tarman
Bluelighter
- Joined
- Sep 15, 2018
- Messages
- 212
Hey everyone, TL;DR is at the end, so scroll on down if ya want to share your experience and perceptions:
This is perhaps a moderately redundant thread, but I wanted to get a compendium of people's objective times and subjective timelines for precip withdrawal. And each person's particular scenario.
I've had one precip wd experience. I was maybe 12 to 16 hours after my last opioid ingestion (h). I had been doing like .2 or .3g a day, snorting. Decent stuff, not fent (the doctor told me at the sub clinic when they drug tested me). Anyway, 14ish hours in, feeling fairly awful, but still ascending (or descending) to the peak withdrawal effects. By that point, I had hot/cold cycling, random sweating regardless of aforemetioned hot/cold sensation, warm unpleasant tingle feeling in the nerve endings, my stool had not turned to water just yet but I had emptied a coupla feet of shit (not all at once, and it got smaller with each shit), inability to sit still but not like crazy, nose watering, plenty of yawning. My COWS score (https://www.mdcalc.com/cows-score-opiate-withdrawal if you want to check it out) was a solid un-dramatized 9: I tried to be very conservative in my self-assessment. The aforementioned site says over 10 is the starting point. So I guess I could just go by that. But the problem is- withdrawal is different for everyone. The COWS score is good, but time is also a good objective measuring stick.
So, y'know, i'm well over the 12 hour mark, feeling shitty enough, and was like "fuck it", and took a 4mg sub. I'm very diligent with my technique- I use the buccal method (inside of cheek). Annnd, it fuckin made the withdrawal worse. Now, it wasn't horrific or reality shattering by any means. But, it amplified some of the aforementioned stuff- particularly the restless leg and the temperature sensation stufff, not to mention the anxious unpleasantries. So, I took another 4mg soon after. That didn't escalate it any more, but certainly solidified the precip withdrawal state I was in.
So I did what any weak-willed person would do in that position- I made some calls and re-upped. Snorting the h made things instantly better. Which is weird- because supposedly suboxone clogs up like 90-something-plus of the receptors. But there were definitely some open receptor slots. That's part of this topic, but could be its own topic. Of course the H didn't hit like it normally does- it was certainly muted. But it still cured me. And that segues into the main question of the thread.
Had I not re-upped and caved in to do some H, how long would the precipitated withdrawal state have lasted? Is it as simple as: the same timeline for when I would've hit peak withdrawal? Maybe another 8 hours or so? Or would it have been less because the subs are chipping away wedging themselves in all the receptors? Someone on this forum said precip withdrawal actually resolves itself quickly- he said somethin like an hour or two. He seemed confident in his statement, but this is the internet after all.
Long story short- I think for me- the optimal timeframe for sub induction is 24 to 36 hours. With kratom holding me until I jump to the subs. Speaking of kratom, I think i've found a good cycle. Take the suboxone for 10 days- lowering the dose each day. Then switch to kratom and wittle that down too for another week or so before jumping.
TL;DR: How long does precipitated withdrawal last? It it simply the same amount of time it would've taken to hit the peak withdrawal shittiness otherwise? Or does taking subs actually help to get the brain to adapt to partial agonism, but more receptors activated (high affinity)?
Most importantly: How long did precip withdrawal last for you? Can it be overcome by taking a pile of subs? Like 24mg or 32mg? Or beyond? (and yes, yehhhss, I know here is a ceiling effect. The sub clinic I go to, they freaking try to get you stabilized on a big dose. There were people there taking like 48mg a day.. which apparently is a lot? (haha i know that's a ton). But I shit you not, in the little counseling room, people were taking 32mgs a day, or 40- they shared that openly with the group. Okay that was a long TL;DR. My fault.
This is perhaps a moderately redundant thread, but I wanted to get a compendium of people's objective times and subjective timelines for precip withdrawal. And each person's particular scenario.
I've had one precip wd experience. I was maybe 12 to 16 hours after my last opioid ingestion (h). I had been doing like .2 or .3g a day, snorting. Decent stuff, not fent (the doctor told me at the sub clinic when they drug tested me). Anyway, 14ish hours in, feeling fairly awful, but still ascending (or descending) to the peak withdrawal effects. By that point, I had hot/cold cycling, random sweating regardless of aforemetioned hot/cold sensation, warm unpleasant tingle feeling in the nerve endings, my stool had not turned to water just yet but I had emptied a coupla feet of shit (not all at once, and it got smaller with each shit), inability to sit still but not like crazy, nose watering, plenty of yawning. My COWS score (https://www.mdcalc.com/cows-score-opiate-withdrawal if you want to check it out) was a solid un-dramatized 9: I tried to be very conservative in my self-assessment. The aforementioned site says over 10 is the starting point. So I guess I could just go by that. But the problem is- withdrawal is different for everyone. The COWS score is good, but time is also a good objective measuring stick.
So, y'know, i'm well over the 12 hour mark, feeling shitty enough, and was like "fuck it", and took a 4mg sub. I'm very diligent with my technique- I use the buccal method (inside of cheek). Annnd, it fuckin made the withdrawal worse. Now, it wasn't horrific or reality shattering by any means. But, it amplified some of the aforementioned stuff- particularly the restless leg and the temperature sensation stufff, not to mention the anxious unpleasantries. So, I took another 4mg soon after. That didn't escalate it any more, but certainly solidified the precip withdrawal state I was in.
So I did what any weak-willed person would do in that position- I made some calls and re-upped. Snorting the h made things instantly better. Which is weird- because supposedly suboxone clogs up like 90-something-plus of the receptors. But there were definitely some open receptor slots. That's part of this topic, but could be its own topic. Of course the H didn't hit like it normally does- it was certainly muted. But it still cured me. And that segues into the main question of the thread.
Had I not re-upped and caved in to do some H, how long would the precipitated withdrawal state have lasted? Is it as simple as: the same timeline for when I would've hit peak withdrawal? Maybe another 8 hours or so? Or would it have been less because the subs are chipping away wedging themselves in all the receptors? Someone on this forum said precip withdrawal actually resolves itself quickly- he said somethin like an hour or two. He seemed confident in his statement, but this is the internet after all.
Long story short- I think for me- the optimal timeframe for sub induction is 24 to 36 hours. With kratom holding me until I jump to the subs. Speaking of kratom, I think i've found a good cycle. Take the suboxone for 10 days- lowering the dose each day. Then switch to kratom and wittle that down too for another week or so before jumping.
TL;DR: How long does precipitated withdrawal last? It it simply the same amount of time it would've taken to hit the peak withdrawal shittiness otherwise? Or does taking subs actually help to get the brain to adapt to partial agonism, but more receptors activated (high affinity)?
Most importantly: How long did precip withdrawal last for you? Can it be overcome by taking a pile of subs? Like 24mg or 32mg? Or beyond? (and yes, yehhhss, I know here is a ceiling effect. The sub clinic I go to, they freaking try to get you stabilized on a big dose. There were people there taking like 48mg a day.. which apparently is a lot? (haha i know that's a ton). But I shit you not, in the little counseling room, people were taking 32mgs a day, or 40- they shared that openly with the group. Okay that was a long TL;DR. My fault.
