SaosinEngaged
Bluelighter
- Joined
- Oct 25, 2010
- Messages
- 449
It's nothing new to use the almighty buprenorphine to taper off opiates. Most of us have been there. However, I've found the higher my level of dependence, the less and less comfortable it becomes to taper with bupe. At 300-350mg/day Oxy habit, even 8mg of Bupe leaves me with a net drop in mu agonism that, although I'm not sick, I still have crippling insomnia, not diarrhea but certainly "fast" bowels, and an all around icky feeling. For me, I can only get my hands on 2-3 8mg forms of bupe at a time (I usually prefer subutex), so it's always been hard for me to do a straight bupe taper. In the past when my dependencies were in the 100-200mg range, sure, all bupe at doses of 1-4mg works incredibly well. But with my tolerances sky high atm, it's hard to just use bupe alone when I only have a limited quantity of it.
Enter my own bupe taper which still requires the use of your DoC (probably unless it's Methadone, you should be good to go). This is my second time WDing from a high daily dose, the first time I used a really crude method of dual tapering that many would be scared to try for fear of precipitating. It worked for me, but in my second time WDing from this amount, I've refined the process and am on day 7 with minimal discomfort and having made significant progress.
This is how I do it:
The first day of WD, I dose a full 8mg of bupe after the standard waiting period so you don't precipitate (I don't want to give the time for me, as it's different with everybody). While I'm certainly not sick with 8mg of bupe in me, I still feel very off (partially because you're not adjusted to bupe yet) and have a hard time sleeping. However, for the first night I stick it out, as it's really not too terrible.
The second day, I do not redose bupe. You have enough in your system still to hold you, decently, until night time. At this point I dose about 90mg of Oxycodone. And then I sleep like a baby.
Third day. Now you're still going to have mu agomism from the oxy in your system throughout the day, so you should be "okay." It will be on top of the declining bupe dose, so you'll feel better than you otherwise would after a drastic dosage reduction. On the third night (24 hrs or so since dosing the Oxy), I redose about 4mg of bupe. I have not ONCE induced precipitate WD following this type of schedule, but still always be careful. After the bupe takes hold, I top it off with just about 30mg of Oxy, which will give enough additional agonism (obviously no high) to help me sleep normally.
Fourth day. No bupe. 60mg of Oxy at night.
Fifth day. 2mg of bupe at night. 15-30mg of Oxy if absolutely necessary.
Sixth day. 30mg of Oxy at night, only.
Seventh day. 1mg of bupe.
Eigth day. .5mg bupe.
And then just finish off on the bupe. Stay at 1mg for an extra day or two if you feel you need to. At this point I'd probably use either Kratom or Loperamide for a few days after complete cessation of all opiates, just to help negate any leftover WDs (which should be quite minor in comparison).
What I've found beneficial about this type of schedule is that you're only dosing once per day, so you're constantly tapering. The bupe does most of the work, but the additional agonism from the Oxy doses will make you more comfortable and "gently" assist you in coming off of it. I've never had success tapering down on Oxy alone, and at my level of dependence, I haven't on bupe either (partially because I can never get enough of it). With the bupe in the picture it will blunt any high anyway, so you're simply dosing the Oxy to gently step yourself off it and to give your brain some additional agonism to help you sleep and feel more comfortable. Once you have bupe somewhat steadily in your system, I've found it very hard to induce precipitated WD. In addition, following this type of schedule you're not dosing Oxy as you normally would (throughout the day) as you're only dosing once, so the 24 hour wait should be sufficient in almost all cases.
I don't know guys. Unconventional, yes. Against the standard practices of using bupe? Yes. But it works for me, and it works better than any other way I've found to come off of relatively high amounts of Oxycodone.
If you like this, hate this, think it's crazy, feel free to share. And/or add to megathread if necessary. I'm just sharing a funky method that, for whatever reason, I've found success with. As with anything else in the drug world, what works for one may not work for you, and that's why we have this wonderful site called Bluelight that has MANY methods of withdrawing, so that you can choose what works best for you, or in my case, come up with your own.
Enter my own bupe taper which still requires the use of your DoC (probably unless it's Methadone, you should be good to go). This is my second time WDing from a high daily dose, the first time I used a really crude method of dual tapering that many would be scared to try for fear of precipitating. It worked for me, but in my second time WDing from this amount, I've refined the process and am on day 7 with minimal discomfort and having made significant progress.
This is how I do it:
The first day of WD, I dose a full 8mg of bupe after the standard waiting period so you don't precipitate (I don't want to give the time for me, as it's different with everybody). While I'm certainly not sick with 8mg of bupe in me, I still feel very off (partially because you're not adjusted to bupe yet) and have a hard time sleeping. However, for the first night I stick it out, as it's really not too terrible.
The second day, I do not redose bupe. You have enough in your system still to hold you, decently, until night time. At this point I dose about 90mg of Oxycodone. And then I sleep like a baby.
Third day. Now you're still going to have mu agomism from the oxy in your system throughout the day, so you should be "okay." It will be on top of the declining bupe dose, so you'll feel better than you otherwise would after a drastic dosage reduction. On the third night (24 hrs or so since dosing the Oxy), I redose about 4mg of bupe. I have not ONCE induced precipitate WD following this type of schedule, but still always be careful. After the bupe takes hold, I top it off with just about 30mg of Oxy, which will give enough additional agonism (obviously no high) to help me sleep normally.
Fourth day. No bupe. 60mg of Oxy at night.
Fifth day. 2mg of bupe at night. 15-30mg of Oxy if absolutely necessary.
Sixth day. 30mg of Oxy at night, only.
Seventh day. 1mg of bupe.
Eigth day. .5mg bupe.
And then just finish off on the bupe. Stay at 1mg for an extra day or two if you feel you need to. At this point I'd probably use either Kratom or Loperamide for a few days after complete cessation of all opiates, just to help negate any leftover WDs (which should be quite minor in comparison).
What I've found beneficial about this type of schedule is that you're only dosing once per day, so you're constantly tapering. The bupe does most of the work, but the additional agonism from the Oxy doses will make you more comfortable and "gently" assist you in coming off of it. I've never had success tapering down on Oxy alone, and at my level of dependence, I haven't on bupe either (partially because I can never get enough of it). With the bupe in the picture it will blunt any high anyway, so you're simply dosing the Oxy to gently step yourself off it and to give your brain some additional agonism to help you sleep and feel more comfortable. Once you have bupe somewhat steadily in your system, I've found it very hard to induce precipitated WD. In addition, following this type of schedule you're not dosing Oxy as you normally would (throughout the day) as you're only dosing once, so the 24 hour wait should be sufficient in almost all cases.
I don't know guys. Unconventional, yes. Against the standard practices of using bupe? Yes. But it works for me, and it works better than any other way I've found to come off of relatively high amounts of Oxycodone.
If you like this, hate this, think it's crazy, feel free to share. And/or add to megathread if necessary. I'm just sharing a funky method that, for whatever reason, I've found success with. As with anything else in the drug world, what works for one may not work for you, and that's why we have this wonderful site called Bluelight that has MANY methods of withdrawing, so that you can choose what works best for you, or in my case, come up with your own.
