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

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Stopped Subutex, is it time yet to take another opiate?

So basically I quit Buprenorphine 5 days ago, which I was using for 3 weeks, and I am debating taking some oxycodone now. I have 60mg worth of percs, which I havent used in a while, even before the Bupe binge! BTW, I was I.V.'ing the Bupe, so would that make a difference in this matter? I also have Tagamet (Cimetidine) for potentiation purposes. ...All in all, you think it would be ok for me to take the percocets now, and feel the full effects, or should I wait another couple days>


Any advice and/or comments would be greatly appreciated%) Best of luck to fellow Bluelighters!
 
i was on subs for the last 8 months, they had me on 20 mgs a day, luckily I started reading this place and found out people get along fine on 2-4mg, so it took me about a month to comfortably ween myself down to 4mgs a day. but being on such a high dose, im pretty sure my receptors are now fucked beyond help becuase i literally ate 6 roxi 30s yesterday and barely felt anything.
 
no they arent fucked beyond help, i was also on 20 mg before weening down to now 1mg. You didnt get high because either your tolerance is still too high from 4mg or you just didnt wait enough days.
 
Fire&Water said:
Edit: I meant to add that scraping the cotton off one end of a Q-Tip (soak up solution, stick it in gums) might be mare convenient , a serrated knife works great
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I will def give this a try. I've heard good things before. Man, I dunno what's wrong with me.. I felt pretty damn good this morning (by no means high but definitely positive mood glow) and now less than 12hrs later I feel irritable, unstable and just crazy angry. Probably due my mood disorder (they say I'm bi-polar but that's a really popular diagnosis these days) but I am not willing to take anti-psychotics anyway. I am feeling increasingly unstable and paranoid. I am very paranoid in general but with all the shit that's going on in America and around the world, it's hard to stay positive. It's tricky because I always associate bad moods with withdrawals but my pupils are almost pinned and I took .5mg clonazepam today instead of 1mg but I don't think that's it either. The life of an unstable drug addict.. I miss the days when the subs would keep me stable and kill the depression. Just gotta stay with the taper and hopefully things will be looking up soon.
 
So, once again, i know i shouldnt be posting this here, but my phone doesnt let me create threads here for some reason. anyways, so as you all know, i IV bupe. so i did my last shot hours ago. and now i have 2 itchy red bumps with white heads. they arent near any of the injection sites i have been using for the past few days, and they arent over any veins. they arent under the skin either. they kind of look like bug bites. but im not sure that they are... i had another one earlier but it went away fairly quickly. anybody had something like this? and since they arent near injection sites do you think it could be non-IV related?
 
I visited my new sub doc for the 2nd time today. The guy literally pretty much just asked me like 2 questions and sent me home with a months script. I didn't even sit down in an exam room.

Somethin i'm worried about though is he keeps asking me if I started counseling yet. He's expecting me to do an IOP treatment, or at least see a psychotherapist weekly, but i can't afford it right now. I fear he'll cut me off if i keep coming in and telling him i haven't started any yet.

Honestly considering lying about it, not sure what to though. The guy is really lax though, i mean he hasn't even given me one UA yet. Both times i've seen him he just seemed eager to get on out and on my merry way. I think part of the reason for his rushing is that its a walk-in clinic, that has no appointments. People can just show up whenever so he's always in a hurry trying to get to all the patients that arrive.
 
^If that's the case than I imagine its unlikely he's going to demand (or check up on you) that you go to an IOP. It's interesting, I hear a lot of people who seem to get urine tests done from their suboxone doctors, which I never had to do when I was on Bupe.. I think I just got lucky with a pretty laid back doctor because I would shoot coke in her bathroom several times before appointments and then confess to it the same day as I sat before her sweating and trembling..
 
OEandricearoni said:
I visited my new sub doc for the 2nd time today. The guy literally pretty much just asked me like 2 questions and sent me home with a months script. I didn't even sit down in an exam room.

Somethin i'm worried about though is he keeps asking me if I started counseling yet. He's expecting me to do an IOP treatment, or at least see a psychotherapist weekly, but i can't afford it right now. I fear he'll cut me off if i keep coming in and telling him i haven't started any yet.

Honestly considering lying about it, not sure what to though. The guy is really lax though, i mean he hasn't even given me one UA yet. Both times i've seen him he just seemed eager to get on out and on my merry way. I think part of the reason for his rushing is that its a walk-in clinic, that has no appointments. People can just show up whenever so he's always in a hurry trying to get to all the patients that arrive.
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Next time ask him if an NA meeting 2-4 time a mo is good enough... My dr is ok with that.
 
...yeah, dark times my man.. Sobbing and paranoid in the presence of my strangely attractive Transylvanian Suboxone doctor as she'd exclaim (in a gentle voice) that she "fears only prison will save your life".
 
