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Cold-turkey after +year-long 16mg/day bupe regimen...

Woodsong

Bluelighter
Joined
May 2, 2011
Messages
233
Location
Georgia, USA
Okay, here's my story, as I'm sure I've probably told it before...

I'm 27, male, no novice to various forms of pharmaceutical abuse... I've been on buprenorphine for about 16 months, at 16mg a day. I've had the occasional "breaks" and many different periods of varying dosages. Before the bupe, I was taking roughly 300mg of oxy a day, and let's just say that was a substantially longer habit... The bupe certainly took the chaos out of my life, but ultimately I've wanted to just be clean of opiates, period. After all the struggle I've been through with opiate abuse, I can honestly say I don't give a damn about the 'high' anymore. I just want to be done with the shit...

I can't even begin to count how many times I've tried to "quit" bupe, and the longest I've went cold-turkey without it was 6 days before I ultimately lost my mind and drove to my psychiatrist, sick as hell, begging for an appointment... Well, this time I've made it a week with significantly more resolve, but I had ... one, tiny, little ... slip. An old trick I used to use when I was out of roxi money...

Loperamide... (Hey. The shit works for me, that's all I can say.)

I went to the grocery store the other day, and after ten minutes of walking around, I was about to puke all over the frozen food section. Lo and behold, the medicine aisle looms ahead, and my eyes go wide as they fixate upon the familiar antidote... 48 caplets a bottle, 2mg a piece, as typical. Hating myself with the fury of a thousand suns and knowing this would probably set me back completely but about to crap my pants anyway, I couldn't stop my hand from placing the damn bottle in my basket... Long story short, I took half the bottle that day, half the next...

The first day, it barely helped. Second day, I feel ... almost normal, beyond some residual symptoms. Last night was the first night I've actually SLEPT since I started the cold-turkey. Over 24 hours since my last dose of lope, yeah it was still hard to wake up today, but after my typical wake-up routine (sans-bupe), I don't really feel the withdrawal returning... I know loperamide has a fairly long half-life, but even on bupe with my doses split throughout the day, I would still wake up every morning in mild w/d...

The week is still young, but my sense of hope is fearfully high... I highly doubt I've completely interrupted a habit of this magnitude with an over-the-counter anti-diarrheal medication, but ... some irrational part of me can't stop hoping I have. I know I'm probably setting myself up for disappointment, and I don't know how I'll react if it does come back. I'm afraid I might start pilfering my grandmother's Lortabs or something... Or even worse, buying more loperamide. I'm sure my bowels are already close to giving up on me...

The past week has been a typical withdrawal nightmare, but it's the longest I've ever gone without buprenorphine in my course of taking it, not counting the occasional oxy relapse... Have I fucked myself, or what? Maybe it's just too early to tell? What should I do if I DO suddenly find myself kicking the walls and screaming into my pillow again? The only other thing I've taken to help me was clonidine. Once, on my worst night, two .1mg pills. Any opinions or advice will be appreciated...
 
Keep doing what you're doing Woodsong, you'd seem to be winning. I never went on bupe, it was only just coming available really as a detox med when I last kicked so no experience I can share there unfortunately far as likely timeframe goes and how bad things might be but a week is a good chunk out of it any which way and Loperamide sure seems to help lots of people with the very worst symptoms, Clonidine I have used and good to have available also. Stick with it, do whatever makes the withdrawals bearable so long as its not storing up further problems for the future ( Loperamide doesn't count here I don't think, don't view it as a slip, it's detox meds shouldn't arrest the recovery ) and know that it does end and a life free of opiates is waiting for you just out the other side. You can do this Woodsong, I promise you. Good luck! :)
 
I just feel so much better now than I did before I took the loperamide, and that scares the hell out of me considering how I felt before... I do NOT want to be back at that point... Ever. I'm just hoping I didn't hit the reset button again, like I've done a thousand times before now.

... but the day keeps dragging on, and I still feel pretty much the same.

Now if I can just stay away from the Xanax and the steering wheel I'll be good, haha........ :|
 
Just to clarify before I respond further. Your going cold turkey off 16mg of suboxone a day, and you didn't taper at all first?
 
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@SkagKush
Well, when I figured out I couldn't get my next 'script, I had 2 pills left... I took 1 one day, then half a one for the next 2, but that's it...

