adder
Bluelighter
- Joined
- Mar 28, 2006
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- 2,851
It can also be caused by naloxone kicking bupe off the receptors, it would seem. Usually this requires a higher dose than you get in suboxone, but apparently that isn't the case for me (and I've spoken to others who've also experienced it). There's a very immediate, obvious difference between precipitated withdrawal and an allergic reaction.
Not necessarily an allergic reaction. Naloxone and other opioid antagonists are sometimes viewed as inverse agonists rather than plain antagonists. It would seem more probable for me. Then the reaction to naloxone from Suboxone (through whatever route of administration) wouldn't be an allergic reaction, but a normal reaction a lot of people have. I can definitely feel naloxone from Suboxone and it's after s.l. administration, I've never shot it up. The symptoms match reported naloxone effects. Naloxone kicks in faster than buprenorphine does, so I can imagine it's quite a sweaty unpleasant "rush" after i.v.'ing for some people, before naloxone is forced out of receptors by buprenorphine, it first binds for a short period of time. This however shouldn't be the case after prolonged usage as in case of maintenance when eventually your receptors become pretty much saturated with buprenorphine even when you take another dose 24 hours later.
I read that the real limit for buprenorphine is around 8mg, i.e. with increasing the dose, one doesn't get any more effects (when used for pain relief that means there's no more analgesic effect beyond 8mg). The reason for higher doses is just making receptors saturated for a longer period of time. If that's the case, then at a lower dose like 1mg or 2mg buprenorphine wouldn't saturate enough receptors, and naloxone thus may cause unpleasant effects. I noticed that at e.g. 8mg/2mg all I felt from naloxone was in my intestines, but at 2mg/0.5mg I would also get slightly anxious and sweaty shortly after putting the pill under my tongue (too soon for buprenorphine effects) and I would get a bad headache that would unfortunately continue even when buprenorphine finally kicks in and the sweating thing is gone interestingly.
PS. I did take just buprenorphine without naloxone a few years earlier and I can tell that naloxone effects from Suboxone aren't self-suggestion for sure.