I am having OCD about Suboxone not working, it is preventing me from trying.

Area57

Bluelighter
Joined
May 29, 2015
Messages
105
I need to gather you guys' experience and help me get clean. I'm not succeeding here on my own. The days just go by and by slowly and I feel worse and worse but keep using. I need all of you guys thoughts on what I should do because I don't know. I will try to sum it up as brief as possible.

12 years ago tried heroin, used for six months got put on suboxone. Very easy transition.
11 years ago tapered off subs, got addicted to H for three months, reinduced myself. Easy.
stayed on suboxone for all these years, except I did quit twice and was without any opiates for two one year periods.
during this whole 12 year time I had maybe three, one month long heroin only use periods before getting back on subs and multiple one or two day H uses.

So I am on H now and it has been about a year! I have never been on it that long. It started as one day, but somehow it just got out of control and I spent several months taking suboxone in the morning, swearing to quit that day, but caved most days and took heroin at night. It makes me sad to write this because I had a girlfriend back then, and if I think about it, it is very sad, because I remember talking to her and her trying to help me get better. She is gone, but she told me to just stop taking the subs until I could finally get it together and commit to taking only them.

it seems like a while ago, but I think I remember they stopped taking away the morning sickness after months of this jumping back and forth. I was only taking about 1mg in the morning, so I am hoping it is just that I drove my opiate tolerance up so high that that small amount of subs wasn't enough.

so I stopped this using both and only took H and the days, became weeks became months. Now I am scared and desperate. I no longer have even her to talk to and help me. I am not homeless or anything and I have a place to live and all that, but they don't know, nor can they know I am addicted. My plan is to tell them I can't find a sub doctor(which is true) and I have to cut my sub dosage in half so I will feel shitty for for a week or so.

so my OCD fixates on what I fear. When I was pretty happy and stable on 1-2mg a day of subs all those years I would fear getting sick with a cold or flu, or something trivial. But now that I am on drugs and scared, I have centered my OCD around suboxone not working anymore. That I abused it and now I have no chance and will be stuck on H until I die. I am OCDing this because this is what I fear most, subs not working and not having a way to get clean. I do not feel I have it in me to cold turkey.

so I need help. Unfortunately I have scoured the Internet for searches like "suboxone doesn't work anymore" and found stuff like this:

"back and forth from bupe to using is not a good idea. It confuses your brain and eventually the bupe looses a lot of its efficiency and it becomes a lot harder to make the transition onto it."

i wish the the poster of that, Mr. Scagnante stil posted on here, he seemed to know a lot.

Its classic ocd, hypochondriac behaviors. Have a few symptoms to a disease and look online and cherry pick the information that confirms you have what you are afraid of. But this is preventing me from trying because I am scared to find out it won't work. I am also scared to let myself get sick, fail, get sick, fail. And just end up in a cycle of trying to re induce and failing and hurting my health.

i don't know how to do this. Unfortunately, I have read a lot of weird stuff online and scared myself to pieces and convinced myself subs won't work for me anymore. Last night I just read all sorts of posts of difficult sub inductions, but I didn't read about al the people that had an easy time, and maybe they aren't posting anyways because they don't need help.

i did go to a detox center a couple weeks ago, I waited 18-20 hours since last use and took 2mg, one hour later 2mg and started dry heaving into the pillow and panicked and checked out and went home and shot up and passed out. It was very disheartening because I watched all the other people at the detox go from somewhat sick to taking suboxone and be walking around smiling and talking. I didn't feel any good benefits, but I also don't think it was precipitated withdrawal because I didn't have the worst feeling ever, I just felt like I went from 18-20 hours after last use to maybe 24-30 hours, like I felt really bad, but not withdrawal times ten like I read about. I tried talking to the night nurse because I had to wait until 10:30 to take it and she didn't have the authority to give me more suboxone before eight hours and also once I was on subs couldn't give me clonidine or anything else. The night nurse isn't as powerful as the day nurses I guess.

so here I am and I have read about another member on here that tried a method where you induce little bits of suboxone and use tiny amounts of H in the afternoon and evening for the first few days, to help you stabilize and get your tolerance down. I guess the thinking is that the reason suboxone may become harder to work on some people is they have a high tolerance. So this method builds the subs in your system while getting your tolerance down. From everybody that tried it they reported success, if they could have the willpower to stop taking the H.

i think I would like to try this, but then again I have OCD and am desperate. I am shooting for Monday to try to get clean, with whatever method works. What do you guys think? I know I am overthinking this, have you heard or experienced suboxone stopping working? What should I do to get it to work? People tell me I'm crazy and of course it works, why would it stop working! I've just found a couple of random examples on the Internet and should just shut up and take suboxone. Is that right?

i promise, if you help me get stable on suboxone and only suboxone, I will never use any other opiates ever again. Not even once. I am not even just saying that.
 
