Do it yourself Ultra Rapid Detox From heroin

[Tchort]

Dude, I really hope you read this again before deciding to do so.

Do not fuck with it.

Even if you managed to carry out the home UROD it wouldn't do shit for your benefit. You will only end with horror story to tell, and that's best possible outcome, worst being ending up 6 feet under

Naltrexone or Naloxone or any other pure antagonist will not do shit for your well being. Even if you managed to live trough it you would still feel horrible. Even getting on naltrexone maintenance would make you wanna kill yourself.

I experienced naltrexone precip wd + couple of days on it and it's horrible horrible thing even with all benzos/sleepers/whatever on the world. Hell I even ived some H 2nd day into it trying to get some releif and it didn't help. It makes cold turkey look like a wet dream come true. Do not, I repeat DO NOT EVEN CONSIDER THIS.

Naltrexone maintenance may work for some people, it's usually people who aren't in too deep with few possible exceptions. For 99% of the people it just doesn't allow you to get high while you still WANT IT even more then before. You will crave the shot like never.

I personaly know people who CUT OUT naltrexone implant from themselves because they couldn't take it anymore and wanted some releif. But even after performing self-surgery you still have to wait days to get it out of your system and be able to take some agonist. Bupe could help though.

Trust me friend, UROD is biggest BULLSHIT you ever heard of. There is no easy way. When I rode the 2-days WD from naltrex precip wd, from the moment I had administered last dose of naltrex I was counting seconds until I can get something to feel normal.

Please bro, don't do it. It makes me shiver just to think about it.

Not to derail the thread, but I can't miss an oppertunity to rag on Naltrexone.

While I can see a definite place for anaesthesia assisted rapid opioid detox, the notion of Naltrexone-only "treatment" is a crock of shit. The only people promoting this form of "treatment" are people who have no interest in the wellbeing of addicts, whether they succeed or not. These are people who still believe in the bunk and outdated Moral Theory of addiction (which believes that drug use and addiction is a moral failing, not a physiological disease) and push Naltrexone (first pills, then longterm injections, now long lasting implants) as a form of control.

Some people are repulsed by the protocol of opioid replacement therapy based on the faulty and bunk Moral Theory philosophy- so they support Naltrexone, as it has a pseudo-scientific philosophy behind it (that it may heal opioid receptors damaged by longterm opioid agonist abuse) and because an opioid addict who is on Naltrexone by choice or force cannot get high despite trying.

The high incidence of self-abuse, suicide, and psychological and physical distress caused by Naltrexone should make it an unacceptable form of treatment: but ideologically bent doctors and politicians (and lets not forget the religious rehabs and 12 step groups) want to make Naltrexone implants mandatory for addicts sent through the criminal justice system as part of parole or probation.

It's torture, and reprehensible. I guess junkies were never getting into heaven anyway, so what do they care? The Pope just added recreational drug use to the list of sins recently. Asshole with a fancy hat.

/rant.

Plus a bump. I hope the op has been back to this thread since his last reply. He really should see the responses since.

 

[plerce]

i still don't understand how people can sit here and continuously use NALOXONE and NALTREXONE as if they are interchangeable! before someone gets hurt, these two substances are COMPLETELY DIFFERENT.

NALTREXONE - this is the one used in hospitals to bring back a patient experiencing an overdose. the naltrexone is IV'd in order to literally strip your opiate receptors and tell body to start breathing again.

NALOXONE - this is what is found in SUBOXONE. usually what everyone means to say. naloxone is put in suboxone in order to discourage the user from IV'ing the suboxone (as it will be pointless because the naloxone IV will not allow you to get high off the bupe)

i have been digesting alot of information off these boards just lurking, but i have noticed this time and time again and not only is it dangerous, but it can be extremely unhelpful when someone is on here taking the information as factual and correct. /threadjack -- awesome boards, great info

 

[Tchort]

i still don't understand how people can sit here and continuously use NALOXONE and NALTREXONE as if they are interchangeable! before someone gets hurt, these two substances are COMPLETELY DIFFERENT.

