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  • BDD Moderators: Keif’ Richards

Non opioid assisted withdrawal and Suboxone question

texmate

Greenlighter
Joined
Mar 20, 2014
Messages
7
Location
London/Texas
I had an auto accident two and half years ago and had multiple serious fractures including vertebrae that will require another (hopefully final surgery). I dislocated my jaw and shoulder. I also broke my jaw, four ribs, collarbone, pelvis, two lumbar vertebrae and tibia. I had multiple organ injuries. This occurred in Germany and I was literally hit by a Russian bus. I spent two weeks in a German hospital and they did a great job, but they were very stingy with the analgesia (they did not understand comfortable, their standard was bearable!!). I guess I should not be surprised since Germany is the birthplace of Nietzsche (“what does not kill you makes you stronger”). I am an American who has had business in the UK for twenty years and actually had a private UK Doctor. I used an air ambulance to go to the UK into her the care . She put me on 60 mg of OxyContin twice a day with 10 mg OxyNorm (instant release) for bleed through pain. I progressed well but still required serious medication. I also was up to 160 of the Oxy’s I then discovered that I was getting divorced so I had to return home. I found a highly recommended American Doctor who is more then happy to do the surgery but not until I got my “issue” under control, I was sent to a pain management doctor and I have ultimately seen three, they have all told me that I needed an addiction specialist. I was candid and told them that I had been a recovering alcoholic (29 years and still have not taken a drink but I have thrown that away) and that I was aware that I was abusing my medication. I consciously took more to catch a buzz. I was prescribed 60 mg OxyContin twice a day and up to 40 mg of OxyNorm.
I found a non-professional source stateside and was up to 240-320mg per day and a 5- 10 Norco’s. It was due to the pain of both my injury and the end of a twenty- year marriage. This is not an excuse for my addiction it is merely an explanation This scared me so, I have stopped the Oxy by reducing to zero over a two month time period with tramadol and Norco’s. I got up 50 to 60 10/325 Norco’s to feel normal (except for the carpel tunnel I am developing grinding them in a mortar and pestle to do them all by CWE (cold water extraction). I am now down to 35 Norco’s and ready to “jump off”

I am not at all interested in Rapid Detox due to my age and the ambivalent opinions. I went to a highly recommended Addiction specialist and discussed the inpatient Detox that would be 5 to 7 days. I was told that “ due to my social economic background that the local facility would not be appropriate”. I am no better or worse then the homeless junkie banging balloons under a bridge. If anything I am worse because I have privilege and have been very lucky in so many ways. I am supposed to be the arrogant one. I cannot go into a 30-60 day treatment program because I have joint custody of my youngest. He prescribed me 2mg Suboxone and told me to wait 24 hours and then take a strip and wait an hour and take another until I got comfortable. I went 24 hours after my last dose of Norco cold turkey and it was unmitigated hell. This was at about 50 CWE Norco's a day without clonidine or Gabapentin.
( I have a modest ( Narcos vs Heroin,Oxy and Methedone) addiction compared to what some have on this forum) I was terrified of precipitated withdrawal and I scored in only single digits on the COWS, while being in a full-blown panic attack. I am a bit gutless and weak so I folded and took 15 Norco to “get right.”

I would like to try and do this without having to do the whole Sub thing. It scares me but I may not be able to make the stark transition and would rather do the Sub then fall back into the pit
I did some more thinking and based on what I have read in this forum I have assembled a program to try and Detox without going on Suboxone
maintenance, since the 35 Norco’s I take a day is a pittance compared to what you other folks have endured I have been given the courage to try I have assembled an arsenal to see if I can get this done. For the last week I have been taking these Amino Acids, Minerals and Vitamins to help rebalance my brain chemistry.

Inventory OTC

1. Chelated Magnesium 250 mg. have taken twice a day for the last week.
2. Potassium 100 mg x 2 a day for the last week
3. L-Glutamine w/ 5 mg B6 – 1000 mg in AM on empty stomach
4. L-Methionine 500mg twice a day for the last week
5. L-Tyrosine 1000mg in AM for the last week
6. Fish Oil (omega 3) once a day
7. Stress B complex
8. A.C.E. Vitamins
9. 300- 2mg Loperamide which I will not take until 36 hours in case I take the Suboxone route.

Inventory Prescription

1. Clonodine- .1 mg - 150 tabs
2. Tramadol 50 mg. tabs -100 tabs
3. Valium 10 mg. tabs 20
4. Gabapentin 300 mg 50 caps
5. Tizanidine 4mg . 20
6. Trazadone 100 mg -50 tabs
7. Ambien 12 tabs but a little old
8. Suboxone 30- 2mg.

