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Bupe Your tips & tricks to make buprenorphine better for cravings/depression...

DeathIndustrial88

Bluelighter
Joined
Jan 23, 2020
Messages
3,321
Location
The Land Of Nod
I've been on bupe for over 8 years now.

I can't stand it. It's mind numbingly maddening. I think about heroin/full agonists EVERY DAY from the moment I wake up. And it's been this way for years & years.

In the beginning I was actually clean from heroin/full agonists when I tried bupe (back in 2017). And I found it semi-enjoyable. It had a very energizing, chatty-inducing mild euphoria, with mild contentedness & inner peace. Not as good as a full agonist, but close enough that I decided I'd rather have access to bupe every day than nothing & I got on maintenance.

I've always had severe major depression that was helped by opioids.
But obviously bupe's effectiveness has died after daily use for 8 years.
Here are some of the things I found that helped at times...

______________________________________________________________________________________________________________________________________________________________________________________

Ephedrine/Psuedoephedrine
- I don't know why, but something about ephedrine/psuedo made the bupe much more noddy. Not necessarily more euphoric or better or anything, but at times the incredibly MILD euphoria from ephedrine ontop of the almost non-existent bupe euphoria, really helped cravings at times. I can't take ephedrine anymore now though as I have a heart arrhythmia & am trying to stay away from anything that effects the heart or puts more stress on it. But for those with healthy hearts, a low dose of ephedrine can add a little bit extra to your daily bupe.

Gabapentin - I found that if I took a couple gabapentin before my bupe, I would get a little more pain relief, more motivation, more creativity & a tad more mood lift. But if I took the gabapentin after bupe, it would some times over-ride any feeling from the bupe & just make me feel more sedated & lethargic. I've had to stop taking gabapentin as well, since it seems to make my heart palpitations worse when I take it.

THC - In the beginning, smoking a little herb ontop of bupe would kick it up quite a notch. Although I am daily cannabis user & I find that THC doesn't do much with bupe anymore. In fact I find that THC just makes me more drowsy/tired. I have seen a study that showed that people who take bupe & smoke cannabis have like 10x more bupe in their blood than a person who doesn't smoke & uses bupe.

Benadryl - This one is hit or miss. At times I could take a benadryl ontop of my bupe & it would enhance the "warmth" of it & even some music euphoria. But other times I can take a benadryl & it will make me so sedated that I immediately have to go to bed.

Tramadol - This one's pretty obvious. Tramadol has an active full agonist metabolite. So if your receptors aren't full covered, these two combined can really make you feel like you're on a full agonist (well technically you'd be on 2 partial agonists + a full agonist). I find that it can get rid of my cravings & depression up to 95% versus just taking bupe alone. However tramadol is a scheduled substance, so this isn't something practical you can do unless you have a connect for it.

DXM - Now this doesn't really work at first. When I take DXM with bupe, it mostly just enhances the sedative effects of the bupe. However, if I take a big enough DXM dose, usually the day after or the day after that, my bupe feels a little more warm & pain relieving. This dissappears fast though with continued bupe use.

Taking bupe late at night - No clue why this one works. I find that taking bupe in the morning/afternoon just makes me tired & lethargic. But if I take bupe at night time when it's dark out, the bupe makes me more chatty, energized & social. Similar to how it use to feel when I first started it. Why it's like this, I have no idea. My only theory is that our bodies & brains release different chemicals & hormones during the day & at night. And for whatever reason, my body seems to enjoy the bupe better when taken late at night. However this isn't a consistent or persistent thing.

Benzos - I was iffy about putting this one here, because in general benzos tend to dull down the effects of other drugs a lot. But once in awhile, if I'm extremely anxious, a benzo can be mildly enjoyable & relaxing when combined with bupe. This one is also inconsistent. If I take a benzo on a day that I'm not very anxious or two or more days in a row, it tends to just make me really drowsy & flat feeling, rather than enhance bupe in any meaningful way.
______________________________________________________________________________________________________________________________________________________________________________________


This is about all I've found that really does anything over the past 8 years. And most of these things I can no longer do (ephedrine, gabapentin, etc..).
I dunno if this post counts as a "how can I get high" post. Getting high my be a result for some, but it's ultimately me trying to figure out ways to make buprenorphine more beneficial for pain, cravings & depression. It is so exhausting taking this shit & hoping every day that it'll work & do what it's suppose to, only to feel pretty flat & lethargic from it. Only other thing I can think of to do is a tolerance break, which honestly isn't easy at all. Because I find that when I get up everyday, I feel incredibly tired & lifeless.... until I take my bupe. And then I get like an hour or two of finally feeling like I'm awake & functional. This is when I try to go run around & get my errands done for the day. But by hour 2 or 3, that "awake & functional" feeling turns into "i'm really drowsy like I'm on a strong opioid, but feel nothing other than the drowsiness" type of feeling.

