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  • BDD Moderators: Keif’ Richards

Sick and tired of being strung out on Bupe--Advice please!

firahs75

Bluelighter
Joined
Dec 3, 2010
Messages
139
I am forever cursing the day that I traded a poxy 100-120mg per day oxy habit for a much more difficult buprenorphine addiction. Of course my sub Dr inducted me on a dose that was far too high (12mg) and convinced me that I would need to be on subs for at least 6 months, perhaps longer. Fast forward 3 years and I find myself still on subs and desperate to get off. Currently I take 0.80 mg three times a day for a total of 2.4 mg. I used to dose once a day, but I found that once I got below 2mg, the dose would wear off after a couple of hours, so now I find myself needing 3 doses per day roughly 4 to 5 hours apart (except for after I go to bed).

I mean, this is the worst shit ever. I once tried jumping off from 2.5 mg a day using Kratom. Well, the Kratom kept withdrawal at bay and after 3 weeks, I ran out. Instead of ordering more, I thought "Surely the sub withdrawal shoud be mostly mitigated after being on kratom for 22 days right?" --WRONG!!! On day 23 I felt so miserable that I had to take some more sub. It took about 1.5 mg to get me feeling right.

On another forum, there is a taper advocated that consists of reducing your dose 25% every 4-5 day . Proponents say that it is very easy, and relatively pain -free. Really? Who can do that? Or am I just different from everyone else who takes sub? My experience has been that I can be stable on a given dose and if I reduce by just 15-20%, it is fucking unbearable by the second day. I have to taper at a miserably slow pace on the order of 10% or so every two weeks.

I am very frustrated at how long it takes to get off this stuff, so I am seriously considering trying to switch over to hydrocodone for 2-3 months and try to taper and cold turkey off that. I'm guessing at my current bupe dosage 40-50 mg of hydro a day should do. Has anyone tried this?

I know that the first thing people will usually say is the risk of going back to active opiate addiction. I think this would be a minimal risk for me because: 1) I am sooo over opiates and 2) I don't feel euphoria anymore at all from full agonists. Even after waiting 24 hrs or more after being on < 2mg of sub per day, I don't feel euphoria from 2mg IV dilaudid (ER visit) or 80mg oral oxy. Sure I feel a little buzzed, but not that euphoria. If you don't get that euphoria anymore then why even bother doing opiates? Point is, I am done with opiates. And my life is pretty good now, so I am ready to move on.

Well, why don't I just go on my merry way and taper 10% every two weeks you ask? Because I am so ready to be free of this stuff. I am sick of being chained to these pills. I hate feeling that fatigue and grumpiness every time I need to dose. I also feel that even at my current dosage (which is relatively low), my short-term memory and libido are adversely affected.

Besides, 10% every 2 weeks will take forever (as its a non-linear decrease). Will switching over to a full agonist with a short half-life (hydro) for a couple of months get all the sub out so that all I will have to deal with is hydro withdrawal for a week or so (instead of a month)? Of course, I would try to taper down the hydro as low as possible.

Opinions please. Thanks!
 
I mean, this is the worst shit ever. I once tried jumping off from 2.5 mg a day using Kratom. Well, the Kratom kept withdrawal at bay and after 3 weeks, I ran out. Instead of ordering more, I thought "Surely the sub withdrawal shoud be mostly mitigated after being on kratom for 22 days right?" --WRONG!!! On day 23 I felt so miserable that I had to take some more sub. It took about 1.5 mg to get me feeling right.

You have to understand that you have some withdrawal to do. If you jump off at whatever level and then use kratom to keep WD's "at bay", how you're supposed to thing that everything is just cured miracously? Withdrawal is what cures the body, not waiting.

You may switch to whatever you like but I doubt it will not be any easier way out. It is just the price you will have to pay to get off opiates, sorry dude. Jump off of bupe and get all the comfort meds you can and just survive through it. I ain't saying its easy but it will not become much easier than that.
 
