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

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Thinking about using suboxone to detox from OC's

so I'm ready to get off OC's. withdrawal usually lasts about 4 days for me and im in the second day right now. Im thinking about using some subs to get through the rest of the withdrawal just for like the next 2-3 days to detox from the oxy and then stop. However i cant figure out if there will be any withdrawal from the Subs if only using for detox. Basically Im trying to find out if after i stop taking the subs I will experience any kind of discomfort?

Does anyone here have any experience with using subs only for detox and not maintenance?

Thanks
 
Yes I've used subs for that purpose and as long as you only use it for a couple days like you had planned you will not experience any WD's from the subs. You already passed the first day so just use the bare minimum to get through the next few days and then stop using it.
 
IME you if using just enough sub to hold you (for me it's 2mgs) , you shouldn't experience any sub W/D's if you keep it under 2-3 weeks. A month is where it starts getting sketchy.

Your oxy W/D's should be gone in about a week though anyways. Stop dosing on day 7 and see how you feel.

-lenses
 
^ put it like this , even at the peak of my heroin addiction (over 1 gram of great quality H per day)I never ever needed more than 6-8mg of Subutex to keep the withdrawals at bay ,and I consistently relied on opiates on a daily basis for over 15 years ...even in those fist couple of days 8mgs would be more than enough to prevent me from getting sick ,and tapering down from 8mg to 2 mg only took me something like a week with no noticeable differences for the worse,this lead me to believe that with bupre the "less is more" approach is very true , I can't even imagine anybody ,regardless of the severity of their habit, having to do anything over 16mg, Bupre on higher doses just makes me feel bad ,as in nervous,jittery ,whereas at anything below 6mgs it simply feels right and with the aid of some trams and small doses of benzos I do not even have any cravings for my DOC ...perhaps these people on these ridiculous ,superfulous high bupre doses should try the smaller dose approach and wait to see how it works for them cause I see that a lot of people in here always start by doing over 8mgs on that 1st day and I truly see no need for that ,this is also perhaps the reason why I hear a lot of people reportedly going into precipitated withdrawals after that 1st "high" bupre dose ,something which has never happened to me (since my 1st dose was 4 mg around 14 hours after having had my last H hit) and this leads me to believe that what's causing those precipitated withdrawals is actually an unnecessary high bupre dose on that first day.This is of course not definite,just expeculating out of my personal experience when compared to others I read here and there...
 
lorcomonster said:
or is he wasting 3 or 4 of his bupes?
or does bupe actualy have effect beyond 32 mg-just that the effect is not Mu agonist effect?
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He's wasting bupe. I say this because if you can't feel 2 or 3 pills of 8mg Suboxone, you're really not going to feel Suboxone.

The ceiling level can be different for individuals, but 6 pills is a ridiculously high amount.

Some people have a hard time conceiving a smaller dose of a drug may be many times better than a high one in some circumstances.

Also, others can't begin to fathom how potent buprenorphine is. It's very potent.

I get about 50 doses out of an 8mg pill.
 
fistful_of_needles said:
Bupre on higher doses just makes me feel bad ,as in nervous,jittery ,whereas at anything below 6mgs it simply feels right and with the aid of some trams and small doses of benzos I do not even have any cravings for my DOC ...perhaps these people on these ridiculous ,superfulous high bupre doses should try the smaller dose approach and wait to see how it works for them cause I see that a lot of people in here always start by doing over 8mgs on that 1st day and I truly see no need for that ,this is also perhaps the reason why I hear a lot of people reportedly going into precipitated withdrawals after that 1st "high" bupre dose ,something which has never happened to me (since my 1st dose was 4 mg around 14 hours after having had my last H hit) and this leads me to believe that what's causing those precipitated withdrawals is actually an unnecessary high bupre dose on that first day.This is of course not definite,just expeculating out of my personal experience when compared to others I read here and there...
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The "bad feeling", nervousness, feeling jittery, frustrated, etc. comes from buprenorphine antagonizing itself at the mu-opioid receptor, and it also comes from the side effects of a (too) large buprenorphine dose. The metabolite norbuprenorphine is more pleasurable and effective as a mu-agonist, so a small enough dose for someone will have enough buprenorphine to make the person feel good, but have enough mu-opioid receptors open so that eventually the metabolite will increase the positive effects.

This is, essentially, why less is more with buprenorphine. I get a lot out of buprenorphine. I wish everyone get as much out of it as they can for the best effects possible.
 
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CH, when you say stuff like "i get 50 doses from 8mgs", you should really specify your ROA. otherwise people will misinterpret because bupe is 4x more potent than sublingual (normal) the way you do it...

im not sure, but i do believe most on this board take it sublingually and also assume so does everyone else, unless they state otherwise.

But bupe is indeed potent, no argument there. ;) I would LOVE to get down to 2mg SL per day.
 
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Brose said:
CH, when you say stuff like "i get 50 doses from 8mgs", you should really specify your ROA. otherwise people will misinterpret because bupe is 4x more potent than sublingual (normal) the way you do it...

im not sure, but i do believe most on this board take it sublingually and also assume so does everyone else, unless they state otherwise.

