jiveturkey11
Greenlighter
- Joined
- Apr 29, 2011
- Messages
- 18
Hello, i’ve been lurking around here for a couple months now – i’ve gotten some really valuable information abt harm reduction, potentiation, etc. I’m hoping to get some advice abt suboxone, and using it for a rapid taper off opiates. I have been using oxycodone for almost 6 years now (it all started with valid health reasons). I average abt 150-200mg oxycodone per day (a large portion is prescribed, but i also supplement as my script is no longer adequate). I know it’s not a huge habit, compared to what i have heard from others, but it’s big enough for little ol’ me (i’m 105 lbs). i cwe almost everything, keeping my liver safe, but it takes at least 50mg just for me to get out of bed in the morning. It’s ur typical story – no more euphoria, and using just to keep w/d’s at bay. i have absolutely no ability to taper, so i’m going to have to cold turkey. I know i will always be reliant on pain medication, but i need to take a break for some time (at least a few weeks, but hoping for a few months) - to reduce my dependence, to keep my tolerance down (that, and my supplier dried up!), so i can use responsibly and manage 2 chronic pain conditions.
Now – i’ve booked 4 days off work (friday and monday), so i can get over the worst of it without having to be at work. There is absolutely no way i can manage at work, given the type of work i do. I’ve got the following aids to help me through, but just wanted to get some feedback. It may be overkill, but i’ve got to be able to function on tuesday. When i go into w/d’s i am useless - i am paralyzed by anxiety and can’t think logically, i get creepy-crawly disgusting feeling skin, twitchy RLS, cascading drenches of sweat, knees that ache like i’ve got horrible arthritis, and incurable insomnia. Tho i am well aware of what i am in for, and i totally deserve it bc of my reckless behaviour, i want to be able to go back to work only dealing with the mental part of it - even tho that can be the worst part...ah, the dreaded PAWS! I’ve read that i should expect 1 month of PAWS for every year of use...so it looks like i’ve sentenced myself to potentially 6mos of mental misery and fatigue...but i do have a plan, not just for acute w/d’s, but also the dreaded PAWS
Here’s some of the ammo in my arsenal, and my plan. I have done a ton of research, and will report back as to how i fared, and document what was used (dosage, frequency, etc). I’ve done countless hours of research, so i’ve got an extensive list of potential aids (i will post them all in a new thread, as it also includes a desciption for why certain things work, reading suggestion links, etc, that’s way too long to post here). But any feedback or advice beforehand would be much appreciated.
Meds (* denotes a prescription medication):
-*topiramate (i have also have chronic migraines) – but i read that this nmda antagonist can be useful in w/d’s
-*buscopan – if needed, i also suffer from ibs
-*pantoprazole magnesium – for acid reflux
-*seroquel – i can get some of this to help me sleep, but have some concerns bc i don’t know enough abt it, and how it affects serotonin and dopamine – i imagine that reducing serotonin or dopamine would make u more depressed? And depression is a huge problem for me when i stop opiate use.
-dxm gel caps (OTC) – is this just redundant bc of the topiramate, or should i use both?
-loperamide (OTC) – read that generous amts of this can be helpful (this won’t stretch out the w/d’s will it?)
-dimenhydrinate or diphenhydrinate (OTC) – for sleep aid
Vitamins & Supplements:
-black cumin seed oil (nigella sativa) – i’ve read this can also help w/d’s, i also take to aid in potentiation
-free form amino acids – to help rebuild my defunct neurotransmitters – contains only l-isomers of lysine, leucine, histidine, valine, isoleucine, methionine, threonine, glutamic acid, glycine, proline, aspartic acid, citrulline, cystine, arginine, cysteine, tyrosine, alanine, glutamine, serine, asparagines)
-vitamin C – 2000mg/day, split doses
-liquid vitamin b complex – 1 -2 droppers/day
-calcium/magnesium – 500mg/day
-herbal insomnia formula – contains hops, valerian root, skullcap, passionflower, wild lettuce leaf
-NAC – for liver detoxificiation (i also take this daily, for the odd time when i don’t CWE)
-DLPA – taken daily already, for increased analgesia effects of medication, also useful for pain relief
-Hyland’s Restful Legs formula- for RLS, PRN basis
-Detox supplement (daytime formula contains l-tyrosine, bilberry, green tea extract; nitetime formula contains hops, skullcap, lemon balm, l-5htp)
-sage and/or black cohosh – for sweating (only if i need to be presentable, as i want to sweat it all out as fast as i can!)
