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Opioids Fast methadone taper

THECATINTHEHAT

Bluelighter
Joined
Oct 17, 2005
Messages
8,186
I'm currently doing s mini cluck to bring me back to my medicated meth script (30mg) after a relapse.

If this goes well, my next pick up will on thursday for 25ml.

Bring this down to 20 over the course of a few days. Then cut it off there.

I have 7 8mg subbies and if I so desire up to 50 20mg oxynorm.

It's going to be painful but starting with the oxynorm:

Day 1- I reckon 40mg oxy
Day 2-35
Day 3-30
Day 4-25
Day 5-20mg

day 1-12mg bupe
day2-8mg
day3- 6mg
day 4-5mg
day 5-4mg
day 6- 3mg
daY 7- 2mg
Day8-1mg
day 9-o.75mg
Day 10 0.5mg
Day 11-0.25mg


Then cold turkey from the opiates, with some benzos to help. All thi caused by me missing my referral meeting for resedential detox. I can reckon I can have it done before I even get to be in the detox units.

OPinionions?


Yes I UTFSE but this is quite a specific question.
 
Make sure to wait 24-48 hours before you dose any Suboxone or Bupe after taking your last dose of methadone. the done stays in your system so long you gotta be extra careful.

EDIT: Never mind, I didn't understand what you were asking.

So what you're saying is that you've been on (what dose did you say?) Methadone and
You want to use oxycodone and then suboxone to get off the done?

Is that correct?

My original advice still holds though; make sure you've waited long enough from taking your last dose of oxy before you dose the Suboxone.

And imho opinion and experience, I wouldn't start so high on the subs. If I were you I'd start with no more than 8mg. I'd also take 2 weeks to taper from 8mg suboxone down to your drop off dose. I'd use those two weeks to get down to 0.25mg suboxone, which I'd stay at for four days, then jump off from that 0.25mg suboxone to no opioids at all.

Also, I wouldn't use any benzo's to aid in detox, at least not unless it is absolutely necessary (i.e. you're prone to seizures, acute insomnia, acute anxiety, etc. etc.).

After getting off the 0.25mg suboxone loperamide, aleve, melatonin or benadryl and DXM (if you tolerate DXM it can more or less make even moderate-acute w/d nearly non-existent). Those otc meds should be more than enough. I'd be too tempted to abuse benzos, so I'd prefer to avoid them when I'm trying to get clean and sober up...
 
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Indeed, a sharp taper, I'm aware I'll have to wait until I'm feeling nasty with drawls to switch to the bupe.
 
K, as long as you know what you're doing. I think what you have posted up there would be fine, everything taken together. Still, I'd think over the suggestions proposed in my post up there.
 
Yea, I do. 8mg is still a lot of bupe, which is a very potent drug in and of itself. Frankly, I'd think 4mg would cover you just fine, but why not indulge for your first day ;) as they say in AA, easy does it :p

Something of key importance is that when you're lowering your dosages on suboxone, you don't want to lower it until you've stabalized on your new lower dose. So, in other words, if possible I'd spend more than one day on .5mg before going to .25. If NOTHING ELSE, please spend a minimum of 2 days at .25 before jumping to 0.00. That's the way tapers work, and why they can be so effective at reducing symptoms of acute w/d.
 
Yes.

And then Ill do

Day 1: 8mg
Day 2: 6mg
Day 3: 5mg
Day 4: 4mg
Day 5: 3mg
Day 6: 2mg
Day 7: 1.5mg
Day 8: 1mg
Day 9: 0.75mg
Day 10: 0.5mg
Day 11: 0.25mg
Day 12: Zero

This really going to to be painless? How much is the cold turkey at the end going to hurt?
 
You'll be okay - this is a case of mind over matter methinks.

Might I suggest the following:

Day 1: 8mg
Day 2: 6mg
Day 3: 4mg
Day 4: 4mg
Day 5: 2mg
Day 6: 2mg
Day 7: 1mg
Day 8: 1mg
Day 9: 0.25mg, if need be 0.5mg (this day might be a little stressful, so have another 0.25mg on hand if needed)
Day 10: 0.25mg
Day 11: 0.25mg
Day 12: Zero


Ideally you'd be able to stay at the .25mg a couple more days, but I'm nit picking at this point. Although I obviously recommend what I've just typed, what you suggested more recently is pretty much fine too.

Just make sure you have all the OTC remedies avaliable: Loperamide/Immodium, Benadryl/diphen, Aleve/Naproxen, etc. etc. Use these while tapering, if sparingly, because you'll have to rely on them once the taper ends. Again, the long you can stretch out a taper, the more effective it becomes, imo. Others might disagree, but this is just from my own experience.

Actually, due to bupe's long ass half life, you really need 3 or 4 days or so in order to stabilize on each new, lowered dose. So really, the ideal taper for bupe would be like 3 times as long as the one you are attempting, although in that case it absolutely would be painless, if a little drawn out.

Keeping yourself busy and psychologically fulfilled/happy during this process will do more than any "perfect" taper schedule. Like I said, mind over matter. Make sure you are comfy. It's way, WAY hard if you feel out of place while you're doing this, or something like that. Try not to stress yourself out during this time (i.e. take time off school/work if possible). I mean, this is your well being we're talking about here!!!

p.s. OP check out TDS for support during your taper. Some real supportive and helpful freaks over there. Although you might already know this, just wanted to make sure.

GOOD LUCK!!!
 
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I take it you're not referring to my post...

Don't worry OP, it will only be as bad as you make it. If you keep yourself happy, busy and comfortable during this time, you will feel next to no discomfort. If you feel any at all, it will be minimal. You can more or less eliminate most if not all discomfort involved in your situation with otc meds.

On another note regarding tapering with bupe:

The difference between 1mg and .25mg is much, much more significant than that between 12mg-->8mg or 8mg-->6mg.
At higher doses you can drop your dose lower without much trouble at all. At lower doses you have to be more careful. This is due to bupe's potency.

and

OP, you've probably already seen this, but it wouldn't hurt to check out the bupe megathread.
 
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