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  • BDD Moderators: Keif’ Richards

how many mg's of suboxone is equal to 15mg of methadone

comptonking

Bluelighter
Joined
Jul 25, 2008
Messages
156
how many mg's of suboxone is equal to 15mg of methadone? I was thinking about .5mg anyone got a more accurate idea though?
 
That's comparing apples to oranges man.

Bupe is a partial agonist vs methadone the full agonist. Are you trying to estimate equal effects for withdrawl aid, or just analgesic properties?
 
Try 2mg...but if I remember correctly you were taking the methadone yesterday.

Are you in withdrawl yet? (you shouldn't be this quickly)...but taking the sub today might throw you into precipitated wd.
 
doctors hahaha. No i think i'm goin to use .5mg and suffer if need be and if i'm still w/d its gonna be a condom in da bum for jail full of goodies!!!!
 
Ok im about 3.5 hours from it being 24 hours since my last snort, and i'm only kind of w/d'n this sucks i dont want to take it to soon but im at work. I got runny nose and just started to sneeze. and i'm full of anxiety am i good or what. its 45 hours since my last 10mg dose of methadone/? precipitated w/d's scare the shit out of me. and i'm getting annoyed as fuck just typing.!
 
Well I know everyone is different but back before I even knew about precipitated w/d's I was taking methadone and oxycodone at the same time... I went to my first doctors appt. for sub treatment about 10 hours after taking 30mg of Methadone and 15 hours after taking 60mg oxycodone... and he gave me 4mg suboxone and I was fine man... I didn't go in to any precipitated w/d's at all... it just relieved the minor w/d's I was having at the time...

But as I said, everyone is different but IMO I think you are definitely good...
 
But is there a equivalancy chart or something like that to compare suboxone to any other opiates such as methadone oxy morphine heroin???
 
I think if u were taking 15 mg to get rid of w/d's then I would say maybe 2 to 4mg of sub would be a close comparison but everyone reacts differently ... if its been 45 hours since ur last dose of done and ur in w/d's then I say go for it. Too bad ur in jail now cuz this is more than a yr old. U never know somebody else might find it useful haha. I just shot 5 bags so im feeling good and typing to nobody. Goodbye!:D
 
15mg Methadone = 0.3mg Buprenorphinehttp://www.medcalc.com/narcotics.html
15mg is a small dose of Methadone. If your trying to prevent withdrawals I'd imagine 1mg would be plenty, possibly even 0.5mg
Not to knock your post in any way -- since I think that's probably a fair estimate at that dosage level -- but I used the calculator you linked to estimate the Suboxone doses for 100 and 200 mg of Methadone PO.
I got 2mg and 4mg of IV Bupe. Seems completely unrealistic for higher doses of methadone, though relatistic if your Done is under 30 maybe...

My actual situation = need to jump from 40 - 70 mg/day of methadone (no clinic) back to my rx suboxone after 2-3 months off of it. I'm thinking taper to 30-40mg/day of 'Done for about a week, maybe even 20 for the last 2 days. Then take 2-3 days off, start with 4mg suboxone.

If possible, maybe add a couple days of a low-dose, short acting opioid -- i.e. H -- after the Done is gone. Then just waiting 36-48 before starting with 4 mg Subx. (Maybe I'll start a thread soon -- even though the general issues are answered elsewhere & searchable, specific situations always have their tricky details that have to be considered.)
 
Not to knock your post in any way -- since I think that's probably a fair estimate at that dosage level -- but I used the calculator you linked to estimate the Suboxone doses for 100 and 200 mg of Methadone PO.
I got 2mg and 4mg of IV Bupe. Seems completely unrealistic for higher doses of methadone, though relatistic if your Done is under 30 maybe...

My actual situation = need to jump from 40 - 70 mg/day of methadone (no clinic) back to my rx suboxone after 2-3 months off of it. I'm thinking taper to 30-40mg/day of 'Done for about a week, maybe even 20 for the last 2 days. Then take 2-3 days off, start with 4mg suboxone.

If possible, maybe add a couple days of a low-dose, short acting opioid -- i.e. H -- after the Done is gone. Then just waiting 36-48 before starting with 4 mg Subx. (Maybe I'll start a thread soon -- even though the general issues are answered elsewhere & searchable, specific situations always have their tricky details that have to be considered.)

