Holybullshit
Greenlighter
- Joined
- Jan 21, 2025
- Messages
- 2
For those who don't know the bernese method is a way to start buprenorphine without already being in full withdrawal.
It is a NOT a way to keep using your DOC while trying to use bupe to avoid WD, or to take bupe vacations. Attempting that is a fools errand, trust me, and you will end up with a stupid high tolerance, attempting to do so will eventually lead needed multiple days to stabile on bupe even after being in full withdrawal. Do not attempt it.
But my idea is to start taking microgram doses of naltrexone while already stable on bupe. The lower dose of bupe the better. Like 1mg twice a day at most.
I am going to make a nasal spray that delivers 2mcg of naltrexone per spray, along with 5mcg of buprenorphine. While still taking 500mcg of sublingual bupe twice a day.
Then very slowly increase the naltrexone concentration in the nasal spray, first me 5mcg, while also Increasing the bupe concentration to say 10mcg per spray. While lowing the sublingual dose as fast as I feel comfortable. Once down to say 200mcg of sublingual bupe I will continue Increasing the naltrexone concentration.
After that I will play it by ear...with the goal being to get to a point where I am taking 50/50 naltrexone to bupe. Then slowly increase that ratio until I can stop taking sublingual bupe completely before tapering off the sublingual bupe altogether.
Then very slowly increase the naltrexone in the nasal spray while decreasing the bupe.
I'll probably do a naloxone challenge at this point to see how uncomfortable it is before increasing the rate of naltrexone concentration.
I'll try to update to see how it goes.
My biggest issue with getting off suboxone isn't even the acute WD, it's the PAWS. I am hoping this strategy will help mitigate PAWS.
I may supplement with kratom if needed is WD do occur, rather than take more bupe.
I've got some lofexidine and a limited supply of Xanax that I will be saving for once I'm off bupe altogether, and plan on continuing to up my naltrexone dose even after that point to possibly 5-10mg a day.
I wish my insurance covered those new bupe implants, as they seem to be self tapering, but it doesn't. The patches aren't covered either but I could afford 4-8 out of pocket if I had to, Belbuca is covered so I may switch to those at the end.
It is a NOT a way to keep using your DOC while trying to use bupe to avoid WD, or to take bupe vacations. Attempting that is a fools errand, trust me, and you will end up with a stupid high tolerance, attempting to do so will eventually lead needed multiple days to stabile on bupe even after being in full withdrawal. Do not attempt it.
But my idea is to start taking microgram doses of naltrexone while already stable on bupe. The lower dose of bupe the better. Like 1mg twice a day at most.
I am going to make a nasal spray that delivers 2mcg of naltrexone per spray, along with 5mcg of buprenorphine. While still taking 500mcg of sublingual bupe twice a day.
Then very slowly increase the naltrexone concentration in the nasal spray, first me 5mcg, while also Increasing the bupe concentration to say 10mcg per spray. While lowing the sublingual dose as fast as I feel comfortable. Once down to say 200mcg of sublingual bupe I will continue Increasing the naltrexone concentration.
After that I will play it by ear...with the goal being to get to a point where I am taking 50/50 naltrexone to bupe. Then slowly increase that ratio until I can stop taking sublingual bupe completely before tapering off the sublingual bupe altogether.
Then very slowly increase the naltrexone in the nasal spray while decreasing the bupe.
I'll probably do a naloxone challenge at this point to see how uncomfortable it is before increasing the rate of naltrexone concentration.
I'll try to update to see how it goes.
My biggest issue with getting off suboxone isn't even the acute WD, it's the PAWS. I am hoping this strategy will help mitigate PAWS.
I may supplement with kratom if needed is WD do occur, rather than take more bupe.
I've got some lofexidine and a limited supply of Xanax that I will be saving for once I'm off bupe altogether, and plan on continuing to up my naltrexone dose even after that point to possibly 5-10mg a day.
I wish my insurance covered those new bupe implants, as they seem to be self tapering, but it doesn't. The patches aren't covered either but I could afford 4-8 out of pocket if I had to, Belbuca is covered so I may switch to those at the end.
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