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

[Jabberwocky]

i think he means snorting., baybe.

yes, you can cause yourself precipitated wd;s from taking the sub too early before the heroin has had time to flush out of you adequately. to avoid this it's best to wait between 24-48 hours after your last dose, or whenever you feel withdrawal coming on.

since this is answered now, i will merge it into the mega bupe thread.

 

[662]

ok and this precipitated wd is possible from small amounts like .5mg? so what are the side effects of sniffing .5 mg of sub?? and how much more do i need to take it if i want to eat it? and if i do that will i start having higher tolerance, i am trying to go down not up, really.

 

[Oxymorphone]

ok and this precipitated wd is possible from small amounts like .5mg? so what are the side effects of sniffing .5 mg of sub?? and how much more do i need to take it if i want to eat it? and if i do that will i start having higher tolerance, i am trying to go down not up, really.

It's possible but not probably. You are doing tiny amounts of dope then a little bupe. The general rule is to wait until you are in WD before taking bupe (24-72 hours) to avoid precipitated WD. I advocate for people trying tiny doses of .1-.5mg sublingually at a time space at every ten to fifteen minutes until you reach your target upe dose and if you do this right you can avoid precipitated wd from taking 8mg suboxone 7 hours after IVing 15 bags of fire and 5-10mg of fentanyl. I use that example since that was the last time i used opiates recreationally and got on suboxone right after by doing gradual but rapid dosing and have never experienced precipitated WD. You just have to be careful and do tiny amounts at a time.

From your post it seems like you are doing a very small amount of dope then going onto a small amount of bupe which is in range of what i would dose with after much heavier use sooner after using. You will be fine with what you're doing, I would split up your dosing and sniff .2mg or so at a time then wait just to be careful. If you start using more dope you will obviously also be more careful.

My one warning with this is it makes it very easy to use dope then get off it with relatively no negative WD symptoms but it can build up and catch up with you. It's better than being a fiend using every day but it is by no means sustainable or the magic answer to doing dope without your life turning to hell. looking back on the shit I was putting my body and mind through it was not pleasant while seemed great at the time like I found that secret key to doing opiates with no negative consequences. Yeah I barely went through any WD and could stop and transition to bupe at any time but I was depressed, had bad night sweats, and lethargic when I would be off dope and on suboxone and it was not all fun. Compared to normal WD it is great but it still will get the better of you eventually.

 

[DangerChamber]

I did cold turkey twice. Never again. Is it just me or does it seem like nothing good comes out of cold turkey quits?

 

[Falcon0r]

What are people's experience with suboxone and sex drive? While on maintenance i could go for weeks without even thinking about masturbating or having sex. I even turned down sex and thought of it as a chore to please my lady friend since I hardly had/have any desire. I am back on suboxone maintenance and it is a life saver but I want my sex drive back and want to look forward to sex and be horny like a normal person like I used to be before opiates.

This for me too. My sex drive went from a horny 20 year old guy who wants to fuck anything that has the necessary lady parts to a 70 year old woman. I still feel like I need to get laid some times, but they're rare moments now.

I noticed that it fucked with my performance too. Trying not to get too detailed here since this isn't SLR forum, but I don't last as long as I used to. And it's not cause I was on large doses of opiates, I rarely ever had sex while I was . Just never did.

 

[Oxymorphone]

This for me too. My sex drive went from a horny 20 year old guy who wants to fuck anything that has the necessary lady parts to a 70 year old woman. I still feel like I need to get laid some times, but they're rare moments now.

I noticed that it fucked with my performance too. Trying not to get too detailed here since this isn't SLR forum, but I don't last as long as I used to. And it's not cause I was on large doses of opiates, I rarely ever had sex while I was . Just never did.

Yeah pretty much the same experience here. Definitely lowered my performance and not because I am out of practice from being in a distance relationship. When I see my girl I want to have the same long crazy sex we used to and not be like an old man lasting ten minutes then rolling over and going to sleep. I used to go at it at least daily and now if I don't see her for a few weeks I hardly miss or think about sex, have no desire to masturbate or watch porn, you get the idea. I definitely wouldn't have been able to maintain a relationship without bupe but now it is interfering with one of the best parts. You can never win.

