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BDD Moderators: Keif’ Richards | negrogesic
PLEASE HELP!! Heroin detox and avoiding precipitated withdrawl
- Thread starter Tingting
- Start date
Oleander
Bluelighter
- Joined
- Jun 20, 2019
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- 133
There’s honestly nothing you can do to completely avoid it. Get some suboxone, muscle relaxers if you can find some, something for sleep, and a heating pad for when your arms and legs start up. You just have to go through it and it’s not fun but it’s the only way to the other side tbh
TheInvisibleStoner
Ex-Bluelighter
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- Sep 2, 2020
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- 1,687
When going to subs right from another opiate, you will likely feel a tad worse and then better right away even in the best of situations. There are many situations where you are too addicted to full agonists that a sub won't do anything for a week or two. It does not work for many. If coming off many years IV heroin (especially #4 fent), I wouldn't even bother inducing. Simply wait a full week, and then maybe take the occasional sub to help you not relapse.
Look up the COWS scale and use that if trying again. After finishing the questions, go back and slide them all one level down, if it doesn't show you are ready for subs, then you have to wait longer.
Also how much sub are you taking? Doctors induce with massive doses. You have to keep taking them little by little over the course of 24 hours (1-2mg every 2-4 hours or so). Just taking 1 dose is doing it wrong. And the 1st dose should be tiny tiny to check. But again, even in the best situations you will get sicker and then better.
Look up the COWS scale and use that if trying again. After finishing the questions, go back and slide them all one level down, if it doesn't show you are ready for subs, then you have to wait longer.
Also how much sub are you taking? Doctors induce with massive doses. You have to keep taking them little by little over the course of 24 hours (1-2mg every 2-4 hours or so). Just taking 1 dose is doing it wrong. And the 1st dose should be tiny tiny to check. But again, even in the best situations you will get sicker and then better.
Last edited:
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- Aug 4, 2010
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- 7,556
Being on Methadone Maintenance makes the process or Buprenorphine induction a little more complex but it definitely does not mean that Buprenorphine cant be used to the benefit of the dependent individual.
There is something like a protocol in place for inducting MMT patients. It generally goes that the individual should reduce their daily dose to at most 30mg Methadone per day. Once stable upon this dosage, a process that takes approximately 5 days for most, the induction process begins.
This often occurs inside dedicated facilities, but it can be performed at home too. The individual will be taken off of Methadone and all Opioid agonists completely for approximately 3 days prior to the first dose of Buprenorphine. This timeframe is going to vary from person to person, but it is definitely a good benchmark.
There are benefits to performing this in-patient and separate benefits for performing out-patient. When in-patient, you're evaluated for withdrawal symptoms and medicated based upon the supposed severity of your state. In-patient, you will typically have access to drugs that will mitigate some of the more severe withdrawal symptoms during the 72 hour period leading up to induction.
When in-patient, you have much less control over how much Buprenorphine is actually administered and at what frequency. There are prescribed medication times and microdosing with Buprenorphine is far from being accepted or instigated in detox facilities.
The problem is that a lot of people will ultimately be administered does of Buprenorphine higher than what might actually be required. If performed at home, one can easily administer minuscule doses of Buprenorphine every several minutes and see how they respond.
If precipitated withdrawal does occur following a small dose, you can stop and wait a few more hours before administering more. In detox, you will likely get a large dose and it will be a sink or swim moment of either great relief or violent withdrawal.
So, there are reasons to attempt at home and reasons to attempt in a detox. Administering sedatives and stuff at home while tweaking dosages of CNS depressants can obviously be very dangerous. The ultimate goal here is success and different folks will respond better to different settings and methods.
At any rate, I'm a major proponent of induction with Buprenorphine using microdosing when possible. I've seen a guy running up and down the halls of a detox ripping off his clothes screaming before being sedated with an injection to his thigh. I can't imagine the pain that he was going through.
Let us know what resources you have available to you OP and we can advise you on a few different avenues to potential success. Resources include medications, insurance, personal supports etc.
We can get through this and we will help you every step of the way if you want us to!
There is something like a protocol in place for inducting MMT patients. It generally goes that the individual should reduce their daily dose to at most 30mg Methadone per day. Once stable upon this dosage, a process that takes approximately 5 days for most, the induction process begins.
This often occurs inside dedicated facilities, but it can be performed at home too. The individual will be taken off of Methadone and all Opioid agonists completely for approximately 3 days prior to the first dose of Buprenorphine. This timeframe is going to vary from person to person, but it is definitely a good benchmark.
There are benefits to performing this in-patient and separate benefits for performing out-patient. When in-patient, you're evaluated for withdrawal symptoms and medicated based upon the supposed severity of your state. In-patient, you will typically have access to drugs that will mitigate some of the more severe withdrawal symptoms during the 72 hour period leading up to induction.
When in-patient, you have much less control over how much Buprenorphine is actually administered and at what frequency. There are prescribed medication times and microdosing with Buprenorphine is far from being accepted or instigated in detox facilities.
The problem is that a lot of people will ultimately be administered does of Buprenorphine higher than what might actually be required. If performed at home, one can easily administer minuscule doses of Buprenorphine every several minutes and see how they respond.
If precipitated withdrawal does occur following a small dose, you can stop and wait a few more hours before administering more. In detox, you will likely get a large dose and it will be a sink or swim moment of either great relief or violent withdrawal.
So, there are reasons to attempt at home and reasons to attempt in a detox. Administering sedatives and stuff at home while tweaking dosages of CNS depressants can obviously be very dangerous. The ultimate goal here is success and different folks will respond better to different settings and methods.
At any rate, I'm a major proponent of induction with Buprenorphine using microdosing when possible. I've seen a guy running up and down the halls of a detox ripping off his clothes screaming before being sedated with an injection to his thigh. I can't imagine the pain that he was going through.
Let us know what resources you have available to you OP and we can advise you on a few different avenues to potential success. Resources include medications, insurance, personal supports etc.
We can get through this and we will help you every step of the way if you want us to!