NALTREXONE - this is the one used in hospitals to bring back a patient experiencing an overdose. the naltrexone is IV'd in order to literally strip your opiate receptors and tell body to start breathing again.

NALOXONE - this is what is found in SUBOXONE. usually what everyone means to say. naloxone is put in suboxone in order to discourage the user from IV'ing the suboxone (as it will be pointless because the naloxone IV will not allow you to get high off the bupe)

i have been digesting alot of information off these boards just lurking, but i have noticed this time and time again and not only is it dangerous, but it can be extremely unhelpful when someone is on here taking the information as factual and correct. /threadjack -- awesome boards, great info

I don't like to harrass to harrass other users, and I know that you mean well.

But you have just said, that you are frustrated by the misstated information and incorrect facts, then you yourself just posted several very common yet crucial mistakes. Almost nothing in this post of yours is factually correct.

Naloxone, the chemical in brand name Narcan, and the other listed ingredient in Suboxone tablets, is what is used to recessitate people who overdose on Heroin or other opioids. It is a very potent but very short acting antagonist. When a Suboxone tablet is injected, by a non-tolerant person, an opioid addict who is in acute withdrawal, or a Suboxone patient who is maintained on Buprenorphine, the Naloxone has no effect on the high, the ability to get high, and it does not cause withdrawal symptoms or precipitated withdrawal.

Naltrexone, brand names Vivitrol and Revia, is a long acting opioid antagonist that is used in Ultra Rapid Opioid Detox protocols, and is prescribed to alcoholics and opioid addicts on a maintenance basis orally, or as a once a month injection (Vivitrol) or as a once every 3 month subcutaneous depot pellet.

Please do not claim to set the record straight and then post completely false information, it does nothing but perpetuate the misunderstanding and myths.

EDIT: To add, the description of what they do in the body is inaccurate as well. All antagonists compete for opioid receptors and replace whatever mu-agonist was occupying them, thus stopping the respiratory depression and other effects of opioid agonists. They do not strip the opioids off the receptors, they compete for them, win, then displace and replace them on the receptors. They do not tell the body to breathe, they simply do not have the same CNS effects as the full mu-agonist opioids. So without the opioid that caused the dangerous CNS depression, there is no more CNS depression.

 

[Captain.Heroin]

Please do not claim to set the record straight and then post completely false information, it does nothing but perpetuate the misunderstanding and myths.

Thank you.

Naloxone is an inactive ingredient in Suboxone. Even when IV'd, naloxone has no effect. It's just a way to get a drug patent and a lot of money.

 

[alteknj]

I am not going to sit here and preach to you to tell you to not try this or whatever because if you are going to do it, then none of us are going to stop you. Why don't you substitute a benzo for the ketamine though? I don't really have experience with k, but do they even use that in hospital settings to put people under still? I always thought it was IV benzos. If so, then nevermind and if you have some knowledge that's better. But why don't you just try and get some IV benzo or if you can't just eat a bunch of benzos to knock yourself out?

 

[Tchort]

Thank you.

Naloxone is an inactive ingredient in Suboxone. Even when IV'd, naloxone has no effect. It's just a way to get a drug patent and a lot of money.

The more time that goes by, I think the body of misinformation was the entire goal from the start. No one in house believed a Buprenorphine maintenance patient who injected his Suboxone tablets would go into precipitated withdrawal because of the Naloxone. It was a PR move.

The naloxone in SUBOXONE is there to discourage people from dissolving the tablet and injecting it.

This is on the official Reckitt-Benckiser Suboxone website. I guess they are more clever than I thought.

Their gamble paid off. Suboxone IV use seems to have not become as widespread as Subutex IV use by a long shot simply because of the warnings. If you take that statement literally, the addition of Naloxone to Suboxone serves no medical purpose, its only purpose is to deter people from crushing and injecting Suboxone tablets.

I don't think R-B specifically states anywhere that crushing and injecting Suboxone will cause precipitated withdrawals because of the Naloxone.