-also have 500mg l-glutamine tabs, 500mg acetyl l-carnitine tabs,
-rhodiola rosea – adrenal support, to assist in PAWS
-maximum potency multivitamin & mineral tabs
-melatonin w/ l-theanine & 5htp – sleep aid
Substitutes (to be used in case of unbearable suffering):
-kratom – 10mg bali, 10mg red borneo (regular, powdered leaf, but can also pick up a 15X or 30X at the local smoke shop if i get desperate, but it’s pretty pricey)– i’ve only used this in cases where my DOC was not available, as it does not produce euphoria for me, but can help with w/d’s. Will toss-n-wash a tablespoon here and there on PRN basis
-suboxone – 2 or 3 tabs – not certain if i will be getting it, but it’s a possibility
-codeine – i have access, but find i have a very bad histamine reaction if i take it in excess of 200mg, so this will only be used in a dire situation (and will be taken with Benadryl to prevent burning, flushing skin)
Other/Misc:
-i have access to a sauna at my gym, so i’m hoping to use it to help speed up the detox with lots of extra sweating
-ear acupuncture – i read this helps release endorphins, and can make u feel better
-walking/light exercise – i plan on getting out for walks whenever possible, i usually am useless and can’t get anything done, but i am going to try to will myself to do some walking, perhaps at night, when it is a bit cooler out
-masturbation – my sex drive goes through the roof while in w/d’s, and masturbation gives me like 5seconds of relief...so as often as possible!
-meal replacement shakes – i have no appetite and can’t eat in w/d’s, so i’ve stocked up on these
-laughter – even if fake! I have a bunch of funny movies, recorded episodes of ridiculousness, stand-up comedy, even have laugh tracks on my itunes
-inspirational and entertaining reading
-tonic water – it has quinine, which can help with RLS
Now, THE MOST IMPORTANT QUESTION!!!!
USING SUBOXONE (provided I can get some)–
1. can i use the suboxone once i get into heavy withdrawals without draggin them out? I normally start getting symptoms around the 6hr mark bc i dose so frequently – stupid i know, but if i wait until the 24hr mark, i should be ok, right? I am taking percs only, so given the half-life, this is probably safe. i am wondering tho, i only plan on using a couple, small doses – mb 2mg first dose, then 1 mg 12-24hrs later, then 0.5mg 12-24hrs later, then 0.25 12-24hrs later, then ½ that every 12-24hrs forward, but for no longer than 3 or 4 days. If i do this, will my w/d’s last longer than 4 days (ie, not truly beginning until i am done the subs), or will it speed up with w/d?
2. Given my current level of use (150-200mg/day), how much suboxone would be an adequate dose to start with? Should i start with 2mg and titrate up if i need more? Or is it better to start with less than that (1mg or .5mg)?
3. Will using the suboxone help decrease my tolerance? If i take suboxone as part of a rapid taper, then take a break for a couple weeks, do you think this will have a significant impact on my tolerance? I plan on trying to return to the lowest possible dose, and always using dxm to keep my tolerance in check
Other Questions:
4. Have I missed anything? Is there anything you would change (remove, add?)
5. Seroquel – any info, opinions on how this affects brain chemistry is much appreciated.
Thanks for reading for my lengthy post. Any and all feedback is welcomed and appreciated.
Now – i’ve booked 4 days off work (friday and monday), so i can get over the worst of it without having to be at work. There is absolutely no way i can manage at work, given the type of work i do. I’ve got the following aids to help me through, but just wanted to get some feedback. It may be overkill, but i’ve got to be able to function on tuesday. When i go into w/d’s i am useless - i am paralyzed by anxiety and can’t think logically, i get creepy-crawly disgusting feeling skin, twitchy RLS, cascading drenches of sweat, knees that ache like i’ve got horrible arthritis, and incurable insomnia. Tho i am well aware of what i am in for, and i totally deserve it bc of my reckless behaviour, i want to be able to go back to work only dealing with the mental part of it - even tho that can be the worst part...ah, the dreaded PAWS! I’ve read that i should expect 1 month of PAWS for every year of use...so it looks like i’ve sentenced myself to potentially 6mos of mental misery and fatigue...but i do have a plan, not just for acute w/d’s, but also the dreaded PAWS
Here’s some of the ammo in my arsenal, and my plan. I have done a ton of research, and will report back as to how i fared, and document what was used (dosage, frequency, etc). I’ve done countless hours of research, so i’ve got an extensive list of potential aids (i will post them all in a new thread, as it also includes a desciption for why certain things work, reading suggestion links, etc, that’s way too long to post here). But any feedback or advice beforehand would be much appreciated.
Meds (* denotes a prescription medication):
-*topiramate (i have also have chronic migraines) – but i read that this nmda antagonist can be useful in w/d’s
-*buscopan – if needed, i also suffer from ibs
-*pantoprazole magnesium – for acid reflux
-*seroquel – i can get some of this to help me sleep, but have some concerns bc i don’t know enough abt it, and how it affects serotonin and dopamine – i imagine that reducing serotonin or dopamine would make u more depressed? And depression is a huge problem for me when i stop opiate use.
