Bupe Told My Bupe Doc That the Bupe Dosages Commonly Scripted are Unnecessarily High

[Pegasus]

^Wow! 2mg bupe holds your 600mg oxy habit?! I have thought that high doses of other opiates could be treated with low doses of bupe for awhile now, but that is way beyond what I ever imagined...

Anyone else have experience with high doses like this and switching to bupe?

 

[sixpartseven]

^ I was using 2 grams of good quality east coast heroin a day when I got on Suboxone in 2007 and started at 12mg, but with-in a week, I was down to 2mg and perfectly fine with it. My doctor thought I needed 12, but I started just taking less and found I didn't need nearly as much as he thought.

 

[sixpartseven]

Shit like that is the reason doctors don't trust people like us. If only we were honest, imagine the treatment we would get, and imagine what it would be like for people who constantly get denied treatment because people like us fuck it up for them by lying to the doctors and making it hard for them to trust anyone who uses/needs opiates.

But then again, if there was a generic and Suboxone was affordable, there would be no need to lie to the doctors so you could have extras.

 

[stuckinaloop]

I lye to my doc becuase I am gonna pay my 15 copay for generic subutex no matter what, if I get 1 pill or 100...so yeah, I dont give a fuck about honesty I guess

Shit like that is the reason doctors don't trust people like us. If only we were honest, imagine the treatment we would get, and imagine what it would be like for people who constantly get denied treatment because people like us fuck it up for them by lying to the doctors and making it hard for them to trust anyone who uses/needs opiates.

But then again, if there was a generic and Suboxone was affordable, there would be no need to lie to the doctors so you could have extras.

 

[stuckinaloop]

I also find this hard to beleive..everyone is different thats for sure

but just from personal experience even at a 300-400mg habit that you have goin for a while 2mg aint gonna do the trick to get me well if im withdrawin bad. maybe after 4-5 dyas id be totally stable on 2mg

I've always thought this. I have a 600mg+ tolerance for oxy but 2mg of suboxone can bring me out of sickness and can keep me good at that dose easily. If I could break the pill further I bet 1 or even .5mg could do it.

 

[sixpartseven]

I lye to my doc becuase I am gonna pay my 15 copay for generic subutex no matter what, if I get 1 pill or 100...so yeah, I dont give a fuck about honesty I guess

Awesome. I wish I was that cool.

Drugs work differently for everyone. What one person needs may be too little/too much for another. Just because you don't agree doesn't mean the dudes lying. I had a tolerance similar to that and 2 - 4mg of Suboxone worked perfectly for me. Am I a liar?

 

[Jabberwocky]

^Wow! 2mg bupe holds your 600mg oxy habit?! I have thought that high doses of other opiates could be treated with low doses of bupe for awhile now, but that is way beyond what I ever imagined...

Anyone else have experience with high doses like this and switching to bupe?

yep, i've come off a few high dose fent binges and 2mg (IV mind you, so 100% BA) held me just fine, it even alleviated all my pain symptons.

8mg spread out over a day has kept wd's away for up to 3 days for myself

I lye to my doc becuase I am gonna pay my 15 copay for generic subutex no matter what, if I get 1 pill or 100...so yeah, I dont give a fuck about honesty I guess

obviously not. maybe you should think about editing your post so you're not incriminating yourself? and lumping us all together

 

[stuckinaloop]

I mean I dunno..the doc feels like I should be taking 24mg...why tell him I take less? Who am I to tell him how to do his job lol.

yep, i've come off a few high dose fent binges and 2mg (IV mind you, so 100% BA) held me just fine, it even alleviated all my pain symptons.

8mg spread out over a day has kept wd's away for up to 3 days for myself



obviously not. maybe you should think about editing your post so you're not incriminating yourself? and lumping us all together

 

[sixpartseven]

Just stop posting in this thread. You are completely missing the point and making yourself sound like an idiot.

 

[stuckinaloop]

Point taken

 

[Tommyboy]

I was over a month clean, and was on probation mandated outpatient treatment. I told the Bupe Doc there that I still had cravings, and was afraid I might use and fail a drug test and be effed. I also wanted to be out of treatment quickly, and was telling them that I had a vicodin habbit of about 50mg a day, and did oxy once in a while. In reality I had been doing 4bags of H, 3 days a week(weekend warrior style).
So this doctor knowing that I was over a month clean from a "vicodin habit" started me on 16mg of suboxone. I took 24mg the 1st day and was really high, too high to drive etc...
So I agree that these Docs may overprescribe, although I did say I still had cravings in order to get more to help out friends. He ended up prescribing me the max dose of 32mg/day, for a vicodin habit mind you.