For example, the next sentance following the one I posted above:

When SUBOXONE is placed under the tongue, as directed, very little naloxone reaches the bloodstream, so what the patient feels are the effects of the buprenorphine. However, if naloxone is injected, it can cause a person dependent on a full opioid agonist to quickly go into withdrawal.

Both of these statements are factually correct.

But they are ambigious on purpose to lead the patient or doctor (or anyone else) to believe that the Naloxone in Suboxone would cause precipitated withdrawal if injected by a BMT patient or anyone else who got their hands on one.

I don't think I want to know what the total sales of Suboxone have been.

 

[phr]

^
Looks like a lawyer wrote that.

There's an interesting in DiTM about RB that you'll most likely enjoy. Suboxone is their only drug. http://www.bluelight.ru/vb/showthread.php?t=436150

 

[niqniq]

You know, I originally posted this more sort of a fantasy that I am sure every addict has, to be able to go through the least amount of withdrawal possible and be opiate free without cravings nor physical withdrawal and I will try every option available before trying such an attempt and will be fully informed before I would do something so insane. There's a few reasons why I am posting on here, first off, I really doubt I am the first person to fantasize about this and wonder about the possibility of doing it on my own.

Rather than discuss the procedure and how crazy it really is, I would like to ask this, how does UROD really even work? Does simply clearing ones opiate receptors with an antagonist really just "reset" the brain, clear the withdrawal and make the person wake up cured? It ofcourse sounds too good too be true which is why I would like to hear if someone actually has an experience with this (UROD) or knows more about the medical knowledge of how it actually works.
Is the reason why we have withdrawal because of the opiates still being in our system and if we all of a sudden were able to stop those from working would it stop our withdrawal? I have always had the understanding it had to do with our receptors being used to it and when its not being stimulated it freaks out and the idea of an antagonist being administered would not fix the problem, rather make it worse.

As far as the methadone taper that is what I am currently doing, I have ~500 mgs of methadone I think I can taper with and then sedate with benzo's afterwords, but hell, if I could realistically do my own version of an UROD, it sure would sound nice and a lot of the time I wonder why I really couldn't do it, especially if I took it *extremely* slow and careful, start with extremely low doses of the antagonist and if I had any adverse side effects stop. The anaestesia part really shouldn't be of much concern as it would be done around a recreational dose of ketamine and if thats not enough doseage then I would not want to proceed with this as thats the only part that I see could foresee being dangerous.

Thanks again for reading my post and your replies, they are all being taken into heavy consideration.

 

[CretiNation]

Ok this is to the OP, since the thread seems to have been hijacked by this buprenorphine vs. naloxone discussion.

Your idea is sound, aside from the bupe (and ketamine i'll get to that), i'd suggest just naltrexone 'cause you'd only have to dose once but you'd need quite a bit in order to reverse the down regulation of your receptors. With naloxone you'd have to continually inject doses every 2-3 hours and i just don't think buprenorphine has the antagonistic properties necessary to return your receptors back to their normal state or density or whatever.

Secondly, ketamine??? first of all, you'd probably need doses of around 5-10mg/kg for proper anesthesia and you'd need to be redosed about every hour. Why not just use a very high (but safe) dose of a hypnotic benzo? that way you'd essentially sleep through the entire thing. A medically knowledgeable sitter is a very good idea, just make sure they are VERY knowledgeable...

I'd suggest havin' your sitter knock you out with a benzo then immediately administer a high dose of naltrexone. Make sure it is possible for your heart rate, BP and O2 intake, and anesthesia level to be monitored AT ALL TIMES. If your insurance will oblige, why not just go to the hospital and ask 'em to give you a rapid detox with naltrexone?? 'cause really, this is just too dangerous and unpredictable to be doing in your own living room. That's just my advice though!

shorter version:
- don't use naloxone
- don't use buprenorphine
- use naltrexone
- don't use ketamine
- use a long-acting hypnotic benzo
- monitor vitals at all times

most importantly:

- just don't attempt a DIY rapid detox at all, go to a hospital

 

[Tchort]

^
Looks like a lawyer wrote that.

