Sorry about not getting back to you sooner. If you are running out of the methadone every month then for sure it is time to talk to your doctor about this.
I know that I started on a lower amount when I was first prescribed the methadone. Remeraber now that I am taking mine for a chronic pain condition called, Reflex Sympathetic Dystrophy. It is very painful and it has now spread to both feet, right leg to the knee, left leg only to the ankle and in both wrists. It started in my only right foot after I had bunion surgery in Noveraber of 2005.
Anyway, when I first started taking the Methadone I would too run out too early. And the withdrawal from methadone is absolutely terrible. I never want to feel as bad as I did the first time this happened. Thankfully that has not happened in over two years. But I can remeraber it as if it was yesterday!!!
I realize that if there should come a day when my doctor would want me off the methadone that there will need to be plan to taper me off in place. Because methadone has such a long half life that I would imagine that it would take a good year to taper slowly off of it. And that is the only way to do it, very, very, slowly.
I don't know enough about being pregnant and taking the methadone to give you any advice. That would be something that you need to talk to your doctor about. But common sense tells me that being pregnant and taking methadone is not a good idea and perhaps would be even dangerous for the baby. But again talk to your doctor about this concern.
There are plenty of "cons" for not taking the methadone. But for me personally the "pros" out weigh them. Methadone is the only medicine that with the Lyrica that i take as well seems to really help my pain. I have never felt a "high" from the methadone, so I am able to carry on with my life. Sure in the beginning the methadone made me sleepy but that passed. Also methadone was so much less expensive than other narcotic pain medication.
Recently my doctor told me that my RSD will probably not get much better than what it is right now. As a matter of fact, I very well may get worse down the road. So I don't foresee me stopping the methadone anytime soon. And that is OK with me.
Methadone works well for me on many different levels. I am disabled and am fortunate enough to be approved and collecting a monthly social security disability check. But I could see that having a full-time job and having to take a higher dose of the methadone may cause some problems. Like I mentioned before in the beginning the methadone did cause some drowsiness for me. This did go away, but there are times when I just don't feel as alert as I should. And every now and then I just can't seem to get out a word that I am trying to. My short term memory is not the same as it was either. Some of these side effects are also from the RSD. But I think that the methadone may also play a part in the side effects.
So it is a big decision you need to make as to continue the methadone or not. I believe you said that you have been taking it for three months now right? I would imagine that after three months of taking the methadone, if you would have to or want to stop it you would need to also go on a very slow taper.
Is the methadone helping you at all? I believe you also said you taking this for a addiction issue. Even though we are taking them for different issues we will still have the same things to think about as to whether you want to continue the methadone or not. If it is helping you to straighten things out for yourself, then why stop it. If it allows you to feel strong enough not to take other things, then why stop it. In other worRAB; if it ain't broken, don't fix it.
I don't know if I helped you or not. But I did let you know my feelings concerning methadone. As for me, I will continue to take methadone as long as it continues to help me live a better life with the RSD.
Take Care and lots of hugs,
Chris