-dxm gel caps (OTC) – is this just redundant bc of the topiramate, or should i use both?
-loperamide (OTC) – read that generous amts of this can be helpful (this won’t stretch out the w/d’s will it?)
-dimenhydrinate or diphenhydrinate (OTC) – for sleep aid
Vitamins & Supplements:
-black cumin seed oil (nigella sativa) – i’ve read this can also help w/d’s, i also take to aid in potentiation
-free form amino acids – to help rebuild my defunct neurotransmitters – contains only l-isomers of lysine, leucine, histidine, valine, isoleucine, methionine, threonine, glutamic acid, glycine, proline, aspartic acid, citrulline, cystine, arginine, cysteine, tyrosine, alanine, glutamine, serine, asparagines)
-vitamin C – 2000mg/day, split doses
-liquid vitamin b complex – 1 -2 droppers/day
-calcium/magnesium – 500mg/day
-herbal insomnia formula – contains hops, valerian root, skullcap, passionflower, wild lettuce leaf
-NAC – for liver detoxificiation (i also take this daily, for the odd time when i don’t CWE)
-DLPA – taken daily already, for increased analgesia effects of medication, also useful for pain relief
-Hyland’s Restful Legs formula- for RLS, PRN basis
-Detox supplement (daytime formula contains l-tyrosine, bilberry, green tea extract; nitetime formula contains hops, skullcap, lemon balm, l-5htp)
-sage and/or black cohosh – for sweating (only if i need to be presentable, as i want to sweat it all out as fast as i can!)
-also have 500mg l-glutamine tabs, 500mg acetyl l-carnitine tabs,
-rhodiola rosea – adrenal support, to assist in PAWS
-maximum potency multivitamin & mineral tabs
-melatonin w/ l-theanine & 5htp – sleep aid
Substitutes (to be used in case of unbearable suffering):
-kratom – 10mg bali, 10mg red borneo (regular, powdered leaf, but can also pick up a 15X or 30X at the local smoke shop if i get desperate, but it’s pretty pricey)– i’ve only used this in cases where my DOC was not available, as it does not produce euphoria for me, but can help with w/d’s. Will toss-n-wash a tablespoon here and there on PRN basis
-suboxone – 2 or 3 tabs – not certain if i will be getting it, but it’s a possibility
-codeine – i have access, but find i have a very bad histamine reaction if i take it in excess of 200mg, so this will only be used in a dire situation (and will be taken with Benadryl to prevent burning, flushing skin)
Other/Misc:
-i have access to a sauna at my gym, so i’m hoping to use it to help speed up the detox with lots of extra sweating
-ear acupuncture – i read this helps release endorphins, and can make u feel better
-walking/light exercise – i plan on getting out for walks whenever possible, i usually am useless and can’t get anything done, but i am going to try to will myself to do some walking, perhaps at night, when it is a bit cooler out
-masturbation – my sex drive goes through the roof while in w/d’s, and masturbation gives me like 5seconds of relief...so as often as possible!
-meal replacement shakes – i have no appetite and can’t eat in w/d’s, so i’ve stocked up on these
-laughter – even if fake! I have a bunch of funny movies, recorded episodes of ridiculousness, stand-up comedy, even have laugh tracks on my itunes
-inspirational and entertaining reading
-tonic water – it has quinine, which can help with RLS
Now, THE MOST IMPORTANT QUESTION!!!!
USING SUBOXONE (provided I can get some)–
1. can i use the suboxone once i get into heavy withdrawals without draggin them out? I normally start getting symptoms around the 6hr mark bc i dose so frequently – stupid i know, but if i wait until the 24hr mark, i should be ok, right? I am taking percs only, so given the half-life, this is probably safe. i am wondering tho, i only plan on using a couple, small doses – mb 2mg first dose, then 1 mg 12-24hrs later, then 0.5mg 12-24hrs later, then 0.25 12-24hrs later, then ½ that every 12-24hrs forward, but for no longer than 3 or 4 days. If i do this, will my w/d’s last longer than 4 days (ie, not truly beginning until i am done the subs), or will it speed up with w/d?
2. Given my current level of use (150-200mg/day), how much suboxone would be an adequate dose to start with? Should i start with 2mg and titrate up if i need more? Or is it better to start with less than that (1mg or .5mg)?
3. Will using the suboxone help decrease my tolerance? If i take suboxone as part of a rapid taper, then take a break for a couple weeks, do you think this will have a significant impact on my tolerance? I plan on trying to return to the lowest possible dose, and always using dxm to keep my tolerance in check
Other Questions:
4. Have I missed anything? Is there anything you would change (remove, add?)
5. Seroquel – any info, opinions on how this affects brain chemistry is much appreciated.
Thanks for reading for my lengthy post. Any and all feedback is welcomed and appreciated.
