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Bupe Suboxone/Buprenorphine FAQ & Megathread v2; 2010

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HeavyHanded said:
Right, right, I'm just speculating too. But my theory was they are preempting the imminent market for generic Suboxone-Suboxone being bupe and naloxone, as opposed to Subutex-just bupe. I guess we'll find out in a little less than a month here.

UPDATE: Just found this. It will have naloxone. Looks like it just got approval yesterday.

http://www.medpagetoday.com/ProductAlert/Prescriptions/21990
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According to that article, you are right, it will have buprenorphine and naloxone.

I really hope I don't get this prescribed to me ... :| at least before I know what the inactive ingredients are.

Adverse events associated with the film include numb mouth, sore tongue, mouth redness
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I think those are specific to this formulation.
 
Ya, I would definitely assume they're specific.

As far as getting Rx'd the new goes, here's what I'd do (me giving you, of all people, bupe advice ;) ). First off I definitely wouldn't mention it and just hope that your doc writes your normal rx. My doc told me that they have to specifically write "Suboxone Film" on the script, and if they just write "Suboxone" the pharm has to give you the tabs. So there's that.

If your doc does insist on giving you the film, tell him you're leery of making changes to a maintenance schedule that's been working well, or something along those lines. Sell it the best you can. If your Dr still insists on rxing film ask him to give you a weeks trial, and your usual monthly tabs. The doc SHOULD go for that. Be prepared to go back to your next appt and make a case against the film. There has got to be side effects or other intangibles that are yet to emerge, make em up if you have to. The shit's so new, no one could argue with you anyway, everyone's different. That's exactly what I would do, but I'm interested in checking out the new shit, I only take it sublingually nowadays anyway. :\ I would love to do a few doses a day IV, but my fiance would be more than a little curious about the micron filters and such showing up at our house. She doesn't understand the needle and equates it only with heroin. 8)

This is going to be an interesting couple of months for this megathread, then again, isn't it always?
 
^^^^If you have an extra $25 to spare get a PO box, thats what I did, now I just go pick up my supplies whenever I have time and dont have to worry about anyone seeing my packages arriving. You only have to pay the $25 once every 6months.

Luckily my doc is a pretty cool dude for the most part, if I want to keep the tabs, he will let me, but not without the naloxone8)

Id like to see more info on the side effects of the film, I would not want something that causes sore tongue and numbness in my veins.

Besides, I would think that most doctors would feel that the film would be easier to dissolve and IV than a pill with a bunch of flavorings and crap in it, so long as they dont try to make the film 'abuse proof' or any other nonsense...
 
Not sure if this belongs here or not but first time on bupe therapy and experienced no precipitate withdrawals with a dose of 4mg SL dosed in three 45 minute increments with last dose of full agonist (kratom) approximately 30 hours prior.

Good luck to those starting out and hope this helps others with alleviating some of the anxiety about the precipitate withdrawals.

I saw this posted somewhere possibly in this thread i can't remember I've been reading so much about it recently but feel that it helps immensely as a guide for when to initiate therapy with minimal risk of precips so i figured i'd link it:

http://www.naabt.org/documents/cows_induction_flow_sheet.pdf
 
Captain.Heroin said:

I might run out in about 20 years from now (if I don't go back to my Suboxone doctor, which I haven't done for a while due to a severe lack of money -
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I also have enough stockpiled for many yrs but still go to subs doc because it's free [vet hosp] and have benzo script w/him. However, I don't like the urine screens... etc. I'd also like to smoke a little more weed than a couple of thin joints the first week after I see him. The main thing I'm concered with in breaking free is the shelf life and the possibility of some kind of legal problem.

I did a quick search regarding how long subs will last in storage but all I could find was an old military study and subs wasn't part of it. According to them... most drugs last at least 10 yrs on the shelf. Do you have anything on that?
 
Update guys, I just got back from seeing my suboxone doc and he gave me the low down on the new shit.

He said they are coming out with the film strips and a transdermal patch, both have naloxone. He said that the strips are supposed to be harder to 'abuse'.

He said he is not sure if the original suboxone tabs will still be available, but he thinks so, but the problem is he said that most insurance companies will want you to switch to the generic bupe/naloxone tabs that will be released when the patent is up(including a shit load of new flavors).

