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Bupe Suboxone/Buprenorphine FAQ & Megathread v2; 2010

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destiny_days said:
Cheers James-Brown for your input on PAWS & your experience...But you haven't been off sub for considerable amount of times have you? i.e 6 months to 1 year, so thus you might now know how it feels to be without sub for that long so maybe you aint been off sub long enough to experience PAWS perhaps? who knows....Isn't it still addictive behavior/personality/mentality if you take a opiate or Sub now and then?..Isn't addiction free not having any opiate at all including subutex and leading a sober life-style?.

Cheers!
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I guess that all depends on your definition of addiciton. Medical Dictionaries use this as the definition for addiciton...

"a person who has become physiologically or psychologically dependent on a chemical such as alcohol or other drugs to the extent that normal social, occupational, and other responsible life functions are disrupted."

To be an addict you must be negatively impacted by taking the drug. And I have no negative issues that stem from me taking suboxone. In fact, I use it just like any other person takes any other medication. I use it to give me energy sometimes. I also use it as an anti-depressant. And sometiems I use it just because it makes me feel good. But I certainly dont show any addict behavior. I do not need the medication to function normally. It in no way causes me to live a poorer lifestyle than I would without it. In fact, it makes my quality of life better. So, in short, im using this medication just like anyone else uses there medication to help them, whether its heart medication, or anxiety medication, or suboxone. Being an addict all has to do with HOW you use the medication and HOW the medication affects you.

So to answer your question....."....Isn't it still addictive behavior/personality/mentality if you take a opiate or Sub now and then?".... the answer would be no. not in my case. maybe in another circumstance, with another person, who uses opiates because they cant stop, or the use of opiates negatively impacts there life, maybe then the answer would be yes....but not in my case.
But if your definition of addiction is "anyone who uses a medication to better there quality of life even if the medication doesnt negatively impact the person whatsoever.".....then i guess yes, by your definition I would be an addict....but I can guarantee you that no respected medical proffessional uses that definition for addiction.
As far as the PAWS goes.....I doubt I would experience any PAWS after staying off of suboxone for 6 months or a year, because PAWS stems from physical and/or mental addiction to a substance, and as said earlier, i am neither. PAWS is usually a result of people not being use to living a life without abusing drugs and therefore they have the PAWS symptoms, but since I am allready living a sober life just fine, and have been for quite a long time now, I highly doubt I will ever have to experience PAWS any time in the future.
I appreciate you worrying about it though. Thanks for the concern.
 
Hey all,I'm an IV Heroin user.I've been on suboxone on and off for 5 or 6 years.My experience has been that it is VERY addictive and the withdrawls when abruptly stopped ARE JUST AS BAD,and takes a lot longer to get out of your system.However,my day to day life is completely different on Suboxone.It does truly have a legitimate place in addiction treatment.Just keep in mind that when you remove the drug,the drug addict is still there!!!!!!!!!!!
 
ironman7 said:
Hey all,I'm an IV Heroin user.I've been on suboxone on and off for 5 or 6 years.My experience has been that it is VERY addictive and the withdrawls when abruptly stopped ARE JUST AS BAD,and takes a lot longer to get out of your system.However,my day to day life is completely different on Suboxone.It does truly have a legitimate place in addiction treatment.Just keep in mind that when you remove the drug,the drug addict is still there!!!!!!!!!!!
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Yea, addiction tends to be a lifelong battle....even if an ex-addict never uses a drug again for the rest of his life, he can still be tempted and have to worry about relapse. But that by no means, means that an ex-addict cant live a normal happy life once they stop abusing drugs.
And with suboxone, most people need to do a very long taper in order to get off of the medication with little withdrawal effects....this is mainly because most people on subs are given WAY more than they actually need to maintain a normal lifestyle. And after months or years of being on subs at such a high dose, it can take extremely long periods of time to taper off correctly. Thats why I usually reccommend that if you do choose to get on subs, you stay at the lowest dose possible.
 
jamesBrown and DKblaze1- you may notice some of your posts have been unapproved. If you want to talk directly to each other and argue then take it to PM. This stuff shouldn't be on the open forum, derails the threads and decreases the civility of the discussion.

