Bupe First dose of Suboxone. Please help.

[ccTravis]

I am currently detoxing off of Hydromorphone (Dilaudid). It's been about 13 hours since my last dose. I am an IV drug user. I am starting to WD, but it is somewhat manageable because I've been tapering from 30+ mg day to 8mg a day. The problem is, my head is hurting so bad that my other withdrawal symptoms don't seem as apparent under this crippling pain in my head. I just know that Dilaudid has a short half life so I was hoping that waiting 18 hours wouldn't be required for this drug, since I'm already into slight withdrawal, assuming that's what is causing this migraine.

If anyone has experience going from Dilaudid to Suboxone, I would really appreciate your advice. Even experience with Oxycodone is welcomed.

Thank you for taking the time to read my post.



-Travis



EDIT: My plan is to detox using ONE 8mg strip of Suboxone, cut into 4 days worth of doses. (Taken lingual, of course.) I don't know if that will help but they say less is more with Suboxone. So I'm hoping 2mg at a time will help alleviate most of the symptoms. I am just desperately trying to get clean, my grandfather died a week ago, he knew I used and on his death bed I begged for his forgiveness, and he did. But I know he wouldn't want me getting high every day. Time to make a change.

 

[skitten9]

hey, I hope my quick story/advice will help you, keeping in mind that every body is different and i am no DR.
i bet 13 hrs is too soon and you have a high chance of precipitated w/d. you posted this yesterday and i bet you already did your sub or more opiates.
my opiate of choice is heroin snorted and that typically is out of my system 18-24 hrs. I have done sub around that time and gone into slight/moderate precipitated withdrawals and it sucked for a couple hours for me personally, but i've hear horror stories of it being HELL ON EARTH. AND i was in slight w/d when i took my sub, so i would wait until you were SURE your in moderate withdrawal to be safe, of you run the risk of that happening.

With the sub- i have been doing 1-1 bags of heroin snorted daily since oct. I took 2mg yesterday about 18 hrs after my last use and i felt good in an hr, that should be all you need to feel relief from your w/d you definitely shouldn't need more and you'd be wasting it.
Im sure by now you took your sub dose or more opies, im interested in how it went. I hope it went well for you and the best of luck!

 

[ccTravis]

Thank you for the helpful advice, Skitten. I was waiting for a reply from someone and I ended up just doing another 8mg Dilaudid. I was just too unsure about the time frame but I can say that my horrible headache went away after I took the Dilaudid.

I took it at about 8:30PM last night. It's 3:50AM right now. I figure I'll wait until around 5pm to take it and see how that goes. The half-life is shorter than that of heroin so I might be able to take it sooner than 20+ hours. At least that's what I'm hoping. I just hope my headache doesn't come back. I'm starting to think it is from this Dilaudid withdrawal. But it is very intense and I am highly susceptible to migraines. I just hope I can make it until 5pm to try the Suboxone. I will report tomorrow when I wake up. Hopefully I'll sleep for 12 hours. (Yeah right).


Thanks again for the help. Anyone else with additional advice would be greatly appreciated. Goodnight, Bluelighters.



-Travis

 

[thesameoldfears]

I would try like .5-1mg, dose up to 2mg your first day, 1.5 your second, 1.25 the third, 1 the fourth, .75 the fifth, .5 the sixth and seventh, then .25 the eigth and ninth, or .25 the eighth, nothing the ninth, and .25 the tenth. Or some variation of this so you don't jump off the suboxone at 2mg, which is hard for a lot of people. You don't necessarily have to draw it out as long as I suggested but I'd try to taper a bit.

If you're not in withdrawals when you dose you stand the chance of going into precipitated withdrawal. Wait until you're hurting, then dose a SMALL amount of sub and titrate up until you're comfortable. Then wait until you're uncomfortable before redosing. Bupe has a long half life so you may be okay on one dose for over 24 hours. I've recently adapted the "less is more" with my suboxone script and I can make an 8mg pill last days and feel better than when I was taking 24+mg a day.

Good luck on your detox and keep us updated!

 

[ccTravis]

Just a quick response before I go to sleep. The "less is more" theory is definitely true with Suboxone as I've taken it before, but only recreationally. It sounds strange but I was basically addicted to not having cravings for other drugs, and Suboxone simply put me in a better mood. And this was only 1MG a day for 2 weeks. But I never even thought about using and it was the best 2 weeks of my adult life.



By the way, that seems like a good taper plan, Fears, but I'm hoping I won't have to take it for more than 4 or 5 days. Dilaudid withdrawals subside rather quickly, they are just EXTREMELY intense and they apparently peak at 36 hours, so I should see improvement soon after. I appreciate the fast reply. I'll update with you all tomorrow.

 

[Tommyboy]

I would try like .5-1mg, dose up to 2mg your first day, 1.5 your second, 1.25 the third, 1 the fourth, .75 the fifth, .5 the sixth and seventh, then .25 the eigth and ninth, or .25 the eighth, nothing the ninth, and .25 the tenth. Or some variation of this so you don't jump off the suboxone at 2mg, which is hard for a lot of people. You don't necessarily have to draw it out as long as I suggested but I'd try to taper a bit.

If you're not in withdrawals when you dose you stand the chance of going into precipitated withdrawal. Wait until you're hurting, then dose a SMALL amount of sub and titrate up until you're comfortable. Then wait until you're uncomfortable before redosing. Bupe has a long half life so you may be okay on one dose for over 24 hours. I've recently adapted the "less is more" with my suboxone script and I can make an 8mg pill last days and feel better than when I was taking 24+mg a day.

Good luck on your detox and keep us updated!

