So I have been taking WAY too much Sub still, and i am closing on my house at the end of this month.... I take 16mg every morning and it last me throughout the day, this is actually LESS then my prescribed dosage. I have about 13 - 8mg tablets left and I would REALLY love to get off of them after this because the Dr. I get them from is CRAZY with all the charges he comes up with it... Any chance this could happen, I know it would be hard but is it possible to do a quick taper? not so much possible but will it be easier doing a 13 tab taper then just stopping cold turkey?
This is an alarmingly common story, and there are people (physicians) working in the community to spread awareness & change prescribing practices regarding buprenorphine.
But here we go:
If you're at sixteen mg daily, and I'm speaking from experience, you'll want to crash as hard as you can with your first drop. At least 50%. It's the one that hurts least, and you can "gain a lot of ground" here by being courageous. Then from eight or six milligrams you can sort of take your time. Go down a few mg every three days until you're at two.
From there I'm still a bit torn on what the best course of action is: I used to strongly advocate hopping off at 2mg, because the experience from there gets kindof unpleasant, doses get harder to measure accurately, and I start to lie to myself about how big this or that chunk looks. It's super easy to stall here and just run out of medication in a few weeks.
Now, if you've got some balls and some will power you'll find it's much easier to start moving this dose down with bup than other drugs; measuring your dose carefully and not letting the morning sickness/legs/splattershit fuck with your head is hard. It seems at lower doses this stuff has trouble holding you(me) for 24 hours at first,
it does get better, though, in just a few days, and this part is the real difference between experiencing that "oldschool" torture or a relatively smooth ride.
I'm putting this in a light that presents it's challenges, but the benefits are immeasurable. All of these experiences are so much more mild with buprenorphine than other opiates/oids, and you have to do it. Maybe not now, but eventually, and while you've got the bup is the time to do it.
Hope this helps
EDIT: I saw that noone had answered this person's question, so:
okay so this has probably been touched on in here but i can't seem to find the particular post that covers my question. i apologize in advance.
I'm a heavy heroin user spending well over a grand a week to get stuff and I think I'm ready to stop. I'm making an appt with a local sub doctor even though I don't have insurance bc I'm thinking it will be less expensive to pay for my meds than the heroin i buy daily. I was wondering to anyone who has been in sub treatment or is currently in treatment if you had any trouble going back to work or functioning at a normal pace? I have a very physical job and I work a lot of hours and I don't know if I should take a couple days off to get used to it. Is it even necessary? And how long until I start to feel "normal" again? My habit has been a secret to everyone in my life and showing signs of severe withdrawal would cause some confusion among family and friends.
Basically I'm looking for any input about the beginning of treatment and suggestions to keep others in the dark about my problems with opiates. I'm afraid if I keep this up I will lose my functioning addict lifestyle and lose everything/everyone in my life. Thank you- I really appreciate any input
I know it's been a week, and whatever happened happened, and it probably wasn't too bad, but:
Missy, you're going to want to plan to have that first day on suboxone/buprenorphine off of work. If you've got a serious habit, I've found day one on bup to still be very painful sometimes. It's not about precipitated withdrawal, it's about skipping from "full agonism"(heroin) to "partial agonism"(bup). It just doesn't push the button hard enough at first, but by the second day that pain is all but gone. I promise.
PS:: is there a way to color-code posts to make threads like this easier to follow? I like to come in here and answer questions, but a lot does get lost in the jabber. There's just so much going on in here.
EDIT:
whoops... yeah meant to say half a bag being .15 grams, not mg... typo
so yeah .30 grams yesterday, shooting for .15grams today (half a bag), i mean if i get it that low, and lower tomorrow, should i even use the bupe or just keep tapering... and ingannilo, i dont mean any disrespect for your advice when i try to get a second and third opinion on the matter, or to see if anything changes by giving you the exact grams of dope im doing each day. and im still not clear on if a 12 hr wait is enough to use the bupe. ive gone back and read half the thread this morning and just feel a bit more confused on what i should do in this matter.
Okay, again, sorry for taking so long.
At ~.15g of dope daily, I'd expect to need right around 3mg minimum on day one, but it's rare anyone plays by the rules with this drug. I wouldn't go any higher than 6mg, though, or you'll have a lot more work to do on the way down. Sorry if I condascended, it frustrates me to think that of something I put loving energy into typing out being totally ignored, but wanting a second opinion is clearly a wise move. I could go back on about shit getting lost in this thread, but...
again, it's been a few days, but:
Im on day 5 with no subs and it hasnt been that hard, i just used some very very unorthodoxed ways of doing it. first two days i took xanax, the 3rd and 4th day i took more xanax and took adderall 30mgs to stay active both days. Today is day 5 and I finally slept last great last night 10 hours. I know its a awkward way of doing this but ive tried so many times to quit, at least 20. and this is the furthest ive gotten. Ive been on suboxone since last May 2008, i started with 16mgs and got to 4mgs a day before i quit. I searched and searched but havent actually found a successful thread saying they actually quit (just alot of crying and bitching). I just wanna say Bupe may have longer WD's but they are not as acute as H. Id probably rather WD off the H because it only lasts 3-5 days. but i didnt know this before i got on the Bupe. If anyone has actually quit and stayed off the Bupe lemme know how long and howd you do it.
I got off of buprenorphine two winters ago, and stayed off it for about five months. I was
clean for about three months, but after getting involved in poppies and eventually heroin again, I got back on the bup at a fucking outrageous 24mg/day, which I've slowly tapered down (over almost a year) to 1mg. Did that with two scripts from my initial dose (blew off the doctor after the third month, and used my meds wisely). I've still got plenty to taper all the way down-- getting very close. Scary close.
Using benzo's like that's dangerous, and you can read all about the damage they can cause on this and other boards.
PPS:: One last thought on the megathread: PLEASE please please please move the posts that belong in BDD to BDD. There's a lot of them about recreational dosing, precipitated withdrawal, and the like.
which reminds me, finally, to chicagolove: 12 hours after smack is probably long enough. It depends on how rapidly you vacate the heroin from your body. The rule is to just wait until you're in sincere withdrawal. That's a question who's answer there's no excuse for not obtaining by search rather than adding clutter to an already difficult to follow thread