Hey all,
I'll be starting suboxone in detox when my bed becomes available but I'm worried about the daily pick up once I'm home - it's a 110km trip to the nearest pharmacy/doctor etc!!! What is the soonest you've moved up from daily pick ups? I just want it known I don't plan to misuse it, I want my life back on track I just can't afford to be driving all that distance every day let alone physically being able to do it right now.
I'm in a similar position. I had to prove my employment and everything which upset me because of the risk of exposure of ultra private information.
Ask for double dosing or even triple dosing.
Get a female case worker and doctor. talk up the kid aspect, work, school, distance.
Above give clean piss. offer to do weekly piss tests. This is what is going to do it for you i.e. get takeaway dosing. Its ironic because takeaway dosing and its withdrawal because of dirty piss would be seen as retaliation/punishment. The NSW Opiate dosing document expressly states that surveillance is not to be used to determine if users should be punished
Though the problem is the clinics don't normally do takeaways. You have to move to a chemist and they won't do that unless you tell them you'll lose your job (and even then it'll be 6 months min). edit: actually i don't want to give you the wrong expectation. I had basically the boss of a clinic promise if i went on the program to give me takeway dosing within 2 weeks. Turned out that the doctors are utter fuckwits. Seriously they'll lie, like really badly. They'll say X and write Y on your script or records. IF they say 4 weeks until takeways they really mean 3 months. They fuck up scripts all the time. Ask to double check. Shit i saw 8 doctors in the first month.
My last three scripts have been screwed. Fuck my doctor told the chemist to give me half a fucking strip. like cut it in half!! Fuck you western sydney health prescribers
It also helps to be really polite, well behaved and always, always, keep the queue. Shit you'll get shanked if you push in.
So probably 12 months for takeways. Unless you're pregnant.
in which case you'll be treated like a human being.
Quadruple edit: what a bunch of fuckers. They are the biggest lying scumbags (they never told me about this stuff.....have aread of:
Opioid Treatment Program: Clinical Guidelines for methadone and
buprenorphine treatment
6.4.4 Access issues
So long as there are no contraindications, takeaway doses
above and beyond those normally recommended may be
provided if one or more of the following conditions is
demonstrated:
• work commitments interfere with daily attendance at a
dosing site
• travel hardship — remote area, large distances and or
prohibitive cost of travel to a dosing site make daily
attendance a hardship
• education commitments interfere with daily attendance
at a dosing site
• parenting commitments interfere with daily attendance
at a dosing site
• other factors (which should be documented) interfere
with daily attendance at dosing site.
It is important that the prescriber sight evidence of the condition
justifying increased takeaway doses. This may be in the
form of group certificate, pay statement, or a letter from a
general practitioner, pharmacist or other agency or person
who can confirm the social circumstances of the patient.
In remote areas, opioid treatment services may have to
develop a policy on takeaway doses that acknowledges the
impracticality of 7-day-a-week on-site dosing for some
patients. Such a policy must address the objective of minimising
the diversion and injection of methadone and buprenorphine.
Absolute contraindications cannot be ignored.
Reasons for going outside guidelines should be documented