Methadone is not an option for me either thanks to our arbitrary laws & regulations around it.


So what do other people do to stay sane on bupe? I CANNOT go a day without craving or thinking about full agonists. And yes I've been working with therapists, drug counselors, psychiatrists & an addiction specialist for years & years & I basically just keep repeating to them that nothing helps & that I wish opioids were legal & accessible for people to use.
 
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Your only option is bupe? What country are you in if you don't mind telling.
Methadone works far better ime
 
How much bupe do you take?
I've been on every dose from .5mg - 32mg over the past 8 years.

Your only option is bupe? What country are you in if you don't mind telling.
Methadone works far better ime
I'm in the US.
So methadone isn't really an option because it requires going to the clinic daily to take your dose, which is not realistic for me.
And I'm also not sure if insurance pays for methadone in the US. Might have to be paid for out of pocket.
 
I have been prescribed 8mg suboxone.

this is after 1 year of daily smoking heroin between half to 1 gram every day.

I have a bad opinion bout maintenance therapy. They wanted me to stay on subs for months before actually tapering it down. Which imo fucks you up even more.

imo the brain can better handle a short acting opiod than a long acting one. Homeostasis comes faster

That being said I am clean since almost a full month but still experience post acute withdrawal syndrome

@kongoman hope it helps
 
I have been prescribed 8mg suboxone.

this is after 1 year of daily smoking heroin between half to 1 gram every day.

I have a bad opinion bout maintenance therapy. They wanted me to stay on subs for months before actually tapering it down. Which imo fucks you up even more.

imo the brain can better handle a short acting opiod than a long acting one. Homeostasis comes faster

That being said I am clean since almost a full month but still experience post acute withdrawal syndrome

@kongoman hope it helps
How did you get clean? Thank you for the message.
I think MAT is for heavy users. Harm reduction man. If you are on MAT you dont have to steal, you dont IV, andmany things theorically. I CANT continue typng Im falling sleep...
 
@DeathIndustrial88

here in Canada (at least in my province), once you have 8 consecutive weeks of clean urine testing, you no longer have to go to the clinic or pharmacy every day. The doctor will then give a script for weekly pick ups.
This is Assuming you’re not also prescribed a benzo. If that’s the case, they’re very uncomfortable giving any sort of carry, but it does happen.
What about where you are?

I started on methadone (I’ve been on suboxone for roughly 6 years). I do understand where you’re coming from.

Also, would you ever be able to get a script for zopiclone? Or find some way to get them..?
 
@kongoman very very hard and with dozens if not hundreds of failed attemps.

My plane will fly in a couple of minutes.

I promise to give you all the details later tonight
 
@DeathIndustrial88

here in Canada (at least in my province), once you have 8 consecutive weeks of clean urine testing, you no longer have to go to the clinic or pharmacy every day. The doctor will then give a script for weekly pick ups.
This is Assuming you’re not also prescribed a benzo. If that’s the case, they’re very uncomfortable giving any sort of carry, but it does happen.
What about where you are?

I started on methadone (I’ve been on suboxone for roughly 6 years). I do understand where you’re coming from.

Also, would you ever be able to get a script for zopiclone? Or find some way to get them..?
That's kind of how it is here in the US as well.
Once you go to the clinic and pee enough times, you eventually get take homes.

I don't think it's covered by insurance though either. And they also some times make a big deal out of benzos (which i'm prescribed).

So I would have to quit my sub clinic & switch over to methadone & then if that doesn't work out, then I'm fucked without either one & would have to go through the process of getting back into a clinic all over again.

It's pretty irritating.
 
@DeathIndustrial88

here in Canada (at least in my province), once you have 8 consecutive weeks of clean urine testing, you no longer have to go to the clinic or pharmacy every day. The doctor will then give a script for weekly pick ups.
This is Assuming you’re not also prescribed a benzo. If that’s the case, they’re very uncomfortable giving any sort of carry, but it does happen.
What about where you are?

I started on methadone (I’ve been on suboxone for roughly 6 years). I do understand where you’re coming from.

Also, would you ever be able to get a script for zopiclone? Or find some way to get them..?
I get benzos, even from my old methadone doctor when my regular doctor was away.
I've been on them over a decade and never abused them so maybe that's why. Or they just felt bad for me
 
I get benzos, even from my old methadone doctor when my regular doctor was away.
I've been on them over a decade and never abused them so maybe that's why. Or they just felt bad for me

I had a feeling each province would have a slightly different take on things

. I’d like to be done with suboxone. But it’s a bitch to come off of. Just a 2mg decrease makes me incredibly irritable and anxious. But with methadone, I dropped from 120mg to 8mg in roughly a year. I felt achey and a bit shitty… but it was very doable.
 
