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Bupe Suboxone/Buprenorphine FAQ & Megathread v3; 2010 - 2022

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If you are getting anesthesia always tell your aneasthesiologist what drugs you are on! I've had no problems at all with it when I was on bupe (12mg daily). I simply told them I was on buprenorphine and asked if there would be a problem and they said it doesn't interfere with propofol (which was what they gave me) and it didn't. I also told them I was having anxiety and would take 6mg clonazepam before the procedure, they told me this was no problem either. Just be honest with them.
 
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Quick question, can i take suboxone tomorrow after using opiates tonight without going into precipitated withdrawals since im not opiate dependent? I've read conflicting things on that. My reasoning for taking suboxone is just the mood lift i experience from it.
 
^ I wouldn't risk it. If there are opiates on your receptors then you can go into precipitated withdrawal. Just ask anyone who took a few months off from heroin, did a shot and overdosed, and was shot up with narcan to bring them back. I'll answer that for you; They still experienced the hellish precipitated withdrawals.

If you are not dependent then it shouldn't be a problem having to wait a day to take some suboxone.

ryand123 said:
Unfortunantly most of the veins in my arms are pretty sclerosed do to non-micron filtered shots of suboxone film. i had a major panic attack and went to the hospital a few months back and they had to bring out a vein ultrasound machine to see deep veins where there was no scarring to hit me :/. could you direct me to a vein map captain? Ive looked for em before and could never find one online. and i HATE using my hands, so it would be greatly appreciated!
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Please give IVing a long break (preferable permanent break). You are IVing suboxone so it's not like you are going to be missing much by switching to sublingual, rectal or intranasal administration. The duration lasts so long compared to IV, and you don't have to continue to wreck your veins. If the hospital staff had to use an ultrasound machine to find your veins then I don't know how much of a help an online 2D vein map would be.
 
@tommyboy or anyone else who is knowledgeable - your saying even if i didnt really take big enough dose to get me good last night (started dosing around 6pm ended at about 8pm) i couldnt take 2mg of suboxone without getting sick? Im in very bad back pain so i would like some relief. It is 11:43am here right now BTW.
 
tomatalli said:
excuse me for my mistake good sir :)
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It's ok. :)

If you were using full agonists, you want to wait as long as possible before resuming buprenorphine to avoid precipitated withdrawal.

I understand what bad pain is like so if you are going to use the buprenorphine, start really small like a quarter or less of a normal dosage for you - that way you can gauge if you're going to get relief or precipitated withdrawal (and if it's the latter, it won't be nearly as bad as a full dosage induced precipitated withdrawal).
 
Toz said:
If you are getting anesthesia always tell your aneasthesiologist what drugs you are on! I've had no problems at all with it when I was on bupe (12mg daily). I simply told them I was on buprenorphine and asked if there would be a problem and they said it doesn't interfere with propofol (which was what they gave me) and it didn't. I also told them I was having anxiety and would take 6mg clonazepam before the procedure, they told me this was no problem either. Just be honest with them.
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It's not that I want to hide anything before I'm put into sleep (all drugs I take are legal after all). I just wonder if such an extraction can be done at all in current circumstances. I'm tapering off clonazepam and my current 2mgs don't really help me. If it wasn't for Suboxone, I would be in terrible depression and anxiety would make me shut myself at home. I don't know why my dose was cut by 50% from 4mg to 2mg, it's too much in my opinion. With clonazepam it's 2 weeks in theory before levels get down to what any dose would normally produce, e.g. if my dose was cut from 4mg to 2mg, then I need 2 weeks for all past 4mg doses to be cleared from my body. Thus, reducing doses faster than in one month intervals puts a person in a stress. I dosed 3mg instead of 2mg a couple of times because of panic attacks.

Anyhow, I will have to postpone the operation or go without the general anaesthesia as suggested in the other thread because I want to switch from clonazepam partly to diazepam and partly to something anxiolytic with a fast onset (alprazolam or if my doc finds it abusive then bromazepam). Clonazepam has become useless for my long time ago and each cut of the dose is painful, i.e. I can't feel benefits from more but I can feel more anxiety from less.
 
Yeah i know i need to quit. Im in the taper process right now because i just cant take what im doin to myself anymore. the ultrasound thing really got to me. i really am only able to hit the smaller veins that the docs dont wanna even try to fuck with using the 16g needle they had. they tried only one of the smaller ones (in my wrist) and blew it (it had swollen to the size of a fist in a matter of minutes). oh yeah, down to 1.5-2mg a day, whoo!
 
Is anyone else in Canada on sub and paying for it out of pocket? I have a couple questions for Canadians

I had a good habit 160mg oxy a day almost a year. Went to sub doc and took 4 mg first day, 12 mg second day, 8 mg for 5 days after, then 6 mg for 6 days. Today is my third day of 4 mg.

I was just wondering how Long until my doc would give take homes with clean drug tests. I've only been on it 2.5 weeks but hope to be off it within a month.

Just the daily pharmacy costs kill me. My first drug test showed benzos even though I didn't take any for two weeks but my drug tests should be clean from now on
 
I've been on sub since summer of 2010 when I had a fairly small habit for OC 80s, Dilaudid and black tar. I used to get a really good feeling from the sub and decided to get it legal after getting it off the streets for 8+ months. Now after 2 years on it I am so used to it I mostly don't feel anything and my tolerance is hugely increased from trying to break thru with pretty large doses (.2-.3g) IV black tar infrequently and just being on the subs at 2-4mg for so long has fucked my tolerance. Some days I do get the glow but it's usually when I've been tapering down then double my dose but then I try to keep doing that and it doesn't work. I was taking 2-4mg for over a year then I went to detox for the sub and clonazepam and tar and drinking but got back on subs in rehab because the doc there was pushing it and everyone else was on it (cuz they were coming off opiates).