I got a new prescription today and was surprised how cheap it was. I went to a different pharmacy than i went to last time, but the script was literally the same price i paid last time(56$) and last time it was a 2 week script and this time it's one month. I don't get it.

I did tell the lady at the front that i wasn't sure if i could afford the entire script and might need a partial fill. She mentioned the 0$ copay card but i told her i had already used it this month.

Either my script is the same price no matter how much actual sub I'm getting, and she used the discount card anyway even though i had told he i already used it that month, or CVS is way cheaper than the mom and pop pharmacy i went to last time. (it was called sunshine pharmacy or something)

Anyway I'm pretty happy about it right now as less than 2$ a day for a 8mg sub strip (i don't even take the whole thing in a day) is a hell of a lot cheaper than my 50$/day+ dope habit i had....
 
I wouldn't doubt that your suboxone is set at fixed price, meaning it doesn't matter how many you get a month you still have the same co-pay. That's how mine was on my Mother's insurance before I was placed on low-income state insurance. Now I get all my meds for free unless it's something really expensive like Lunesta or Lyrica then I have to find an alternative medicine (Ambien, gabapentin). Anyway, so it has been 9 days since I had 2-4mg and I took 2 days off so I have been on around 1mg of suboxone for 7 days. I am kinda confused because the flu has been going around so I dunno if I am going thru withdrawals or if it's the flu. I have the following symptoms: muscle soreness and pain, sweating and hot flashes, feeling cold, joint and bone pain, headache and anxiety. I dosed around 1mg rectally with like 1oz of water using a insulation syringe (that thing is fatty might as well stuck a cock up my ass). I did not feel any warmth like I did the first several days and I haven't felt that warmth and glow for 2-3 days now. I have loose and frequent stools bordering on diarrhea but the hot-flashes and sweating have subsided. I am very much tempted to take another 1mg dose rectally but I would be quite pissed if it didn't do anything for me and I have 2 doctors appointments tomorrow so I was planning on not dosing more today and just taking 2mg all at once tomorrow. This is tricky because I do not know how much sub is in my system right now. I do not know how much stacked up from before. I wish there was some way to calculate how the sub stacks with basic math. If anyone has this information it would be very helpful. My pupils are small but not pinned like they are when I get the warmth and the glow. I definitely feel better than I did when I woke up (felt like I was gonna throw up this morning) but I am missing that glow. Do you guys think if I dosed another .5mg or 1mg today that I would go over the ceiling and not be able to feel 2mg tomorrow? Fuck I am already debating fucking up my taper (the plan was to stay at 1mg). It's really not that bad right now but my muscles still ache and I definitely don't feel the energy I'd like to. So again does anybody have info on the stacking effect of doses less than 4mg or have an idea on how to calculate it? Would taking 2 days off then going to 1mg for 7 days be enough to drastically lower the sub in my system? I was on 2-4mg for the last year or more, the last few months mainly 2mg sometimes the odd 3mg or 4mg and often going to 1mg for a few days every couple weeks. Damn, I wish buprenorphine was easier to calculate on how much is in ones system..
 
This graph shows the stacking of half lives with a consistent dose of 16mg, you can use this to calculate how much you have in your system:
971563ffd2d9a46a348acb79f122d17a_zpsc580bd80.jpg

IME, it would take 3 days to adjust to a lower dose when tapering suboxone. The first three days were kind of shitty, and dosing the decreased dose of suboxone did nothing but keep withdrawals at bay (as opposed to providing that mild stimulation and sense of well being). However, on the morning of the forth day, I would begin to feel my dose again, and by the end of the week, the effects would be more pronounced than ever. I did notice though that it took approximately 2 weeks to fully adjust to a new dose (meaning that it would hold me a full 12-24 hours/depending on whether I split my dose up or not).

I would definitely suggest that you hold off on dosing more, and if possible, keep your sub intake at a consistent level. I found I got very euphoric effects out of it when I stabilized on .5mg/2x a day. Every once in a while I would allow myself to add an extra mg, or switch to a more effective ROA (for instance, take .5mg rectally or intravenously instead of sublingually) if I wanted more intense effects, but I usually regretted doing this as I always ended up getting worried that I'd screw up my tolerance (though I found that as long as I limited myself to indulging with extra sub to once a week, there were never any problems). Hope this helps some.
 
Znegative said:
This graph shows the stacking of half lives with a consistent dose of 16mg, you can use this to calculate how much you have in your system:
971563ffd2d9a46a348acb79f122d17a_zpsc580bd80.jpg

IME, it would take 3 days to adjust to a lower dose when tapering suboxone. The first three days were kind of shitty, and dosing the decreased dose of suboxone did nothing but keep withdrawals at bay (as opposed to providing that mild stimulation and sense of well being). However, on the morning of the forth day, I would begin to feel my dose again, and by the end of the week, the effects would be more pronounced than ever. I did notice though that it took approximately 2 weeks to fully adjust to a new dose (meaning that it would hold me a full 12-24 hours/depending on whether I split my dose up or not).