There's an interesting in DiTM about RB that you'll most likely enjoy. Suboxone is their only drug. http://www.bluelight.ru/vb/showthread.php?t=436150

I'm glad someone in the media is trying to shed some light on this. I've known about the situation for awhile. I got on Bupe fairly early, and early news reports commonly reffered to Suboxone as an 'orphan' drug classified as such by the FDA, granting the manufacturer special privelages.

Certainly a farce. The DEA and other agencies of the Federal government know damn well how lowballed their figures are of estimated total opioid addicts in this country. But even going by their own low figures, Buprenorphine was being marketed to treat a condition that is not rare, in an industry (addiction treatment) that is bloated with inflated profits (one look at the private Methadone clinic profits and patient numbers and anyone can figure it out). Even if you believe there are only 500,000 - 1 million Heroin addicts in the US, this is still far above the usual number of sufferers of diseases orphan drugs treat (and thats not counting the number of estimated opioid addicts whose primary drug of abuse is not Heroin; and these people seem to be the primary benefactors of Buprenorphine in office based settings).

Fuck em.

You know, I originally posted this more sort of a fantasy that I am sure every addict has, to be able to go through the least amount of withdrawal possible and be opiate free without cravings nor physical withdrawal and I will try every option available before trying such an attempt and will be fully informed before I would do something so insane. There's a few reasons why I am posting on here, first off, I really doubt I am the first person to fantasize about this and wonder about the possibility of doing it on my own.

Rather than discuss the procedure and how crazy it really is, I would like to ask this, how does UROD really even work? Does simply clearing ones opiate receptors with an antagonist really just "reset" the brain, clear the withdrawal and make the person wake up cured? It ofcourse sounds too good too be true which is why I would like to hear if someone actually has an experience with this (UROD) or knows more about the medical knowledge of how it actually works.
Is the reason why we have withdrawal because of the opiates still being in our system and if we all of a sudden were able to stop those from working would it stop our withdrawal? I have always had the understanding it had to do with our receptors being used to it and when its not being stimulated it freaks out and the idea of an antagonist being administered would not fix the problem, rather make it worse.

As far as the methadone taper that is what I am currently doing, I have ~500 mgs of methadone I think I can taper with and then sedate with benzo's afterwords, but hell, if I could realistically do my own version of an UROD, it sure would sound nice and a lot of the time I wonder why I really couldn't do it, especially if I took it *extremely* slow and careful, start with extremely low doses of the antagonist and if I had any adverse side effects stop. The anaestesia part really shouldn't be of much concern as it would be done around a recreational dose of ketamine and if thats not enough doseage then I would not want to proceed with this as thats the only part that I see could foresee being dangerous.

Thanks again for reading my post and your replies, they are all being taken into heavy consideration.

UROD works by speeding up the time it takes the body to dispel opioids from all of the bodies receptors by large dose infusion of a long acting antagonist. Instead of taking several days the acute withdrawal is drawn down to an hour or two- though this process in general is very traumatic to the body, by speeding it up exponentially with large dose infusion of a strong antagonist, the trauma is magnified (people report that a person undergoing UROD, while unconscious with anaesthesia, thrashes about like a bad seizure).

A form of ROD is outpatient and takes 2 or 3 days. A person goes to the clinic/doctors office, is given large doses of sedative-hypnotics and other withdrawal symptom medications, then given a small dose of oral Naltrexone and sent home. The next day again they report, are given a relatively small dose of oral Naltrexone, and symptom management meds. Same for day 3. By day 4 they are clear of acute withdrawal.

In the above mentioned procedure, it is similar to UROD, only it is slightly less traumatic to the mind and body and takes place over a longer period of time. But the underlying philosophy is still present. That giving opioid antagonists to speed up acute withdrawal is beneficial. And that a patient must either be heavily sedated with Benzodiazepines or under anaesthesia to perform such a procedure due to the immense mental and physical trauma.