You both have been warned and infracted for this type of shit, keep it up and more will follow.
 
Lets come together, and create a BA conversion chart, for comparison of SL, intranasal, and IV.



1mg IV = 0.5mg intranasal = 0.3mg Subling
 
so BA of sublingual can actually be 40 percent?

and BA of snorting it can be 60 percent?
 
^according to those numbers but I have no personal experience with suboxone so I can't comment from experience.

The SL numbers seem a bit high from what I read around here but I usually hear that IN is twice as potent as SL.
 
yes i am, daily.... i started at 8mg. tapered down to 4mg. and now i am taking 2mg SL.
 
Hey guys. I've been on Suboxone since late August (can't remember the date right now) and I want off of it. I hear that the w/ds are only going to get worse and the PAWS is only going to get longer the longer I am on it and I feel like it has served it's purpose, and now I can live successfully without it.
I am going to group therapy sessions and I have other thigns to keep me busy so it's not like I am lacking in support.

The thing that's kinda time sensitive is that i really hate my suboxone doctor and I do not want to pay him for another visit, and I can only get scripts from him when i go and visit.
I am going to run out of pills before I can get another doctor and I don't want to visit this one again.
I want to taper down relatively quickly ASAP, and I have already begun to do so by going from 16mg/day to 12mg today.
I have 5 and 1/2 8mgs left and I want to know the best advice possible with this.
 
no, i am going to maintain a very low dose, and stockpile the subs for an extended period of time. 6 months or more.... i already have 12 put aside in just under 4 weeks!

maintaining a low dose should always keep WD and PAWS at bay, and i should be happy and heroin free.
 
CoffeeDrinker said:
Hey guys. I've been on Suboxone since late August (can't remember the date right now) and I want off of it. I hear that the w/ds are only going to get worse and the PAWS is only going to get longer the longer I am on it and I feel like it has served it's purpose, and now I can live successfully without it.
I am going to group therapy sessions and I have other thigns to keep me busy so it's not like I am lacking in support.

The thing that's kinda time sensitive is that i really hate my suboxone doctor and I do not want to pay him for another visit, and I can only get scripts from him when i go and visit.
I am going to run out of pills before I can get another doctor and I don't want to visit this one again.
I want to taper down relatively quickly ASAP, and I have already begun to do so by going from 16mg/day to 12mg today.
I have 5 and 1/2 8mgs left and I want to know the best advice possible with this.
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Damn dude this isnt a good spot to b in... if I were you I would stop taking your subs now save w.e u got wait as love as u humanly can.. then after prolly a day -2 days take a .5 mg under the tounge or w./e way u can get the highest bioavalibilty. I hear the alchol and sub under the tounge does well.. well ur prolly gonna wanta dosse alot and not feel good for a week
but if u take . 5 2 time daily for a week thats like 7 mg so ur still under a pill.. By all means this might b too much of a drop but ur in a spot were if you dont do this the PAWS will b much worse IMO, so once u have dropped to that dose and are maintaining to a degree that your nose is runnign and thats it. I would take another DAY off then morning dose .5 mg for the whole day . or do .25 mornign and night . but then u will have the 5 pills able to last you around a month ish. I know that the start of this will suck alot going from 16 to nada would b far worse and u would b out in a day or two.. If you take this advise you will b far better off. u can raise the doses a lil if needed but I really advise you to get one more script filled of it and then with ath 60 pills or 58 w.e it is u will b able to do more then a perfect tapper. I find its all about ur body if u want a really nice taper and not feel noticea bad past a lil forhead sweat.. I havent kicked yet tho and days that I do take off to drop dose I obsese about getting that next dose. . if u want more on this I posted a thread called

Suboxone, Tapering, Quiting, Methadone, and thats all i remebr of the name haha anyway its my newsest thread started and the post that will help u is the opener.. i still gotta eddit it but u should b able to waddd through it .. good luck man if u have any other questions for me feel free to PM or Quote me so I can see my color writediong and ill get back to you asap .. GOOD LUCK AGAIN
 
coffee drinker.... if i were you. i would take only 4mg tomo and then the next day. you will be surprised at how a low dose will hold you so well. and from there go to 2mg then 1 mg then even less is possible. you can do this.
 
