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switching from subutex to suboxone

ashla

Bluelighter
Joined
Apr 15, 2009
Messages
279
hi i have been reading alot about all of this and am searching in here but i want to get peoples experiences on this,

i was on suboxone for ten mths then got pregnant and doctor switched me to subutex, i never noticed any difference but.... i am now being put back on suboxone and i am wondering if i will get sick or whatever from going back to suboxone. please anyones experience will be appreciated, and also i havent done sublingual for like a yr now i either take it nasally or i plug, can i plug or sniff sub safely

sorry if this information is staring me in the face but i want some experience not just studies etc, thanks ashla
 
Did you have the kiddo yet? Why is the doctor so keen on switching you? Ask him why.
But honestly, i have taken suboxone and subuxtext and while junkies tend to prize subutext more, there is no reason too. Its all the same shit.
 
as you may know from your research, subutex is one chemical. suboxone uses an antagonist/anit-antagonist technique on your opiate/dopamine receptors to first satiate your cravings then block any,and every opiate that you eat, smoke, snuff or inject. then you'll get sick. you won't get sick from switching, however the dose may change because with subutex, you can/could still use other drugs to get higher, unlike -oxone which has that unbreakable plateau.
i hope this helps
 
as you may know from your research, subutex is one chemical. suboxone uses an antagonist/anit-antagonist technique on your opiate/dopamine receptors to first satiate your cravings then block any,and every opiate that you eat, smoke, snuff or inject. then you'll get sick. you won't get sick from switching, however the dose may change because with subutex, you can/could still use other drugs to get higher, unlike -oxone which has that unbreakable plateau.
i hope this helps

You're actually incorrect. Buprenorphine has a better affinity than naloxone, so naloxone won't block other opiates. You can take opiates after either suboxone or subutex, but buprenorphine will be occupying some receptors so the opiate won't feel 100% like it would without buprenorphine.

And yes, OP, you can take Suboxone nasally or rectally, it's all good. If you want to ask further questions about Suboxone or Subutex, please ask them in the Suboxone Mega Thread.

You can also IV suboxone, but I'm not going to advise that. It's just fact.
 
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I don't think you'll notice anything switching from Subutex to Suboxone. As C.H has pointed out, the Naloxone serves no purpose, so it's almost as if Suboxone is the exact same thing as Subutex.

Some people have the wrong idea about what Naloxone does. It's never been incredibly good at "blocking" other opiates since all you need to get past it is a slightly higher dose than normal, but instead, it's used to rip opiates off the receptors, which is why it's used for OD's. If you want to block other opiates, you'd use Naltrexone, which has a bit higher affinity than Naloxone and a longer half-life. Even better than Naloxone and Naltrexone is Buprenorphine, which "blocks" opiates much better than either one, and rips them off the receptors just the same. You can "break through" Buprenorphine just like you can with Naloxone or Naltrexone, though, it just requires a bit higher of a dose of your opiate of choice.
 
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You're actually incorrect. Buprenorphine has a better affinity than naloxone, so naloxone won't block other opiates. You can take opiates after either suboxone or subutex, but buprenorphine will be occupying some receptors so the opiate won't feel 100% like it would without buprenorphine.

And yes, OP, you can take Suboxone nasally or rectally, it's all good. If you want to ask further questions about Suboxone or Subutex, please ask them in the Suboxone Mega Thread.

naloxone for some reason is why you get sick when you take too much suboxone or use other opiates with suboxone. that was my point.
 
^ No. It's not.

Buprenorphine has a much higher receptor affinity than Naloxone, so it in effect, cancels out the Nalxone. You don't feel any effects of the Naloxone; instead, the sickness you feel is caused by the Buprenorphine.

Buprenorphine is only a partial agonist, which makes it a partial antagonist as well, which makes it similar to Naloxone in that it can make you feel very sick if you take it too soon after using a full agonist.
 
Naloxone is added to suboxone to prevent injection right? Naloxone is the active ingredient in the brand name Narcan, which is given during an overdose to reverse the effects of opiates.. correct me if I'm wrong peoples...
 
Naloxone is added to suboxone to prevent injection right? Naloxone is the active ingredient in the brand name Narcan, which is given during an overdose to reverse the effects of opiates.. correct me if I'm wrong peoples...

Naloxone is added to Suboxone to steal a patent right on buprenorphine.

Buprenorphine has a better affinity for the mu-opioid receptor, especially at the 4:1 ratio Suboxone has of buprenorphine to naloxone.

This means, Suboxone can be IV'd rather simply, and without naloxone touching the receptors.
 
^^
Wow is patent issues really the only reason why naloxone is in Suboxone? Gotta love pharmasutical companies... adding a drug to a pill for no reason other than money.

Anyway I've personally IV'd Suboxone and yes it works and no I didn't get sick but then again I've never had withdrawals before in any shape or form. There isn't really any rush from Suboxone so it's kinda pointless to IV IMO. Kinda pointless to use recrationally at all really. I catch more of a buzz off 30mg hydrocodone taken orally than even 4mg Subxone IV (the highest dose of sub I've done) plus Suboxone blocks opiates for... not sure how long but people say at least 24 hours.
 
