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Bupe New to addiction medicine with Kaiser So Cal

I'm thinking I'm not taking the suboxone enough or too much? I take 2 mg 2 to 6 times daily. I usually take first dose at 10:30 am. By 1 PM I crash. I take sub 4 more times and by 7 PM I feel okay. But the afternoons are hard and I get so sleepy ill fall asleep. I am going to see addiction nurse tomorrow. I have short term memory loss, no energy, tired, depressed, headachy, no motivation. I hope this starts to change. I know it's only been a week but I can't live like this. I felt more productive as a pill popper than a recovering pill popper.
 
Buprenorphine is strange in that lower doses are actually the most effective. Around 6-8mg typically. Higher amounts actually do not worse as much. And after 32mg taking more is completely ineffective due to the ceiling effect.

If you're accustomed to stronger medication, there will be a period of adjustment. Basically, you will have some discomfort and may go through some WD.. though it's just minor WD, not full blown WD. As long as your pain is under control I would ride it out... As your tolerance goes down it will most likely become more manageable.

I would take 8mg of subutex daily. It lasts about 36 hrs in your system so you should only have to dose daily. And focus on doing other things to make yourself feel better... Exercise daily to release endorphins in your body. You're probably feeling uncomfortable because your body's endorphin system isn't functioning correctly because you're used to opiates acting as endorphins in your body. I would also take a multivitamin, L-tyrosine and B vitamins for energy in the morning, 5htp and St. John's Wart for depression and mood, an Omega supplement (a deficiency can cause depression), antioxidants, and a protein supplement. Also, you need to eat fruit and vegetables every single meal and as snacks between meals. You need raw, vital food to energize you and rejuvenate your body. It's the ONLY thing that has helped with the opiate fatigue I get. Drink coffee when you wake up if that helps but make sure you exercise and exhaust your self during the day so you'll sleep through the night so your body can rest and repair itself.

Like I said, as long as your pain isn't unbearable I would really just tough it out. The symptoms will go away as long as you focus on keeping your body healthy and rested in the meantime.
 
Two things I'm not doing: eating and moving.
I'm taking advantage that the Topamax has killed my appetite. I put on 35 lbs while on pills. Maybe I should go for walks in the evening when I am feeling better. I do feel like I am experiencing WD - but differently. Mild WD. Not the normal anxious, painful, barfing nonstop WD. Just tired depressed and a little anxious. I'm going to take only 6 mg of sub today. I want to use 60 mgs of hydrocodone next weds. But I have a therapy appt with addiction med where they will test my urine. So ill keep my dose low until Sunday and then stop until Wednesday. I'm hoping that will give me enough time to clear my system.
I'm wondering if ill get better results from plugging them? I'm so sick of the taste and dry mouth.
 
It's Friday- well, Saturday 1 am. I took 2 mg sublingual suboxone at 4 and snorted 2 mgs at 6. I felt so much better at 6. I waited to feel as lousy as possible. I was exhausted by 1:30 PM an took a nap until 3. I was very scattered all day. I did notice the insuffelated suboxone worked harder faster. I'm tired of dry cotton orange mouth. By tomorrow I'm hoping to be down to one insuffelated dose of 2 mgs at 11 am. We'll see how that goes down tomorrow. I'm willing to taper to have a great one time a month relapse. Good night :-)
 
Yesterday I snorted I 2 mg suboxone at around 4 PM. I started feeling WD today at 2:30. So at 3:30 I took 25 mgs of hydrocodone. I'm titred of feeling tired apathetic sick bored and strange. Loss of passion, fun, laughter. I guess I have no patience. I made it one week without using hydro and on subs. Now I'm wondering if I just wasted them. My usual dose was 70-80 mgs every 4-6 hours. I have 35 mgs left. I might do 20 more in a bit.

Okay. Did the 35 rest. Feel a little more energized . Tackled laundry, washed bending, made bed. Felt slight head change but not like usual 60 mg dose. I'm canceling tomorrows addiction med psych appt. moving it to next week. Partying on weds.
 
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Woke up next day at 6:45 am. Have not done that once since I quite taking pills, sleep was not as good, I feel rested. I'm not taking suboxone or norco's today. Or tomorrow. I plan on taking 60- 80 mgs on weds. Lets see what happens today...
Monday took 100 mg tramadol and .5~ Xanax. Was okay. My back hurt from moving furniture.
Tuesday. Boring! Tired! Can't wait til weds!!
 