Anyway, he told me to think about it, but he will script me what I ask for, be it generic subs or brand name, I told him no patches or films because I dont want to screw up whats already working so well for me.

@ subdude: I dont know about your doc, but I always go to mine with a bladder full of weed, benzos, and sometimes amphetamines too, and never had any issues, he told me one time that he only tests you for bupe to make sure his patients are still using their suboxone.
 
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HeavyHanded said:
If your doc does insist on giving you the film, tell him you're leery of making changes to a maintenance schedule that's been working well, or something along those lines. Sell it the best you can. If your Dr still insists on rxing film ask him to give you a weeks trial, and your usual monthly tabs. The doc SHOULD go for that.
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Good advice HH.

How are the strips going to be packaged is my question... if they are like those breath strips, then are they going to be stuck to one another? Would it be easy to accidentally take two film strips at once, and not know you did so until you run out early???

Plus, since it's a breath strip (and honestly very hygroscopic), they will have to be packaged individually (or if they are stuck together.... it won't just be like in a medicine bottle, it would have its own air sealed package to preserve the hygroscopic strips from insta-dissolving due to the high humidity in the bathroom during a shower).

This is my #1 problem with it. Yes, with Suboxone/Subutex tablets you still have to watch out for keeping the pills in a non-humid environment, but at least they fit in a medicine bottle IMO.

The size dimensions brought up on these strips sounds like they won't fit in a medicine bottle.

Be prepared to go back to your next appt and make a case against the film. There has got to be side effects or other intangibles that are yet to emerge, make em up if you have to. The shit's so new, no one could argue with you anyway, everyone's different. That's exactly what I would do, but I'm interested in checking out the new shit, I only take it sublingually nowadays anyway. :\ I would love to do a few doses a day IV, but my fiance would be more than a little curious about the micron filters and such showing up at our house. She doesn't understand the needle and equates it only with heroin. 8)
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Sounds like I already got my case made eh? =D Seriously though I would love to find out the inactives, and the overall weight per strip. Each 8mg Suboxone tablet is roughly 400mg (or, 398 +/- 2mg). I imagine the strips would weigh less.

Also, after being a heroin addict (who primarily didn't IV heroin) for long enough, my fiancee was greatly relieved when I began IVing buprenorphine. I can see how some people's stigma's or ideologies prevent them from seeing the difference between responsible and irresponsible drug use.

rocksonboxone said:
^^^^If you have an extra $25 to spare get a PO box, thats what I did, now I just go pick up my supplies whenever I have time and dont have to worry about anyone seeing my packages arriving. You only have to pay the $25 once every 6months.

Luckily my doc is a pretty cool dude for the most part, if I want to keep the tabs, he will let me, but not without the naloxone8)

Id like to see more info on the side effects of the film, I would not want something that causes sore tongue and numbness in my veins.

Besides, I would think that most doctors would feel that the film would be easier to dissolve and IV than a pill with a bunch of flavorings and crap in it, so long as they dont try to make the film 'abuse proof' or any other nonsense...
Click to expand...

Honestly, I think it would kind of hard to be in a relationship with someone (where you live with them) and for you to be an active IDU without them ever finding out/having suspicions. That's just my thoughts on such a situation.

They are likely to see track marks every time you magically re-appear out of the bathroom/car, they are likely to notice you spending more time by yourself while injecting (micron filtering makes the process quick, but prepping shot by shot takes *a lot* of time - I know because I used to do this for at least a year before I started micron filterting), and unless you go to an exchange daily/every other day, I don't see how you are going to hide hundreds to thousands of insulin syringes. I'm unlucky as I live in a state without exchanges, and we have at least 2,200 + used insulin syringes waiting to be taken to an out of state exchange. :| Considering there is just 1 exchange anywhere close by, and they only let you exchange 300 per person per day, you can understand that they're not going anywhere very fast.

I am also running out of usable 31g needles, so I'm wondering if I should go to the exchange (since they don't normally carry 31's...) and get whatever gauge they have for IM use, or if I should try to take a break for a while for whatever reason (<-- LOL... that's not going to happen...I don't even know why I even bothered writing that)... or if I should travel literally hours to a pharmacy who will sell me 31G needles.

