Im going for it. And check this out....This guy actually brought on precipitated withdrawal ON PURPOSE using narcan, then after being sick for an hour he took 24 mg suboxone and went to sleep and all withdrawals were over. He said, "youll be sick for an hour", but after that fine".A 2016 case study published out of Switzerland by Hämmig et al. introduced two cases of successful buprenorphine induction overlapping with full opioid agonist use. The authors’ hypotheses for the study were that small, repetitive dosing of buprenorphine with sufficient dosing intervals (i.e. 12-24 hours) should not precipitate withdrawal, and buprenorphine will begin to accumulate at the receptor due to its high receptor affinity and long binding time, and as a result, an increasing amount of full agonists will be gradually replaced by buprenorphine.
from https://www.bcpharmacy.ca/tablet/fall-18/microdosing-buprenorphine-induction-bernese-method
It seems rare. Ive never seen anyone here make a truly good case for it.
Why can't you tell your doctor?I really have no choice. Im out of money. My wife is fed up. I lost my job. I have to get it together, I only started this crap in Feb 2022 too! And in that time Ive quit 3x!! This the 4th. So I only be using maybe like 8 months total!! Its not like Im far gone or too deep in. But Im on day 4 of the micro and after thurs (2 days) thigs will escalate quick. I have a dr appt thurs, so i CANT BE SICK. So im using to then, then ill be out. So.. Im uppping my subs according to coincide, Thurs, and slightly beyond things get hairy.
I see multiple posts about fet staying around longer…but I assume that’s just in your body/fat cells. If UA tests can appear clean in roughly 2-3, maybe 4 days (everyone different) I have to assume taking small doses would be the way to go. Especially after waiting about 24 hours or until you have some moderate withdrawal symptoms.I have heard repeatedly on this forum that due to fentanyl sticking around in fats, it takes much ,longer before PWD won't happen than it should. Have heard of people getting it after 3 or 4 days even, and not just once or twice have I heard this. It's possible it's actually some fent analogues that do this though, which people just refer to as "fent", they're synonymous in the street drug scene.
Sorry OP, I don't know about the Bernese method, but you should be able to look it up, that is indeed what it is called.
were you able to stop the suboxone after day 7 ? I have my first script of 2mg subs along with some clonodine waiting at the pharmacy for me, going to start the bermese method today. On blues not rawIm going for it. And check this out....This guy actually brought on precipitated withdrawal ON PURPOSE using narcan, then after being sick for an hour he took 24 mg suboxone and went to sleep and all withdrawals were over. He said, "youll be sick for an hour", but after that fine".
I may even do this because when I was sent into precip wd by the Dr - he gave me a 4mg subox in his office, then sent me home and said if I dont feel any better in an hour take another 4 mg. So I took the other 4 mg and instantly went into precip wd. But like this guy in the article, HES RIGHT!!! My precip wd was nuts. I immediately lost all control of my limbs and then I hit the deck and sweated like crazy. Im talking CRAZY sweats. Once that calmed down a bit along with my heart rate, I was able to get to bed. There I got fidgity a little but then fell asleep. My wife kept waking me on the Drs comfort meds schedule every 4 hrs and I was able to basically sleep days 1-3. When I got up on day 3, or 4, I was pretty much past everything. By day 7 I was back in Drs office fine, and over everything.
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Enhancing Patient Choice: Using Self-administered... : Journal of Addiction Medicine
cessfully started, it cannot work. We describe the case of a patient who was able to transition to a therapeutic dose of BUP-NX less than 3 hours after his last illicitly manufactured fentanyl use by choosing to self-administer intranasal naloxone. After the naloxone, the transition took 31...journals.lww.com
I just want to say how happy I am to read someone’s story of successfully doing the Bernese method to switch to suboxone. I am wanting to do this also except I’ll be switching from methadone to suboxone. I have the subs and clonidine from my doctor along with directions. Also have pregabelin but don’t know if that’s needed. I tried it once but felt a little wd the first two days so I didn’t continue to up the sub on the third not knowing what to expect. I’ve been clean from H for 19 years now on methadone but I get tired of the side effects of it. Heard that subs have a lot less side effects so I need this switch.I recently did it. And thats coming from a fenty sniffer where I went to a trained Dr for suboxone and he sent me into precipitated wd. I quit fenty for 24 hrs then went to see Dr. He gave me 4mg in his office, then sent me home. He said if not feeling better in 1 hour, take another 4 mg. As soon as I took that 2nd 4mg I went into precip wd. It was awful.
Anyway, I did a 10-day taper of subox starting at .5mg up to 12 mg per day then stopped. I was fine. I even used fenty as I micro-dosed up. But as you get closer to 12mg, you'll notice your other opioid has no effect. Theres no sense in taking it. So I got up to 12mg at the apex of my plan (10 days). I did 12 mg for 2 days, days 9 and 10. Then dropped big time to 6 total mgs on day 11, and now I am on day 12 and I havent taken a single sub today and feel fine and its 1pm!
The micro-dosing works. You go slow, and once you hit around 8-12 mg total per day, you'll se your other opioid will have no effect on you. Thats when you stop the opioid. From there, you go by how you feel. I only used 6mg yesterday and I felt fine. Today I havent used any subs and am trying to wean back off.
Did you end up switching? Just found this thread and am curious. About to switch from methadone to subsI just want to say how happy I am to read someone’s story of successfully doing the Bernese method to switch to suboxone. I am wanting to do this also except I’ll be switching from methadone to suboxone. I have the subs and clonidine from my doctor along with directions. Also have pregabelin but don’t know if that’s needed. I tried it once but felt a little wd the first two days so I didn’t continue to up the sub on the third not knowing what to expect. I’ve been clean from H for 19 years now on methadone but I get tired of the side effects of it. Heard that subs have a lot less side effects so I need this switch.
Thank you for posting your success with the Bernese method, it has regained my confidence and desire to make this switch. Any recommendations are appreciated but not expected. Good luck to you![]()