Area, it would def be nice to have a friend to do this with. The last two days I've taken 1mg of sub at 5am then end up using by noon. I'm really hoping the sub has built up in my system, even though it's a small amount. The 1st 2-3 days on sub are awful for me. That's why I've been so nervous and scared about the induction. I've used a lot less than I normally do the last 2 days. Today after I took sub, prob an hour after, I took a high dose of loperamide w/ grape fruit juice. That seemed to take the edge off, it makes me very spacey. Not high, but zoned out. I'm not looking to get high off it I just need something to help during induction and getting the subs back in my system. I don't know how that will effect me for my next dose of sub. How do you do with your induction? Do u feel crappy for the first few days. I have to go back to work this week, and no one knows I'm using, they think I'm on just subs. I found a dr office that does med. management and counseling etc... I really hope they can see me tomorrow and help me during the induction. Do you plan on doing a short taper with the subs or something long term?
 
Hi, I hope we have good luck, in the past I have often done what you do, take a small amount of subs in the morning and then end up using a couple hours later. I'm waiting to start my induction this week around Tuesday, depending if I get everything I need to get done, done.

i plan on getting back on them and staying on long term. I had good success in the past and a very happy stable productive life taking them daily for years. I felt good, I felt clean and normal and healthy and in shape. That's why I feel so bad for this horrible long relapse, because I was doing so good.

let me know how it goes, and I will let you know how I do. You can post here or private message me. We can do this. I have read very positive things about people trying and failing for a couple days and then they end up with the subs building up in their system and getting an easier induction.

im not trying to spread misinformation or give false hope. But I have been in communication with a guy that just did that and he reported great success. I would say for 99% of people a regular induction is the way to go though.
 
What do you normally do during induction? Start with small doses and go up from there until ur stable or do u dose once and ride that out? Do u feel like crap the first few days?
 
Geez. I don't know. It has been so long I barely remember. It has really been years. When was the last time you made the switch?
 
I switch back and forth all the time. I usually take sub in the morning, feel like hell, and end up using. Then I'll go on a 2 week binge of just using H, run out of money, feel horribly anxious and depressed cause I just want to be able to function normally, even if it is on subs, and use to "feel better" although the last few months using is making me feel worse, not better. I called the addiction dr who initially put me on subs. He's "double booked" all day tomorrow and is then gone for a week. The recept. said the dr or nurse will call me tomorrow. I don't know if he'll be able to help me out with a small rx of something. I know he can't rx me subs just yet, but maybe something to help me with this horrible depression and anxiety. I've read that gabapentin or balcofen ( sp?) help and are pretty easy to get. I just don't know if he can just call that in. I haven't seen him in over a year, but he was my sub dr for 5+ yrs.
the last 3 days I've taken sub ( 1mg) in the a.m and used later on. I didn't take sub today so now I'm buggin out that I'll feel crappy when I take it tomorrow. Yesterday when I took it I didn't feel all that bad, but then the opportunity to use presented itself and..... You know the drill.

Sorry I keep blabbing on about me. You guys are the only ones who get where I'm coming from. I have no one else to talk to. How are you doing? Have you been taking just sub? Feeling ok ?
 
No, I keep putting it off, like you said, you know the drill. It doesn't make me feel better any more either, I am really hopeful that I will quit and his will work. It's just that the day's go by so quickly and I haven't got everyone done. I will get back on the suboxone this week, I have to. I want to. I want to more than anything.

why didn't you take suboxone today? Are you out? How long have you been using H for straight this time without being on suboxone? I'm glad you're posting in this thread, I too, don't have many people in my life, and the ones that do care about me, I can ostracize by letting them know about this.

whats the hardest part about the first day transitioning back to subs for you, what is it like? See, that's my whole problem, I have built it up in my mind to be so horrible and that it won't work and I'm doomed that I'm not trying. I just haven't gotten on suboxone in too long to remember, I've been on suboxone for years though. What should I be prepared for?
 