I typed in 100-200mg of Methadone and got 4-8mg Buprenorphine PO. That sounds about right to me. There is no real need to take doses above 8mg in my opinion. I did just as well with 8mg as I did with 16mg and I had switched from 130mg Methadone. I'm currently taking 2mg and actually feel just as much relief as I would from 8mg. People go on too high of doses. Buprenorphine is real powerful. If your taking doses like 40-70mg daily I'd think 2-4mg of Suboxone would hold you just fine. (higher dose than the calculator provides but still efficient)
 
I started on 16 mg's of sub and was before that taking 160-320mg's of oxycontin and i was getting a pretty strong buzz off the subs so i rapidly cut down to 8mg's and was STILL feeling pretty good off THAT. Now, a month later I;m taking 8mg's every other day, and am Fine on the day I don't slip the bupe on my tongue. For some reason doctors like to over prescribe this, o wait maybe it's $$$.. but I am thankful for it because I was going through withdrawls I never imagined were possible.. Still miss my 3 year affair of oxy's tho.
 
I did just as well with 8mg as I did with 16mg and I had switched from 130mg Methadone. I'm currently taking 2mg and actually feel just as much relief as I would from 8mg. People go on too high of doses. Buprenorphine is real powerful. If your taking doses like 40-70mg daily I'd think 2-4mg of Suboxone would hold you just fine. (higher dose than the calculator provides but still efficient)
Really?! That's pretty interesting to me. I definitely agree that above 2 or 4 mg you don't get too much benefit (I've always been able to drop easily from 8 or 16 mg down to 2 or 4, with very little sense of withdrawal). What surprises me is the idea that it would be roughly equivalent of 130mg (or even 70mg) of methadone. I've always had great trouble switching from done to suboxone, remaining in some degree of uncomfortable, sleepless withdrawal for weeks at a time. Maybe I switched over too rapidly or something, but the length of the discomfort persuaded me against that explanation (at least on its own). How did you make that jump? Was it while you were stable on 130mg at the time (as in, that's what it took to keep you "well")?
 
Really?! That's pretty interesting to me. I definitely agree that above 2 or 4 mg you don't get too much benefit (I've always been able to drop easily from 8 or 16 mg down to 2 or 4, with very little sense of withdrawal). What surprises me is the idea that it would be roughly equivalent of 130mg (or even 70mg) of methadone. I've always had great trouble switching from done to suboxone, remaining in some degree of uncomfortable, sleepless withdrawal for weeks at a time. Maybe I switched over too rapidly or something, but the length of the discomfort persuaded me against that explanation (at least on its own). How did you make that jump? Was it while you were stable on 130mg at the time (as in, that's what it took to keep you "well")?

No, I actually switched onto 2mg from 30mg. I had to decrease my dose down to 30mg before I could do the switch onto Suboxone maintenance. I started at 2mg but then was jumped to 8mg and then 16mg a week later. Didn't need more than 4mg really. But when I tried to go cold turkey from Methadone I took 6mg of Suboxone for the withdrawals and it held me pretty good.
 
No, I actually switched onto 2mg from 30mg. I had to decrease my dose down to 30mg before I could do the switch onto Suboxone maintenance..
oh okay. I see. I though you meant you switched right from 130mg of methadone to suboxone. Yeah, i find that 30mg of methadone is comparable to a few mg of suboxone in terms of preventing w/d. So you're saying you went down from 130mg of methadone to 30mg of methadone first, right? There's where I've usually switched. But I've also read about people jumping from 80-100mg of done onto suboxone after like 4-6 days and being fine.

I'm assuming you spent some time making that adjustment, though, not like you made the jump from 130mg - 30mg in one day? Cause I'm thinking that the switch from that high of a dose of methadone to any dose of suboxone is going to be pretty difficult if you don't spend a long time lowering the methadone dose first (or spend a good week or so of cold turkey before starting the buprenorphine)...

My own issue is that I don't have time to take a long taper since I'm not in a program, and will basically just be CTing it as long as possible before going back on suboxone (probably will just try to do 4mg). I can handle a few days of insomnia and cold turkey withdrawal usually, just by toughing out the misery. After about the 72 hour mark, though, I do start getting desperate. I'm thinking at least 96 hours from my current dose before suboxone...
 
I'm currently taking 2mg and actually feel just as much relief as I would from 8mg.

That's not the case with everyone. I take 12 mg/daily and if I take only 8 mg I just don't feel right. But for me Bupe is also about controlling anxiety and other psychiatric symptoms and not just preventing withdrawal.
 
I believe that at lower doses of bupe its metabolite norbuprenorphine (which is a full mu-agonist) binds to free receptors and causes relief from WDs also. This is why people often find lower doses of buprenorphine almost recreational.
 
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