Subreflex said:
So you were taking 32-40mg's recreationally?
So, if you're detoxing from suboxone means you haven't dosed in 2-3 days?
You won't be able to quit that much cold turkey,
drop your daily dose to
16mg's for 2days
12mg's for 2 days
8mg's for 3 days
6mg's for 3 days
4mg's for 4 days
3mg's for 4 days
2.5mg's for 4 days
(stuck ;_
(kind of stuck, i've read abit about successful taper schedules and some have days where you don't dose, the longest/hardest part will be dropping from 4mg's to freedom, input greatly appreciated mods and others)
From being on sub for almost 3 years, and talking to several suboxone physicians about how they get you off it without any withdrawal...
It depends a lot on the person... for example, my roommate feels horrible trying to lower his by half a pill.... I dropped my dose an entire pill no problem... BUT the key is to find what you can handle.. The 'wait until you feel like crap' method is not what you want to use... every other day is part of it, but thats because of the long half life, you don't want lows and spikes ...
Example 1: you're having a hard time dropping large ammount at a time.
Starting dose: 32mg/day (3 tabs)
week 1 : alternate days 22-24mg (2.75 tabs one day, 2.5 tabs next day)
week 2 : same, 20-22mg (2.5 tabs one day, 2.25 tabs next day)
week 3 : same, 18-20 (2 tabs, then 2.25 tabs)
follow this every other day routine until you get down to 1/2 one day, 1/4 next day
week 10: alternating days, 4mg-2mg (half tab one day, quarter tab next day)
**NOW... there is a reason they make the 2mg tabs**
Rarely people use them, because you can break the 8 mg tabs into 1/4s pretty easy...... BUT for a detox without withdrawl...THIS is where they come into play... (N2 = 2mg tabs
week 11: alternating days, 2mg - 1.5mg (one N2, 3/4 N2)
week 12: alternating days, 1.5mg - 1mg (3/4 N2, 1/2 N2)
week 13: alternating days, 1 mg - .5mg (1/2 N2, 1/4 N2)
week 14: NO MORE ALTERNATING, .5mg each day (1/4 N2)
Week 15: alternating days, .5mg - 0mg (1/4 N2, nothing)
(You may want to repeat week 15 one more time with smaller pieces than 1/4)
With this method or a combination of the ones below
[actually the ones below might be easier to understand...]
, you should have almost NO withdrawl, and little to no discomfort.... especially because when you ween down to the smaller, 2mg tab, which is the most important part.... you are only dropping the dose each time by 1/4 of what you were dropping before.
Method 1
(number of N8, 8mg tablets taken - 7 day week)
week 1: 2.75, 2.75, 2.75, 2.75, 2.75, 2.75, 2.75
week 2: 2.5 , 2.75, 2.5 , 2.75, 2.5 , 2.75, 2.5
week 3: 2.5 , 2.5 , 2.5 , 2.5 , 2.5 , 2.5 , 2.5
and continue this by alternating one week, and doing the lower steady dose every other week.
Or, if you fee like you need to get off faster (and don't force yourself, or cravings can easily come back and ruin progress) then you can easily take the first method and just try to cut back 1/2 instead of just 1/4:
Method 2
(number of N8, 8mg tablets taken - 7 day week)
week 1: 2.5 , 2.0 , 2.5 , 2.0 , 2.5 , 2.0 , 2.5
week 2: 2.0 , 1.5 , 2.0 , 1.5 , 2.0 , 1.5 , 2.0
week 3: 1.5 , 1.0 , 1.5 , 1.0 , 1.5 , 1.0 , 1.0
now...
Method 1 OR 2
ONCE YOU REACH .5 mg (1/4 of an N8, 8mg tab)
try to get N2, or 2 mg tabs if possible.
if not, cut the N8 tabs into quarters, and try as best you can to cut those quarters into 4 equal pieces.
Final weeks
(number of N2, 2mg tablets taken - 7 day week)
week 1: 1 , 0.75 , 1 , 0.75 , 1 , 0.75 , 1
week 3: 0.75 , 0.5 , 0.75 , 0.5 , 0.75 , 0.5 , 0.75
week 4: 0.5 , 0.5 , 0.5 , 0.5 , 0.5 , 0.5 , 0.5
week 5: 0.25 , 0.5 , 0.25 , 0.5 , 0.25 , 0.5 , 0.25
week 6: 0.25 , 0.25 , 0.25 , 0.25 , 0.25 , 0.25 , 0.25
week 7: 0.25 , none, 0.25 , none, 0.25 , none, 0.25
Optional: repeat week 7 in the 'Final weeks' one more time, with smaller pieces than 1/4 of an N2 tab
The ammount you can cut back each dosage drops varies person to person. Also, the ammount of time needed in each step may vary... Week 1 and 2 for one person may actually take 4 weeks total, 2 weeks on each pattern.
Even substituting a few days for a 'week' or changing a 'week' to 3, and even making the drop in dosage more or less depending the ammount of dose change you can handle.
STILL,
For the best change of success, as well as the best chance of minimizing, or eliminating any withdrawal, I strongly suggest the alternating method, to allow your body to adjust to the change slowly over some time. Preferably method 1, as you alternate to drop, and then keep the lower dose for a week before alternating again, but that does take more time... With either of the methods, I strongly recommend following the 'Final weeks'. This is an essential part in which your endorphines and receptors can regain their prior functioning.
Along with a tapering plan, excersize and other activities that release endorphines, the body's natural opiate, will help A TON by increasing endorphine production levels back to normal and encouraging receptor sites.
Again, sorry about the length, and sorry if any of it was off topic
...
Although I do hope it can help someone!!!
it did take me a lot longer than I thought to answer questions and share the knowledge I have about this subject!
I am NOT an expect in these fields, however I do know much about the topic. Those of you who do know much more, feel free to correct anything that seems to be misleading or misinforming.
Good luck to all you trying to use suboxone to save your life, and even to those of you who just wanna get high to get by... I can feel for you both