From the latest RB email, @ the bottom RE: Side Effects.

"Cytolytic hepatitis and hepatitis with jaundice have been observed in the addicted population receiving buprenorphine.

WTF?

Does that mean it can cause this? Or that it is a common pre-existing condition?

I don't ever remember seeing this before..
 
Drifter74 said:
From the latest RB email, @ the bottom RE: Side Effects.

"Cytolytic hepatitis and hepatitis with jaundice have been observed in the addicted population receiving buprenorphine.

WTF?

Does that mean it can cause this? Or that it is a common pre-existing condition?

I don't ever remember seeing this before..
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A lot of drugs can cause hepatitis. Unless you get jaundice I wouldn't worry.

A large number of drugs can cause hepatitis:[7]

* Agomelatine (antidepressant)
* Allopurinol
* Amitriptyline (antidepressant)
* Amiodarone (antiarrhythmic)
* Atomoxetine [8]
* Azathioprine[9]
* Halothane (a specific type of anesthetic gas)
* Hormonal contraceptives
* Ibuprofen and indomethacin (NSAIDs)
* Isoniazid (INH), rifampicin, and pyrazinamide (tuberculosis-specific antibiotics)
* Ketoconazole (antifungal)
* Loratadine (antihistamine)
* Methotrexate (immune suppressant)
* Methyldopa (antihypertensive)
* Minocycline (tetracycline antibiotic)
* Nifedipine (antihypertensive)
* Nitrofurantoin (antibiotic)
* Paracetamol (acetaminophen in the United States) can cause hepatitis when taken in an overdose. The severity of liver damage may be limited by prompt administration of acetylcysteine.
* Phenytoin and valproic acid (antiepileptics)
* Troglitazone (antidiabetic, withdrawn in 2000 for causing hepatitis)
* Zidovudine (antiretroviral i.e., against HIV)
* Some herbs and nutritional supplements[10]

The clinical course of drug-induced hepatitis is quite variable, depending on the drug and the patient's tendency to react to the drug. For example, halothane hepatitis can range from mild to fatal as can INH-induced hepatitis. Hormonal contraception can cause structural changes in the liver. Amiodarone hepatitis can be untreatable since the long half life of the drug (up to 60 days) means that there is no effective way to stop exposure to the drug. Statins can cause elevations of liver function blood tests normally without indicating an underlying hepatitis. Lastly, human variability is such that any drug can be a cause of hepatitis.
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^ interesting.. never knew that.
so that DOES mean subs can give us hepatitis?
my babies mama has hep-c, and we both have HPV.. she's not on subs but i am so does the HPV make me more vulnerable to hepatitis? (yes i am a male with HPV, no i don't have genital warts or cancer *yet* :| )

EDIT: and please no making fun of me for it or think im a gross person or something because im not. She gave me the HPV, im just lucky she got the hep-c after we were together so i didn't get that.
 
PillPoppingAnimal said:
humans do not need pills to live
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You're incredibly ignorant. How do you think people live with diseases, such as HIV? They do it by taking pills.

You can take your spiritual healing and your "humans don't need pills to live" crap out of this thread. It's derailing the subject matter at hand. This is a final warning for anyone who doesn't want to discuss Suboxone, or buprenorphine in this thread.

Take side-tracked conversations to PM's people.

HdoubleODeezy said:
^ interesting.. never knew that.
so that DOES mean subs can give us hepatitis?
my babies mama has hep-c, and we both have HPV.. she's not on subs but i am so does the HPV make me more vulnerable to hepatitis? (yes i am a male with HPV, no i don't have genital warts or cancer *yet* :| )
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It could, though I am not familiar with why or how this happens.

Hepatitis has many causes, and isn't always indicating that someone has the hepatitis A, B, or C virus.

HPV rarely causes complications in males, and about 80% of the population will contract at least one form of HPV in their lifetimes.

And no, I don't believe HPV increases your likelihood of having hepatitis.
 
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