how long do i have to wait?
Just a quick warning on resuming sub after a fentanyl binge....
I was getting an erratic supply of fent patches for about 1 year not so long ago. I was on 8mg of subutex, and would skip my dose for 1 day and then use about 1.5 100microgram patches a day IV. i managed to get about 99% out of the patch IMO. after going through the box of 5, I would have my last shot at midnight, and hold out till 6:30 am in the morning, then take my 8mg sub dose with no problems.... but then;
I went for a binge on fent patches for about 3 weeks, managing to consume 25 patches in 21 days. I held out for 12 hours this time, and then had my sub dose. Within about half an hour, the sweat was pouring off me and i coudnt sit still, hell i was bouncing of the walls in the train. Luckily i had saved one patch and i mulled the whole thing up, and shot half a patch in one go. It took the edge off for sure, but i needed the remaining half to get back to normal. The next day i dosed and was fine.
about 2 months later, I used another 5 boxes (25x 100microgram patches) in the space of 2 weeks, and went into a medicated detox this time. They made me wait a whole day in there without dosing me to avoid precipitated withdrawal, and it was hell. like 3rd day dope withdrawals. When i finally did get dosed, it made things a lot worse. the horror of my situation hit me, thati would feel this bad for another 24 hours till my nextdose. Theygave me 15mg of valium to help, but i just threw it up as i was vomiting yellow shit every 3 minutes all over myself by this point. I was also writhing around the floor with just a towel wrapped around me, vomiting and jumping in and out of the shower and making a huge mess. I didnt really care whati looked like or who i pissed of at that stage. This happend until day 4, when they gave me 24mg of suboxone and there was no improvement.
Shortly after that i collapsed and was sent to the ED to get on a drip, and they started me on methadone, 40mg. i pleaded with the doc for a morphine injection and he gave me one , 30mg. didnt do shit, but better than nothing. The nextday (day 5) i had 50mg, no improvement, day 6 60mg, day 7 65mg, and finally i got SOME relief, i managed to keep down half a glass of milk for an hour, it was the best milk i ever tasted. day 8 and i was on 75mg, and by that night i managed to get some sleep.
So basically, I went through 7 days of the most HORRIBLE withdrawals, for nothing, only to walk out on 75mg of methadone! It was a blow to my soul ill tell you.
I thought so hard about what was the difference, why did i not improve? when i had been fine many times before? My best guess is that the fent raised my tolerance so high that the suboxone with its efficacy ceiling had no chance of staving off withdrawals.
I wouldnt want my worst enemy to go through this, so please, if youve been on a seriously big, large fentanyl dose type bender, consider going on methadone for a couple of weeks and then telling your doctor youve changed your mind and switch to suboxone. Its easy in the first few weeks of methdone to come off or switch, but not after a few months. Maybe youll be fine, more than likely you will be fine on sub, but ask yourself if you could cope with the withdrawals, all for nothing