UROD does not 'cure' addiction, and in most if not all cases does not eliminate what people consider withdrawal. Anxiety, depression, insomnia, diarrhea, joint and muscle pain, etc may continue for days or weeks after the procedure.

It certainly is not a walk in the park. You don't walk in, get put out, wake up and feel like a million bucks and feel cured of addiction and cravings, then go about your life like you never touched drugs. It still takes a lot of work and determination to maintain abstinence, as UROD is merely a first step to quitting by eliminating the negative-reinforcement trigger to use that is acute withdrawal syndrome- which for many addicts is what is, or they believe is, standing between them and a happy, productive, abstinent life.

 

[ejarella]

i IVed over 16mg suboxone today and nothing happened. then again i have a huge tolerance. i mostly did it to ensure the herion was outta my ssystem... as i have a UA coming up.
get sick= in system
nit get sick-out of suystem

but i detoxed and felt no pain at all. heres what i did. i did a huge amount of IV tar, then waited 24 hours(started getting sick). smoked some of the goo out of a fentanyl patch (got some coldsweats a few hours after, but they didnt progress to anything worse). waited another 24 hours, smoked some weed, took like 8 15mg tamazepam, then 12 hours later i IVed the suboxone. I'm not sure if i just delayed my withdrawals, and that im not in for a terrible treat later on, but for now i am 100% fine, and fairly confident that it worked since i did not get sick from the IV.

does anyone know if fentanyl has a longer half life then H?

 

[smackem]

i IVed over 16mg suboxone today and nothing happened. then again i have a huge tolerance. i mostly did it to ensure the herion was outta my ssystem... as i have a UA coming up.
get sick= in system
nit get sick-out of suystem



does anyone know if fentanyl has a longer half life then H?

By the way, putting yourself through prepitated withdrawals does not make the heroin 'leave your system'. It still stays in your system the exact same amount of time as if you didn't take it. You will still piss hot on your drug test, it is still in your blood. However; it is not 'activating your receptors' due to the fact that you have narcan(or whatever antagonist) in your blood binding (and preventing other opioids from working) to your opioid receptors.


Also, fent has a MUCH MUCH shorter halflife than H. You should stop taking H, then wear a patch for the 3-4 days leading up to your UA. Fent doesn't show up on your UA. Fent doesn't show up on ANY UA I have seen. I am sure they can send it to a lab and do a special test, and I have seen the cheap 15$ strips being sold on the internet, but I think those don't work.

 

[niqniq]

So, I found out something fairly interesting today, I talked to a friend today who I haven't talked to for over a month since he got clean, and here's actually what he did. He IV'd Narcan cold turkey, no benzo's, no ketamine, no nothing. He said it was the worst withdrawals of his life, but it only lasted one day and he felt almost normal the next day.
CretiNation I wanted to thank you for your post, it seems to be the most helpful and informative so far and I think I have found my babysitter, if I'm watching my blood pressure I could also use some clonidine as mentioned in the URL I posted in my first post. I kind of like the idea of combining the two, using the ketamine for the initial 2-3 hours and high dose benzo's for the remaining time.

 

[niqniq]

does anyone know if fentanyl has a longer half life then H?

Wow, google is getting more useful. http://www.google.com/search?hl=en&q=half+life+fentanyl&aq=f&oq=
"Fentanyl — Half Life: 7 Hours
According to https://www.pagemod.com/cgi-bin/nph...0656469612r6s72672s77696o692s46656r74616r796p - More sources »"
However it has a range of 3 to 12 hours. So, it could be more, or less than h. But likely, more, and if you didn't know already, fentanyl is near impossible to detect in an UA, so you don't need to worry about that.

Anyways, Ejarella, please keep me updated on your progress, I'ld like to know if you need to do more suboxone or if you were not to do any more if you would go back to being sick. Thanks

 

[Desdenova]

Who's your sitter? Unless it's a doctor, it's insanely dangerous

 

[shrimps2004]

probably not worth the risk to get off dope.

