Heroin Methadone or Subox for Heroin detox

[opiandy]

Okay. I'm at a point where I've got to take a step back from Heroin use. I did really well for about 2 years on methadone, but tapered down from 120mg to 20mg and relapsed. I'm back up to 50mg now, and the clinic is requiring me to come in daily, which I absolutely cannot do. They have suggested I switch to Buprenophine instead.

Anyone have experience with both? I've heard that coming off of Buprenophine is harder than coming off of methadone, but the clinic says that is not the case, Bup is easier.

Anyone with experience with both that can provide input?

 

[canadianpeduser]

Suboxone I always say is for people more serious about stopping . Methadone is easy to continue abusing and be stuck addicted to for years on end. There’s also a new shot where you go in once a month to sample and get your bupe shot. It’s called subblocade. Ask about it; but mind you this is only if you actually wanna try to get clean. There may have been points in time where methadone maybe saved my life but I was never able to really get clean from it. It’s too easy to just use on top of.

The naloxone component of the suboxone is also something to think about. There is such a thing as breaking through, but for most people if you try to take a hit of H after already having had your suboxone tablet; it can instantly kick you into precipitated withdrawal.

Also just something to think about

 

[TheGyattDamnRizzler]

Suboxone. Reason being you don't have to go to a clinic to take it. I think subs withdrawal is easier than methadone too. It would be the more convenient way to go.

 

[Voxide]

I've heard that coming off of Buprenophine is harder than coming off of methadone.

Whoever told you that is wrong, and any other advice they may have provided to you needs to be examined as well. It’s dose dependent, and Bupe can in both theory and practice, be tapered to much smaller amounts than methadone.

Methadone is a full agonist, Bupe is not. It will be easier withdrawals (still not good), less of a negative impact to your hormonal profile and gastrointestinal motility. Not only that, it’s also a safer drug all around due to its respiratory depression ceiling and highly limited active metabolites. The only deaths I’ve ever seen documented involving buprenorphine were associated with benzos and alcohol. Not the case with methadone. A 40mg dose is fatal in an opiate naive individual

For a lot of folks Bupe doesn’t scratch that itch as good as ‘done does but don’t even go into it with that idea. Just proceed into this with an open mind

Most people I knew on methadone didn’t take recovery serious at all and just used it as an insurance policy to continue screwing around without getting sick, or just selling their take homes to squares who couldn’t get access to anything better

And it ain’t relevant to what you’re asking but Bupe actually gets me high on no tolerance. Methadone just makes me feel ill and dirty like some harsh nasty poison has entered my blood stream

Do NOT take any amount over 8mg (1 strip of ‘boxone or 1 pill of tex) no matter how much the doctors insist you need more. It is completely un-necessary and the minuscule increase in receptor saturation doesn’t outweigh the negatives of being on that high of a dose. I assure you, you will be fully well at 8mg. It’s not like methadone where the ceiling is technically unlimited for mu-agonsim. If this is above your level of understanding, I implore you to brush up and do some reading about it at least on a rudimentary level. Wikipedia is good. This is a drug you’re going to be consuming on a daily basis

.
but for most people if you try to take a hit of H after already having had your suboxone tablet; it can instantly kick you into precipitated

Only the reverse is true. Once your receptors are saturated with buprenorphine, heroin will no longer bind to the mu/k/delta receptors in the first place.

PWD occurs because bound heroin/oxy/etc are ripped off the receptor once buprenorphine is introduced and replaces them on the site with only partial activation

Long story short, heroin then Bupe will cause withdrawal, not the other way around

The worst that will happen is you’ll feel absolutely nothing and waste your money. If you knew people getting withdrawals in this manner, they weren’t on a stable Bupe dose in the first place for their tolerance

Fent can break through, but that’s a moot point if the focus is getting clean

 

[TheGyattDamnRizzler]

Whoever told you that is wrong, and any other advice they may have provided to you needs to be examined as well. It’s dose dependent, and Bupe can in both theory and practice, be tapered to much smaller amounts than methadone.

Methadone is a full agonist, Bupe is not. It will be easier withdrawals (still not good), less of a negative impact to your hormonal profile and gastrointestinal motility. Not only that, it’s also a safer drug all around due to its respiratory depression ceiling and highly limited active metabolites. The only deaths I’ve ever seen documented involving buprenorphine were associated with benzos and alcohol. Not the case with methadone. A 40mg dose is fatal in an opiate naive individual

For a lot of folks Bupe doesn’t scratch that itch as good as ‘done does but don’t even go into it with that idea. Just proceed into this with an open mind

Most people I knew on methadone didn’t take recovery serious at all and just used it as an insurance policy to continue screwing around without getting sick, or just selling their take homes to squares who couldn’t get access to anything better

And it ain’t relevant to what you’re asking but Bupe actually gets me high on no tolerance. Methadone just makes me feel ill and dirty like some harsh nasty poison has entered my blood stream

Do NOT take any amount over 8mg (1 strip of ‘boxone or 1 pill of tex) no matter how much the doctors insist you need more. It is completely un-necessary and the minuscule increase in receptor saturation doesn’t outweigh the negatives of being on that high of a dose. I assure you, you will be fully well at 8mg. It’s not like methadone where the ceiling is technically unlimited for mu-agonsim. If this is above your level of understanding, I implore you to brush up and do some reading about it at least on a rudimentary level. Wikipedia is good. This is a drug you’re going to be consuming on a daily basis


Only the reverse is true. Once your receptors are saturated with buprenorphine, heroin will no longer bind to the mu/k/delta receptors in the first place.