But bupe is indeed potent, no argument there. ;)
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While that's true, you can dose sublingually as low as I am.

They make 0.2mg temegesic pills for a reason.

If I was sublingually tapering I would probably be < 1mg still per dose.
 
Captain.Heroin said:
While that's true, you can dose sublingually as low as I am.

They make 0.2mg temegesic pills for a reason.

If I was sublingually tapering I would probably be < 1mg still per dose.
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i had no idea tamgesic was used as a maintenance drug. is it? or is it just people that who trying to taper really low use it for that, even though its not 'indicated' for that purpose?
 
Brose said:
i had no idea tamgesic was used as a maintenance drug. is it? or is it just people that who trying to taper really low use it for that, even though its not 'indicated' for that purpose?
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I think Temegesic is used as a taper medication in some countries in Europe, but I think it's just for pain management in the states. I'm not sure but if someone else could fill in that would be great.

But yeah, plenty of people taper < 1mg with buprenorphine - I think it's best to get as low as possible before jumping off completely.
 
Temgesic is just for pain only in Europe.(off-label use prolly occurs but)

it is the strongest medication that is prescribed where i live.(not europe)

no oxy or anything like that, just Temgesic sublingual and injectable for pain.
 
cire113 said:
taking more than 4mgs of bupe in 24 hrs= terrible side effects
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This is simply not true. The response to suboxone is highly-variable. A widely-quoted top-end dose is 32mg/day. I think a lot od docs shoot for at least a blocking dose which may be in the 8-16mg/day range, but this varies among patients. For maintenance, the "best" dose is the lowest dose that keeps the patient comfortable and stable. A lot of folks want to take a minimal dose in the hopes of being able to lose the blocking effect so they can get high....a practice that defeats the whole purpose of maintenance.
 
KnowBudz said:
A lot of folks want to take a minimal dose in the hopes of being able to lose the blocking effect so they can get high....a practice that defeats the whole purpose of maintenance.
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^This is also very true ,yet I can assure you ,cause I've tried this, 4-6mg is more than enough to prevent you from fully enjoying your drug of choice for the odd 12 hours. And plus I'm also lead to believe that Subutex has this cumulative effect, once you manage to stay long enough on it(6 months solid for me till I decided to indulge in H) without any cock ups ,meaning that once you decide to return to your drug of choice ,for whatever reasons, you might find that things have changed as in ,as ironic as this may sound, you'd rather had stayed on the bupre (substituting an addiction for another perhaps, but at least for a way , way less expensive and life crippling one)
 
How does snorting suboxone work?? Is it a better buzz than the traditional dissolving method?
 
Ive been on suboxone for over a year now...i was clean of opiates for 6 months but relapsed after that. Since then ive been bouncing back and forth from oc's to suboxone. I was wondering if you can snort suboxone and if so can you get high off it??
 
Thanks guys,

I used 2mg of sub yesterday after i read your replies and felt 100% better! I cant beleive it actually worked that well!

However, even though i was completely comfortable physically and mentally i couldnt sleep at all(felt like my heart was pumping really hard, felt really anxious, and had a few nightmares bout having heart attacks). Does this sound normal? has anyone else experienced this side effect from suboxone?

I was thinking that it was def from the sub at first but then realized that it also could have been that i ate a ton of chocolate right before bed and so my symptoms could have been a result of too much caffeine cause i rarely consume any caffeine...

Also, if this were to happen again would i be able take a benzo such as valium or xanax to help sleep or would there be too much of a chance of severe respiratory depression? I figure if my body could handle 240mg of OC then it could def handle 2mg of sub and 5mg of valium right?
 
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racso87 said:
Thanks guys,

I used 2mg of sub yesterday after i read your replies and felt 100% better! I cant beleive it actually worked that well!

However, even though i was completely comfortable physically and mentally i couldnt sleep at all(felt like my heart was pumping really hard, felt really anxious, and had a few nightmares bout having heart attacks). Does this sound normal? has anyone else experienced this side effect from suboxone?

I was thinking that it was def from the sub at first but then realized that it also could have been that i ate a ton of chocolate right before bed and so my symptoms could have been a result of too much caffeine cause i rarely consume any caffeine...

Also, if this were to happen again would i be able take a benzo such as valium or xanax to help sleep or would there be too much of a chance of severe respiratory depression? I figure if my body could handle 240mg of OC then it could def handle 2mg of sub and 5mg of valium right?
Click to expand...

I'm really glad our "advice" has been helpful to you without having to resort to ridiculously unnecessary high doses of Sub, and do not worry about not having been able to sleep easily , this is very normal until you adapt to the sub , to counter such inconvenience you should perhaps try some benzos in small doses like,say, 1-2mg Alprazolam(this is what I did anyways and on top of having solved my sleeping problems it boosted the effects of the Sub thus improving my general well being) ...by my personal experience if you carry on doing this for 3-4 days you'll soon be ok with no sleep disturbances whatsoever ... just remember Captain_Heroin's advice and try not to overdo the benzos just in case...
 
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