Opioids Buprenorphine - Basic advice.

[Genedefekt1985]

Hi folks,

Been a lurker on here for a good while. Invaluable resource.

Just been started (3weeks) on 16mg buprenorphine after going to my addiction worker after a heavy run with DHC. Yes I know weird that they have put me on buprenorphine.

Questions are the saliva build up from the two dissolved pills what do you do with it?

Is there a certain amount of time you have to hold it?

Do you eventually swallow it?

How long after it's been dissolved before vaping or smoking, eating, drinking.

It's maybe covered elsewhere but I couldn't find anything with the searches buprenorphine saliva.

Any tips appreciated folks and so sorry if this has been covered a million times.

Hope your all well.

Robbie.

 

[G_Chem]

So typically I’ll swallow any saliva buildup like normal, but try to dose when my mouth is relatively dry. I will then not eat or drink anything for an hour. I’ll usually give smoking about 30min. Smoking beforehand can help dry out your mouth for less saliva buildup.

-GC

 

[Genedefekt1985]

So typically I’ll swallow any saliva buildup like normal, but try to dose when my mouth is relatively dry. I will then not eat or drink anything for an hour. I’ll usually give smoking about 30min. Smoking beforehand can help dry out your mouth for less saliva buildup.

-GC

Cheers mate so take em without drinking water before hand? As the girl at counter always offers me a drink before I take mines. Supervised consumption I'm on. I will give all these a try pal. That ks for advice.

 

[Genedefekt1985]

So typically I’ll swallow any saliva buildup like normal, but try to dose when my mouth is relatively dry. I will then not eat or drink anything for an hour. I’ll usually give smoking about 30min. Smoking beforehand can help dry out your mouth for less saliva buildup.

-GC

@G_Chem do you snap your pills up before placing under tongue? Make it easier to dissolve.

 

[G_Chem]

Yup avoid the water. So I actually take sublingual films which are definitely different and create less saliva as there’s less in your mouth.

But you want it to dissolve as slowly as possible cuz that allows for longer contact with the blood vessels in that area before being swallowed.

Actually when I was supervised I’d show them how I used to fold up the strips into a tight ball of sorts to slow absorption. They didn’t seem to mind.

The dryness is just another way to slow things down to lessen inadvertently swallowing some.

-GC

 

[Genedefekt1985]

Perfect mate just done that there. Thanks again bud.

 

[Genedefekt1985]

Actually felt more of the bupe today unless placebo but felt more chatty and comfortable in my own skin. and the chemist didn't mind me snapping them. Cheers again.

Oh I forgot to say is 16 mg per day a lot. For someone who was using say 600mg of dihydrocodeine?

 

[cosmic charlie]

Dude that dose is WAY too high.

You need to just drop down to 8mgs a.s.a.p and hold it there for awhile, you might feel a little off but i find the drop from higher doses, to a standard one to be not so bad. For some reason for me the drop to lower amounts is more difficult. Maybe try 12mgs for a week if you really need to.

But that dose they gave you is just totally unnecessary and was more than ive taken for massive Heroin or Fentanyl habits. Buprenorphine is some really strong stuff. Id get yourself down to a 4mg maintenance dose, that way you can stockpile pills for the future.

Personally i am at 8mgs again cuz i relapsed but i plan on getting back to 4mgs soon. Congrats on getting off the rollercoaster of Opioid Addiction, i know that Bupe's still drugs but its the lesser of evils.

 

[thurston]

Dude that dose is WAY too high.

You need to just drop down to 8mgs a.s.a.p and hold it there for awhile, you might feel a little off but i find the drop from higher doses, to a standard one to be not so bad. For some reason for me the drop to lower amounts is more difficult. Maybe try 12mgs for a week if you really need to.

But that dose they gave you is just totally unnecessary and was more than ive taken for massive Heroin or Fentanyl habits. Buprenorphine is some really strong stuff. Id get yourself down to a 4mg maintenance dose, that way you can stockpile pills for the future.

Personally i am at 8mgs again cuz i relapsed but i plan on getting back to 4mgs soon. Congrats on getting off the rollercoaster of Opioid Addiction, i know that Bupe's still drugs but its the lesser of evils.

I agree with this I think you're taking too much. Bupe is hard to kick.

