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  • BDD Moderators: Keif’ Richards

Hate to ask this

W

will430

Bluelighter
Joined
Dec 21, 2011
Messages
92
I know how annoying it is to answer going from sub to other opiates. Last time i swear! But i recently ran out of subs and am on 4mg. My appt is in 5 days for subs. I haven't had a sub in roughly 36 hours. So is it okay to wear a patch to keep the sick away. I don't care about recreational effects. If i did. I would be smoking or chewing it. I don't care about abusing it. I want to try to make it LAST as long as possible and use it the safest way possible. It's from a old prescription of mine from awhile ago. So it isn't new or anything to me. I just wanna know is there any harm reduction or things i need to be aware of in this transition? This is how the dice roll. Please don't suggest anything else different from this current scenario. Just any cautionary advice i should know about transitioning? :?
 
it is difficult to answer without the strength/kind of the patch. what were you on sub for? what else could you transition to while you are waiting to see the doc?
 
activa 75mcg gel patch. I believe it's like 10mg of fent or so. I'm on sub because of a personal choice of wanting to get off most other opiates. Do to me having a slip up and screwing up. I'm fresh out of subs and just want to continue to go to work and be functional by using the patch
 
Unless you do so much of whatever the patch is that you OD, you should be okay.....What are the moral implications of using a opioid patch that you're not prescribed to bridge the gap so that you don't get sick? From a "recovery" standpoint? Is that what you're asking? If so, I have no idea....you're gonna go through five days of hell if you go cold turkey, which really wouldn't be much of a choice for me....I'd never go cold turkey unless I was forced to do so...

There's all kinds of people in "recovery" that have all kinds of judgemental opinions about what other people who are trying to stay clean take.....Do what's right for you....

Personally I don't like being dope-sick.....

5 days of patches might suck you back into using opiates, I suppose, and that would be an argument for going cold turkey....but jumping off 4 mgs WILL suck ass!

I'd be more concerned with safety issues....but with a pre-existing opiate tolerance, and using a dose intended to maintain you, I don't think it will be an issue....
 
if i was you i would put the patch on. i think it will help, from my experience. considering its been 36 hours i doubt you will experience any precipitated WD. i used to use dope after waking up, having had 4mg the night before going to sleep, and would get high.

hope that helps
 
No i wanna make two 75mcg patches last me 5-6 days. And i am not doing any crazy tricks this time around with these patches. I have no desire to get any euphoria from this situation. I know i won't. Sub screws all fun with opiates anyway. And i have found myself not interested in recrational use honestly.

This has nothing to do with a recovery standpoint. I have never fit into the norm of any of those programs. As my ways are kinda unconventional at times. (clearly)

You ain't kidding about going cold turkey on a big dose of subs. I am sorry, but i will smack a patch on me before i go the route of dropping off at a big dose. I HATE being sick. : ' (

Ok. I just wanted some harm reduction advice and usually people here are good for it. If it was something different i know people would be saying " YOUR GOING TO DIE. DO NOT DO THIS"

Thanks, i am sure this is ok as a plan of action untill i get a refill. Your advice was exactly what i was looking for. Curious to see if anyone else chimes in with something besides what bluehues and myself think
 
^You don't experience precipitated WD from using full agonist opioids on top of sub, you get them from using the sub on top of the full agonist opioids, just to clarify....Trying to break through sub with a high dose of a strong opiate like IV heroin is dangerous, but 36 hours should be long enough that the sub won't really be blocking the patch anymore...
 
I can only assume that a 75mcg/hr fentanyl patch is not likely to be an OD risk for someone who is tolerant to 4mg Suboxone? Aside from that my main concern would be that when used transdermally fentanyl takes a long time to wear off, so when you start the Suboxone again you want to be careful to avoid precipitated withdrawals. But if you only have one patch and a patch puts out ~75mcg/hr for around 3 days, then gradually tapers off in the amount that continues to be released, and you won't be restarting Suboxone for 5 days, then like Crashing said my guess would be that you would be ok to take the Subs again by that time. If you're concerned about it (say you're not feeling major withdrawals by the time you get your Subs) and you don't have to do witnessed ingestion you could try starting with 1mg Sub, then another 1mg a few hours later and so on, which should reduce the risk of precipitated withdrawals.
 
Thanks for the advice guys. Trust me i know i won't go through PW's from taking a opiate after subs. Anyone who takes subs should now this! Sadly alot don't im a big time lurker here on the forums. So i soak as much knowledge up as i can on stuff like this. I just wanted to be reassured that this wasn't a big risk using this very shortly to get through. And it's a good point this stuff deposits in the fat and releases slowly. So i am going to be extra careful before i take a sub. Good advice. I can only imagine what PW's would feel like from fent to sub.

Something tells me thats what hell is like 24/7. Junkie hell that is. ; )
 
You can keep the patch on for more than 3 days, it will start releasing less fentanyl somewhere around/after that point but there will still be a substantial amount of fentanyl in it. You just want to make sure it's not affecting you by the time you re-start the Suboxone of course.

My remaining concern would be that it's important to find out for sure if a 75mcg/hr patch is safe with your tolerance. I'm assuming it should be, but unfortunately I am not certain; it's hard to calculate equivalent doses between Suboxone and a fent patch.
 
Normally when it comes to messing with fent. I TRY to tread carefully. I do respect the fent. Update anyway, i've been wearing this patch well into the night since i work 3rd shift. It's been roughly 8 hours now that i had the gel patch on. It's actully on my upper portion of my thigh. Secured by wearing those under armor spandex kinda shorts as boxers. People who can't get the patches to stick and spent money on tagaderms really need to think about investing in these shorts. Perfect. Anyway i was starting to yawn and get all teary eyed. After by 8 hours (right now) I believe it's actually starting to take effect now quite nicely. No it's not a full effect of the patch. But sometimes not being sick is euphoric enough! I'll update when i wake up to make sure that everyone knows im alive! haha
 
This patch is a freaking lifesaver. Ya know, lets make these into a maintenance med. Screw subs. Only joking, Sadly i gotta go back to subs. But hey, this patch was a huge lifesaver. And it goes to show. At least for me personally. If i was going to surgery on 4mg of sub. I could stop for a day and a half and still recieve pain relief. It has to be fent though. lol. But, this is personally comforting to know im not screwed in that aspect.

Patch is going on being worn for 24 hours now. It certainly took along time for me to stop yawning and stop bouncing my legs around at work all last night to get the demons out of them. But i went to sleep at 6 Am. and was able to drift into a deep sleep. Could have probably taken my kidneys and i wouldn't have cared. For those who say it takes me 3 days for something to work. Your either on to much sub. (anywhere from 8-16mg, TO MUCH) Anything at those doses is only making the effects of blocking longer and side effects more noticeable. If you find pain relief from subs i guarantee you lowering your dose will only work better.

Anyways i got 4 more days untill my appt. and i got one more gel patch 75mcg. to go. So i think im in good shape. Abusing these and not making em last is nothing to reckless. I enjoy the two and a half day long benefit of wearing it. Then, maybe i'll cheek some.

Thanks for the feedback guys. I'm doing pretty nice. Sub doesn't do crap in regards to fentanyl. I'll attest to it. Unless your metabolism is slow or you take to much sub. hm..
 
You have no choice but to use the patch. That is if you want to work and keep your job. take care. rdr
 
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