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

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My Wall of Text - I need to get away from the computer.

How long do Sub w/d symptoms last? I have been taking 8 mg about every 3-5 days, and I am fine until about the 3rd day when I seem to have increased yawning, a very mild runny nose, mild insomnia, and mild body aches. I can't tell if these are legitimate withdrawals or just psychosomatic. Anwyay, I'm ready to get off this shit permanently and even if these are withdrawals, I can handle it, but I want to know approximately how long they will last so I can prepare myself.

I don't know, I haven't gotten off of Suboxone completely yet. People report the whole WD may last as long a 3 to 8 weeks (1 to 2 months), so best of luck. If yo'ure dosing every 3rd day you're a lot better off than taking it every day, so you shouldn't get too bad of WD symptoms, but if you can at least taper your dose down a little before you get off (maybe wait 3 days, 6mg, wait 3 days, 4mg, wait 3 days, 2mg, wait 3 days, do that a few times, then jump off compeltely.)

I would expect the withdraw/hangover/burn-out period after Suboxone to last at least 2 weeks, if not longer, though it may not be that long if you taper right. The duration, the intensity and severity of the symptoms, and your ability to get through it comfortably or not depends on how you taper, what your dose was, your previous opiate use history, how addicted physically/psychologically you were to your previous opiates or to buprenorphine itself (yeah, some of you might not think it's possible to have a problem with buprenorphine but I have met people who like it more than heroin for its euphoric/anti-anxiety properties and as a better opiate overall, I am not kidding nor am I talking about myself)... and importantly environmental influences/tolerance/cues and craving. There are some other factors that are more dependent upon your biochemistry or your environment that I left out to hit the major ones.

Some people say quitting buprenorphine is easy, much easier than quitting short acting opiates (heroin, dilaudid, etc) whereas there are other people who find it more difficult to quit taking it. Whether or not this includes myself I do not know at this point but I doubt I will find it difficult to quit, who knows though? I've suspected both depending.

I think it's important to remember that we're all unique individuals and we vary quite a bit in so many different ways I couldn't list them all here feasibly. All of these unique traits we have influence how one will experience drugs, drug withdrawal, being high, etc. There's a reason a lot of people have a varied taste in drugs and no two people have the exact same drug preference for every drug (if they did this would be a very rare coincidence indeed, or it would reflect drug preferences of identical twins I would bet, though even then that would be a very rare occurrence I believe).

Then there's the problem that a lot of people decide not to use drugs either because they are scared, because some of them are illegal, because of one reason or another, because most of the best drugs are illegal, a lot of people will not get to experience all/any of them for one reason or another.

There are some of us who haven't had problems finding what we please, and yet others would amaze even me what they can find (there are so many rare, new psychedelics, uppers, RC's, you name it - it's insane now a days - the days of Substance D are coming!).

Basically what I'm trying to say is some people are more susceptible to the comedown/negative feeling/shitty side effects of some drugs/drug classes, and others seem to have some sort of protection against this (my example would be not everyone gets "comedowns" from mild cocaine use, myself included).

I got off topic...excuse me. (my brain's left hemisphere slaps the right hemisphere)

Because of this and many more reasons, there's no telling what quitting for you could be like. Someone like me would have a hard time if I tried quitting 8mg every 3rd day without tapering at all, though there are other people (...maybe yourself? Only you can find out) who could quit taking 8mg every 3rd day without a day of feeling bad (obviously if they haven't been doing it that long....and probably as well if they had an inefficient way of sublingually using the tablets and a lot of it ended up orally ingested?) or WD symptoms. I have been amazed how many some days people have used heroin with me (they snorted at least as much as I did, maybe a tad less since they typically had a low tolerance) without getting any comedown/addictiveness and only getting afterglows. Given this was a year ago and I no longer use heroin, I still think that though some people are likely to become addicted to heroin/other opiates when exceeding a 3 day window of heroin/other opiate use (and obviously some would be addicted before the 3rd day), there are obviously those who used heroin longer/much longer than 3 days and still managed to avoid addiction.

