Heroin Less painful transition from H to buprenorphine.

[Windowlicka]

Long time Lurker here. Hello Bluelighters! I hope you're all well.
I hope my first post goes okay. Forgive me for any mistakes!

For quite a few years I've been on and off H then going onto Buprenorphine between my usage. At first, I'd always go through hell with WDs, waiting until I could take some bupe that would be effective with helping the WD symptoms. Then I read about taking very small amounts of bupe while coming off H, to try and prevent precipitated WDs. This would sometimes work okay but I'd often still end up precipitating WDs.

Now I've found a method of transition which seems to be much less painless for me.
To do this I start while I've still go a decent amount of H left and want to go onto bupe afterwards. I'll take a little bit of Buprenorphine (sublingually or insufflated) with each hit of H. Because I've just taken a decent hit of H it doesn't cause WDs to precipitate. Then as I start to run out of H, I'll gradually take less H and a little more Buprenorphine per hit. Then by the time I've run out of H I can just take some Buprenorphine and I don't get any withdrawals. Maybe my mood is affected a little but I dont get any awful physical withdrawals like aches, pains and worse of all (for me); the restlessness.

So I hope this helps for anyone else looking to come off H onto bupe but are worried about precipitating withdrawls.

 

[LSDiesel]

Wait, are your parents Bernese?

 

[Windowlicka]

Wait, are your parents Bernese?

Nope, they are not Bernese. Why do you ask?

 

[LSDiesel]

It was a knee jerk middle of the night response that was an attempt at humor. I truly am happy you have transitioned to subs/bupe and taken personal control and direction of your health with regards opiate use which I feel has left me feeling negatively and I have struggled with dependence for decades.

That being said, your method does work for many and it is impressive you were able to figure out a regimen and dosing that works personally for you without the intense induction phase of pain, precipitated withdrawal.

It’s been dubbed “the Bernese Method”. I heard about it from other addicts myself years ago.

Buprenorphine–naloxone “microdosing”: an alternative induction approach for the treatment of opioid use disorder in the wake of North America’s increasingly potent illicit drug market - PMC

pmc.ncbi.nlm.nih.gov

It’s finally gaining recognition in medical and treatment circles but don’t expect any suboxone doctors or drug rehabs to allow patients to continue taking their heroin or DOC into the start of treatment.

Maybe a clinic in Canada or Latin America might offer oxycodone or dilauidid as part of their Bernese regimen tho in next 5 to 10 years

 

[Windowlicka]

It was a knee jerk middle of the night response that was an attempt at humor. I truly am happy you have transitioned to subs/bupe and taken personal control and direction of your health with regards opiate use which I feel has left me feeling negatively and I have struggled with dependence for decades.

That being said, your method does work for many and it is impressive you were able to figure out a regimen and dosing that works personally for you without the intense induction phase of pain, precipitated withdrawal.

It’s been dubbed “the Bernese Method”. I heard about it from other addicts myself years ago.

Buprenorphine–naloxone “microdosing”: an alternative induction approach for the treatment of opioid use disorder in the wake of North America’s increasingly potent illicit drug market - PMC

pmc.ncbi.nlm.nih.gov

It’s finally gaining recognition in medical and treatment circles but don’t expect any suboxone doctors or drug rehabs to allow patients to continue taking their heroin or DOC into the start of treatment.

Maybe a clinic in Canada or Latin America might offer oxycodone or dilauidid as part of their Bernese regimen tho in next 5 to 10 years

I had no idea this method had a name. That's really interesting! Thanks for your response. I've mostly transitioned to bupe. I still have some H every now and then for a 'Treat'. I'd like to come off all opioids and see how my pain is from my disability but the restlessness from withdrawals drive me crazy.