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Bupe Suboxone/Buprenorphine FAQ and Megathread v.1; 2007 - 2010

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Jumping off = stopping bupe

I'm saying get as low as possible before stopping. A lot of doctors have their patients go from 2mg down to zero, and thats way too big of a jump, so I was telling you to get to a dose of 0.5mg or less before stopping bupe entirely.

As for how much you should go down at a time, go down as much as you can handle physically. I went from 4mg to 2mg to 1mg without any discomfort. It may vary for you, so do what you can handle.

If you're at a large dose like 16mg, its easy to drop by large amounts (multiple mgs at once). Once you get to 1-2mg, you'll want to drop by smaller amounts.

As my post has outlined, pretty much everything about tapering off bupe is common sense and knowing your body. If you have both of those down, its easy as hell.
 
Jumping off = stopping bupe

I'm saying get as low as possible before stopping. A lot of doctors have their patients go from 2mg down to zero, and thats way too big of a jump, so I was telling you to get to a dose of 0.5mg or less before stopping bupe entirely.

As for how much you should go down at a time, go down as much as you can handle physically. I went from 4mg to 2mg to 1mg without any discomfort. It may vary for you, so do what you can handle.

If you're at a large dose like 16mg, its easy to drop by large amounts (multiple mgs at once). Once you get to 1-2mg, you'll want to drop by smaller amounts.

As my post has outlined, pretty much everything about tapering off bupe is common sense and knowing your body. If you have both of those down, its easy as hell.

Ok thank you.
 
I posted this in it's own forum but I thought I'd put it here as well so as many people see it as possible.

You have to meet certain income guidelines, and your doctor has to fill out an application for you, but this patient assistance program supposedly pays for 100% of the cost of your suboxone prescription! It sounds too good to be true, but if I was going to be taking suboxone after this month (I'm currently working on weaning off) I would be all over this!

Suboxone Patient Assistance Program

866-512-2216



Eligibility Guidelines and Notes: The patient can have no public or private prescription insurance and have an income at or below $25,500 for an individual ($34,500 for a family of two, $43,000 for a family of three) The patient must be 16 years or older. A doctor can only have two patients on the program at any time, unless the doctor is treating over 60 patients with opiate addictions, then the doctor can have three.

Application Process: The doctor/doctor's office should call for an enrollment form. The enrollment form is faxed out. The completed application can be faxed or mailed back. The doctor is notified of acceptance or denial.

Application Requirements: The doctor must fill out a section and sign the application. The patient must fill out a section, sign the application and attach proof of income.

Program Details: Up to a 30-day supply is sent to the doctor's office. The doctor/doctor's office must contact the company to arrange refills. Every 3 months a new application is needed.

That's how me and my girlfriend used to get ours. It's a huge help.
 
Because she's on Methadone now and I can't afford doctors visits. Plus, you can only stay on the program for so long. She was on for about a year when they told her she could no longer do it (she got the script and we split it).
 
evolution of the mind - i also find that instead off 'jumping off 0.5 (or lower) when you get down to the jumping off place - dont just jump off - miss a day, then dose. do this a few times even missing more than one day.

This makes it even easier.

maybe it reduces the build up of suboxone in your body - also maybe helps your head get to grips with not using - anything at all - too.

good luck

phychoic - thank you

(sorry ofr suject - am i the only one who cant veiw jurnels - if so why is this please? sorry)
 
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^ Can you just not find the link or can you actually not see them? If you can't find the link, it's under Quick Links > Networking > Blogs (http://www.bluelight.ru/vb/blog.php). If you actually can't see them, I'd PM an Administrator.

By the way, glad to see you back. I haven't seen you around for a while.
 
Because she's on Methadone now and I can't afford doctors visits. Plus, you can only stay on the program for so long. She was on for about a year when they told her she could no longer do it (she got the script and we split it).