I know exactly what u mean. If I tell ANYONE, it's a wrap. I didn't take sub yesterday because I slept thru my alarm. I set it at 4 or 5 am to take sub usually but when I got up I had the opportunity to use so I just didn't take it. I took it this morning but, then used a few hours later. Its that fear that gets me. The fear of feeling like hell. A lot of it could just be in my head. I get sooo anxious about feeling like crap. I haven't gone one day without doing something in a long time. I have periods where I'll take sub and do something but it hasn't been just sub in a while. I'm hoping to hear from my old sub dr ( I get my subs from my ex bf) to see if I can get in to see him for something to help me with this anxiety/depression. The nurse said after today the dr is on vaca for a week so hopefully he can help me today. A few days ago, after I took sub and felt crappy, I tried taking high dose of loperamide and that helped a bit.
 
Hopefully you can get back into the dr. I'm calling around too.

so if you set your alarm to take subs at four or five, when do you wake up? How much do you take? If you continued to take them would they work?

it does sound like me and you are a lot alike. I've got to start taking the subs. I really do. I have got to get over the fear that they won't work. It sounds like you have them built up in your system now and they are keeping the withdrawals at bay for the most part, but you use anyways, like I do and dos, because you don't want to feel bad, to face reality, to see what sober life is like. Just one more day mentality. I'm describing myself, not criticizing you,
 
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I usually don't fall back asleep. If I do it's not a deep sleep. I usually get up to start getting my kids up for school at 6:30 ish and have coffee with my mom ( assuming I'm not dying) I just moved back home to "save money" and my parents think I'm just on sub and I'm weening off and that's why I'm sick every so often. They want me off the subs cause it's been 5+ years.
So I'll take 1mg at 4 or 5am then usually by 10 am I use. Sometimes I don't feel all that bad off the 1mg. I don't know if it's because I know I'm gonna end up doing something. The days that I know there's no way I'm using my anxiety is thru the roof and I feel worse. I mean, I'm def not 100% on the 1mg, I don't know if I took another dose of sub if I'd feel better. I guess I'll find out in a day or two because I'm out of $ and I have no means of getting anything. I'm scared shitless of PWD so I'm nervous taking More than 1mg. One day, a few days ago, the sub made me feel awful so I took a high dose of loperamide. It seemed to take the edge off. Made me feel spacey. Def not high but took the edge off me feeling crappy. But then I don't think I can dose sub again for at least another 24 hrs because I believe high doses of lop will cause PWD. That's why I was hoping to see the dr so maybe he could prescribe gabapentin or something to help and still allow me to take sub.
 
Methadone is an alternative. It is as physically addicting as heroin, but leads to a stable lifestyle. If you stay on low, low, low dose it will work wonders. Many people, myself included, have had smilar problems, and methadone works much better if you can stay on low dose

Suboxone is very strange and many people have this problem. It is a partial (not full like methadone or H) agonist, and had antagonists in it (naloxone) so it is a very unique and confusing drug.
 
Took sub again this morning, prob a little less than 1mg because the cut was all messed up. Felt awful within 15 min. After about 45 min I took a big dose of Imodium and then 30 min after that I took a clonidine. And of course by 9:30 am I went to pick up cause I couldn't take it. I'm so nervousness to take more than 1mg of sub. I don't know if I'm feeling crappy due to PWD or because I'm just not taking enough sub. Dr never called me so now I just have to deal with what I have. How are u feeling? Have u tried to take sub yet?
 
No but I am going to tomorrow. I will let you know how it goes. I'm not sure how long to wait or how much to take but I guess I will just have to mess around with it and see what works.

Ah red rum. What do you mean? What happened to you? Please don't tell me the subs stopped working. It was just that you went back and forth a lot and decid d to get back on methadone right? I need people to tell me these subs WILL work. I have to make this work. I can do this.

You can do this too new life. What time zone are you in? Both of us want to succeed so let's do it. I will probably have to wait a while tomorrow. I'm in pacific time. But I will update in the afternoon and let you know how I'm doing.