^^^^^

r u saying dope isent a risk.

i loled

 

[CretiNation]

CretiNation I wanted to thank you for your post,

hey no prob, i've always sort of idealized and fantasized about the rapid detox procedure in my head. BUT i also have a lot of experience with (non-human primate exp. but still!) ketamine anesthesia and co-administration of opioid antagonists, agonists and the mixed agonist/antagonists (in a laboratory setting).

Tchort's post has very good information in it as well. I gotta emphasize the crucial importance of being monitored at ALL times, Tchort makes a GREAT point about physical unpredictability during such a procedure even while you are completely anesthetized. I can't stress enough that you, and ESPECIALLY your sitter, need to try to control as many variables here as possible (ex. timing, dosages, vitals, setting [maybe strap your wrists and ankles down?], etc...).

But ok now i feel like i'm givin' you a lecture so i'll shutup for both our sakes... except for one more thing... please please please no ketamine! if you have a safe and solid, long-acting hypnotic benzo there is NO need for the K; you'll need a gargantuan (~400-800mg) dose, it could last anywhere from 30-90mins and it is just another variable out of your control. Clonidine is a good idea though! oh and so is being strapped down... one more thing (i can't seem to shutup, i'm sorry this is just exciting to me, i want it to work out [SAFELY] for you!)

I would like to ask this, how does UROD really even work? Does simply clearing ones opiate receptors with an antagonist really just "reset" the brain, clear the withdrawal and make the person wake up cured?

mu agonists (ex: morphine) mimic the activity of your natural endorphins/enkephalins (?) at your mu receptors.
- Tolerance starts to build because your brain isn't used to having those receptors constantly activated, as is the case with chronic morphine administration.
- SO, in response to this (the constant receptor activation) your neurons get rid of some of their mu receptors in an attempt to balance or "normalize" the new chemical equilibrium that you have introduced into your brain (your brain is programmed to maintain a certain balance of chemicals).
- Once your neurons have adapted (by getting rid of mu receptors [also called down regulation]) to having that certain amount of morphine, you go into WD without the morphine because there are less mu receptors than there should be, naturally, for your endogenous endorphins to bind to.
- Throwing a mu antagonist (naltrexone/naloxone) into the fray not only knocks any morphine off of the mu receptors, it also STOPS them from being activated, either by morphine or your natural enkephalins.
- THIS precipitates WD and causes excruciating agony far more acute than stopping the morphine cold turkey* (when any remaining morphine and/or your endorphins COULD still bind).
*[if you had just gone cold turkey the WD would be prolonged more because the neurons would slowly replenish the number of mu receptors to the brain's natural state]
- BUT because you threw the antagonist in there, there is NO mu activation at all and the brain realizes that those neurons need their mu receptors back PRONTO, which brings your brain chemistry back to normal MUCH faster (and much more painfully).

... at least i'm pretty sure that's how it works, i'm too tired to do the research to make sure i didn't mess anything up. If i did, though, please correct anything, anyone! hope this made sense and answered your question! ps. good luck and let us know how it goes!

 

[Johnny blue]

Not to derail the thread, but I can't miss an oppertunity to rag on Naltrexone.

While I can see a definite place for anaesthesia assisted rapid opioid detox, the notion of Naltrexone-only "treatment" is a crock of shit. The only people promoting this form of "treatment" are people who have no interest in the wellbeing of addicts, whether they succeed or not. These are people who still believe in the bunk and outdated Moral Theory of addiction (which believes that drug use and addiction is a moral failing, not a physiological disease) and push Naltrexone (first pills, then longterm injections, now long lasting implants) as a form of control.

Some people are repulsed by the protocol of opioid replacement therapy based on the faulty and bunk Moral Theory philosophy- so they support Naltrexone, as it has a pseudo-scientific philosophy behind it (that it may heal opioid receptors damaged by longterm opioid agonist abuse) and because an opioid addict who is on Naltrexone by choice or force cannot get high despite trying.