How much are you paying now? How many mgs a day are you currently taking? I'm down to about 16, but I need to get further down.... and quick. :\
 
suboxone taper schedule

What's the best way to take the 8mg per day? In 2mg increments throughout the day? I find myself start to WD after just a few hours... :\

First, I wanted to address the later part of your post - you're going to have to WD sometime. Whether it is stretched out over a longer period of time, or whether it's a shorter period of time, it will still be there and it will not be easy. It's part of getting clean, it's an adjustment. Habits aren't broken just like that and disappear like magic, they're slowly replaced with different ones. However, the idea of tapering is the WD symptoms you would feel by tapering 2mg or even 4mg in a day shouldn't be so bad you can't still function. If so, try tapering 0.5mg, or 1mg at a time. At that pace, you shouldn't even notice it. But I created something below for you because I feel that you'll be able to make 4mg and then 2mg jumps, because 14mg is still a lot to have when you're used to 16mg, and 10mg is still decent (2mg more than a whole 8) when you're used to having 14mg. It won't be easy, but I have faith you can make it.

I sometimes contemplate if they only let you have 2mg/day of suboxone, would people still be able to use it and get clean? I would theorize they would, not all but most. It depends though.

Let's say you're at 16mg, sublingually. (I do realize that this is a bit of a steep jump for Day 1 to 3, I decided that was the best because it really isn't necessary, at least for most people but not everyone, to be taking 16mg a day). Evolution - how much dope were you doing in a day before getting clean? Are you staying clean? etc. Provide some more info and I might be able to revise this schedule. For me, if I was at 16mg sublingually, this is how I would taper.

Day 1 - 14mg (4mg 3x a day, 2mg once before bed)
Day 2 - 10mg (4mg 2x a day, 2mg once before bed)
repeat day 2 if necessary
Day 3 - 8mg (4mg 1x a day, 2mg once in the afternoon, 2mg once before bed)
repeat day 3 if necessary
Day 4 - 6mg (2mg 3x a day)
repeat day 4 if necessary
Day 5 - 4mg (2mg 2x a day)
Day 6 - 3mg (2mg 1x a day, 1mg once later on)
Day 7 - 2mg (2mg once a day, or, 1mg 2x a day)
repeat day 7 if necessary
Day 9 - 1.5mg (0.5mg 3x a day, or 1mg a day with 0.5mg once before bed)
Day 9 - 1mg (1mg 1x a day, or 0.5mg 2x a day)

...and so on. Really, the taper down to 8mg, or 4mg, will probably be easier than going from there to 2mg or below. I haven't used 16mg a day, that would have been entirely too much for me.

I made this up off the top of my head, but it seems to fit. Repeat day 2, 3, 4, 7, or really any day you feel like it's not adequate enough, or split the decreases in half if you feel it's too quick of a taper.

Honestly, you'll find 4mg a day (possibly 2mg a day) will work a lot better than 16mg. I suggest you split your pills in half (and then onto quarters), I don't really think 8mg all at once is very necessary at all, unless you're having seizures or black outs, and then maybe it is. When I was 48 hours into withdrawal, 4mg was all I needed to stabilize myself. And I ended up taking a max of 8mg (sublingually) a day, even on the worst days, and quickly went back to 4mg, and worked my way down to 2mg.

Do what feels comfortable to you, but definitely keep track of how much you take in a day, and try to taper down to 8mg or below. You'll find it's more agonist and less antagonist in terms of subjective effects at these doses and that they're way more comfortable to live on. I tend to get anxious/frustrated when I take too much bupe.

If you have any questions don't hesitate to post.
 