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Okay. Binge Wednesday reporting. 160 mg hydrocodone 2 mikes harder black cherry lemonaids, 3 vodka 7ups & a glass of petit Syrah. Nice day. Felt great. Happy energized. Normal. Why do I have to consume all that shit to feel normal??
Today I'm tired. No WD. It was about 13 days since I had really used any opiates. I had warmed up the Friday before with 5 after my last dose of suboxone 12 hours earlier. Didn't feel much different. Question is. Can I keep this to a once a month or every two week routine? I will have to stay on subs. It's they only way not to give in.
Thursday- today 1 PM 40 mg Oxy's to help me get up and clean house. Feeling fine. Normal. Almost too good to waste on house cleaning. But, the proverbial show must go on, as they do say!
Ciao!
 
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What the hell are you blabbing about man??? You are all over the damn place, its hard to feel sorry for someone who complains about the consequences of abusing narcotic painkillers, yet on a new day and new post you ramble about "Party Wednesday"....just lose the sub then if you dont want to quit abusing hydrocodone or whatever it may be.
If English is not your first language i am sorry for saying your "rambling", however you do need to figure out what the hell it is you want.
 
areros18 said:
Okay. Binge Wednesday reporting. 160 mg hydrocodone 2 mikes harder black cherry lemonaids, 3 vodka 7ups & a glass of petit Syrah. Nice day. Felt great. Happy energized. Normal. Why do I have to consume all that shit to feel normal??
Today I'm tired. No WD. It was about 13 days since I had really used any opiates. I had warmed up the Friday before with 5 after my last dose of suboxone 12 hours earlier. Didn't feel much different. Question is. Can I keep this to a once a month or every two week routine? I will have to stay on subs. It's they only way not to give in.
Thursday- today 1 PM 40 mg Oxy's to help me get up and clean house. Feeling fine. Normal. Almost too good to waste on house cleaning. But, the proverbial show must go on, as they do say!
Ciao!
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You don't HAVE to consume extra opioids and alcohol to feel normal. You can learn other more healthy strategies. I doubt you will be able to keep this to a once every 2-4 weeks thing, if you've had a problem with drugs in the past it's very hard to keep it infrequent. Think about why you got on Suboxone in the first place.
 
Swimmingdancer; said:
I doubt you will be able to keep this to a once every 2-4 weeks thing, if you've had a problem with drugs in the past it's very hard to keep it infrequent. Think about why you got on Suboxone in the first

my only problem with drugs- i think, is that i self medicate because of anxiety attacks I would get. I also have friends that have "regular" lives- 9-5 jobs, family, etc- but give themselves one day a month to binge. I'm not too sure I can pull it off. I would like to log it publicly so I can get input. Not sympathy (like dick head above) or English lessons.


I did not choose suboxone. I was a pain patient since 2001. My new pain management Dr does not treat chronic pain with opiates so I was put first on methadone then switched to suboxone. So I'm just testing waters, really.
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Fuck off. I'm not asking for pity. I didn't choose subs. They were forced on my by my pain management dr.

I don't know what I want. Is that okay with you? Asshole?

Why are you so angry?

Your such a troll. I saw your posts elsewhere. Such rage and apathy in each stroke. Disgusting.

TyLannister said:
What the hell are you blabbing about man??? You are all over the damn place, its hard to feel sorry for someone who complains about the consequences of abusing narcotic painkillers, yet on a new day and new post you ramble about "Party Wednesday"....just lose the sub then if you dont want to quit abusing hydrocodone or whatever it may be.
If English is not your first language i am sorry for saying your "rambling", however you do need to figure out what the hell it is you want.
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Was it that hard???? Typing your circumstances???? Because, now that its known that you have the ability to get your point across with a couple short sentences, it then comes down to drugs/stupid (all the jibberish outta nowhere) which is totally fine. After all, without dumb questions appearing on the forums, who would I make fun of by sarcasm/trolling.
(Yes, the e-cigarette question in which you found by viewing my posts was actually NOT suppose to be a real question, rather a sarcastic post to point out just how ridiculous some questions you randomly see on here from time to time can be.