And I've been on Roxane's generic Subutex instead of Suboxone, cause it's a lot cheaper. Dunno if that really makes a difference. Long story with the pharmacy not having it this month for some reason and not being able to verify my doctor's DEA number, ended up with me just saying "fuck it"...
 
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Im going to base this response of a harm reduction stand point.

First off I can completely understand how you have been feeling like your living a nightmare. Going cold turkey from 16mg bupe is certainly a painful and lengthy process, however if you feel that you can bare through at this point then do so. If it were me though, I would be getting back on suboxone and doing a proper taper. This may envolve talking to the pharmacy or going back to the doctor where they should think CT from this dose is absurd. Considering the half-life of bupe and the dose taken no one should have to bare through that.

If a real taper plan is at all possible I would highly suggest doing it. It will be easier on your mentally, emotionally, physically and spiritually. Check out the suboxone mega thread for help with a taper plan and support, or feel free to PM me.

If this is not possible then there is always support on bluelight as well, and you can make it through this time of struggle. Staying well nourished and hydrated will be a big factor in the recovery. Try and do some walking as well, get your endorphins flowing.
 
Gah... Definitely rebounding...
I just feel so weak at this point. Can barely pick myself up outta this damn chair...

Maybe I'll just try tapering with loperamide, I sure can't afford more subutex... I would pick up some kratom, but to me that stuff's as good as hydro...
 
Nice to hear your rebounding, if thats the case then hopefully you will pull through and I wish you luck. Stay hydrated and nourished, also if you can manage to do any physical exercise it will help get you over the hump of feeling weak.

Don't forget BL is here for support as well!
 
Feeling weak and sick from a 16mg/16 month use should last about a month and a half. Two months you should start to be getting back to normal.

I would force myself to go on little walks and thank The Lord I had no responsibilities so it was ok for me to lay on the couch for a couple months. Good luck!
 
@bagochina
I don't wanna be sitting here like this, believe me... I'd much rather be back to my old way of life, but that's another story...
 
Woodsong, I really admire your resolve and totally understand the desire to get off bupe maintenance, being a fairly long term patient myself.

Most people jump off bupe around the .25-.5mg mark or even less, and that's after an extended taper. You may save yourself a lot of pain by trying a more protracted taper. But it sounds like you're doing good, so keep on trucking. I wish you well. But if you relapse, remember there's always the option of a longer taper.
 
I had a dream about roxies last night, lol... They were even my favorite Qualitest brand. Those faded memories still gain a little color every now and then. They never fully disappear, do they...

Every day seems a little easier though. The minutes have finally stopped feeling like hours... I think that was what bugged me the most at first. Time would just not stop dragging ... on ... and on ... and on...

Maybe I can eventually convince my stepmother to let me back into the "family" business after showing her I've quit absolutely everything...
 
Every day seems a little easier though. The minutes have finally stopped feeling like hours... I think that was what bugged me the most at first. Time would just not stop dragging ... on ... and on ... and on...

I'm glad to hear this, Woodsong. It's amazing when going through something like this how even the smallest change can feel like a miracle.

<3
 
Man if you make it off 16mg of subs cold turkey. You are a freaking warrior!! I'll ask for your autograph at the end. : ) Keep pushing man. Time is your worst enemy and also your best friend due to that nasty half life. ugh..
 
I know the half-life of bupe is scary to a lot of people, but I seem to recall detoxing from oxy, or even hydro, being physically and mentally a HELL of a lot worse... This is a friggin cakewalk compared to all those short-acting full agonists...

Ain't nothin worse than oxy w/d... yeesh.. *shudders* :|
 
Maybe I can eventually convince my stepmother to let me back into the "family" business after showing her I've quit absolutely everything...

you will.
i've been in your situation, but it was my real mom n dad and family busines. i never got kicked out, they just told me to take a break. but anyways, it wasnt me convincing them that got me back in the business, it was me showing them i had changed. talks cheap man, show them you've changed and you'll get in.
 
Two weeks... Pretty much moderate discomfort at this point.

Taking maybe 20mg of loperamide a day to deal with remaining symptoms. Gonna cut back on that gradually, but it seems to work.

I'll be damn... I really appreciate everyone's input so far. That first week was a fucking nightmare...
 
Three weeks... Stopped taking the loperamide cause my bowels feel like I've been eating gravel...

Insomnia and mild anxiety remain, I imagine those won't be going away any time soon. Irritable as hell today. Lower back pain has returned with a vengeance... T'would appear the real battle has begun.
 
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