^^
Wow is patent issues really the only reason why naloxone is in Suboxone? Gotta love pharmasutical companies... adding a drug to a pill for no reason other than money.
Yes, that's essentially it, just money. No actual pharmacological reason for it being there.

Anyway I've personally IV'd Suboxone and yes it works and no I didn't get sick but then again I've never had withdrawals before in any shape or form. There isn't really any rush from Suboxone so it's kinda pointless to IV IMO. Kinda pointless to use recrationally at all really. I catch more of a buzz off 30mg hydrocodone taken orally than even 4mg Subxone IV (the highest dose of sub I've done) plus Suboxone blocks opiates for... not sure how long but people say at least 24 hours.
I find there is a rush with IV suboxone, but I use much smaller doses.

And when I say rush, it's nothing like IV heroin. It's more subtle, but yet enjoyable.
 
Never IV'd heroin (or even done it at all) but when I IV'd Suboxone it took at least 10 mins to even feel anything and then it took an hour to peak. I've shot 2mg and 4mg doses.

The other drugs I have IV'd are hydromorphone and oxycodone. Hydromorphone by far has the best rush, it's fucking awesome and I can feel it kick in even before I push the plunger all the way then when it's done it's just like "oh fuck yea...". Oxycodone has a pretty decent rush, not as good as hydromorphone, then when the rush is gone the high feels about like orally or nasally and not very much stronger at all.

Really hydromorphone is the only drug I've done that I've considered it worth the risks of IVing, suboxone just being plain pointless IMO but hey if it works for you more power to you.

Just wonering, do you use Suboxone recrationally or for opiate maintaince? I'm assuming the latter and the "rush" you feel is just quick relief of your w/d symptoms plus a little bit of a high.
 
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Wow fucking listen do people need to tell you ten times ? 85 if you read capitans first post you would not be fucking asking this whats up with all these fucking dumb people. On the third post he said "Buprenorphine has a better affinity than naloxone, so naloxone won't block other opiates" That means bupe will grab a hold of the opioid receptors stronger than naloxone or any other common opiate/opioid.
 
Just wonering, do you use Suboxone recrationally or for opiate maintaince? I'm assuming the latter and the "rush" you feel is just quick relief of your w/d symptoms plus a little bit of a high.

Both, however as "opiate maintenance" I'm almost done with that aspect of it. The amount I take at a time is almost one tenth of the smallest amount you've IV'd (0.25mg). This way, there is a great rush. I do have a low opiate tolerance (haven't used heroin, or any other mu-agonist in over 9 months and counting) so not everyone will feel the subtle rush buprenorphine delivers. If you have any sort of opiate tolerance, IV buprenorphine is a lot less intense than someone with a low to non-existent opiate tolerance.

I don't really think that relief of WD symptoms is the "rush". The relief of WD symptoms is near-immediate, whereas the rush takes a few minutes to set in and will be peaking by the first hour. When you use a smaller dose of buprenorphine, it leaves more brain receptors open for the metabolite nor-buprenorphine, which is a better mu-agonist and in turn creates a better high. Using a moderate/large dose of buprenorphine doesn't leave many mu-opioid receptors open for nor-buprenorphine, and buprenorphine out-competes the receptor for it.

Wow fucking listen do people need to tell you ten times ? 85 if you read capitans first post you would not be fucking asking this whats up with all these fucking dumb people. On the third post he said "Buprenorphine has a better affinity than naloxone, so naloxone won't block other opiates" That means bupe will grab a hold of the opioid receptors stronger than naloxone or any other common opiate/opioid.

Well I'm glad someone understands this. :D

When I first joined, there were so much hearsay about Suboxone when I first joined, so I'm trying to help people understand how Suboxone works more accurately (and less like the fairy-tale story R&B created to steal a patent for buprenorphine).
 
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Wow, I've never even thought to dose that low. My opiate tollerance isn't very high I'd say. I'm feeling pretty good on 30mg hydrocodone + 25mg promethazine right to give you an example. Do you use the orange 8mg suboxone pills with the sword on one side? That's what I have and if so how do you even go about breaking a piece of the pill off that small?
 
Both, however as "opiate maintenance" I'm almost done with that aspect of it. The amount I take at a time is almost one tenth of the smallest amount you've IV'd (0.25mg). This way, there is a great rush. I do have a low opiate tolerance (haven't used heroin, or any other mu-agonist in over 9 months and counting) so not everyone will feel the subtle rush buprenorphine delivers. If you have any sort of opiate tolerance, IV buprenorphine is a lot less intense than someone with a low to non-existent opiate tolerance.