Toodles

P.S.
Making a statement such as, "I dont feel like I have a problem with drugs, its more just self-medication that I use everyday in some way, shape or form, to ecscape the reality that all my friends have jobs)
Probably means you have a drug problem. Not bashing you for that though, good luck getting off all that stuff.
I am being serious, best of luck.
 
Cant find edit button on my phone (see everyones dumb) but ya know what if talking to urself in a forum helps you then by all means go for it. Sorry for being a jek.

Id go and delete all my posts but my hands are way to big to cycle thru em and delete.
Good Luck
 
Swimmingdancer said:
You don't HAVE to consume extra opioids and alcohol to feel normal. You can learn other more healthy strategies. I doubt you will be able to keep this to a once every 2-4 weeks thing, if you've had a problem with drugs in the past it's very hard to keep it infrequent. Think about why you got on Suboxone in the first place.
Click to expand...


I totally see what you mean. I'm obsessing about using. I'm depressed. I'm unmotivated. I feel sick, but I'm not having WD- I think?

Should I get back on subs today? It's been about 24 hours since my last 40 mg dose of Oxy?

I need to do better than this. Maybe jock guy is right.
 
TyLannister said:
Cant find edit button on my phone (see everyones dumb) but ya know what if talking to urself in a forum helps you then by all means go for it. Sorry for being a jek.

Id go and delete all my posts but my hands are way to big to cycle thru em and delete.
Good Luck
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Hey Ty

No hurt feeling. I actually was lugging while I read your post. You remind me of a drill Sargent. We all need a drill Sargent. I married one. .. Long story.


I'm not erasing your words. I don't believe in censorship. & I could see why an outsider would find my posts offensive. I lurked here a long time before I gained trust & posted anything.

I come to BL because the idea that 16 norco's and a shitload of booze feel like Christmas, my birthday and my first orgasm- bluelighter's- to some level, understand me. This is comforting to me.

So my elated ramblings are those of Beatlemania meets Elvis- freaks taking speed on a roller coaster. Kill me? I'm not an English major and I learned it well enough by eight though.
 
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Quick update. I took 4 mg of Suboxone an hour apart ( between a nap) an I woke up feeling 20% better.

Need to get back on subs right away. Need to get moving. I'm not moving and I'm not feeding my body.

I'm also not drinking alcohol unless its with pills.

aR18
 
ddue you dont need that much suboxone. dont go abovve 3mgs, and you will get higher. sooo many people on here will vouch to that too.

methadone might be better for pain because it blocks-NMDA. however, you could buy DXM, or get scripted orphenadrine to help with the pain because they are both NMDA-antagonists as well. Lyrica (pregabalin) is also amazing at potentiating suboxone's pain killing effects. i broke my elbow a couple of weeks ago and i was on suboxone, lyrica, zanaflex, naproxen sodium, and marijuana.

marijuana is also an excellent painkiller-potentiator for most people. give it a try... my list of drugs i recommend for pain while on suboxone, starting from most effective to least:
1. marijuana
2. lyrica *it really is a tie between MJ and lyrica IME
3. low doses DXM (90-120mgs)
4. low doses of valium/klonopin (be careful! these might reset your addiction)
5 .zanaflex/orphenadrine/flexeril
6. hydroxdyzine
 
laCster said:
ddue you dont need that much suboxone. dont go abovve 3mgs, and you will get higher. sooo many people on here will vouch to that too.

methadone might be better for pain because it blocks-NMDA. however, you could buy DXM, or get scripted orphenadrine to help with the pain because they are both NMDA-antagonists as well. Lyrica (pregabalin) is also amazing at potentiating suboxone's pain killing effects. i broke my elbow a couple of weeks ago and i was on suboxone, lyrica, zanaflex, naproxen sodium, and marijuana.

marijuana is also an excellent painkiller-potentiator for most people. give it a try... my list of drugs i recommend for pain while on suboxone, starting from most effective to least:
1. marijuana
2. lyrica *it really is a tie between MJ and lyrica IME
3. low doses DXM (90-120mgs)
4. low doses of valium/klonopin (be careful! these might reset your addiction)
5 .zanaflex/orphenadrine/flexeril
6. hydroxdyzine
Click to expand...


Thank you so much. You have given me a starting point. There are days I take ridiculous amounts of ibuprofen and APAP. It's probably worse on my body than the Opana I was taking. Now, I have to bring this up with my Doc- who is not at all appreciative of me researching and giving suggestions.
You're awesome!!
 
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