So really, I guess the best way to sum up this post would be "your mileage may vary (YMMV)", I will put it this way. It'll likely be a prolonged withdrawal (lasting longer than a OC taken orally or heroin withdrawal, and much longer than a dilaudid/other shorter acting opiate wd), however it should be easier to quit than other opiates are. This may or may not be what you find, others have found it easier to quit off of responsible doses of lighter potency shorter acting opiates (codeine, DHC, tramadol, hydrocodone, etc...) however I personally believe my withdrawal from buprenorphine (which doesn't say much about you however) will be easier than heroin by far. I would feel SO depressed the day after I run out of heroin, and I felt like I could do nothing. It was a very bad feeling. If it's been a while since I've used buprenorphine, it's not nearly as bad. If it's been a very long time, the most I get is mild WD symptoms (less symptoms than the flu), whereas the equivalent amount with heroin (even if I snorted the H as I did 99% of the time, which for me had a longer duration than a standard dose of Suboxone has on me now). What you'll go through may be much different, similar, better, or way worse than what I will go through (and I am not WDing from buprenorphine yet). I have also been on buprenorphine for over a year and a half, so I don't seem to have the same "killer WD" symptoms some do after the same duration of buprenorphine use.

I lowered my dose from the 32 mg to 8 mg. The doctor offered no explanation as to why the dose is so high (I did not know at the time the dose was high). I am a biochem major so our discussion was just neurochemical bullshit about suboxone. He seemed to know his shit. He put me on 32 mg for a fuckin MONTH. I took these people's advice and lowered my dose to the 8 mg. This is the second day (about 40 hours) and I'm about to go to sleep on this second night. I feel no WD symptoms at this dose, and this really makes me not trust my doctor. I plan to tell him in 3 weeks during my next appointment that I just tapered down or make up some bull shit. I can't have him thinking I'm undermining his 'authority' and 'expertise.' It took me forever to get him to accept me for the bupe.
Let me know your thoughts. I am not proofreading this; I'm too tired, so fuck the grammar.

To be honest man, I would just stash the extra Suboxone and not tell your doctor about it. Some people need to raise their dose as they continue maintenance (though the common experience is that you'll lower your dose as you continue maintenance, while a few other people will keep it at the same dose throughout). If you don't submit a UA I don't think your doctor will be able to be aware how much Suboxone you take.

These opiates with long half lives may have withdrawal symptoms that last weeks. It depends on how long you have been taking the Sub in this way. We'd need more info, but expect two - three weeks for physical symptoms if you've been taking the suboxone for a long time. I find it curious that you take it so infrequently though. That could only help your withdrawal symptoms and period of malaise.

Well put Tim...mmyy. You summed up what I couldn't because I'm overly verbose at times.

I've used them off and on for years but this previous run started about a month ago. The infrequent usage was kind of my attempt to be a "responsible" drug user but I've found I just really don't have it in me, so I feel it'd be better to get sober than to risk going back to the way I used to be (I'll put it this way -- I'd rather kill myself). Anyway, 2-3 weeks I can handle. The only thing I can't fucking stand (and this was always the case when I was withdrawing from heroin) is the insomnia. All the other symptoms become amplified when you are laying there in the dark, changing positions every 15 seconds because of the muscle aches, and knowing that the only thing in the world you want to do (sleep) is not going to happen. Sucks!

I think using 8mg every 3rd day is a pretty responsible regimine, minus the fact that 8mg is kind of a high dose (though, the fact you are taking 8mg at a time might be why it lasts you about 3 to 5 days, which might be the most efficient way for you to consume buprenorphine). I am sorry if this is a touchy subject for you, but what is "the way you used to be" and why would you rather kill yourself than go back there? I think it's rather responsible you can foresee the consequences of your actions (some full grown adults still struggle with this), and I also would like to say that I think your plan to taper or quit before letting drug use get the better of you (either now, or again) is a great indicator that you'll be able to actually get sober. It shows self control and discipline. Even if I used a high sublingual dose of buprenorphine it wouldn't last me every 3rd day, so I think you're doing a good job thus far.

If you think using Suboxone every 3rd day is what you have to do though, and quitting is worse than using Suboxone, don't hesitate to get back on it if you believe that you are OK on it. If you aren't OK on it then obviously eventually get off and don't get back on, but that's just my 2 cents.

Not everyone has it in them to be a responsible drug user and the fact you can call it quits is a good thing.