Hopefully you can hold and and see how a second dose does you. It might just be in your head. That the subs made you feel better. Because subconsciously the junky part of your brain want to use.

Let's do this. It's funny. I'm at my moms. Visiting so I have so people around while in doing this and it time to get cracking at it.
 
I'm on the east coast. When u start the subs, def start small and work your way up. You can always take more but once you take it, you can't un-do it ya know. Plus, if I'm not mistaken, if you do end up having some kind of PWD, the smaller the dose of sub, the shorter and milder the PWD will be. That's just from what I've read, not from experience.
I def think the subs will work. I'm not sure how heavy your habit is, but I think if anything the first few days might be uncomfortable and then things will level out. And by uncomfortable I don't think it'll be horrible just mild. But bearable.
Thank god the weekend is just about here. I go back to work Monday and I need to be on just subs by then. I can't be high at work. I'm hoping since mon will be my 4th day on just sub I'll be feeling ok. I have nothing to do all weekend. I told my family that I think I have some kind of virus. Which has actually been going thru my house so that works.
Fingers crossed ..... Let's do this!!
 
Thanks. Exactly what I needed to hear. It will work. It's scientific. That's what it does. I'm just not going my part. I'm not taking it! And when I did, I only took a tiny bit before caving in.

Ok. You did use today, yes? Or did you only do subs today? Is this your first day of only subs or will tomorrow be?

Update me tomorrow on your progress. If you can think of anything I can do or say to help inspire you, let me know. But it sound like since you have the job Monday and can't be high for it. You will do well without my pathetic help.

I will update you tomorrow too. It's really funny how we tell our family the same thing. We are lowering our dowse or quitting subs. I told mine I was lowering my subs dose because all the Drs are competently booked. There is some truth to that.
 
I did use today. Less than I usually do, not sure if that will make a diff. Tomorrow will be day 1 of just subs. I'm also going to try taking 2mg's instead of the 1mg I usually take. And I'm going to take it a little later too... Say 6 or 7 am. I last used at 1/1:30pm today. So hopefully I'll feel ok. Sub usually always makes me feel anxious and jittery. Like if you've had to much caffeine. And I have bad anxiety as is. I'm just a hot mess lol. Thank god it's the weekend. I just hope that I feel ok by Monday. I can deal with every wd symptom except for that restlessness skin crawling feeling where you just can't sit still or get comfortable.
 
I've taken 1mg about an hour ago. No PWD. I never have had that. Do some people just not get it? Not doesn't sound like new life gets it either.
 
I've also been using for over a decade except I've had much longer periods on either H or oxy. The last stretch was 2.5 years of close to daily H use (had one or two times that I tried switching to sub, but wasn't really ready to stop using). It's been over 3 years of using H daily and I've switched back and forth from sub to full agonists quite a lot and sub still works fine for me.

I used to be fine with a maintenance dose of 1-2mg, but now I have to take a little more, like 3-4mg a day. I had never been on a full agonist as long or as much as I have in the last 3 years and I was shooting dope instead of sniffing the entire time. So it shouldn't be a surprise that I need more sub than before. I also haven't been on sub that long yet, so I think getting down to 2mg again wouldn't be too tough.


I've taken 1mg about an hour ago. No PWD. I never have had that. Do some people just not get it? Not doesn't sound like new life gets it either.

How long did you wait after your last dose of a full agonist?

The severity of PWD is going to depend on how much sub you took and how full your opiate receptors were upon taking it. The higher your tolerance the more opiate receptors you're going to have. So if you had a high tolerance and took sub while your opiate receptors were still saturated by a full agonist then you'd be thrown into a pretty bad WD. If you took quite a bit of sub, like a full 8mg strip, it would be a pretty horrific experience.
 
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I only waited until I woke up. So about 10 hours. Waking up is the hardest. Without a shot I am a sniffling mess. But it is also so much mental.

So I took 1mg and maybe felt a little better? It's hard to say.

I'm pretty scared though to take a full eight mg which is what I think I need to take to get the subs going for the first couple of days. I gues I really don't know what I am doing but I have to.

So I read how a lot of people avoided PWD by taking 1mgthe first day and moving up for a couple five days while decreasing their full agonist opiated intake. And after about a week they have moved the subs up enough they are only on them.

How do you do it?
 
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