 

[morphonorconic]

^That is absurd.

 

[stuckinaloop]

My friend was in a somewhat similar situation..he had a vic habit 40-60mg a day sometimes a little more.. He even had month long stretches of sobriety a few times. Eventually he wanted to get clean and was terrified of the detox so he decided to try and detox at a hospital.

Now I am not saying one addicition is worst than the other or anything lke that...we all know how hard/painful addiction can be.

BUT

My friend, the hydrocodone guy, ended up going being referred to a methadone clinic, from there his addiction just spiraled in various directions. He found himself so much more dependant than he ever was. In his eyes..any hope he had of quitting was gone becuase of how bad withdrawals were. By the end of his first year he was at 60mg..60MG OF METHADONE! He was only on about that much hydro!. It was crazy..he said he didn't lie to the clinic either. Apparently he was an EXTREMELY high risk of relapse.

It's like killing a fly with a nuke lol


For the "less powerful" opiates, and I use that word cautiously, I do think low dose bupe is a much better route for ort

I was over a month clean, and was on probation mandated outpatient treatment. I told the Bupe Doc there that I still had cravings, and was afraid I might use and fail a drug test and be effed. I also wanted to be out of treatment quickly, and was telling them that I had a vicodin habbit of about 50mg a day, and did oxy once in a while. In reality I had been doing 4bags of H, 3 days a week(weekend warrior style).
So this doctor knowing that I was over a month clean from a "vicodin habit" started me on 16mg of suboxone. I took 24mg the 1st day and was really high, too high to drive etc...
So I agree that these Docs may overprescribe, although I did say I still had cravings in order to get more to help out friends. He ended up prescribing me the max dose of 32mg/day, for a vicodin habit mind you.

 

[SoulFree]

I think alot of Bupe doses are way too high. i was on 8 mgs, three times a day, this was a few years ago before they really knew much about this shit. It was way too much for me. I had been clean for like two weeks also, but in order for my Mom to bail me out of jail she wanted me to do maintenance on Subs.

So here is the answer,-----everyone needs different doses of subs or Bupe. You can generalize that "most people are on too high of a dose" . Everyone should find their proper dosage with the help of a doctor. I personally think that people like to say their dose it too high so they look smart in front of their doctors, then every other day of the month they are shooting Subs/Dope?Coke, smoking week, sniffing their subs/coke/dope, etc.....This says to me that you would be on to low of a dose as you are still looking to self medicate.
The first rule of cleaning up as far as I am concerned is that we must LISTEN TO PEOPLE ESPECIALLY DOCTORS, COUNSELORS, ETC....WE ALWAYS LIKED TO PLAY THE DOCTOR AND COUNSELOR. WHEN WE TELL OUR DOCTOR "OUR DOSE IS TOO HIGH IN MY OPINION" HE SHOULD TELL YOU "HOW THE FUCK DO YOU KNOW, YOUR *BEST* OPINIONS/THOUGHTS/EXPERTISE HAS GOTTEN YOU IN A SHRINKS OFFICE TAKING SUBS IDIOT." OBVIOUSLY YOUR JUDGEMENT OF MEDICATING YOURSELF IS WAAAAAYYYYYY FUCKED UP OR YOU WOULDN'T BE THERE

nuff said

 

[SoulFree]

Then there are probably other doctors who are 100% unaware that 16-32mg/day is absurdly high for 90% of the population of opiate users (10% of opiate users may actually need more than 8mg day, but I am not going to argue this one way or another, I'm just saying there are some people who do need more than others). Most junkies just want as much as they can get, if a doctor suggested 2 mgs a day they person would be outraged as well

I wouldn't say you should have kept your opinions to yourself, but either they would have heard your point and took it to heart, or they'll ignore it and pretend they know better than you because they're a doctor (like that mandates they're knowledgeable or something).[/COLOR][/SIZE][/FONT][/QUOTE] Well it does actually make them knowledable. If we knew so much about being a doctor then why are we junkies. look, this OP's best efforts in life have gotten him a seat in a shrinks office taking subs, as I said before. Discuss with your doctor, don't just lower your dose or up it as you feel. The doctor thinks "what an idiot". If you were so good at being a doctor then you would be one. Everone should do what they are good at, and you my friend are good at being a junkie, not a doctor. Don't mean to anger anyone although I am sure it will as it's the junkies other favorite thing justifiable anger, yipeee

 

