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Misc Sublingual Zolpidem (Sublinox) Abuse Potential-----NOT LOOKING TO GET HIGH HERE!

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RorerQuaalude714

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Dec 18, 2005
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Hi all. I know that there's likely a ton of threads out there about the abuse potential of zolpidem. However, as a recovering addict, I'm not interested in whether it'll get me high or not, I'm just wondering what the relative abuse potential for this med is, when taken as properly directed. I'm currently on Invega 6 mg qam, Tegretol 200 mg qam 400 mg hs, Modafinil 100 mg prn qam, Lamictal 100 mg hs, Suboxone 16 mg sl qam, Rivotril/Klonopin 1 mg qam, 2 mg hs and Imovane (zopiclone) 7.5 mg prn hs. Now, I absolutely can't stand zopiclone from a therapeutic point of view. I find that its side effects are too much, it's not especially effective and that it strangely enough, leaves me really groggy and disoriented in the morning (btw, I'm never groggy in the morning when I take my hs dose of clonazepam alone).

So, now that zolpidem is finally marketed in Canada as Subunox, I want to talk to my psychiatrist about switching over to that from zopiclone. I know one of the first things that he'll bring up is abuse potential and cross-tolerance with benzos. I'll just bring up that zopiclone is already cross-tolerant with benzos, so it's already not an issue, in that respect. It's just the abuse potential argument that he'll bring up. I'm browsing around some medical journal articles and they're all saying that zolpidem isn't especially high in the abuse potential category, but I've seen many reports on BL indicating that yes, people do actually have a decent time with zolpidem. The other thing is that he has clinical experience with treating patients that were heavily abusing and actually physically addicted to so-called "less addictive" hypnotics, specifically zopiclone and zaleplon 8) so he's very cautious with EVERYTHING. I was only put on clonazepam because of PTSD after a nasty car accident.

So, I ask this, just what can I say to show to him that it's not especially abuse-prone. He knows that I'm not going to go out of my way to abuse it as I've been consistently clean and sober for 2 years now, but he's very cautious when it comes to prescribing me hypnotics. My request to switch from zopiclone to Restoril didn't go well ;) . The irony of it all is that he has me on a large enough dose of clonazepam :? . I know that in the old days of the OD forums on BL, asking questions like this were frowned upon, since we were never in the business of telling people how to score medication. I'm not looking to score medication (I could just go to a really unscrupulous doctor at a pill mill I know if I wanted to do that...), I'm just looking for a good counter-argument for my psychiatrist when he balks at switching me over from zopiclone (which Canadian docs LOVE to prescribe, lol) to something that I feel will be more therapeutically effective.

tl;dr- is zolpidem really all that prone to abuse when taken exactly as directed?
 
If your given clonazepam, modafinil and suboxone, they clearly trust you. Zolpidem isnt really abusable from your perspective. Its a Z drug if i remember rightly, something that mimicks the effects of a benzo without chemically being one (correct me if im wrong here). I only used it for about 2 weeks when prescribed it for sleep, but compared to a real benzo such as clonazepam, its not much fun. It makes me feel weird sleepy and makes everything taste funny, where as benzos just make me feel fantastic.

If I was a doctor Id be far more worried about you abusing the modafinil or clonazepam. As for how to discus this change in medication with your doctor, Id just come out and say it, tell him everything you said here. Your reasons are valid and legitimate and the drug your after isnt particularly abusable. If need be it might not even be a bad idea to print this out and show him/her as suggested above :).
 
I strongly recommend staying away from zolpidem. It's absurdly easy to go through a bottle of 30x 10mg tabs within a couple days, without any recollection of the last 24 hours. I've ingested probably 500+ Zolpidem tabs over the last few years, and have always found it impossible to resist going back to. If you need a dif hypnotic, try zaleplon. The effects are significantly less euphoric than zpidems so there's less abuse potential. Pleaseeeee heed my warning - I really wouldn't want you to end up relapsing bc of a seemingly tame sleep aid :(
 
If your given clonazepam, modafinil and suboxone, they clearly trust you. Zolpidem isnt really abusable from your perspective. Its a Z drug if i remember rightly, something that mimicks the effects of a benzo without chemically being one (correct me if im wrong here). I only used it for about 2 weeks when prescribed it for sleep, but compared to a real benzo such as clonazepam, its not much fun. It makes me feel weird sleepy and makes everything taste funny, where as benzos just make me feel fantastic.

If I was a doctor Id be far more worried about you abusing the modafinil or clonazepam. As for how to discus this change in medication with your doctor, Id just come out and say it, tell him everything you said here. Your reasons are valid and legitimate and the drug your after isnt particularly abusable. If need be it might not even be a bad idea to print this out and show him/her as suggested above :).

It does have abuse potentional due to its hypnotic properties. It has in fact proved to be just as addictive if not more so than benzos.
 
I doubt you will find zolpidem to be that much more effective for sleep than zopiclone. IME, zolpidem is only better because it is more recreational, though it's a really weird buzz, and like Donoharm said, it's very easy to run through your script, especially if your in the midst of ambien intoxication.

The truth is, you're already being prescribed Drugs that are more addictive, so I don't see what the problem would be. We can't tell you how to convince your doctor into giving you what you want, even if your intentions are pure.

I'm going to close this thread now, PM me if you have a problem with my decision.
 
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