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    Sexual Side effects of suboxone/Klonopin 
    #1
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    I recently(2 days ago) switched from methadone to suboxone/klonopin to combat my addiction to opiates. However I am having an immediate side effect I can not deal with that did not occur on methadone and xanax and all other benzos I took(legal and illegal). I searched the threads, maybe not thoroughly, but I am getting really frustrated. I have a transgendered GF and we have sex all the time, now I can not even function. The doctor gave me a script for viagra, but medicaid does not cover it and it is 16 dollars a pill. I have a bottle of wellbutrin, I heard this may help. Can I please get some feedback. I am not going to go back on methadone, I had to hide the suboxone from my girl, so hiding having to go to a clinic 6 days a week is next to impossible. I stopped taking the kpin, but I want to so bad because I am so stressed out, but I need to have sex with her. I am also on the catapress .1mg a day patch. I take 24mg of suboxone a day, and 3mg of kpin a day if I dont abuse it(which I always do). Thanks for your help.
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    #2
    shit, 24 mgs of suboxone a day?! i could barely get it up on 8 mgs daily, i cant imagine it would work at all on 24 mgs. Personally, all opiates make me unable to achieve and erection, and if i do manage to hold one for more than a few minutes, i can never ejaculate. (this included methadone for me, so everyone reacts differently i guess). Klonopin never much affected my ability to have sex just decreased my desire to want sex. Im not sure how welbutrin would help... its an antidepressant that doesnt cause sexual side effects (like the ssris, paxil, prozac etc.) but ive never heard of it used to help with getting an erection and such.

    on 24 mgs of sub daily id say goodbye to sex for a while, unless you spring for the viagra.
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    #3
    Ok so I will take the kpin to make me feel better, but I will lower my suboxone. The only reason I was on 24mg was because of my switch from 55mg of meth everyday to suboxone. I am fine with 8mg though, I do not get any buzz from sub, but I feel completely normal, which is what I want(lie). Anyway anymore thoughts?
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    #4
    Bluelighter QuasiStoned's Avatar
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    I have a transgendered GF and we have sex all the time
    Wow, too much information? haha.

    Now I am intrigued, doesn't that wierd you out at all? Sorry for going off topic but my morbid curiousity begs me to ask.
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    #5
    Quote Originally Posted by RaveToTheGrave View Post
    Ok so I will take the kpin to make me feel better, but I will lower my suboxone. The only reason I was on 24mg was because of my switch from 55mg of meth everyday to suboxone. I am fine with 8mg though, I do not get any buzz from sub, but I feel completely normal, which is what I want(lie). Anyway anymore thoughts?
    See, I'm a chick and I have the exact opposite problem - suboxone makes me .. well, lets just say it's the only aspect of suboxone my boyfriend wholeheartdely approves of.

    Is it only suboxone? No other opiate does that to you? MAYBE it's the naloxone causing the trouble. If your doctor is willing to switch you to subutex, that might fix the problem.

    I can't find anything good to share on Google, but searching for "naloxone + impotence" turns out a lot of results with studies about impotence definitely being a side effect. Try looking around online and seeing if the side effects of naloxone fits what you're dealing with.
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    #6
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    Thank you for mentioning the naxolone, next time I see the doctor I will ask for subutex, he will give it to me, and I am going to ask me to write me out a script for like 180 2mg subutex, because I want to get off it anyway. Also he is writing me a script for testosterone patches, so hopefully until the 27th of june that will help.

    Now as for my transgendered GF, I only wrote that because she is always horny, we have sex 3 times a day on average, now nothing, I can not deal with it, Fuck you naxolone. Also I was never a Methamphetamine user, a huge dexedrine user, and an even bigger coke and ritalin sniffer/shooter and that made me ultra super horny, I think you know where I am going with this, I am just a very honest person.
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    #7
    Quote Originally Posted by QuasiStoned View Post
    Wow, too much information? haha.

    Now I am intrigued, doesn't that wierd you out at all? Sorry for going off topic but my morbid curiousity begs me to ask.
    I am allowed to love whoever I want.
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    #8
    ^
    Wait, so did your gf used to be a dude, or is she now a dude?

