Hello fellow bluelighters.
I have not used any opiates recreationally for the last three months and thus I'm currently not physically addicted to opiates. For the last six days (with one day off in between) I have been taking 30 mgs of methadone every morning. My psychiatrist whom is an addicition and OCD and specialist wants to put me on a subutex maintance program for my severe OCD and to help me stay off other opiates. For reasons I'd rather not get into right now I can not tell him I have been useing methadone for the last six days (although he does know that I did take 30 mgs last thursday).
My question is basically: since I'm not physically addicted to opiates at the moment, can I take my first subutex dose 24 hours (or potentially even 12) after my last methadone one?
I figure that since subutex is both an opiate antagonist and agonist it would just cancel the effects of the methadone and give me the subutex effects. I know that if I was physically addicted to methadone it would send me into withdrawls but since I'm not I was wondering if it would be safe. Though I'm not really worried about this since my opiate tolerance is rather high, will the risk of respatory arrest be any higher?
Also, I was thinking of taking 2mgs of sub the first day and afterwards raise my dose to 4mgs since I figure that that is roughly equivalent to 30mgs of methadone. Would you suggest a diffrent dosage?
Thanks for reading my thread and I hope you can answer my questions quickly since I'm probably going to start my subutex program tommarow and if not then in the next 2-3 days.
I plan to continue takeing 30mgs of meth every morning until I start the bupe unless told otherwise.