I'm just getting on Suboxone. Like... Day 4. Online doc prescribed 8-2 sublingual 2x a day. Had super awful pwds first day. Dope here is full of fent. I still feel bad, and guess it's a mix of shit. I have RA and had to skip meds for that this week bc I had covid. My covid didn't seem bad so I figured the time off would be perfect time to make the switch from H to sub. But I do worry that the sub is too much. After I take I feel shitty for 2-3 hrs. Like I took too many meds(not the good kind). But I'm scared too that if I lower dose I will have MORE withdrawals bc I know I haven't really leveled out yet. Life is a bitch. Would decreasing my dose by 1/2 be hard after only 4 days? Advice appreciated.I cannot stress strongly enough stabilising on as low as dose as humanly possible that you can tolerate. If that's 2mg do it. One time I was on subs the doctor ramped me to 24mg and I felt zero difference so reduced back to 4 a week later.
A friend I met last year at a tattoo parlour was on daily dispensed endone for her reduction then relapsed and got put on suboxone. She reached out to me out of the blue since she remembered me being honest about tapering off it when we met and needed someone to talk to.
She offhandedly mentioned she was on 24mg. For a 5mg endone a day habit. I immediately demanded she make her doctor reduce it but she said no no it's for my cravings. I told her she was being absurd and there is fuck all evidence that higher doses help with that. A small group of people never stabilise on suboxone but they should go to methadone instead. That isn't really a dose issue. Some dude I met at na had a fractured/shattered shoulder which he didn't notice until he went on suboxone cause he took thatuch fucking heroin. And he STILL wasn't dosed higher than 8mg.
Friend did not listen. We weren't that close then so it was a bit optimistic to reckon she would trust me over her doctor. But she later got in touch telling me I was right and she started reduction and holy shit is she massively sensitive to suboxone because she cant go from 18mg to 16 mg without suffering for 2 weeks. She is so bitter at her doctor for fucking her up and regrets not trusting me. She does however blame that on my usual way of coming off incredibly blunt over text sometimes when I don't want to mince words due to the autism. So she thought I was a bit rude since she didn't know me well.
She's almost done, made it to 2mg. I also directed her to change dispenser as she was being robbed for $200 a month when I've been at 4 different chemists plus DASSA and no chemist has charged me more than $110 a month. So she did that too.
At the end of the day the less time you spend on a higher dose the better.
I only went up to 8mg to qualify for the injectable dose. I'm on the lowest one. But I went on it due to more my clinical risk of future heroin use - I'd found a regular source and I already knew I was going to go downhill, so I pre-emptively requested to be put on it. Due to a long term history of other attempts at maintenance therapy they agreed