question though Crankinit, I've been told recently that suboxone programs have been restricted and you now have to take your dose under supervision (cracking down on the blackmarket for bupe) and they've also moved from the tablets to a strip. If this is true, how does a functional human with a job, family and other responsbilities some how drive to a clinic every morning for their dose.
It works much like methadone, you have to dose at a pharmacy every day, and slowly they start giving you take away doses. AFAIK it's always been that way in Australia, we've never had bupe available on a 30 day script the way it is in the US. I don't have to go to a clinic at all, I have my script written by a GP I see once a month for a minimal charge, since they recently loosened restrictions in SA so any doctor could prescribe suboxone to up to 5 patients (probably in reaction to the chronic shortage of methadone funding, there was a good 6 - 8 month period where they weren't taking new methadone patients and didn't even have a waiting list). Not sure if that's the case in other states
It is a huge pain in the ass after a while, imo the rate at which they give you TA's is far too slow and $5 a day adds up when you're a studying full time. I was lucky in that the pharmacy is a 10 minute walk down the road from my house, so it's usually just a case of leaving half an hour early for Uni in the morning or taking a quick walk on the weekends, but if that wasn't the case then yes, it absolutely would be a huge pain in the ass.
I've heard a lot of stories about people who get treated like shit by their doctors/dispensing pharmacists too, but luckily everyone I have to deal with is laid back and friendly.
So yeah, like I said it's not a perfect solution, but it is a good way of getting your use under control if you're in the right circumstance.
Also, the strips are far better than the tablets. They dissolve faster and don't taste quite as foul (though they're still not candy).
Earning trust from your doctor is one of the most important parts of opiod maintenance. If you don't have the trust of your own doctor, how would your family and friends see you?
I'm sorry if this seems rude and I'm not taking a shot at you personally, but I really hate that attitude. So many doctors give off this vibe that we dirty drug users should be grateful for even the slightest bit of help we get and be willing to lick their shoes in return for every tiny script or referral or appointment, and it's disgusting. If doctors weren't prone to treating patients like lab rats and threatening to cut off any help the moment the patient decides to veer even slightly from their ordained treatment, then patients would be able to be perfectly honest without worrying about losing access to necessarily healthcare. Medicine should be a two way process, the doctor is the expert but it's the patient's body and life, they should have as much to say, if not more, than an outsider.
Sorry, again, not taking a shot at you, it's just an attitude that's so ingrained in our society and it really frustrates me.