I know people are having a hard time getting benzos with newer doctors. I had 1 family doctor I went to a couple years ago and first(and last visit) he asked what medicine I was taking and right away said he wouldn't prescribe them , and I have MS so I thought that was ridiculous.
My neurologist takes care of my pain meds thankfully. So this new doctor would have left me suffer because he said he didn't want an OD on his record 🙄
 
That's kind of how it is here in the US as well.
Once you go to the clinic and pee enough times, you eventually get take homes.

I don't think it's covered by insurance though either. And they also some times make a big deal out of benzos (which i'm prescribed).

So I would have to quit my sub clinic & switch over to methadone & then if that doesn't work out, then I'm fucked without either one & would have to go through the process of getting back into a clinic all over again.

It's pretty irritating.

Methadone/suboxone can’t be prescribed at the same clinic, and insurance covers one but not the other…?!

I wish there was something I could say or suggest that could help. I’ve read many of your posts, and I understand that you’ve been in a lot of pain for a long time.
:(
 
I get benzos, even from my old methadone doctor when my regular doctor was away.
I've been on them over a decade and never abused them so maybe that's why. Or they just felt bad for me
My psychiatrist actually told me she doesn't do benzos either, but since I was already on it when she took over, she said she'd let me keep it. But as far as I know, I'm one of her only patients who gets a benzo. So I try to consider myself lucky there.

Originally my sub doc prescribed my benzo too. I've never really gotten "high" from benzos or cared to abuse them anyway either.
And for whatever reason, my klonopin NEVER shows up on those stupid 11 panel drug tests. So there's been a few times where they've questioned whether or not I took it. Once I started doing piss tests at a hospital (they do like an extensive one that can see every single thing I've taken) & it always shows up on that one thankfully.

Methadone/suboxone can’t be prescribed at the same clinic, and insurance covers one but not the other…?!

I wish there was something I could say or suggest that could help. I’ve read many of your posts, and I understand that you’ve been in a lot of pain for a long time.
:(
Exactly. :(
You have to choose between either a sub clinic or a methadone clinic here. They rarely prescribe both in the same clinic.
Subs are covered by insurance & you can get a 30 day take home script the very first day. My first day at the sub clinic, I got a few day supply of generic mono-buprenorphine & a 30 day supply of Suboxone (had to wait for my insurance to approve the subs, which is why I was given the mono-bupe script, which I paid for out of pocket).

But yeah they have all these arbitrary regulations around methadone that make it a pain in the ass. I hate peeing in cups too, my bladder always freezes up in public when I have to try & pee. I've almost quit my sub treatment several times because of it. Now I only have to pee once or twice a year, if that. So I couldn't imagine having to pee every day at a methadone clinic for weeks/months.
 
I know people are having a hard time getting benzos with newer doctors. I had 1 family doctor I went to a couple years ago and first(and last visit) he asked what medicine I was taking and right away said he wouldn't prescribe them , and I have MS so I thought that was ridiculous.
My neurologist takes care of my pain meds thankfully. So this new doctor would have left me suffer because he said he didn't want an OD on his record 🙄

Yeah it’s basically unheard of now. Which I understand to a certain degree. Why push people into self medicating?

That being said, I was put on alprazolam, temazepam, and zopiclone (at the same time) before I even knew what a benzo was. That was about 20 years ago. I was given 6 month scripts at a time.
This isn’t the way to go either.

It’s a very frustrating time for A LOT of people. Responsible doctors shouldn’t have to fear losing their licence for prescribing medications that work.
 
It is sad. There's people suffering because of government policies.
Back when I was going to a methadone clinic there was a 70 something old guy who was there for pain management. He was going through chemo and his doctor would only give him enough pain meds for 10 days a month. That pissed me off.

Not downing us addicts but some clinics are sketchy with sketchy people And an old sick man with no addiction took street fentanyl to be able to pee dirty to get methadone.
 
Yeah it’s basically unheard of now. Which I understand to a certain degree. Why push people into self medicating?

That being said, I was put on alprazolam, temazepam, and zopiclone (at the same time) before I even knew what a benzo was. That was about 20 years ago. I was given 6 month scripts at a time.
This isn’t the way to go either.

It’s a very frustrating time for A LOT of people. Responsible doctors shouldn’t have to fear losing their licence for prescribing medications that work.nz
Why were you prscribed alprazolam, temazepam ad zopiclone at the same time? If I can ask..

LAst time I had methadone I didnt have to pee and gave methadone for a week the first day. Now its like 4 years on methadone and havent pee a single day. Im on the worst place of many that have been. Here in Spain methadone its free(well we pay taxes for the health care so I dont know if I can say its free).here were I live we have one doctor to treat addictions for many towns that means a lot of people. Normally you can see you Dr once a month. Now you have to wait like 3 months to see her. Its insane!! Obviusly if you pay you can go to a rehab clinic or another doctor( very few doctors treat addiction where I live).

I was prescribed 10mg lorazepam with methadone. I tapered down by miself and dont take it anymore. I have a big stash at home. Now im prescribed 3mg.
 
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