Again this is a rapid taper not a withdrawal although the difference is relatively negligible right now. Pharmacy suddenly called and stated that their MME calculator was wrong (it was) and that corporate had instituted a 200 MME / day cutoff for all patients; thus I went from 225/mcg/day to 75 in four days because we were at the end of an RX fill. WE are now, today filling #30 - 50 mcgs, and my doctor who is very supportive has Rxd 10 mg a methadone per day. I do have three cervical discs that need replacement/fusion but that is an unknown factor. I checked methadone maintenance below because it seemed like the right thing to do, but basically we're using methadone as you can guess to underlie the reduction in fentanyl and yes, we're all too aware of mixing. I also take about 1.25 mgs (1/4 of 1 - 5 mg pill of diazepam) nightly but its for my bladder although we're aware of the contraindicated mix.