Yeah each month, I’m not sure how long it will take for the WDs kick in as I’ve not missed a dose but they will kick in if you don’t. For peace of mind my doc gives it to me every 3 weeks and I’m on the maximum dose, 160mg per mth.
Been on it a year and it’s really helped me get my life in some sort of order after nearly 6 years of addiction.
In terms of getting off I’ve been told the protocol is slowly lower the dose month by month then get onto oral bupe and keep tapering, but I’m not sure really, not at the front of my mind really. There really are no side effects I’ve found apart from making my pre existing skin conditions a bit worse and a tiny bit of weight gain.