I'm not sure about that...vicodin withdrawal was a breeze (for me at least) in comparison to bupe withdrawal and I was taking around 80-100mg a day...yes, some withdrawal is going to happen, and you will probably suffer from PAWS since you've been on them so long. I think that bupe/MMT programs seem to do more damage than good.
 
^In some cases, yes, they do.

You need to get your dosage down sooner rather than later. 12mg of buprenorphine is a very high dose and is probably why you feel so "strung out".

Speak to your doctor about getting a taper plan going with bupe. Once you get below 1mg-2mg, it starts to feel a bit closer to a full agonist. IME, the nausea from high doses of buprenorphine can get unbearable.
 
It seems your doctor dug you in a even deeper hole, I'm so sorry to hear that. Personally I've never seen anybody needing more then 8mg of bupe when making the switch. Take 8-16mg of bupe the first couple weeks if you need to, other then that get it as low as you can.

I have seen so many people on such high doses of bupe for "a mininum of 6 months" just like your doc said to you and they are in the same exact position. I am so sorry to hear, but best of luck to you.
 
Bupe dosages aren't determined only by the need to not feel WD's but also to block other opioids. And at high-end doses the ceiling effect comes on where the receptors are maximally stimulated all the time, meaning no uphills or downhills for the patient.
 
I am no longer on 12mg day, haven't been for two years. I am on 0.80 mg, 3x a day.
 
I know that WD's will not miraculously go away. What I am asking is this: Can one switch to hydrocodone for 2-3 months (or however long to get bupe completely out) and WD from hydro since it should be a MUCH shorter withdrawal than bupe. Does anyone have experience doing this?
 
I feel your pain OP im in a very similar situation. Its gonna be ugly no matter what you do. Alot of people have that idea with the hydrocodone. And in theory it should work but I have yet to see anyone do it and report back on its effectiveness. I would give it a shot it cant hurt.
 
There's a certain amount of withdrawal you're just gonna have to deal with it. If you replace subx with another opiod you're not detoxing, you're just replacing. You can spread the withdrawal out so its less intense but lasts longer, or just do it all at once.

There are OTC things like loperamide to help, go to a doctor get some trazadone or seroquel for 2 weeks for sleep, and vysteril/hydroxyzine works wonders with opiate withdrawal, but those things need a script, hydroxyzine saved my life, benzos are good too but are very addictive
 
I am no longer on 12mg day, haven't been for two years. I am on 0.80 mg, 3x a day.

Whoopsie daisy. Sorry for the confusion.

Like crimsonjunk said, it seems picture perfect in your head, but I have not immediately heard of it being successful. Perhaps I just have some simple searching to do.

I like the idea of the hydro, but the quicker the better. If it takes some short-term benzo therapy (ONLY IF YOU CAN 100% TRUST YOURSELF TO) with some additional small time meds like hydroxyzine to make it happen quicker, then so be. Let me know what you think.
 
Clonidine worked wonders for the first few days of methadone wd on my transition to subs. With clonidine and valium it actually killed those dreaded restless legs and cold sweats completely. But I definitely feel you on the subs being a nightmare to get off. It has changed my life for sure but im at 4mg 2x a day and i start getting minor withdrawals even if I miss one damn day. Tapering is even painful. I tried going to 6mg a day and it was giving me too much anxiety. I was on methadone for 10 months at 60-80mg and I went to 30mg in 6 weeks with ease. Tbh I think methadone is a lot easier to taper than subs. Suboxone is just so damn potent and at least for me tapering is extremely difficult and confusing with those dumbass hexagon pills.
 
Clonidine worked wonders for the first few days of methadone wd on my transition to subs. With clonidine and valium it actually killed those dreaded restless legs and cold sweats completely. But I definitely feel you on the subs being a nightmare to get off. It has changed my life for sure but im at 4mg 2x a day and i start getting minor withdrawals even if I miss one damn day. Tapering is even painful. I tried going to 6mg a day and it was giving me too much anxiety. I was on methadone for 10 months at 60-80mg and I went to 30mg in 6 weeks with ease. Tbh I think methadone is a lot easier to taper than subs. Suboxone is just so damn potent and at least for me tapering is extremely difficult and confusing with those dumbass hexagon pills.