[stuckinaloop]

coming from a junky standpoint

i had a doc that scripted me a 2mg sub 4x a day (8mg a day total) subs a day and he was saying hed count pills piss test. I was lke FUCK THAT, theres seriously 100s of sub doctors in NJ. I am not about to use one thats gonna kick me the fuck off the program becuase I slip up and smoke weed or have 1 less pill. I fall into the categorie that would be outraged to pay all the $ and induction fees only to get a measly 2mg pill a day haha

 

[Jabberwocky]

So here is the answer,-----everyone needs different doses of subs or Bupe. You can generalize that "most people are on too high of a dose" . Everyone should find their proper dosage with the help of a doctor. I personally think that people like to say their dose it too high so they look smart in front of their doctors, then every other day of the month they are shooting Subs/Dope?Coke, smoking week, sniffing their subs/coke/dope, etc.....This says to me that you would be on to low of a dose as you are still looking to self medicate.
The first rule of cleaning up as far as I am concerned is that we must LISTEN TO PEOPLE ESPECIALLY DOCTORS, COUNSELORS, ETC....WE ALWAYS LIKED TO PLAY THE DOCTOR AND COUNSELOR. WHEN WE TELL OUR DOCTOR "OUR DOSE IS TOO HIGH IN MY OPINION" HE SHOULD TELL YOU "HOW THE FUCK DO YOU KNOW, YOUR *BEST* OPINIONS/THOUGHTS/EXPERTISE HAS GOTTEN YOU IN A SHRINKS OFFICE TAKING SUBS IDIOT." OBVIOUSLY YOUR JUDGEMENT OF MEDICATING YOURSELF IS WAAAAAYYYYYY FUCKED UP OR YOU WOULDN'T BE THERE

nuff said

thats just ridiculous.

who in here has said they're shooting dope and coke every weekend on maintenance? noone.

even if they were, that's their perogative and not for discussion in here, so keep it on topic.

nuff said

Then there are probably other doctors who are 100% unaware that 16-32mg/day is absurdly high for 90% of the population of opiate users (10% of opiate users may actually need more than 8mg day, but I am not going to argue this one way or another, I'm just saying there are some people who do need more than others). Most junkies just want as much as they can get, if a doctor suggested 2 mgs a day they person would be outraged as well

I wouldn't say you should have kept your opinions to yourself, but either they would have heard your point and took it to heart, or they'll ignore it and pretend they know better than you because they're a doctor (like that mandates they're knowledgeable or something).[/COLOR][/SIZE][/FONT] Well it does actually make them knowledable. If we knew so much about being a doctor then why are we junkies. look, this OP's best efforts in life have gotten him a seat in a shrinks office taking subs, as I said before. Discuss with your doctor, don't just lower your dose or up it as you feel. The doctor thinks "what an idiot". If you were so good at being a doctor then you would be one. Everone should do what they are good at, and you my friend are good at being a junkie, not a doctor. Don't mean to anger anyone although I am sure it will as it's the junkies other favorite thing justifiable anger, yipeee

fuck me man, we're not all drug fuelled junkies in here, some are in or studying in the medical fields. *cough*one of our OD mods is a pharmacist*cough*

and, what, you've never made a mistake in your life and needed help? shut your mouth with that shit in here, thanks. get off your soapbox and get on the same level as everyone else

personal attacks don't go down well around here. constructive criticism on the other hand is better accepted.

 

[Pegasus]

Regarding 32mg/ day... I've read that the ceiling dose is 12-16mg and another source saying 16-32mg, both giving room for variation in individuals. So given that, 32mg is either past the ceiling for most individuals or past the ceiling for all individuals.

Leftwing, thanks for that info. That's really mind-boggling that such a tiny amount is treating such high doses of traditional opiates! I know this tiny girl, very petite, who took 40mg oxycodone/ day and is now on 24mg bupe/ day. It's really sad and irresponsible that the doctors over-prescribe to this degree!

 

[Pegasus]

Most junkies just want as much as they can get, if a doctor suggested 2 mgs a day they person would be outraged as well

Disregarding the offensiveness and inaccuracy of this statement, don't you think most "junkies" would rather take a dose of a drug that is actually enjoyable and doesn't have a ton of unwanted side effects?

 

[Jabberwocky]

i was stunned myself at how little held me so well and took away all my chronic pain problems. i even got high from it, believe it or not.

back when i was still using transdermal bupe for PM, i could go on a bender and easily stabilise back on the patches which were releasing a total of 40mcg/hr together. that's at a dose where you can use codeine and other opiates on top without having to worry about "wasting" them, depending what you're using them for of course.

and 24/mg bupe a day for a 40mg oxy habbit? that is ridiculous!

soulfree - got any comment on the doctor prescribing that? sounds like a quack to me