So as someone else said less is usually more with suboxone. 4mg sublingual is perfect for most people. Doctors do overprescribe and I too believe that that is due to them wanting better blocking of opiates.
I’ll be honest. I didn’t need to dose more than once a day. I do not suggest the shots. They have their benefits BUT with the films you can decide your dose. It gives you more control over your treatment. While I do suggest considering a good doctors advice, most doctors just take a short certification class to prescribe this and it’s information is all wrong as far as dosing goes.
So maybe I’m the beginning you may need 4mg twice a day but I really do not think you will. I’d say just dose when you absolutely have to and use the least amount that you need. If you feel like you can’t function due to physical withdrawal go ahead and dose a small amount. Or if you feel too intense cravings go ahead and dose a small amount, however I really don’t think anyone needs to go above two times a day.
I dosed at once a day and I was an iv user. In the beginning I dosed twice a day though.
I think three months is fine just as long as you have a firm plan to come off after that. For one you don’t want to ruin your opiate tolerance more than you already have. I regret being on suboxone for 5 years but i listened to the bullshit the doctors were spewing.
As far as subs ruining your teeth, just take care of your teeth is all. Personally, I was on it for 5 years and my teeth are fine. Now people that aren’t brushing their teeth regularly may encounter issues but I mean that’s the same if you drink acidic drinks regularly over years and don’t brush your teeth.
I really don’t get how it’s ruining ppl teeth when it goes under your tongue and I didn’t ever let it really touch my teeth. Like I wasn’t swishing it around in my mouth. It’s not necessary to do that. Also, unless you are sensitive to naloxone, I wouldn’t worry of it has it or not. Pretty much the same exact effect. Not only that but some believe low dose naloxone is good to take with opioids to keep tolerance down. But idk how true that is. I’m just saying don’t worry about it.
I usually don’t recommend ppl go on suboxone but I’m your case it very well may be life changing.
I’ve been on methadone as well before and if I had to pick between the two I would choose suboxone all day every day. Methadone clinics suck so bad. Daily in person dosing and also methadone only outshines suboxone pain wise. Suboxone very well can hold the majority of people and even IV users such as myself. It’s just a better drug in every aspect except pain than methadone. And I believe methadone withdrawals are worse. It’s a full agonist…but better pain treatment doesn’t always mean better mental improvement/mood lift.
Suboxone is just more functional in every way unless you have extreme pain issues.
Also, in case you are wondering, I’m not suggesting this but I jumped off of suboxone at 4mg and I had no withdrawals. Now people are going to say I’m lying but I’m not. And I wasn’t taking anything else at the time. I’m not saying to do that at all. What I am saying is don’t fear the withdrawal of subs. You can always take more if you need to when your ready to come off.
It has a longer half life than most and usually that means the withdrawal is longer but weaker than fast acting opioids. That’s my experience anyway. And I do believe some ppl get sick from withdrawing from subs but they likely didn’t taper. I’m an outlier so don’t use me as an example. Taper…
However, placebo is a very very powerful thing. So are psychosomatic illnesses. Basically if you just read horror atories of withdrawal from buprenorphine then they are likely going to be very bad. The mind is very powerful. Now there is a biological standpoint that does support getting sick from bios withdrawal but I just think much of the horror stories are all psychosomatic IF they tapered.
So take that with a grain of salt, but I just wanted to share that my withdrawal from subs was nothing…