. Finding Stability on Methadone with Family Support and Counseling Emma: You mentioned your mom. You said she didn’t drive, but she was supportive. Did you tell any other family or friends, and how did they react if you talked to them about this? Chris: I hid my use from a lot of people for a while. The only person that knew was my mom—my mom and my sister. I always believed in being honest with them. And my mom was in the position of “I don’t know what to do, because if I kick you out, you’re going to go use on the street, and you’re probably going to die, and nobody’s going to help you. So we just got to figure this out.” and then she’s like, “I know you’re not going to get clean until you want to get clean.” It was a lot of harm reduction. She was just trying to make it as safe as possible for me to do what I was going to do, without enabling me completely. But they were supportive. Actually, when I went to the intake, I was very nervous, and I actually brought my mom with me. This was 2014 so I would have been 21. My mom was there the whole time. She went through all that. My mom is the one that did the paperwork for the Medicaid and all that, because I wasn’t educated on that yet. And my mom, I think she saw this as an out for all the stress that it was causing her. And I didn’t put this together until I got clean. But just because I wasn’t being a terrible son doesn’t mean that it wasn’t extremely stressful for her. So I think she saw it as a compromise. And, like I said, my mom was the one pretty much paying for the Ubers the whole time. Emma: Okay. And you mentioned getting up to the dose slowly and still using a little bit. At what point did you feel like you really got to a stable dose? And how could you tell? Chris: It didn’t happen immediately. Things started slowing down a little bit. I wasn’t using at all, and it was probably because I wasn’t getting high and I wasn’t sick. Around 140 milligrams was where I didn’t have to use and I was just, I was giving clean urines. It just slowly faded out from my life, which was a surprise to me. I think the stability helped. I think the idea of “I’ve got to get up every morning, even on the weekend.” So the clinic that I was at, there wasn’t any take homes, not even for holidays. The only time you got to take home was if it was a snowstorm. Gotta do those counseling sessions. I had to do them once a week at first, and when I wasn’t testing positive for opiates, I was bumped down to once every two weeks. So I think all those things combined helped. Emma: Did you find the counseling helpful? Chris: I think it helped me just externalize my thoughts and the reason why I was using. And it was just handy. It just got me acclimated to talking, and acknowledging the addiction. Because the only people I’d talked to about it were people on Reddit, or Blue Light back then. Cravings and Side Effects of Methadone Emma: Okay, when you started to feel stable, did you have cravings anymore? Or were they pretty much gone? Chris: The cravings were gone. The only thing that was kind of weird, and this is kind of common with some people is because you’re not getting high off the opiates anymore, you might try to experiment with things that you usually don’t do, or that you don’t have a problem with, like cocaine. Because I think a lot of it was like the needle and the rush. And I think before I got stable I had given some positives for cocaine, but I quickly just discovered it just wasn’t a good thing for me. It didn’t really resonate with me like the opiates did. The cravings went away. And I think I just enjoyed the stability. Emma: Did you ever experience any side effects from methadone? Chris: Oh, yeah for sure. So the stomach issues—the GI issues, the heartburn, the acid reflux. The testosterone—it just completely wrecks your testosterone. And that’s the same thing with Suboxone. I got my testosterone tested when I was 23 and, like, average levels are, like, 353, 375 [Editor’s note, recent research suggests even 375 is a little low for this age. The cutoff for “low testosterone” would likely be around 400.] I was at 70. And that was, like, a direct thing from methadone, and that’s not uncommon. Also, the sex drive, which had been gone the whole time that I was on heroin. So that didn’t really matter. Emma: Eventually it might if you’re trying to change your life. Chris: That’s a thing too, as well. With companionship around that time, it was rough, because I was kind of embarrassed to be going to the clinic. It wasn’t a thing I was forward about with people. Missed Methadone Doses [Note: Read about new research into clinic protocols for missed methadone doses here.] Emma: Were there ever times that you missed doses of methadone? Chris: Not often, very rarely. I think I might have missed two doses in total. Out of those three years. Emma: I see a lot of people asking, “what do I do if I miss a dose?” Chris: The one time that I missed a dose, I went to the hospital. I had tried this before. The first time I missed one I didn’t have too much luck with it. Then the other hospital I found, they were reasonable. They would give me my dose, but if it became a repeat thing, they would turn you down. Because that happens a lot, especially in the city where people don’t have transportation and the buses don’t go out there. People miss their doses a lot. It’s easier to go to the hospital than it is to go to the clinic, so they know the people that are trying to take advantage of it, and they know the people t