The high incidence of self-abuse, suicide, and psychological and physical distress caused by Naltrexone should make it an unacceptable form of treatment: but ideologically bent doctors and politicians (and lets not forget the religious rehabs and 12 step groups) want to make Naltrexone implants mandatory for addicts sent through the criminal justice system as part of parole or probation.

It's torture, and reprehensible. I guess junkies were never getting into heaven anyway, so what do they care? The Pope just added recreational drug use to the list of sins recently. Asshole with a fancy hat.

/rant.

Plus a bump. I hope the op has been back to this thread since his last reply. He really should see the responses since.

What? What exactly makes you think that about naltrexone maintenance? A lot of people see getting 1 shot a month as a much better option than being tied down to bupe or methadone daily. Obviously what works for someone is what they should do not what technique is the most current or even easiest. There are plenty of people that end up on the shot without first trying the pill and never end up with an implant. People have different expiriences and I think if anything people that have tried bupe and failed, those that sell their methadone or suboxone for dope money will probably end up there. It does happen and I say whatever you gotta do.

 

[Tchort]

What? What exactly makes you think that about naltrexone maintenance? A lot of people see getting 1 shot a month as a much better option than being tied down to bupe or methadone daily. Obviously what works for someone is what they should do not what technique is the most current or even easiest. There are plenty of people that end up on the shot without first trying the pill and never end up with an implant. People have different expiriences and I think if anything people that have tried bupe and failed, those that sell their methadone or suboxone for dope money will probably end up there. It does happen and I say whatever you gotta do.

In this case the greater good is more important to me. Oral Naltrexone has a pitiful success rate, even lower than rehab-CT if I'm not mistaken.

A minority succeed and do well on Naltrexone in any form. The rest, including the minority that commits suicide and self-destructive behavior while on it due to it, not only don't succeed but go through trauma to wind up back where they started: something that has been documented that will happen.

I have a bad feeling about special interests pushing this treatment, especially as it hasn't even been tested and approved for use in opioid addicts in the US (Vivitrol & the depot). The notion of the criminal justice system getting their hands on it is even more horrifying.

I oppose this 'treatment' because it is often times not left up to the individual who is seeking treatment. It is at the behest of an authority or parent or relative who coerces or forces it upon them (hell, the front page of OD has had several Naltrexone depot 'how do i cut this thing out' and Vivitrol 'omg when does it stop' threads lately, all related to people being forced/coerced into this).

The side effect profile, history of suicide/self injury, consistently, pitifully low success rate (and this is in an industry that is pleased with anything above 10% success), and almost gaurenteed immediate relapse rate as demonstrated by the massive Austrailian studies among others, make me feel the need to be vocal about opposing it.

 

[Johnny blue]

Sure oral naltrexone may be useless but the shot certainly isn't. You can't even get the shot without pissing clean and already through CT. It's not like people on vivitrol are in the depths of withdrawal, they may just want to use again and not wait for the shot to wear off. There's something to be said for people not being able to use successfully for 30 days. With bupe especially people consistently use and sell the bupe for oxy/heroin money staying "clean" only when they are required to piss to get more bupe.

People that relapse on any maintenance program lack the desire to quit outright. Of course forcing someone to quit will have a low success rate but those that want to stop such as the OP in this very thread may find value in not being able to use and beginning to deal with the mental aspect that they will eventually have to unless they plan on maintaining some form of opiate for life.

Here anyways people that have failed at suboxone or methadone treatment can simply go to a clinic and get the shot if they desire. Alot of people I know personally try this as a last stitch effort before going to an inpatient program. Of course I wasn't talking about those forced into getting a vivitrol shot as that's simply not relative to the thread. The ease of and the success rate of the process are simply not relevant in a thread that has someone trying to DIY UROD. I mean what exactly is the success rate of a professionally done UROD? How many horror stories have flooded bl about them? Not even getting into the harm potential in having a medically savy friend administer anesthesia.

Call me crazy but IMO any other alternative as the OP clearly doesn't want to stay on suboxone is safer then doing a home version of a UROD and he's not being forced into doing anything.