    Always confuses me...
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    #9
    Greenlighter
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    Quote Originally Posted by RaveToTheGrave View Post
    I am allowed to love whoever I want.

    No one is making fun of you or judging you, he was just curious
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    #10
    Bluelighter Eagleman's Avatar
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    I hear ya...opiates destroy a lot of people's libidos, and that goes for me as well. You'll just have to try and cut your dose and see if you can get it up naturally, or try some amps or ritalin. That always worked for me when I was a junkie. It sucked because when my wife would allow me the pleasure of sex, I had to try my hardest (no pun intended) to keep up with her, most times to no avail.
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    #11
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    I am going to try to get the steroid patch, or focalin(dextromethyphenidate) or strong Ritalin. My girl was once a boy and now she is hot. Anyway I cut my dose today to 8mg of suboxone, that stuff is strong, I dont feel any difference between 24mg and 8mg, maybe the ceiling effect. Thank you all for your responses.
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    #12
    Bluelighter SnailS1904's Avatar
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    if you cut back on the opiates all together for a few days or a week, will peoples sex drives come back naturally ?
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    #13
    i would suggest cut back like you did with the bupe and also maybe cut down a little of the benzo, i know for me i dont have a hard time with the sub, but if i am on benzo's i have a hard time. and also i think its great your so honest about yourself and you should never feel bad but remember there are alot of people who dont understand and will judge, i love bl but i do read sometimes stuff that bothers me , like when i read about plugging and some men will go oh that is gay, that annoys me but for the most part bl is awesome , so cut down on the sub and also the benzo's plus your body is going through a transition from the meth to the sub so give it a little time and you'll be fine
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    too much suboxone 
    #14
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    Quote Originally Posted by RaveToTheGrave View Post
    I recently(2 days ago) switched from methadone to suboxone/klonopin to combat my addiction to opiates. However I am having an immediate side effect I can not deal with that did not occur on methadone and xanax and all other benzos I took(legal and illegal). I searched the threads, maybe not thoroughly, but I am getting really frustrated. I have a transgendered GF and we have sex all the time, now I can not even function. The doctor gave me a script for viagra, but medicaid does not cover it and it is 16 dollars a pill. I have a bottle of wellbutrin, I heard this may help. Can I please get some feedback. I am not going to go back on methadone, I had to hide the suboxone from my girl, so hiding having to go to a clinic 6 days a week is next to impossible. I stopped taking the kpin, but I want to so bad because I am so stressed out, but I need to have sex with her. I am also on the catapress .1mg a day patch. I take 24mg of suboxone a day, and 3mg of kpin a day if I dont abuse it(which I always do). Thanks for your help.
    hi friend, the reason u r suffering sexual disfunction is because u r taking too much suboxone! suboxone blocks your dopamine receptors effectively killing ur sex drive and function, if at all possible, cut back on ur suboxone for 2 days before planned sexual activity, and you should be able to perform ! good luck and i hope all works out in the end
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    #15
    Bluelighter lenses's Avatar
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    Like the others said, you're on WAY too much suboxone. IMO you really don't ever need any more than 4mgs a day. With the dose you've taken so far, you probally won't need to dose for a good 4 days!

    I find the sexual side effects go away after you gain a tolerance to suboxone.

    -lenses
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    #16
    Quote Originally Posted by RaveToTheGrave View Post
    My girl was once a boy and now she is hot.
    haha, dont know if that was a typo or not, but i thought it was funny
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    #17
    Bluelighter weside's Avatar
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    TRy just taking 8mg's in the morning and having sex at night, this should help you out alot and what i did was take alot of multivitmins everyday, good one is called ultra man, made by natures bounty vita/ minerl/ herb formula and this gave me 1oo% better sex life, try it trust me it works helps naturally get back testosterone which will give you more sensetivity.
    I too had low testerone and was put on a test cream used it for a month and then i heard about these vitamins and switch to something natural and they worked better then the test after a week.
    YOU don't want to get depended on the test. cream becuase you'll never get off it, your body won't naturally produce on it's own, and as other said your body will adjust as you build a tolerance to the sub. gOOD LUCK
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    #18
    Bluelighter StaffWriter's Avatar
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    Opiates kill sex drives for both men and women. I have found suboxone to have a less profound effect on mine than did traditional opiates. Lower your dose. Really you have to look at your priorities in life. Which is more important? Sex or sobriety? Granted, you might find some relief with a lower dose but you can't really take a "drug holiday" because the half-life of sub is soooo long.
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    #19
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    Quote Originally Posted by SnailS1904 View Post
    if you cut back on the opiates all together for a few days or a week, will peoples sex drives come back naturally ?
    When I quit bupe my sex drive went crazy. That is the only good part about the withdrawal for me.