I don't really think that relief of WD symptoms is the "rush". The relief of WD symptoms is near-immediate, whereas the rush takes a few minutes to set in and will be peaking by the first hour. When you use a smaller dose of buprenorphine, it leaves more brain receptors open for the metabolite nor-buprenorphine, which is a better mu-agonist and in turn creates a better high. Using a moderate/large dose of buprenorphine doesn't leave many mu-opioid receptors open for nor-buprenorphine, and buprenorphine out-competes the receptor for it.



Well I'm glad someone understands this. :D

When I first joined, there were so much hearsay about Suboxone when I first joined, so I'm trying to help people understand how Suboxone works more accurately (and less like the fairy-tale story R&B created to steal a patent for buprenorphine).

Yeah man lol i kinda lost it in that post I was a little pissed off. Its not even about me knowing I mean this kind of question gets asked daily and can be answered by searching the forums or looking at the subutex/suboxune thread. About the low dosage of bupe I felt this too but I though norbupe could not really cross the BBB? this makes sense then since nor is quite a bit stronger.
 
Wow, I've never even thought to dose that low. My opiate tollerance isn't very high I'd say. I'm feeling pretty good on 30mg hydrocodone + 25mg promethazine right to give you an example. Do you use the orange 8mg suboxone pills with the sword on one side? That's what I have and if so how do you even go about breaking a piece of the pill off that small?

Bio-availability wise, buprenorphine iv = 100% whereas sublingual is around 30%.

I do indeed also have the N8's, with the sword on one side.

The way to break up a N8 into smaller doses is to invest a few dollars ($2 to 5 max) into a pill crusher (you may already have one, then it's free;)) and a pill splitter. With a pill splitter (and careful placement), you can get pretty accurate 2mg sections of the pill. Or, if you just want to get the pill crusher, you can do that too, there's just more work ahead (you'll see).

Then, place the 2mg section (or 8mg if you don't have/don't want a pill splitter) into the pill crusher. Twist the top on until the pill is crushed. I also like to tap it around a little, then crush a second and third time to make sure it's as fine as that will get me. Then, I dump the contents out onto a clean mirror. I then use razor blades (or a card like a credit card, ID, etc) to split up doses. If you have a 2mg section, you can split it into 4 piles, each making 0.5mg. This is a nice starting dose for IV bupe, I found the rush most pronounced at 0.5mg (versus higher doses - I too tried IV 2mg, and it didn't give me the high that 0.5mg did. Some people are different, so if you don't get good results out of a low dose, there's no harm in having tried. If it works at a lower dose, then you save a lot of bupe thanks to increased BA).

If you want 0.25mg sections, you can split a 2mg pile of powder into 8 sections, each being around 0.25mg. It can be tricky to separate the powder into seemingly equal piles, but with a little practice it'll get easier.

I would recommend trying 0.5mg and seeing what you think.

Yeah man lol i kinda lost it in that post I was a little pissed off. Its not even about me knowing I mean this kind of question gets asked daily and can be answered by searching the forums or looking at the subutex/suboxune thread. About the low dosage of bupe I felt this too but I though norbupe could not really cross the BBB? this makes sense then since nor is quite a bit stronger.

Norbuprenorphine can't cross the BBB on its own, however I do believe once buprenorphine has crossed the BBB, its metabolites will still be there. When drugs are metabolized, they are metabolized at the site of the neurotransmitter. So, the metabolites are still across the BBB.

Norbuprenorphine not being able to cross the BBB on its own just means that there isn't a "better form of buprenorphine out there". This means that the only way you can experience norbuprenorphine is through buprenorphine (as I don't think any other prodrugs of norbuprenorphine have been discovered ...yet...%)) meaning you can only get it with lower doses of buprenorphine. With higher doses of buprenorphine, the buprenorphine will saturate all mu-opioid receptors, and will prevent its metabolite, norbuprenorphine, from activating receptors.
 
Norbuprenorphine can't cross the BBB on its own, however I do believe once buprenorphine has crossed the BBB, its metabolites will still be there. When drugs are metabolized, they are metabolized at the site of the neurotransmitter. So, the metabolites are still across the BBB.

Norbuprenorphine not being able to cross the BBB on its own just means that there isn't a "better form of buprenorphine out there". This means that the only way you can experience norbuprenorphine is through buprenorphine (as I don't think any other prodrugs of norbuprenorphine have been discovered ...yet...%)) meaning you can only get it with lower doses of buprenorphine. With higher doses of buprenorphine, the buprenorphine will saturate all mu-opioid receptors, and will prevent its metabolite, norbuprenorphine, from activating receptors.

Gotcha that's really interesting. Il have to experiment with this since am running out of sub and really need to conserve.
 
Yea I'm gonna have to try this low dose thing too. I'm gonna assume that (hopefully) it won't block opiates as long with a lower dose. Also, if I were to try this tonight after already dosing 30mg hydrocodone today will it make me sick? I've never had withdrawals before but the idea of percipitated w/ds scares me. How long would you recommend I wait to dose suboxone after opiates (hydrocodone)? Also, how long would you recommend I wait after doing the suboxone to do other opiates so they won't get blocked?
 
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