    55 min
  3. 11/21/2025

    From Problematic Kratom Use to Suboxone Stability, Followed by a Taper

    Kratom is sold as a dietary supplement at stores throughout the U.S. It’s naturally-derived and contains trace amounts of 7-OH, a chemical that works on opioid receptors in your brain. It also contains mitragynine, which becomes 7-OH in your body. (I’m work on an upcoming post that’ll describe the difference between Kratom, 7-OH, and other Kratom derivatives, which are sold in synthetic and concentrated forms.) Though there’s fierce debate on social media about whether using Suboxone to help kick a Kratom or 7-OH habit is the right choice, doctors have started prescribing the drug to treat patients who are struggling with problematic use of these and related supplements. In this brief conversation, I speak with a TikTok a follower about his experience choosing to use Suboxone to get off of Kratom. For him, the transition was smooth and taking Suboxone helped stabilize his lifestyle. It’s been a few years, and after some health problems, he’s been doing a gradual, self-guided taper. Listen above or read the transcript of our conversation below. Guest: I was starting to go to college. I had been a Kratom addict for a decade. I’ve been taking Kratom since Kratom came out on the market, like in 2009 ish. So even longer than a decade. And let’s see, so, I was starting school. I was in a relationship. I was living in a state where Kratom was illegal. I was living in Indiana, and I was trying to survive, trying to work my way through school, not having a lot of money, and it just occurred to me that Suboxone would be covered by my insurance, and it would be an affordable and legal option. And Kratom is something that I never really felt like I had a real serious problem with. I would go on and off of it. But I found when I was on Suboxone, though, that there were benefits. I felt like I had a much more sober lifestyle, and I came to really prefer that to being on Kratom. I can’t stress enough how being on Suboxone and taking it like you’re prescribed—I was taking up to two eight milligram films a day— was not altering me in any way; I was sober. Emma: And when you talk about using the Kratom, did you feel sober when you were using it as well? Or were you using that for intoxication? Guest: I was using it to get high. Emma: When you started using Suboxone, were you intending to get sober? Or you said it was just another option? Guest: I was going to school. I’ve always had sort of a mixed attitude about, quote, unquote, “sobriety.” You know, I’m 38. I consider myself to function well. I still use cannabis, eating edibles. I still take psychedelics every now and then. And that was always stuff that I intended to continue doing. But opioids are a thing—Kratom was a thing—that I’ve always intended to get off of. Emma: When you started Suboxone, what was that experience like? Guest: It was a transition. They put me on one and a half and that was too much at fist. And frankly, instead of telling them that that was too much, I just took what was enough and saved the rest. Because there were, in fact, rainy days. There were plenty of times when things didn’t sync up and I couldn’t get my appointments, and I ended up using all of that over the years. I was at the clinic for three years. Emma: Parents. Did you ever talk to them about being on Suboxone? What kind of reaction did they have? Guest: Yeah, they supported it. They know about it. I’ve had it a lot, lot worse. Emma: And when you first started taking it, did you have any trouble with the transition? Did it take you a while to feel stable, or was it kind of right away—within a day or two—that you felt stable? Guest: The only struggle that I had was with constipation. That continued to be an off and on struggle. Taking magnesium, and I kept MiraLAX on hand in case there was any problem. I’m really grateful that that has not been an issue since I’ve really reduced my dose. I’m on less than a milligram currently. Emma: At what point did you decide you wanted to start trying to taper off? Guest: When my lung collapsed. [Editor’s note, lung collapse was about 1 year ago and was not related to Suboxone or Kratom use.] I was in the hospital, and I didn’t have my Suboxone with me. I was also on extremely strong opioids. I was on morphine and fentanyl, and those weren’t really doing anything for me, because I had that tolerance from the Suboxone, so they were giving me Ativan and that did help. It was during that [that I decided it was time to taper.] And subsequently after that, I found out while weaning down from Suboxone, that my liver enzymes were high. I had to look at getting off a little faster, because that was really one of the only things that we could arrive at—me and my doctor—as to what was causing it. Emma: How did this conversation go with your doctor? So your doctor is helping you with this paper? Guest: No, he knows about it, but he doesn’t practice this kind of medicine, really. So I really feel like he doesn’t have much of a clue about substance use and about mental health stuff. I’m really looking for another doctor, but this is a primary care doctor that I’ve had since last year when my lung collapsed. Emma: So he supports you in saying, “Okay, getting off of this is an option to help with the liver enzymes,” but he’s not directing you and telling you how to taper, is that correct? Guest: Yes. Emma: Okay, so how have you adjusted your doses yourself? Guest: Well, it takes me about a week to reduce by about 1/8 of a film at most. It’s been very slow. That was over a year ago. I’m still trying to get off, and frankly, I have interspersed some days I’ll just not have it, and I will take a little bit of Kratom. And I find that that’s not really satisfactory. The half life is too short in the shadow of the Suboxone, it just doesn’t keep up. Emma: Okay, have you felt any withdrawal symptoms? Guest: Oh, yeah, every day. Emma: For the whole last year you’ve been feeling them? Guest: Yeah, it’s subtle, mostly, thank God. It’s not like quitting-quitting. But every day I have a bit of a tummy ache, and I get sweats. Emma: I don’t know if you have seen discussions on Tiktok: some people are very worried about Kratom, and some people are very against using Suboxone for Kratom. But you say for you, it was very helpful, right? Guest: I think whatever gets someone through and gives someone a quality of life is what they should do. In my opinion, if somebody takes heroin responsibly—I think that that’s possible—people should do that if that’s what they need to do. So I certainly think that using Kratom is appropriate when it helps. Suboxone for Kratom, it helped me to establish a sober sort of lifestyle. Emma: Is there anything that you want other people to know about medications for opioid use disorders? Guest: People should do what they need to do to get through the day, whether that is reducing or trying to find a safe way to do their drug of choice, or getting on to Suboxone. It’s a good thing to do, and any degree of harm reduction is a good thing. I think that’s about it. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit dailymat.substack.com

    8 min

About

Interviews with people who have recovered from opioid use disorders using medications like methadone, suboxone, and sublocade. They share what it's like to get started, how it feels to find stability, and the difficulties they experienced along the way. dailymat.substack.com