I use the following method for tapering--works with pills or the films:

1. Buy an oral syringe (pharmacy) and small glass bottle with separate glass dropper (Find at Whole Foods or other health store. I like whole foods 'cause you can buy small glass bottle with cap along with a separate, long glass dropper that can reach the bottom of your little glass bottle).

2. Dissolve sub in warm water at a ratio of 2mg sub per 1ml of water (measure water with oral syringe). If using pills, it is best if you crush the pills first; if using films, let the film sit in the water for about 5 min then stir it up with a toothpick until it is totally dissolved.

3. Transfer your solution (using oral syringe) to glass bottle and keep refrigerated if possible.

4. Use your dropper to dose when needed (place drops under tongue and leave for ten min). 20 drops = 1ml solution, so using the ratio above, 1 drop= 0.1 mg.

5. You can make your own solution as strong or as weak as you want just remembering that 20 drops from a dropper = 1ml of solution.

Oh and I found that for absorption purposes, it is best to not take more than 10 drops at one time.

Even with this method, I still find tapering off subs to be a bitch. Either it has to be super slooooooow (and who has the patience for that?) or you definitely feel every decrease in a most unpleasant way. Cold turkey from Oxy sucks, but at least it is largely over in 4-5 days. Suboxone never ends.
 
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I definitely know what you mean about the feeling of constant fatigue, poor memory, lack of libido, etc. from bupe. Once you've been taking bupe for a while it REALLY starts screwing things up. I found myself feeling just pissed off all the time at the smallest of things, just not giving a crap about important things, not caring about socializing, etc.

Good news is that it sounds like you've reached "the point" (which is *essential* to be at before having a chance of quitting), the same place I was at a few weeks ago when I was on 12mg Suboxone/daily and realized I simply couldn't go on like that, and had to get off it ASAP.

Now nearly everyone here and your doctor will tell you "keep tapering down this is the only way you will get off it". I don't want to sounds rude, but that's simply bullshit. If you think about it, how long is tapering down going to take? How much longer are you willing to feel like shit?

The way to get off Sub is actually quite simple in theory: STOP TAKING IT!!!! No tapers, nothing. Just STOP. NOW. No dose tomorrow. No dose ever. NOW. NOW. NOWWWWWWWW!!! Not later. I know when you're on Sub it's really easy to convince yourself otherwise, "oh just one more for the road", but this is simply cheating yourself. Life is far too short to be f*cking around like that.

If I can jump off 12mg and survive, you can do 2.4mg.

A few things I found helped: make sure you have nothing else planned for ~2 weeks, ie: no work, nothing. I can't see how anyone can be functional while doing this. Although most people would not recommend this and I've been criticized on here for recommending it before (I would rather just tell the truth), what I found helped was: lots of alcohol (I used wine and vodka, you'll probably throw some of it up, but it's great at getting you to sleep and stopping the restless legs), low doses of valium (just went to the local doctor, explained I was withdrawing hard and he gave me that), and loperamide.

The most important part is to keep yourself distracted so you can pass large amounts of time quickly. This is different for different people, but I mainly used Youtube and listening to music. Maybe you could try some really cool movies you like? I've also heard that computer games can work well.

Hope this helps, all the best. It may be one of the hardest things you do, but it will be worth it.
 
I totally agree with Aminos post( minus the alcohol part that does not work for me). I have recently successfully tapered off a large oxy/morphine dependence. Tapering sucked, I went through significant withdrawal every month. Finally, I had enough and just jumped off. It was so worth it in the end, to just take the pain and get it done with.

I read somewhere that your brain actually needs the feelings of withdrawal to begin to reset itself after drug addiction. I am quite sure that this is an extremely simplistic view of what really happens, but it makes sense to me.. Good luck!
 
subs got me trapped....what sucks is they don't make you feel good/high and you only start feeling w/ds when you stop taking them.... then again been on 0.5mgs or less a day for past year and still can't kick it....AHHH!H!!!H!!H!H
 
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