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Bupe Suboxone/Buprenorphine FAQ and Megathread v.1; 2007 - 2010

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Many people find with suboxone, because of the mixed agonist/antagonist qualities, less is more.
 
sonic said:
I don't find any benefit in taking anymore than 8mg at once, but I do find dosing multiple times per day beneficial. Your doctor probably thinks that all patients should be able to only dose once per day. It doesn't quite work like that for most people, therefor I think he's not very smart to refuse to prescribe people larger doses of suboxone. He's probably causing some of his addicts to relapse be being stubborn and paranoid. He thinks his patients are screwing him over and selling their script and the DEA is cracking down on him. This is why I hate people who abuse treatment, but the doctor is out of line too.
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may i ask why you believe that dosing multiple times per day is beneficial? i dose once a day at either 4 or 8 mg's and that is enough to hold me a full 24 hours at least. i usually snort 4mgs but for some reason 4mg wasn't working this morning after my weekend binge and i wound up taking the other 4mg. also, i had a pretty good habit at the time i hopped on suboxone. i was IV'ing anywhere between 12-18 bags of heroin daily. NJ heroin that is.
 
taitpeter said:
its crazy

i actually went to www.suboxone.com in his office and showed him the study and he said it was because drug manufacturers want you to be on the most of their medicine so they can make the most money (which i believe is partly true) ... but it was just insane how he would not hear it, he would not budge, crazzzy


but to you guys that posted about 8 mg being enough, i deffinetly agree, i want to take only enough to hold me, it was just the principle of the thing

random question : i noticed a white spec on my suboxone pill, are they white underneath? it was weird to see that spec and just made me think...

a side note : im on 3 mg of clonazepam a day
and 300 mg of lyrica a day
with baclofen and zanoflex as needed


im pretty sure id be cool with taking all those, i have a pretty high tolerance, i took them as usual today and it was fine, idk about long term though and how it can affect the body, i know quite a bit of the pharmacology of it, (bupe has one of the lowest depression rates out of all the opioids) so im guessing the answer is no, its just a small doubt in my mind... just seeing what you guys had to say about the issues

the replys are most appreciated guys:)
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He might be making your ceiling 8mgs because of the other stuff you are prescribed. I found one doctor that would not prescribe me ANY Suboxone because I was scripted a benzo (Xanax) by another doctor, and he felt the combination was too dangerous (athough I had been combining Xanax with IV heroin for months). So it may be that clonazepam that is making him stick with that 8mg ceiling.
 
can anyone equate 16mg of suboxone to oxy? roughly... or what withdrawals from 16mg of sub would be like compared to x amount of oxy, if it were cut off suddenly. just wondering, i guess because i've been taking 16mg of suboxone for just over a year now and want to give myself a comparision of how much it really is and if i should start to taper yet or just stick with it (if it ain't broke don't fix it).
 
my suboxone is tasting worse and worse everyday, theres been times when i've thrown up due to the taste of the suboxone. It gives me a headache, and theres time when I dont want to take anymore. To people who have been on suboxone for a while now, how do you cope with the taste?
 
a story for non-believers from a former non-believer

So we've all heard the warning(or should have) of the possibility of precipitated w/d from dosing suboxin too closely with your last dose of opiate...
Anyways about 2 weeks ago I decided that instead of spending more money on oxy that perhaps i would use some suboxin instead and allow myself a night on the town. I had done this many times before and thought nothing of it. It was a saturday and my last dose of oxy the friday before was at about 10 p.m. As i had only done 60 m.g. (a small dose for me) and it was now 3 p.m. and my tell tale leg aches had already started an hour ago I thought I was safe.
By 3:45 I was tossed into w/ds like never before. Nausea like I've never felt in my life accompanied by all the classic symptoms at once. Being as though I never get nausea from w/d i knew i was fucked so I drove myself home hoping it would pass. Upon my arrival I immediately vommited and then jumped in the shower. Feeling a bit better I grabbed my supplies and prepared for the worst.
It's now 8 p.m. and I'm losing my mind. The nausea is coming in waves and i can't take it anymore, so what do I do? Fuck it maybe my DOC can bail me out! Off to my most reliable source. After procuring a singular 30 m.g. roxy i crush it and snort it instantly in a moment of pure desperation... nothing. Lucky for me at about 10:30 I felt fine enough to sleep and woke up fine as well.
Moral of the story is it does happen and it does suck so be carefull and WAIT as long as you can.
P.S. to anyone who wants to preace to me about anything save it I know alot of the decisions I make are severely illogical and alot of times dangerous but to expect to read something else on a message board full of addicts past, present, and future is just plain dumb. :\
 