I would definitely suggest that you hold off on dosing more, and if possible, keep your sub intake at a consistent level. I found I got very euphoric effects out of it when I stabilized on .5mg/2x a day. Every once in a while I would allow myself to add an extra mg, or switch to a more effective ROA (for instance, take .5mg rectally or intravenously instead of sublingually) if I wanted more intense effects, but I usually regretted doing this as I always ended up getting worried that I'd screw up my tolerance (though I found that as long as I limited myself to indulging with extra sub to once a week, there were never any problems). Hope this helps some.
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Regarding obtaining "euphoric effects" from low dose suboxone, are you referring to strips, tablets, suboxone or buprenorphine without naloxone in it? I may have been able to know had I read back far enough into the thread, but I haven't. Sorry. All I can say is that I'm taking about 16mg subs daily and don't feel a thing. I actually am starting to feel dysphoric and nauseated. I take the suboxone strips cause my dumb doctor thinks it's better to presribe that than bupe alone even though he well knows I'm not an IV user. Anyhow, the batch I've got this time around seems to have that "speckled" dotted appearance to it that was discussed here a while back on a closed thread. The date is well within the expiration limits and there doesn't seem to be any damage to the packaging but ALL the strips so far have had the speckled appearance to them which I'll probably post pics of. The only time I ever had a good feeling from taking subs was when experiencing w/d from oxy and then another time from hydros. I am feeling soooooooooo shitty nowadays but feel even worse when I don't take them and hope I can find a solution. Thanks. BTW I use these SLinlgually.
 
daveykronick said:
My last two doses I made it 28hrs and the next one 26hrs. I am definitely start to feel the sub again! There is hope you guys who are not feeling anything, dose less and less frequently. I actually feel warmth in my chest like a true opiate and I actually can't believe it. I took maybe .8mg in ethanol solution and hold it for 60-90 minutes. I start to feel effects after about 60-70min. I can't believe how much I feel it. It's like the old days. I thought my tolerance was permanently fucked for life because I was taking 2-4mg and not feeling anything and chasing that warm glow I once got. Now I got that again and I am so stoked and I think you guys can achieve the same if you are having the same issue with tolerance like I was.

I do wake up feeling sick after dosing 1mg or less because the half-life is definitely decreased. I feel the effects for 12-16hrs and then wake up very uncomfortable, irritable, depressed and my body is sore, cramping and I have to use the toilet immediately but the pay off is huge. I am so glad I started this taper. I hope to be able to dose every 36hrs soon. Also, I find that gabapentin and hydroxyzine help to potentiate the glow. I take 900mg gabapentin, .1mg clonidine right before I dose and I take 50-100mg hydroxyzine pam ten minutes after I spit out the sub-ethanol solution. I find the ethanol definitely increases the effects and makes doses of 1mg or less effective, where was normally I would need 2mg and I would still not feel this glow. So, those of you stuck in a depressed cycle chasing the warmth you once had, send yourselves into mild withdrawal and then dose 1mg or less as least often as possible.

Also a good way for me to know if it's a good time to dose is to look at my pupils. I used to dose my sub 2-4mg even when my pupils were quite small or near pinpoint which just lead to me going over the ceiling and stacking up the sub in my system. Now I wait till my pupils are a little bit dilated and I start feeling mild physical withdrawal. A lot of people say its counter-intuitive to dose like this because they say the point of sub is to not feel a high and feel normal and not feel a difference when you dose at all. Well, I don't really feel a 'high' just a warmth and a glow and I definitely feel a lot better than I did on higher doses. Also, a lot of the suboxone glow and feeling is mental. I gotta tell myself I am going to feel good before I dose now, where as before I would always say I probably won't feel this or this is taking me over the ceiling. So, thoughts do influence it so I stay positive and expect to feel good and I do for at least the first 12hrs or more. Sorry for rambling you guys but I haven't had this kind of warmth in my chest from suboxone, maybe the first couple doses but this feels even better. I had all but given up on this medication and I am so glad I got a lock-box for meds (I gave the keys to my Brother and Mother) so now I can't cheat on my taper, well technically I can cheat because they don't watch me take the sub out and I have the lock-box in my room but it just makes it more of a hassle and it makes it easier to taper. Now it's time for some breakfast, tea and cigarette. It's gonna be a good day my friends :)
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Hey Davey,

I am currently in that situation that you're describing and would like to try what you've suggested here but, does it have to be in ethanol? or can i just use them SL like they're presribed. Thanks
 
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