*About the insomnia* I have always had sleep problems (ironically only heroin allowed me to sleep a perfect 5-7 hours of rest each night and wake up feeling OK long enough to do more H). Try out hydroxyzine or any other antihistamine (they all vary a bit in effects, doxylamine knocks me out very hard, hydroxyzine allows me to pass out when I'm ready to though it is moderatley sedating, and some people like diphenhydramine hcl, though I'm not the biggest fan). Benzos work well for sleep too but they can be addictive to some people (I don't find them addictive personally, though others find them very, very addictive).
 
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I don't really see any advantanges of buprenorphine over methadone. I managed to lower my dose down to 4mg. 5 days have passed and suddenly it didn't even hold me from withdrawal for 24 hours. I woke up very early in the morning with my stomach aching, diarrhea, chills, and other symptoms of withdrawal starting. I quickly took my dose but I was still feeling sick. So I took 2mg more and waited for 30 minutes. Nothing, still I was feeling sick. I took another 2mg, 8mg totally then. And this made me feel alright. I was about to lower my dose to 3mg on Saturday but in this case I'm again stuck at 8mg. I've still got 150mg to taper down but this crysis makes me wonder if I can really taper down to 0. I don't want to go to the clinic in my city, I will have to go to Warsaw. Now I see I don't want to stay on bupe, methadone was much better. I needed 2 doses a day but at least with methadone I managed to zero myself a few times (yes, but I've never stayed sober for more than a couple of days). I think 6 years of heavy opioid addiction is enough to be put on methadone program maintenance. I thought I would try buprenorphine if I couldn't succeed with methadone but it's worse when I get to low doses with bupe. I tried both. I know how they act on me. So I guess it's fair to state now what is more appropiate now. Buprenorphine may be a good solution for less addicted people but it fails in my case. I will hold on until my examination period ends and then I guess is the time to go to the clinic and talk about my problem again (again and again, I'm sick and tired of doctors refusing to get me on a program because this and that... and the real reason is there aren't still enough places in Poland for drug addicts). I've got plenty of chemicals, full agonists, I could jump on from bupe but I have still some hope. This should be noticed too. Instead of putting idiots on program who then still shoot heroin from the street and sell illegally methadone syrup, doctors should put on programs people like me who have no business in selling syrup instead of maintaining the dose and really want to get back to normal life. I hate the policy here.
 
I hope this makes sense. If you want to explain what "mutatis mutandis" means please let me know. I'm just not good with foreign languages like Latin (I am guessing that the phrase is in Latin, though I'm not 100% sure).

"mutatis mutandis" just means all things being equal. it's used if you're comparing something with multiple variables, all but one of which are constant (in this case ROA).
 
I know i keep coming back to this topic a bit this last week.
But is there anyone else here who are on an SSRI while on Suboxone ?
And that have felt a difference from when not on SSRI's but on Suboxone..

Cause i think the SSRI is making the bupe act differet, I get more sedated, more of a blurred vision, smaller pupils (like i was on heroin) and this from doing small doses of Suboxone.

Before when i werent on the SSRI i needed larger doses to get well and I didn't get that sedated or the blurred vision or that small pupils.
Its like the Suboxone feeling have changed a bit.
 
^It is possible that is what is happening... I'd trust your feel for your body in this case, and it seems to be telling you that you need a little less bupe than you needed before.
 
DeLee- absolutely.

after a decade of desperately searching for medications that would keep my depression/anxiety manageable, i finally found effexor after trying at least 5 different SSRIs. during that decade of trying different SSRIs i also took xanax every single day for my anxiety.

i started taking sub 2 1/2 years ago for opiate addiction, but i continue to take it for its antidepressant and anti-anxiety effects. also, when i tried to stop once i went right back to painkillers... not to get high but because existence, for me, is unbearable without an opiate in my brain... unfortunately

anyways, i definitely notice a positive synergy between the effexor and the sub... to the point where i was finally able to stop taking xanax for good. the effexor and sub work so well together, my OVERALL anxiety level is SIGNIFIGANTLY LOWER than when i was taking xanax, effexor, and sub together.

im SO happy to have finally found the right medication combo that works for me!
 
Oxycodone 16-20 hours after bupe?

