My husband and I are currently getting off heroin after getting hooked following my knee reconstruction surgery. The pain meds the doc gave me did NOTHING and oxys/roxys are just too expensive. We acquired some suboxone and I took mine like I was supposed to, after going into moderate withdrawal. My husband on the other hand, did not wait long enough and now is in agonizing precipitated withdrawal. My question is - after he endures this withdrawal, is he done? I mean, obviously he's not going to feel good or normal for quite some time, but since he's made it this far (and he wants to just ride the rest of it out) shouldn't he just be done? I feel like taking more suboxone after that would only prolong the process and he would have to withdraw from it all over again at some point.
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OD Moderators: Keif’ Richards | negrogesic
Bupe Need suboxone withdrawal advice!
- Thread starter ladyhead
- Start date
Hey ladyhead and welcome to BL.
Sorry this was not addressed sooner, but the name of support can be a little deceiving. Support actually is for support pertaining to BL.
Im going to shoot this over to OD as I think it will be covered well there.
IMO, no this does not mean he will be through withdrawls. Suboxone is a partial opiate agonist with a narcan added with it as a opiate antagonist
The partial agonist buprenorphine has a greater afinaty for the receptor so i will disrupt the herion from the receptors. However it only is a partial agonist so it causes precipitated withdrawal when the full agonist from the herion is displaced.
This will not cause the system to stabalize correctly as the partial agonist of the Bupe will still be involved when the system readjusts. So unfortunately he will still need to detox of the subs at some point.
Congratulations on making the descion to address the events that have went down.. There is a wealth of knowledge and support here on BL. You can do this and please consider stopping by recovery which is linked in my signature. You two can do this!!
S-->OD
Sorry this was not addressed sooner, but the name of support can be a little deceiving. Support actually is for support pertaining to BL. Im going to shoot this over to OD as I think it will be covered well there.
IMO, no this does not mean he will be through withdrawls. Suboxone is a partial opiate agonist with a narcan added with it as a opiate antagonist
The partial agonist buprenorphine has a greater afinaty for the receptor so i will disrupt the herion from the receptors. However it only is a partial agonist so it causes precipitated withdrawal when the full agonist from the herion is displaced.
This will not cause the system to stabalize correctly as the partial agonist of the Bupe will still be involved when the system readjusts. So unfortunately he will still need to detox of the subs at some point.
Congratulations on making the descion to address the events that have went down.. There is a wealth of knowledge and support here on BL. You can do this and please consider stopping by recovery which is linked in my signature. You two can do this!!
S-->OD
poppyplanet
Bluelighter
In my opinion, and this is just my own 2 cents. If your husband still feels like shit after the precipitated wd ends, I would advise him to take a small piece of the suboxone and let himself slowly wean off of it until it's all gone. Suboxone is strong despite what some people may think. It boggles my mind at how most doctors prescribe an 8mg dose 3 to 4 times a day. It's just too much in my opinion. It's best to slowly taper off of it and remember, all you need is a small amount, don't over do it.
speedballs_over
Bluelighter
"It boggles my mind at how most doctors prescribe an 8mg dose 3 to 4 times a day. It's just too much in my opinion. It's best to slowly taper off of it and remember, all you need is a small amount, don't over do it."
So true! I posted a reply about a week ago here in OD to someone new to bupe about how I would induct given a new chance to do it. In my opinion & from my experiences - start on as low a dose of bupe as needed to "hold" you and "get well" w/o getting high. Getting high may be impossible with bupe if your dope habit was big enough. But we're not trying to get high here, we're trying to get better which includes taking an opioid and not expecting to get high.
"Less IS more" - imo, should be motto for bupe prescribing physicians with a fucking clue.
Taken sublingually generally 4- to 6-mg/day is enough for even a serious dope habit. If it isn't I suggest, seriously... I suggest methadone for maybe a 28-day taper to nothing or to transition to a bupe dose that will hold you (thus using the methadone taper to lower tolerance, and then over to bupe for longer term maintenance.) If you're not going for maintenance and just want to do a taper to become opioid free than either methadone or bupe will work (if bupe holds you.) Hope that makes sense.
Best wishes, it ain't easy. Though I believe you'll be much happier as a couple and individually when you get stabilized on a prescribed, affordable opioid. If bupe isn't affordable, check with Reckitt for a patient assistance program to help pay for the meds. In the US with the passage of the ACA many states now have bupe on the medicaid formulary and you can now get it cheap if/when you find a physician that takes medicaid and prescribes bupe. In Denver, the city where I work in HR at a syringe access center, I know the wait can be long, but worth it. I've watched many homeless or otherwise marginalized dope addicts improve their lives immensely by going the medicaid/bupe route. Methadone too, but in the US methadone comes with so many restrictions that bupe is often preferred, not necessarily for it's medication properties but b/c it is a much simpler means to get what you need.
minor edits.
So true! I posted a reply about a week ago here in OD to someone new to bupe about how I would induct given a new chance to do it. In my opinion & from my experiences - start on as low a dose of bupe as needed to "hold" you and "get well" w/o getting high. Getting high may be impossible with bupe if your dope habit was big enough. But we're not trying to get high here, we're trying to get better which includes taking an opioid and not expecting to get high.
"Less IS more" - imo, should be motto for bupe prescribing physicians with a fucking clue.
Taken sublingually generally 4- to 6-mg/day is enough for even a serious dope habit. If it isn't I suggest, seriously... I suggest methadone for maybe a 28-day taper to nothing or to transition to a bupe dose that will hold you (thus using the methadone taper to lower tolerance, and then over to bupe for longer term maintenance.) If you're not going for maintenance and just want to do a taper to become opioid free than either methadone or bupe will work (if bupe holds you.) Hope that makes sense.
Best wishes, it ain't easy. Though I believe you'll be much happier as a couple and individually when you get stabilized on a prescribed, affordable opioid. If bupe isn't affordable, check with Reckitt for a patient assistance program to help pay for the meds. In the US with the passage of the ACA many states now have bupe on the medicaid formulary and you can now get it cheap if/when you find a physician that takes medicaid and prescribes bupe. In Denver, the city where I work in HR at a syringe access center, I know the wait can be long, but worth it. I've watched many homeless or otherwise marginalized dope addicts improve their lives immensely by going the medicaid/bupe route. Methadone too, but in the US methadone comes with so many restrictions that bupe is often preferred, not necessarily for it's medication properties but b/c it is a much simpler means to get what you need.
minor edits.