    Im a straight male not transgendered. I feel I should state that for comparison purposes.
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    #20
    Mates, i do 0.5mg subutex sub with midazolam maybe 1-2 a week sometimes less and i reckoned it increase my sex drive when i'm on rather then off subutex.....

    Oh btw i'm a straight male. I should state this for comparison purposes too.

    Am i weird or something??
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    #21
    Bluelighter
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    I think 24mg a day is a little overprescribing if you ask me, it is extremely easy to cut down to 2-4mg per day, the hardest part of kickin sub is the last mg, so cut your dose, it is way easier than you may think. Also if you just switched you have to wait a week until you are stabalized, the initial fuckedupness you feel from starting bupe would kill a sex drive for a time period.

    I also have half a mind to talk to my doc about naloxone and impotence.
    I am a straight male too now that everybody seems to be adding their sexual preference at the end of posts in this thread lol
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    #22
    Greenlighter
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    ima man and my king kong dong still works greatt on sub and kpin bro
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    #23
    Bluelighter
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    Wat Suboxone blocks your Dopamine receptors??? Um I don't think this is at all accurate.

    Also, anyone who has transitioned from anything like 55 mg's of Methadone definitely did need to be prescribed the 24 mg's per day to start out with. People who transitioned from shorter acting opiates/opioids would prob. need much less to become comfortable but for some reason that methadone is always a nasty addiction to tack. I would prob. say that the methadone is still having an effect on your libido/testosterone levels. Obv. like you are already doing lowering the dose to 8 mg's and even down to 4 mg's should be fairly easy.


    GL!


    I can't say I have any problems with erection on 4 mg's sub + klonopin for sleep. Oh and I'm a straight male for comparison
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    #24
    Well for one the worst junkie in the world wouldn't need 24 mg's of suboxone. Bupe is one of the strongest opiates on the market, 80 times stronger than Methadone and 40 times stronger than morphine. Taking that much of ANY opiate is going to destroy your ability to maintain an erection.

    Look how strong bupe is compared to other opiates

    http://en.wikipedia.org/wiki/Opioid_comparison

    lower your dose to 2 or 4mg. I've switched from 100mg methadone a day and only needed 4mg suboxone a day to maintain.
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    #25
    ^comparison between full and partial agonist isn't linear such as comparisons between 2 full agonists.

    This site explains why very concisely...

    Opiate agonists like oxycodone, morphine, or heroin will have an increasing opiate effect as the dose is increased. A graph of dose vs effect for agonists yield a straight [diagonal] line.

    This is not the case with Suboxone. With Suboxone the line would start out diagonal but then level off and become horizontal, as increasing doses would not increase the opiate effect. Again, this is the basis for the use of Suboxone for opiate addiction treatment. The horizontal portion of the curve would have an opiate effect equal to 30 mg of methadone, meaning that a person taking Suboxone would not be able to get a greater effect from Suboxone or other forms of buprenorphine. For most people, if Suboxone is taken correctly the flat part of the response occurs at about 2-4 mg of the drug.

    The ceiling effect is also the reason for precipitated withdrawal; if a person is taking an opiate agonist at a dose and effect greater than 30 mg of methadone, taking Suboxone will force the opiate effect lower, causing withdrawal symptoms.(source)
    Buprenorphine is VERY potent and the above explains why people rarely ever need large doses at all, but that's not due to its potency, its due to larger does not being any more potent than small ones.
    Last edited by Cane2theLeft; 26-01-2011 at 13:16.
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