Yea I would do some variation of this taper. Take 1mg and then increase the dose by either 0.5mg or 1mg until comfortable. If you wait long enough to dose then you should be comfortable by 2mg or so, and then you can lower your dose each day after that. The longer you wait the better the suboxone will work, basically since the sicker you are, the more room for improvement there is.

So let's say it takes 2-3mg for you to feel comfortable (keep in mind that suboxone takes a while to peak, so wait at least an hour before taking more) then you can lower by 1mg/day until you are down to 1mg, then lower by 0.5mg, then either skip days at 0.5mg or go down to 0.25mg before stopping.

 

[Mr.Scagnattie]

Just make sure you wait long enough before beginning to dose the suboxone. It's easy to mentally build up the withdrawals to worse then they really are because you really want to take the suboxone but that's how you end up in a shitty situation having to deal with PW's. Be honest with yourself about how bad you really are withdrawing and take the suboxone at the right time. 13 hours after your last dose is almost certainly not long enough.

 

[rld73]

I jumped off Morphine to sub.. did my last shot Monday at 4:30 PM.. Took the Suboxone at 2:30 PM on Tuesday. After I first took it I felt my W/D kick into overdrive.. and I was thinking that it was precipitated W/D.. but after about 15 mins the W/D totally went away and I slept for a good long time. So that was 22 hours between the Morphine and the Sub.. I think that was about perfect. Dilaudid definitely has a shorter half life than Morphine tho so you should be gtg sooner than I was.

 

[ccTravis]

Thank you all for the replies. I have a friend who would like to spend the night at my place when I start the Suboxone because THEY are afraid of side effects that Suboxone might have on me, so she would want to be here when I start my detox. This basically means she is supplying me with Dilaudid until Saturday. Now, I know I'm only prolonging the inevitable, but the IV drug user in me simply loves the idea of more opiates. We're all about procrastination and instant gratification. Haha. Each one of you have been extremely helpful. I don't post much on this website, but I will be from now on. Besides, the fact that Bluelight doesn't use that annoying SWIM bullshit makes this site better than all the others for me.

Mr. Scagnattie, you're absolutely correct. If I tried to use Bupe after 13 hours I would have most likely been crying on the floor like a schoolgirl.

rld73, great information. I guess I can apply your 22 hour Morphine experience and, in theory, cut it down to 18 hours before Suboxone use.


Some of you may think I just love drugs and am just bullshitting myself into thinking I can use for four more days, free of charge while delaying the inevitable. Well, you're right. But in all fairness, some of you have not tried IV Dilaudid. Better than heroin in my opinion. The rush is unmatched, making it extremely difficult to quit. I've even injected Bupe, but then I read all the stories about people losing limbs and I stopped. If you must IV, take extreme safety precautions. I'll report back as often as my addiction allows me.


Thanks again, everyone. See you soon.



-Travis

 

[BlueberryfishY]

This is how i did it.

Day 1: with one 8mg strip, cut strip in half and put one half away.. cut the other half in half, making it two 2mg slices, take one 2mg slice under the tung, let dissolve for at least 30 to 45 min's. that should keep you good til around 5pm the next day.

day 2: wake up, take the other 2mg slice around 12pm 1pm, smoke copious amounts of fire bud's and pop a few xan bar's about 1 hour after dosing the suboxone, this has been proven (by me of course) to potentiate the soboxone by a great amount, 2mg of suboxone, 3mg's of xanax, and good bud is the best combo hands down.

day 3: wake up grab the other half of the 8mg soboxone, proceed to cut it in half to make two more 2mg slices, so i did but befor i took the 2mg slice i cut it in half, and put the other half with the last 2mg slice. this dose doesn't feel like the 2mg dose you we're taking befor.. and you might feel some sort of withdrawal, but it wont be anything serious at all... now this is when it starts to get shitty.

day 4: you wake up, not feeling good because of the decrease in dosage, you take other 1mg slice from the night befor and, try to get a small stash of benzos and weed if you can, it helps greatly.

day 5: take .5 mg, use benzos if needed only for sleep.

day 6: same as day 5

day 7: same as day 6

day 8: same as day 6

 

[ccTravis]

This is how i did it.

Day 1: with one 8mg strip, cut strip in half and put one half away.. cut the other half in half, making it two 2mg slices, take one 2mg slice under the tung, let dissolve for at least 30 to 45 min's. that should keep you good til around 5pm the next day.

day 2: wake up, take the other 2mg slice around 12pm 1pm, smoke copious amounts of fire bud's and pop a few xan bar's about 1 hour after dosing the suboxone, this has been proven (by me of course) to potentiate the soboxone by a great amount, 2mg of suboxone, 3mg's of xanax, and good bud is the best combo hands down.

day 3: wake up grab the other half of the 8mg soboxone, proceed to cut it in half to make two more 2mg slices, so i did but befor i took the 2mg slice i cut it in half, and put the other half with the last 2mg slice. this dose doesn't feel like the 2mg dose you we're taking befor.. and you might feel some sort of withdrawal, but it wont be anything serious at all... now this is when it starts to get shitty.

day 4: you wake up, not feeling good because of the decrease in dosage, you take other 1mg slice from the night befor and, try to get a small stash of benzos and weed if you can, it helps greatly.

day 5: take .5 mg, use benzos if needed only for sleep.

day 6: same as day 5

day 7: same as day 6

day 8: same as day 6

Should I expect to be in Dilaudid withdrawal for 8 days? I'm starting the Suboxone tonight and my last dose was at around 12:00AM. It's 12:00PM right now, so it's been 12 hours. I think I should be able to take at at 11PM tonight. Will let you know how it works out.