 

[Opana313]

Yeah I take a quarter..sometimes half sooo 4mg and 4mg completely smacks and saturates for sure. My oxy tolerance is somewhere around 60mg-150mg

 

[Eligiu]

Do NOT dose that high mate, it is totally unnecessary. Bupe has a ceiling effect which from what I understand is between 8mg and 16mg.

I was using 3 packets of ibuprofen plus a day I. 2017, so 30x3x12.8mg of codeine. Whatever that is. My maths is atrocious. It was a lot. And I have used PST to the extent that I had such bad withdrawal I needed to again use OMT to come off.

I have only ONE time been put on a dose above 8mg and that was by this dumb 'addiction medicine specialist'. I dropped my dose from 24mg to 8mg within a week when I realised I felt zero difference.

The first time I was put on sub I was 17 so needed special permission. Was only allowed to stay on it 6 months maximum, maximum dose 4mg at any time.

Second time went up to 4mg highest dose.

Third 24mg. Dropped and maintained on 4mg.

Fourth, 4mg.

Fifth, 8mg - weekly sublocade injection then monthly buvidal shot.

Let me know if you want my taper schedule.

 

[Genedefekt1985]

Dude that dose is WAY too high.

You need to just drop down to 8mgs a.s.a.p and hold it there for awhile, you might feel a little off but i find the drop from higher doses, to a standard one to be not so bad. For some reason for me the drop to lower amounts is more difficult. Maybe try 12mgs for a week if you really need to.

But that dose they gave you is just totally unnecessary and was more than ive taken for massive Heroin or Fentanyl habits. Buprenorphine is some really strong stuff. Id get yourself down to a 4mg maintenance dose, that way you can stockpile pills for the future.

Personally i am at 8mgs again cuz i relapsed but i plan on getting back to 4mgs soon. Congrats on getting off the rollercoaster of Opioid Addiction, i know that Bupe's still drugs but its the lesser of evils.

Yeah I wondered WTF I was doin on 16mg and it was prescribed by a Dr round here who is notorious for puttin people on meth scripts. So you suggest as soon as I can make contact with addiction services I get down to 8mg or just stay on 16 mg and keep one for rainy days?

All inwas doin was fuckin around quite heavily with dihydrocodeine and a bit oramorph here n there.

The mind boggles as to why 16mg.

Cheers for your advice.

 

[Genedefekt1985]

Do NOT dose that high mate, it is totally unnecessary. Bupe has a ceiling effect which from what I understand is between 8mg and 16mg.

I was using 3 packets of ibuprofen plus a day I. 2017, so 30x3x12.8mg of codeine. Whatever that is. My maths is atrocious. It was a lot. And I have used PST to the extent that I had such bad withdrawal I needed to again use OMT to come off.

I have only ONE time been put on a dose above 8mg and that was by this dumb 'addiction medicine specialist'. I dropped my dose from 24mg to 8mg within a week when I realised I felt zero difference.

The first time I was put on sub I was 17 so needed special permission. Was only allowed to stay on it 6 months maximum, maximum dose 4mg at any time.

Second time went up to 4mg highest dose.

Third 24mg. Dropped and maintained on 4mg.

Fourth, 4mg.

Fifth, 8mg - weekly sublocade injection then monthly buvidal shot.

Let me know if you want my taper schedule.

Yeah mate that wouod be sweet coz I'm scared a bit. Like I feel. Totally fine on the 16mg no gouchin or that. go about my day as normal but from what I'm hearing 16mg is waaaay too much

 

[Wishdoctor79]

One very good reason to start with 16 mg Subutex would be to quickly stabilize you so you stop craving an opioid high. Isn't that the goal?

Indications you're craving a high is your question about saliva, dry mouth and all, to get the absolute maximum possible absorption from the two 8-mg sublingual tablets.

As a person with over four years on Suboxone and two multi-year enrollments in methadone maintenance I strongly urge you to relax and be glad they're so generous. Using Subutex @ 16 mg is a gift horse so don't look it in the mouth. You're really very lucky to be induced without the naloxone. Maybe they'll keep you on Subutex.

 

[Genedefekt1985]

I don't think any of you guys are from the UK. 16 mg sees to be standard maintenance dose here in UK. Which I do think is unnecessarily high.