Regarding pain relief and buprenex!

well i work at a research lab at a hospital and believe it or not they give pigs buprenex for pain so i think sub can be used for pain i just think its not approved for that use yet. give opinions please!
 
I believe when it was originally brought to the market it was used strictly for analgesia. I don't think it commonly is prescribed solely for pain relief, but its not unheard of. It is being studied currently to see what role it can have in pain management, especially in addict populations.
 
I was prescribed buprenorphine for pain. IMO, it didnt work at all on pain. It was more of a sedative for me.
 
^what was the reason that your doctor chose to prescribe bupe instead of other narcotic analgesics? what were they treating?
 
Cane2theLeft said:
^what was the reason that your doctor chose to prescribe bupe instead of other narcotic analgesics? what were they treating?
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The doctor claimed she had major success with bupenorphine (She claimed over 95% of her patients were a success). She said she was allowed to prescribe it off-label for pain. I get 4 kidney stones a month, which are really painful. Also, I had surgery to extract a kidney stone, and ever since then, I always have sharp pain. I have to have both short acting strong opiates for breakthru and long acting opiates for the consistent pain in my left flank. I was on it for a month, and all it did was make me high. It didn't touch pain at all. I was switched to MS Contin 15mg twice a day, and those dont work either. I also take Vicodin ES right now for pain also (1 po 4x a day or prn).
 
njevad said:
may i ask why you believe that dosing multiple times per day is beneficial? i dose once a day at either 4 or 8 mg's and that is enough to hold me a full 24 hours at least. i usually snort 4mgs but for some reason 4mg wasn't working this morning after my weekend binge and i wound up taking the other 4mg. also, i had a pretty good habit at the time i hopped on suboxone. i was IV'ing anywhere between 12-18 bags of heroin daily. NJ heroin that is.
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I could probably get away with dosing once per day, it's just psychological. Dosing multiple times per day (2x) gives me a second peak and I do get something from it. I'd be better off only dosing once per day, but that's hard to do. My point is that not every patient is going to be able to easily dose once per day. I struggle with this, and I'm sure others do as well. That is why it makes sense to prescribe certain people more than 8mg per day. I think doctors should keep their patients happy to a reasonable extent, and let them taper on their own. I'm glad I have a doctor who shares my philosophy. To those who have "bad" suboxone doctors, I feel bad for you. It must suck having to deal with an asshole/idiotic doctor who has the power to put you in hellish withdrawal.
 
ellua said:
can anyone equate 16mg of suboxone to oxy? roughly... or what withdrawals from 16mg of sub would be like compared to x amount of oxy, if it were cut off suddenly. just wondering, i guess because i've been taking 16mg of suboxone for just over a year now and want to give myself a comparision of how much it really is and if i should start to taper yet or just stick with it (if it ain't broke don't fix it).
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(bizzump)


anyone? o.O
 
potencywise oc is a 2-3 while bupre is a 30, so that would make 16mg bupre (very) roughly 160-240mg of oxy. the oxy would get you a lot higher of course.
 
i just started suboxone treatment on monday. Im thinking for my b day in november i wanted to do some opiates. how do i go about binging on a weekend or maybe just a day and going back on subs?
 
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