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First, I wanted to address the later part of your post - you're going to have to WD sometime. Whether it is stretched out over a longer period of time, or whether it's a shorter period of time, it will still be there and it will not be easy. It's part of getting clean, it's an adjustment. Habits aren't broken just like that and disappear like magic, they're slowly replaced with different ones. However, the idea of tapering is the WD symptoms you would feel by tapering 2mg or even 4mg in a day shouldn't be so bad you can't still function. If so, try tapering 0.5mg, or 1mg at a time. At that pace, you shouldn't even notice it. But I created something below for you because I feel that you'll be able to make 4mg and then 2mg jumps, because 14mg is still a lot to have when you're used to 16mg, and 10mg is still decent (2mg more than a whole 8) when you're used to having 14mg. It won't be easy, but I have faith you can make it.

I sometimes contemplate if they only let you have 2mg/day of suboxone, would people still be able to use it and get clean? I would theorize they would, not all but most. It depends though.

Let's say you're at 16mg, sublingually. (I do realize that this is a bit of a steep jump for Day 1 to 3, I decided that was the best because it really isn't necessary, at least for most people but not everyone, to be taking 16mg a day). Evolution - how much dope were you doing in a day before getting clean? Are you staying clean? etc. Provide some more info and I might be able to revise this schedule. For me, if I was at 16mg sublingually, this is how I would taper.

Day 1 - 14mg (4mg 3x a day, 2mg once before bed)
Day 2 - 10mg (4mg 2x a day, 2mg once before bed)
repeat day 2 if necessary
Day 3 - 8mg (4mg 1x a day, 2mg once in the afternoon, 2mg once before bed)
repeat day 3 if necessary
Day 4 - 6mg (2mg 3x a day)
repeat day 4 if necessary
Day 5 - 4mg (2mg 2x a day)
Day 6 - 3mg (2mg 1x a day, 1mg once later on)
Day 7 - 2mg (2mg once a day, or, 1mg 2x a day)
repeat day 7 if necessary
Day 9 - 1.5mg (0.5mg 3x a day, or 1mg a day with 0.5mg once before bed)
Day 9 - 1mg (1mg 1x a day, or 0.5mg 2x a day)

...and so on. Really, the taper down to 8mg, or 4mg, will probably be easier than going from there to 2mg or below. I haven't used 16mg a day, that would have been entirely too much for me.

I made this up off the top of my head, but it seems to fit. Repeat day 2, 3, 4, 7, or really any day you feel like it's not adequate enough, or split the decreases in half if you feel it's too quick of a taper.

Honestly, you'll find 4mg a day (possibly 2mg a day) will work a lot better than 16mg. I suggest you split your pills in half (and then onto quarters), I don't really think 8mg all at once is very necessary at all, unless you're having seizures or black outs, and then maybe it is. When I was 48 hours into withdrawal, 4mg was all I needed to stabilize myself. And I ended up taking a max of 8mg (sublingually) a day, even on the worst days, and quickly went back to 4mg, and worked my way down to 2mg.

Do what feels comfortable to you, but definitely keep track of how much you take in a day, and try to taper down to 8mg or below. You'll find it's more agonist and less antagonist in terms of subjective effects at these doses and that they're way more comfortable to live on. I tend to get anxious/frustrated when I take too much bupe.

If you have any questions don't hesitate to post.

This time out I wasn't on the dope (heroin) very often, but I was taking between 25-50 percocets a day, for about 3-4 months consistently... so that's what I was mainly coming off of (the 25-50 percs). My daily dose of suboxone was between 24-32mg before I came across this site and found out how horrible it was to be on a dose that high. I've since dropped down to a steady dose of 16mg per day (sublingually with 1/2ml of vodka to help up the BA % - thanks in part to sixpartseven). The main problem I had before was that I wasn't keeping track of how much I was taking per day... I was trying out all the different ROA to find which one worked best for me and my body, but wasn't keeping much of a record on how many mg per day I was actually using... but like I said, my estimate was between 24-32mg per day. But now it's strictly sublingually... and approx 16mg, maybe another 2-4mg depending on if the 16 isn't quite holding me. I realize that I have to WD sometime, but I want to make it as painless and comfortable as possible... :\

Side bar: You know... I don't think these doctors that are prescribing suboxone know shit about it... my doc got me to 24mg a day in a hurry, and if I didn't stop her she would have kept going to 32mg and probably beyond. Don't just take whatever the doc prescribes... do some research on suboxone and don't end up fucking yourself in the long run. I agree that most people would hold just fine at 2-4mg per day (8mg at the most). Then when it's time to taper down, and ultimately come off altogether, it will be as painless as possible. Just a word to the wise...
 
most doctors get their information from the drug companies, not from people who are actually using and/or abusing them...
 