I have another question for those with experience. I suffer from personality disorders and moods are all over the place but since being on bupe I have mainly been happy, getting on better with family, friends and partner.

Does bupe have an anti depressant or mood stabilising effect as far as sny one is aware. It's also helped my. Anxiety a fair bit. I'm only prescribed 2x5mg per day here in UK but I top up with 1 10mg Martin Dow licensed by Hoffman la Roche diazepam at dinner time and another at about 8pm.

Could the reduction in anxiety be placebo effect or does it do that for others.

Cheers for any personal accounts or info folks.

 

[Wishdoctor79]

I don't think any of you guys are from the UK. 16 mg sees to be standard maintenance dose here in UK. Which I do think is unnecessarily high.

I have another question for those with experience. I suffer from personality disorders and moods are all over the place but since being on bupe I have mainly been happy, getting on better with family, friends and partner.

Does bupe have an anti depressant or mood stabilising effect as far as sny one is aware. It's also helped my. Anxiety a fair bit. I'm only prescribed 2x5mg per day here in UK but I top up with 1 10mg Martin Dow licensed by Hoffman la Roche diazepam at dinner time and another at about 8pm.

Could the reduction in anxiety be placebo effect or does it do that for others.

Cheers for any personal accounts or info folks.

Yes, absolutely positively bupe works for many or most "depression" cases.

Part of it is the drug itself. But for many it's getting off the merry-go-round of opiate seeking and worries. Yes, absolutely!

See if you can cut back on the diazepam which I understand you're saying you're Rx'd 10 mg/day and adding 20 mg to that. Try splitting the blue pills.

 

[Genedefekt1985]

Yes, absolutely positively bupe works for many or most "depression" cases.

Part of it is the drug itself. But for many it's getting off the merry-go-round of opiate seeking and worries. Yes, absolutely!

See if you can cut back on the diazepam which I understand you're saying you're Rx'd 10 mg/day and adding 20 mg to that. Try splitting the blue pills.

Cheers brother. Yeah gonna give it a try with my next dose at 8pm.

Yeah I was never on the merry go round as you call it and rightly so as iv seen many an acquaintance on that ride. But iv fucked with most common opioid/opiate.

The thing that got me was why put me on bupe when at this point in time I was really just fuckin with high doses of dihydrocodeine. Seems bizarre.

Anyway I'm just really glad to be out of that rattle and also that my mood has dramatically lifted not in euphoric way just I seem content, attending recovery peer support groups and outdoor activity groups while I wait ona place in residential rehab here in Scotland for polysubstance abuse..

 

[Wishdoctor79]

Cheers brother. Yeah gonna give it a try with my next dose at 8pm.

Yeah I was never on the merry go round as you call it and rightly so as iv seen many an acquaintance on that ride. But iv fucked with most common opioid/opiate.

The thing that got me was why put me on bupe when at this point in time I was really just fuckin with high doses of dihydrocodeine. Seems bizarre.

Anyway I'm just really glad to be out of that rattle and also that my mood has dramatically lifted not in euphoric way just I seem content, attending recovery peer support groups and outdoor activity groups while I wait ona place in residential rehab here in Scotland for polysubstance abuse..

You're feeling better and that's the reason for stopping the DHC. Sounds real good.

 

[Genedefekt1985]

You're feeling better and that's the reason for stopping the DHC. Sounds real good.

Cheers pal. Guess I just be glad I'm stable but still worried with the 16mg dose.

 

[DeathIndustrial88]

I use to think high doses were useless too...

But I think it really depends on the person & how severe their cravings are.

Higher doses than 8mg absolutely can help with cravings.
Obviously there's no reason to take higher doses if you feel comfortable on lower ones. But there are still slight effects going past 8mg that can make a big difference.

I tried the lower doses thing back in the day & some days I would wonder why I was so lethargic & craving so hard. It wasn't until I went back up in dose that I felt normal again & was able to quit thinking about heroin for 5 seconds.

I wouldn't stay on 16mg if you ever want to get off of though. But for now, I don't think it hurts to take your time. Bupe is strong stuff but it's also one of the easier opioids to taper with. So you can always save tapering when you're ready & go at your own pace. Especially if it's helping you.