SubDude said:
I also have enough stockpiled for many yrs but still go to subs doc because it's free [vet hosp] and have benzo script w/him. However, I don't like the urine screens... etc. I'd also like to smoke a little more weed than a couple of thin joints the first week after I see him. The main thing I'm concered with in breaking free is the shelf life and the possibility of some kind of legal problem.

I did a quick search regarding how long subs will last in storage but all I could find was an old military study and subs wasn't part of it. According to them... most drugs last at least 10 yrs on the shelf. Do you have anything on that?
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I'm honestly not sure on the shelf life of buprenorphine. I know I will be using it many years after it has been picked up...and I couldn't find any basic info on buprenorphine's shelf life. Hm...
 
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as long as you do the best you can to keep bupe away from harmful elements and exposure to sunlight/moisture etc...im sure the shelf life will be plenty long for ANYONE who uses them....yes, even you CH
 
If it's not impossible to extract freebase buprenorphine from patches with esters of long-chain acid and long-chain alcohol, a few polymers (mostly acrylates that make up for the glue), and PVP, then I guess smart junkies will do whatever it takes to get buprenorphine from Suboxone film strips (unless they're "one thing" like a bubblegum...).
 
SubDude said:
I also have enough stockpiled for many yrs but still go to subs doc because it's free [vet hosp] and have benzo script w/him. However, I don't like the urine screens... etc. I'd also like to smoke a little more weed than a couple of thin joints the first week after I see him. The main thing I'm concered with in breaking free is the shelf life and the possibility of some kind of legal problem.

I did a quick search regarding how long subs will last in storage but all I could find was an old military study and subs wasn't part of it. According to them... most drugs last at least 10 yrs on the shelf. Do you have anything on that?
Click to expand...

As long as the pharmacy keeps their stock rotated brand name subs are good for about 1.5 to 2 years after the fill date they'll work for even
longer than that but of course full potency can't be guarenteed. Generic bipedal and subutex are the same.

Edit: was way off on the shelf life couldve sworn it was longer than 2 years
 
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syndeusys said:
As long as the pharmacy keeps their stock rotated brand name subs are good fr about 4 years after the fill date they'll work for even
longer than that but of course full potency can't be guarenteed I'll check on the generic bupe and brand subutex when I get back from my lunch break.
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Do you have a source for this information???

Im not like being rude I just wanted to read up on it myself. It also helps verify your advice.
 
I have been using bupe daily for almost a month, sometimes skipping a day or two. Am I going to get withdrawals? Is tapering off worth it after only a month of use?
 
I never took more than 4mg in a day except maybe on 2 or 3 days during the month, I kept it low even if the effects were diminished, and the occasional break helped (mainly did those to be able to shit, but the last week and a half I've been able to shit on low doses, I guess that means I acquired physical addiction and should get withdrawals). Alright well I will taper it off and if I get withdrawals I have some kratom and gbl if I want to sleep.
 
^If you think you can get off, and it's in anyway a financial strain or a pain in the ass, then get off ASAP while you can. Honestly. The amount of $$$ I've paid for this maintenance in the past 2+years would make you want to gargle drano if you had to pay it.

And CH, glad I could help. It feels good to give something back to a person and a community that's given me so much help. Like I said, it should be an interesting couple of months for this thread...isn't is always? I decided that this is my favorite thread in a very, very excellent website/forum/community.
 
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suboxone usage

if i took 2 mg of suboxone one day, skipped a day, and then took another 2 mg the next day, about how long would i have to wait to be able to feel the full effect of other opiates? im about 5'9, 150lbs if that helps
 
3-5 to get the bupe out of your system since it has been building up in there... then you would have to wait until your tolerance returns back to normal which could take a while. or just wait a few days and get the most you can out of it
 
Honestly you could probably still feel MOST of the effects immediately after taking those low doses...and it would, in my opinion, be worth it to start using drugs again as soon as you want too...but if your determined to wait until you can feel absolutely 100% of the effects...then, yea, like CH said...1-2 days...but honestly its not necessary....I can take 4 mg doses then do some heroin an hour or two later, and still get atleast 80% of the high.

No worries bro
 
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