I am on 16mg/Suboxone a day a long with 2.5mg clonazepam/day(tapering off the clonazepam with my psychiatrist). and 600mg Lyrica a day. Anyways I have been clean from oxy's now for approximately 6 months. My habit before was 600mg Oxycodone daily. It would take 200mg just to make me feel normal.

Anyways, today I picked up two OC 40's and I have them, and I am wondering if it is completely worthless to chew em up, or if I will even feel anything off an doing 80mg of Oxycodone. Its been 6 months, so I am sure my tolerance has dropped off, even though I've been on bupe.

Has anyone tried this, and if I *do* this, when can I dose my suboxone again? Do I have to be in full blown withdrawals?, or what would happen if I dosed my Sub the next day.. would I be safe? I mean from the precipitated w/ds?

Thanks all/
 
I read somewhere that you could OD on oxycodone with as little as 50mg, is that true? Well, apparently not, but just making sure..
 
I read somewhere that you could OD on oxycodone with as little as 50mg, is that true? Well, apparently not, but just making sure..

It is possible to OD on 50mg.

I can take OC 24hrs after a sub dose and feel it, however it is highly diminished. It takes me a almost a full 48hrs to feel the effects to the fullest.

Also, I am not on bupe regularly, just when I can't get anything, so I rarely take it multiple days in a row. Since, you are on it daily, your experience may differ, since the bup is built up in your system it make take longer to get full oxy effects.
 
^depending on your tolerance, yes, its possible. especially if you have other CNS depressants such as alcohol, other opiates, benzos, GHB, etc in your system as well.

Anyways, today I picked up two OC 40's and I have them, and I am wondering if it is completely worthless to chew em up, or if I will even feel anything off an doing 80mg of Oxycodone. Its been 6 months, so I am sure my tolerance has dropped off, even though I've been on bupe.

given youre on 16mg/day of bupe your tolerance is still going to be significantly high and doubtful youll get any recreational effects from the oxy. youll likely only experience the analgesics.

and for the millionth time, its best to wait as far into your wds as possible before dosing to assure you have as little bupe still bound to your receptors.

merged into bupe mega thread
 
^What you do is take a reasonable amount and work your way up to whatever point you want to be at. There is no point in taking 50mg at once if you don't know know that your body requires it...
 
I am on 16mg/Suboxone a day a long with 2.5mg clonazepam/day(tapering off the clonazepam with my psychiatrist). and 600mg Lyrica a day. Anyways I have been clean from oxy's now for approximately 6 months. My habit before was 600mg Oxycodone daily. It would take 200mg just to make me feel normal.
/

You are on sub for a reason, to get clean. You probably will feel the oxy, but not very much. It will most likely just tease you and temp you to go out and get a proper 200mg dose and before you know it, you've relapsed.

For the sake of wasting the 6 months that you have been on the sub, don't do it.
 
Yeah, if you're actually attempting to get high while on Suboxone, you better have a low opiate tolerance. Otherwise, stay on Suboxone.

If you've been away from OC's for that long, don't give in that easily. Give yourself a good few more months, or a year or two, and allow your opiate tolerance to get down a lot before dabbling again (if ever again).
 
Is there anyway to stop the high body temperature constant sweating whilst on suboxone?

It is in the high 30s (> 95f) here in Adelaide at the moment and even with the aircon set on 22 (71) my back is constantly sweating.

Even when I don't feel hot I am soaked in sweat in this weather and it is driving me nuts, is there anything I can do?
 
Is there anyway to stop the high body temperature constant sweating whilst on suboxone?

It is in the high 30s (> 95f) here in Adelaide at the moment and even with the aircon set on 22 (71) my back is constantly sweating.

Even when I don't feel hot I am soaked in sweat in this weather and it is driving me nuts, is there anything I can do?

I would talk to a doctor about hyperhidrosis. I am not sure what your options are but a doctor would.
 
Yeah my sub doctor just said 'no theres nothing you can do' and that was it. Kind of useless.
 
Yeah my sub doctor just said 'no theres nothing you can do' and that was it. Kind of useless.

Well, your Suboxone doctor might not have been the proper person to bring this to. A general practitioner might not be ignorant to the treatment of hyperhidrosis. But who knows? I seem to be more intelligent than most of the doctors I have met.
 
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