Tapering onto subs from fetty… what’s the trick?!

[ShadyIris]

I’m a current fetty user and have been trying to get off of it, basically since I started. I’ve been to the doc multiple times for suboxone (which I was on previously for 8 years) but havnt been able to do the switch from fetty to subs because of the withdrawal, and I’m a total sissy when it comes to withdrawals.
Does anyone have experience getting off of Getty without having severe withdrawals?!
I know, I know… dumb question but if anyone has any tips or tricks that doesn’t involve full on horrible withdrawal…. Let me know pplleeaaassseee!

 

[PenguinWithNapalm]

I’m a current fetty user and have been trying to get off of it, basically since I started. I’ve been to the doc multiple times for suboxone (which I was on previously for 8 years) but havnt been able to do the switch from fetty to subs because of the withdrawal, and I’m a total sissy when it comes to withdrawals.
Does anyone have experience getting off of Getty without having severe withdrawals?!
I know, I know… dumb question but if anyone has any tips or tricks that doesn’t involve full on horrible withdrawal…. Let me know pplleeaaassseee!

I haven’t personally tried it but I have heard a lot of people having luck with the “Burmese method” it’s basically using fetty in increasingly smaller amounts along with taking suboxone with increasing amounts (starting out at a very low dose)

 

[Jen X]

I microdosed from fentanyl and methadone to suboxone but I couldn't stay on suboxone. Caused anxiety and did nothing for pain.
You can take 0.5mg of suboxone while on fentanyl. Every second day increase suboxone by0.5 and within 5-7 days completely stop fentanyl
You may get very mild symptoms but not enough to ruin your day

 

[Keif' Richards]

There are no dumb questions here at Bluelight. @Keif' Richards has seen to that quite nicely, the fascist.

The truth is that Buprenorphine is optimized for both induction (the beginning of treatment) and maintenance (an extended period of time on said medication) only when weaker Opioids are being utilized i.e. Heroin, Oxycodone etc. Even with a drug like Heroin, inducting successfully on Buprenorphine, that is, avoiding Precipitated Withdrawal and avoiding relapse is a moving target.

I don't care how much a man you are. Everyone has a limit. Withdrawal can eventually break anyone given enough time and intensity. I don't care how much you love your fucking kids or your mom or your job, there is a limit.

It is difficult to say with precision, but let's just say, since the advent of street Fentanyl, the average tolerance of the average street user could easily be more potent by a factor of up to 10. This estimation is made through my own research, asking people I know who take Methadone and just collecting stories. 120mg Methadone was once considered on the "high" side. It's now not uncommon for 300mg+ to be handed out. You want to know the shitty part, or, one of the shity parts, I don't know a single person for whom higher doses of Methadone truly made the difference. However, if a person were to do clinic, meetings and true honesty, it is not impossible. I've seen it.

Buprenorphine from street Fentanyl takes a moving target and now has it moving in all 3 dimensions. Buprenorphine has a ceiling. It is not infinite. If 24mg isn't enough to satisfy some Heroin addicts, how is it going to be enough to satisfy Fentanyl users.

It is possible to make this transition. It is, however, highly unlikely to be successful. There are too many factors involved that make it unlikely to succeed. For there to be a real chance of success, you would have to be stepped down to a weaker Opioid over a long(er) period of time. Then you would have to induct from there. Just throwing it out there, this would be something like Oxycodone.

I might get flamed for this. My personal opinion is that you should not take this seriously. You need Methadone at least. It just is highly unlikely to work. It would take a perfect set up and we already are imperfect engines without all of our faculties or our true power(s) of will.

If you want advice, message me.

 

[Jen X]

There are no dumb questions here at Bluelight. @Keif' Richards has seen to that quite nicely, the fascist.

The truth is that Buprenorphine is optimized for both induction (the beginning of treatment) and maintenance (an extended period of time on said medication) only when weaker Opioids are being utilized i.e. Heroin, Oxycodone etc. Even with a drug like Heroin, inducting successfully on Buprenorphine, that is, avoiding Precipitated Withdrawal and avoiding relapse is a moving target.

I don't care how much a man you are. Everyone has a limit. Withdrawal can eventually break anyone given enough time and intensity. I don't care how much you love your fucking kids or your mom or your job, there is a limit.

It is difficult to say with precision, but let's just say, since the advent of street Fentanyl, the average tolerance of the average street user could easily be more potent by a factor of up to 10. This estimation is made through my own research, asking people I know who take Methadone and just collecting stories. 120mg Methadone was once considered on the "high" side. It's now not uncommon for 300mg+ to be handed out. You want to know the shitty part, or, one of the shity parts, I don't know a single person for whom higher doses of Methadone truly made the difference. However, if a person were to do clinic, meetings and true honesty, it is not impossible. I've seen it.

Buprenorphine from street Fentanyl takes a moving target and now has it moving in all 3 dimensions. Buprenorphine has a ceiling. It is not infinite. If 24mg isn't enough to satisfy some Heroin addicts, how is it going to be enough to satisfy Fentanyl users.

It is possible to make this transition. It is, however, highly unlikely to be successful. There are too many factors involved that make it unlikely to succeed. For there to be a real chance of success, you would have to be stepped down to a weaker Opioid over a long(er) period of time. Then you would have to induct from there. Just throwing it out there, this would be something like Oxycodone.

I might get flamed for this. My personal opinion is that you should not take this seriously. You need Methadone at least. It just is highly unlikely to work. It would take a perfect set up and we already are imperfect engines without all of our faculties or our true power(s) of will.

If you want advice, message me.

I've done the bermese method and so have others here in Canada. It works so why push methadone? One of the hardest to get of of

 

[Stassi202]

I was on methadone for 3 years, had to get up at 4am to go stand in line for an indeterminate amount of time before going to work. I never went above 120mg because it’s so easy to increase but not decrease. Tapered down to zero. That was over 10 years ago. Why isn’t there a similar MAT for cocaine???

 

[Jen X]

I was on methadone for 3 years, had to get up at 4am to go stand in line for an indeterminate amount of time before going to work. I never went above 120mg because it’s so easy to increase but not decrease. Tapered down to zero. That was over 10 years ago. Why isn’t there a similar MAT for cocaine???

At my old clinic people were getting Ritalin and vyvance if they were on meth or coke. Not sure how much it helped though

 

[Stassi202]

At my old clinic people were getting Ritalin and vyvance if they were on meth or coke. Not sure how much it helped though

It was prescribed? Vyvanse and Ritalin? I’ve been on both at one point or another. It’s always the crack cravings that do me in