M
Morphh
Guest
I plan on quitting dope, and have never been to a suboxone clinic. My question is, how does the doctor determine what starting dose to put you on, and how frequently you take that dose?
Remember I am talking about the strips which dissolve much faster (minute or less.) My friend just got on them, and I can tell you within 15 minutes he was getting relief. You will have a good idea of whether or not the dosage will hold you after 15, 30 mins at the most. You could just take 8mg or something and know it will work, but nausea can result from taking too much if you aren't accustomed to itStart with 2mg and continue to redose every 15 minutes? That won't be as effective as taking the entire dose at once. Why increase every 15 minutes? There is no point, as Suboxone takes about 45 minutes to kick in so you won't be able to check your pain levels until then before increasing the dose.
Yes, I've never had the tablets, but I've heard they can take 10 or more minutes to fully dissolve, which is insane. Oh I'd agree about the redosing thing, but IMO bupe is different. If we were talking recreational dosing, redosing is ineffective. With suboxone however, when it is being used as a blocker, redosing can work quite well. If you take some and aren't feeling better, taking more will help out the W/D immensely. When my friend got on it recently 2mg only made him feel a little bit better, taking another 4mg he wasn't really kicking anymore, so I think with bupe it works different, since you're using it as a blocker. When it comes to recreational usage however, bupe is a whole different drug. Small doses (like 0.5mg) are way more effective, since bupenorphine metabolizes into norbupenorphine. Norbupenorphine is a FULL AGONIST, so if you take smaller doses, there are still opiate receptors left for the norbupe to bind to, creating a VERY nice euphoria. This is atleast my theory, and the theory of many people who take small doses of bupe for euphoria. Captain Heroin and I have discussed it a bunch, and seem to have the same results, as well as many other people. Give it a try if you haven't, once you get stabilized at the low doses, you'll find extreme recreational value to them.That's true the strips do kick in within 15 minutes. They are much more efficient. I keep thinking about the tablets when I'm on the strips myself. I still think it would be better to take the entire dose at once though. If it doesn't work wait until the following day to increase your dose only because redosing opiates, except for Tramadol, is less effective. You won't get better relief then the first dose you take of the day. Following doses will increase the duration of the opiate. Meaning the following dose will continue to provide you pain relief (by taking it every 4 or 6 or whatever hours) but not as good as the original dose.
I'm totally serious about the recreational thing, give it a try, you won't be disappointed. It makes sense logically really, being that norbupe is a full agonist, and normally wouldn't have a chance to bind to your receptors with large doses of bupe.I was saying nothing about whether smaller or bigger doses are more effective. I'm talking about redosing. I agree that there is no reason to go on doses as high as some that they prescribe, like more than 4mg. I get just as much relief from 2mg as I would 8. I've taken all kinds of doses, from 1-16. Never higher than 16. What I was saying is I see no reason to do it every 15 minutes. If your going to redose I think you should wait longer intervals because that way you can check your pain or withdrawal levels for a little bit before deciding to increase your dose. Maybe every 2 hours.
...but i have developed a pretty good system for getting doctors to call in RX of pain pills......
we really can't believe anything you say since it is not possible for a doctor to phone in a pain script DEA rules say it has to be a hard copy and only 1 pain script per page
i know this for a fact