Anyways, I am trying to get off it again and have been able to taper to 1mg sub sometimes but I can only maintain that for a week or ten days then I take 2-4mg and get a glow and think I can take that dose everyday and screw up my taper all over. I also got back on the clonazepam after a 6 month break because I overdosed on speed/feta (amphetamine sulfate powder) when I was in Poland and couldn't go to ER for fear of prosecution and family finding out but I played it off as a panic attack and I was able to get a script for Rivotril 2mg and started on that cycle again. The clonazepam is way harder to get off than the bupe, but the bupe is way harder to stay off because I use opiates to self-medicate pain and the doctors won't prescribe me anything (which maybe is a good thing but my quality of life sucks..).

Anyways, I am going under general anesthesia for a urological procedure and I'm freaking out because I figure I need to taper down as I've been on 2-3mg for the last couple weeks after tapering to 1mg for a week or two here and there but always coming back to 2mg+ and it's building up in my system . My plan is to go 2 days without any sub then take 1mg every other day until 2-3 days before the anesthesia then stop completely for those 2-3 days before so I can be put under. I had to buy a lock box and give my Mom and Bro keys so I don't cheat on the taper and fuck it up (like every other time I try to taper). I still haven't talked to the anesthesiologist but I think my plan is pretty sound..
 
I have been on suboxone for about two months. I am experiencing very negative side effects regarding my sleep habits. Unless I stop taking it, I am unable to sleep, and even when very tired, I just lay down in a quasi-pleasant state of lucid dreaming. Does anyone else experience this, and if so, what do you do about it?
 
jackie jones said:
I have been on suboxone for about two months. I am experiencing very negative side effects regarding my sleep habits. Unless I stop taking it, I am unable to sleep, and even when very tired, I just lay down in a quasi-pleasant state of lucid dreaming. Does anyone else experience this, and if so, what do you do about it?
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Weird. I'd stop taking it so you can get to bed.

I often sleep too much on buprenorphine.

What kind of dosages/ROA's are you taking?
 
jackie jones said:
I take between 4-8mg daily, sometimes IV, but mostly sublingual.
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8o

Holy fuck! If I was taking that much, I'd have a bunch of problems going to sleep too!

Try taking less. If you're taking 4mg sublingually, that's not bad. But with the IV ROA, a little goes a very long way. I personally wouldn't inject more than 0.2mg at a time for severe pain.

Right now I'm using 0.08mg per shot.
 
fuck i made it 44hrs without any sub and just placed a small piece (approximately 1mg) under my tongue with some vodka as I find it helps absorption quite a bit. i was going to snort it instead since its out of your system faster but had no utensils to do so. the withdrawals hadnt even fully started but i have been up for about 28hrs with minor hot-flashes, sweats, slight muscle pain and slightly dilated pupils. it was the high level of anxiety and restlessness that got to me but i am determined to not take another dose for another 36hrs.
 
Good job on making it that far Davey.
Im sure people have talked about this in this thread but is there some sort of a taper method where you only dose at longer and longer intervals? Could you potentially, in a way, spread the withdrawal syndrome out by going two days off then dose then like three days off then dose sort of thing?
 
Could you potentially, in a way, spread the withdrawal syndrome out by going two days off then dose then like three days off then dose sort of thing?
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I'm sure taking buprenorphine every 48 hrs is practised as a method of tapering down. In Scandinavian countries every other day dosing is practised on maintenance programmes as a treatment. With buprenorphine's slow dissociation from receptors and long half-life 1 dose per 2 days is definitely all right.

I don't know what's up with me but with my current dose (4mg) I can feel it wearing off on the following day in the morning. When I took straight buprenorphine a few years back, I wouldn't feel any difference for ~36 hours. Now I can survive more than 24 hrs on a single dose but only if I don't have to go out. Also, I don't like taking Suboxone in the afternoon or in the evening because I may have problems with sleeping or the following day dose is going to feel "too much".

I'm aware anxiety coming from clonazepam taper-down plays a very big role here, besides I used higher doses in the past and my tolerance to opioids was higher then. Anyway, I decided to take the same dose every day in the morning. I don't experience any bad W/D-like symptoms if I don't take another dose in 48 hrs, it's just sweating and depressive thinking which may be some trauma after "waking up" when I quit methadone.

EDIT: I've got a question myself. If a Scotch solution made from 4mg (~2mg is absorbed, I reckon) feels speedy and provides some inner energy and motivation for every day life, would a higher dose give more of straight opioid effects? When I took full agonists, more always provided anti-anxiety effects and I could take less BZDs. I wonder how increasing Suboxone dose may help in tapering off clonazepam, this is my doctor's thinking and I'm sceptical (in the past it felt similar when I took 16mg-24mg of buprenorphine, i.e. it wasn't anything like a full agonist at all, sure I can feel it's an opioid but instead of sedation there's that speedy effect).
 
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I live in Sweden and I have yet to hear about anyone who is on buprenorphine maintenance that doses every other day. Such a treatment would not be a viable option in my oppinion, since while it can be done, it will inevitably lead to discomfort between doses. I did this before I quit taking subutex though, went from dosing twice daily to dosing once every other day and then once every 3:rd and after that I just quit.
 
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