PWD occurs because bound heroin/oxy/etc are ripped off the receptor once buprenorphine is introduced and replaces them on the site with only partial activation

Long story short, heroin then Bupe will cause withdrawal, not the other way around

The worst that will happen is you’ll feel absolutely nothing and waste your money. If you knew people getting withdrawals in this manner, they weren’t on a stable Bupe dose in the first place for their tolerance

Fent can break through, but that’s a moot point if the focus is getting clean

Doesn't like methadone get you kinda blasted lol. That's what I've heard from some people. They prefer methadone cus it's way stronger i think.

I have zero experience with it, I've only done subs.

 

[Voxide]

Doesn't like methadone get you kinda blasted lol. That's what I've heard from some people. They prefer methadone cus it's way stronger i think.

I have zero experience with it, I've only done subs.

It’s kind of like how people describe Fent vs real #4 lol

It’s strong and you feel the effects very much so, but there’s no warm glowing euphoria for me. It’s more of a cold, numb intoxicated feeling. They’ve already documented the cause of this but the particular pubmed article escapes me at the moment; when methadone binds to the mu it’s not associated with the typical dopamine release in ventral tegmental area of the brain

 

[canadianpeduser]

Whoever told you that is wrong, and any other advice they may have provided to you needs to be examined as well. It’s dose dependent, and Bupe can in both theory and practice, be tapered to much smaller amounts than methadone.

Methadone is a full agonist, Bupe is not. It will be easier withdrawals (still not good), less of a negative impact to your hormonal profile and gastrointestinal motility. Not only that, it’s also a safer drug all around due to its respiratory depression ceiling and highly limited active metabolites. The only deaths I’ve ever seen documented involving buprenorphine were associated with benzos and alcohol. Not the case with methadone. A 40mg dose is fatal in an opiate naive individual

For a lot of folks Bupe doesn’t scratch that itch as good as ‘done does but don’t even go into it with that idea. Just proceed into this with an open mind

Most people I knew on methadone didn’t take recovery serious at all and just used it as an insurance policy to continue screwing around without getting sick, or just selling their take homes to squares who couldn’t get access to anything better

And it ain’t relevant to what you’re asking but Bupe actually gets me high on no tolerance. Methadone just makes me feel ill and dirty like some harsh nasty poison has entered my blood stream

Do NOT take any amount over 8mg (1 strip of ‘boxone or 1 pill of tex) no matter how much the doctors insist you need more. It is completely un-necessary and the minuscule increase in receptor saturation doesn’t outweigh the negatives of being on that high of a dose. I assure you, you will be fully well at 8mg. It’s not like methadone where the ceiling is technically unlimited for mu-agonsim. If this is above your level of understanding, I implore you to brush up and do some reading about it at least on a rudimentary level. Wikipedia is good. This is a drug you’re going to be consuming on a daily basis


Only the reverse is true. Once your receptors are saturated with buprenorphine, heroin will no longer bind to the mu/k/delta receptors in the first place.

PWD occurs because bound heroin/oxy/etc are ripped off the receptor once buprenorphine is introduced and replaces them on the site with only partial activation

Long story short, heroin then Bupe will cause withdrawal, not the other way around

The worst that will happen is you’ll feel absolutely nothing and waste your money. If you knew people getting withdrawals in this manner, they weren’t on a stable Bupe dose in the first place for their tolerance

Fent can break through, but that’s a moot point if the focus is getting clean

I agree with your dose suggestion as well. I think it’s insane when you see people prescribed 24-32 mg of suboxone per day. When 1 x 8mg tablet was sufficient by day 3-4 after stopping using other opiates. I used to just take my one and stash my 2nd every day until I had a full bottle i was able to help out another friend to get clean with. And it actually worked for him too believe it or not. From a daily fentanyl smoker to being completely abstinent (started with an 8mg sub and tapering down on his own from there)

 

[canadianpeduser]

Suboxone is the way to go. It’s a bit more expensive if you don’t have coverage. But if you do have coverage I’d suggest trying to ask for the the brand name Suboxone thats hexagon shaped over the round tab generic they give out automatically. Less of a shit taste and for me it worked much better

 

[canadianpeduser]

Subblocade as well without coverage is about 650$ per month. But with coverage it’s golden like it’s definitely one of the best choices I’ve ever made jn regards to recovery over the years. Without it i know I’d still be chasing the dragon in one way or another