First of all the recomended dose is 16mg's a day. You can come in with a norco problem and get that. I ended up tapering down to 8mg's a day which is probably the perfect dose for anyone.

Second of all I was on suboxone for a year and it's been about 16 days now.

Finaly I would like to say that suboxone withdrawl cold turkey was hell. It lasted a solid 14 days and not a day less.

Some people on here should try taking a small dose of suboxone in the morning then some oxycodone at night. Then your done, take 1 more dose 15 days later to feel the full effects like a normal person would. Then your off.
 
First of all the recomended dose is 16mg's a day. You can come in with a norco problem and get that. I ended up tapering down to 8mg's a day which is probably the perfect dose for anyone.

Second of all I was on suboxone for a year and it's been about 16 days now.

Finaly I would like to say that suboxone withdrawl cold turkey was hell. It lasted a solid 14 days and not a day less.

Some people on here should try taking a small dose of suboxone in the morning then some oxycodone at night. Then your done, take 1 more dose 15 days later to feel the full effects like a normal person would. Then your off.

I thought the suboxone would prevent the oxycodone from attaching to the opiate receptors? isn't that sorta the point of it? Maybe explain a bit more what exactly you're talking about there with the oxycodone at night, taking 1 more dose 15 days later, etc....
 
Here's a question. Does taking suboxone lower your opiate tolerance? The reason why I ask is I snorted 8 mg yesterday (I have a pretty high tolerance I guess, because all it did was kind of relax me) and today, about 20 hours after I snorted it, I took my usual dose of tramadol to keep me from going into withdrawals (I try to keep it at a daily maintenance dose, but every few days I slip and just fucking get high on em) and the regular maintenance dose almost gave me a buzz.

I haven't taken any tramadol since the day before yesterday, I decided to just snort the sub yesterday to keep wd's at bay and maybe catch a buzz, and today I noticed wd's creeping up and took the low dose of tramadol that usually won't do shit except keep me straight. And now I swear I'm feeling just a touch of a buzz. It usually takes about 5 times more tramadol than my maintanence dose to catch a buzz.

So, my question is: will taking suboxone once in a while lower my tolerance for other opiates, making it easier to taper more quickly?




NOOO it will not lower your tolerence. it has naloxone in it as well so dont be mixing sub with that tamad. it will most likely start withdrawaling, its different with everyone.
I take 24 mg suboxone and i took an OC one time an hour after i took my suboxone and within 10 minutes i was WITHDRAWALINGG!!! dont mix opiates with suboxone!!
 
Ok people stop taking more then 8mgs a day, its pointless, and its actually going to make u feel worse then if you had just stuck to 8mgs or less a day. I am on 0.5-2mgs a day, right now im all over the place with dosing which is actually working pretty good cuz somedays ill go the whole day without taking any sub and take it the next day. Its good to get down real low with ur Suboxone dose, like for instance last time i came off bupe i got down to SERIOUSLY doing 0.25-0.5mgs every OTHER day and sometimes only like once or twice a week, i know that sounds stoopid but Bupe is very strong even at low doses like that. Last time it was a lot easier cuz i was using the 2mg tabs but now im working with the 8mg tabs which are a lot harder to get down to an exact measurement.. anyways all im saying is stick around the 2mg a day dosage range and THEN start working down, cuz honestly if your taking more then 2mgs a day your no where near being clean...w0rd
 
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