I have made some Vegetable soup, Chicken Noodle, have a case of Quinine water ( hydration and RLS) and Electrolyte waters. I have downloaded all of MadMen which I have not seen . I have told everyone I’m out of town and have no signal in the mountains. I have obtained a Blood Pressure machine to check for Hypotension. I don’t drink (ironic huh) and stopped enjoying weed in law school. Any ideas?

I am beginning my “attempt” on Saturday
Saturday - I am starting with .1 to.2 mg Clonidine four times a day
to a max of 1mg Gabapentin 300 mg twice.
Sunday -.1-.2 mg Clonidine four times a day to a max of 1.2 mg Gabapentin 300 mg three times a day.
Monday I will adjust to try to find comfort. I will use half doses of Valium and tizanidine and try to avoid respitory arrest and or Cardiac collapse. I plan on muddling through until the next Saturday and then taper off the Clonidine and Gabapentin


Sorry for the long-winded lead in, I do have questions.

1. If after 72 hours I took just a 2 mg. Suboxone once would it speed my withdrawal? My understanding is it locks up the receptors
2. Does anyone have any suggestions about how I could make it smoother with my list of withdrawal condiments.
3. Though I appreciate the enlightened concept of “harm reduction” and the use of Suboxone. I really don’t like the idea of maintenance. Does transitioning from one drug to another really make sense if I am prepared to go the route including the taper down from the Clonidine and Gabapentin.
4. Would I be best switching to the Suboxone maintenance to heal a bit and not fail due to cravings and PAWS?

Lastly, I appreciate you folks that take the time to share your experiences any input would be welcome.
 
IMO after the amounts you've been taking switching to Suboxone would be a smart move. I understand you want to just get this over with, but I don't think you can easily transition from the amount of opioids you're used to taking into sober living without having a high risk of relapse. At least for the first 4-5 days of acute withdrawal take ~1mg or so every 36 hours, it'll ease the withdrawal symptoms and shouldn't add much time til you're out of the woods. If you're really anti-Suboxone look into loperamide, it's an OTC opioid anti-diarrhea medicine that acts outside the brain in larger doses to ease physical withdrawal symptoms. It won't really help the mental side, but you should be able to eat and able to leave the bathroom and sleep.

Besides that, support is what you really need. Someone you can talk to - online or in person - that's gone through this before is a great help. I'd be happy to talk to you if you don't know anyone personally that's been addicted to opioids before. I've used Suboxone to quit oxycodone addiction in the past and currently my morphine and heroin habit, and personally I think it's the best way to go if you have a big enough habit to warrant it, which you definitely do. I have also cold turkeyed off morphine and hydromorphone 2 years ago when I was tired of being in pain management, enslaved to some pills and in a haze every day was no way to live anymore, so I know the pluses and minuses for both routes. Optimism, support, and wanting to quit for yourself are major factors in successfully getting clean and staying clean, and it sounds like you're ready to do this. Good luck man.
 
Thank you for your experience. I have now gone 26 hours with the help of .8 clonipin ,900 gabapentin and being asleep. I awoke to electric arns and legs. I have taken a valium and another .2 clonipin and 300 Gaba. I will see where i am in a couple of day. This is actually easier at this point then when I jumped of the Oxys to the hydro. I am so afraid of precipitated withdrawal I will consider it. I just want to get through an other 24. I started meetings awhile back......
Thank you again
 
It's no problem, I'm happy to help. When was your last dose of hydro? At 24+ hours there's really no risk for precipitated withdrawals and you're gonna make yourself suffer more than you need to. Meetings are a great way to get support, sounds like you're doing everything right with this.
 
Hey Stay Zooty; I have just clarified may situation. You have read how I got here but maybe you might understand a further problem. I have not had a drink in twenty eight years but I think that this might flush that down the toilet. A twelve step program worked well for me for 25 years and I have sat in the back of some meetings ( with 7 people I know and two that I had sponsored one for fourteen years) I told myself after my withdrawal that I would have to take that walk and get a desire chip. Yes it is going to be very humbling and I can rationalize that I didn't drink after snorting 80mg of old time Oxy. But I sure as hell have not been sober. The guy I sponsored for fourteen years started out homeless and now is married, two kids and a very good job whats that going to do to him. I know 12 steps does not work for every body particularly what it is today. Frankly this forum and people like you have been a great help this is more Anonymous then AA. Thank you again and I will update. As I said in my other post I am taking a Trazadone and hopefully I will be out for at least eight hours-Thanks to all
 
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