 

[Captain.Heroin]

Now, what about the opposite? When you have Bupe on your receptors, but you shoot dope through it and get high. Is the dope just finding spots where there is no bupe, or is it stripping the bupe off? So if I am on bupe, and I shoot enough heroin to get high, and the heroin wears off - is the bupe still there to keep me from going into regular old opiate withdrawal?

Since buprenorphine has a higher receptor affinity, trying to "shoot past" buprenorphine to get high has various different outcomes, based on how many mu-opioid receptors you have, and how many of your receptors are occupied by buprenorphine.

Essentially, as long as you take a smaller amount of buprenorphine, when trying to shoot through, there should be enough receptors open for the dope to work.

It's not stripping the buprenorphine off, as it is a pleasant out come (if you get to shoot through it).

If you are on a large enough dose of buprenorphine (8mg to 32mg depending on opiate tolerance), trying to "shoot past" buprenorphine can be ineffective.

Your original dose of buprenorphine may or may not be enough to keep you from going into opiate WD again once the heroin wears off. It depends, some people are more or less sensitive to opiate withdrawal than others. Also, it depends on your ROA for Suboxone too (if you use it sublingually it may last beyond the H, if you snort or IV Suboxone, it may not).

What are people's experience with suboxone and sex drive? While on maintenance i could go for weeks without even thinking about masturbating or having sex. I even turned down sex and thought of it as a chore to please my lady friend since I hardly had/have any desire. I am back on suboxone maintenance and it is a life saver but I want my sex drive back and want to look forward to sex and be horny like a normal person like I used to be before opiates.

I think it correlates to how full agonist opiates effect your sex drive, though it may not be the same for everybody. For heroin and sex, most people tend to be split 50/50 - half will say opiates and sex is great (someone even mentioned this in a college classroom LOL), and half will say it isn't all that great.

I thought heroin and sex (also buprenorphine and sex) are just fine. I have heard people say the opposite though, so I think there's probably different opinions.

You say "before opiates" at the end of your post, so that tends to make me think that all opiates might have that effect for you.

Trying not to get too detailed here since this isn't SLR forum,

There probably is a "drugs and sex" thread in SLR that you could go more in depth on this about in there if you wanted to.

---

BTW
If you want to have more sex, then just skip a Suboxone dose for 12-24 hours and let yourself get to withdrawal. Sex comes pretty easy when you're in WD! Then again you may not feel like having sex in withdrawal. It's not that bad IMO though, the movie Rush comes to mind (has anyone watched that?)

 

[paintjunkie13]

it be me again, i have taken the suggestions that you guys have given me and splitting up my doses ,taking a little clonidine for the hot and cold flashes. except for some little issues i am doing ok and it will get better. you stepped in for a perfect stranger when my doctor could take care of business.
i have another question. i have had a few surgeries and am wondering what surgeons do for pain if i mentioned i am on suboxone. or what if i dont mention it ,what happens to me then?
i have a spot on top of my left hand where i missed a shot of h .it looks and feels more like nerve damage than a cyst . i have been taking antibiotics and the swelling is down but i have a marble size painful lump. if i have it checked out its going to be obvious just by looking that i am an iv user.
when i was on methadone and hospitalised , they supplied the methadone and i still got the best narcotic pain meds.
thanks

 

[oliphill]

Just a quick comment on the sex drive thing. I too went from thinking about sex every few seconds, being constantly horny, up for it all day long... to ZERO sex drive.

Funnily enough though the other day when I first stopped using heroin and started to detox down to my low dose methadone, it came back all of a sudden. I was watching "King of Queens" and I suddenly couldn't get over how much I wanted to fuck that 'Carry' girl on it.

 

[Captain.Heroin]

it be me again, i have taken the suggestions that you guys have given me and splitting up my doses ,taking a little clonidine for the hot and cold flashes. except for some little issues i am doing ok and it will get better. you stepped in for a perfect stranger when my doctor could take care of business.
i have another question. i have had a few surgeries and am wondering what surgeons do for pain if i mentioned i am on suboxone. or what if i dont mention it ,what happens to me then?
i have a spot on top of my left hand where i missed a shot of h .it looks and feels more like nerve damage than a cyst . i have been taking antibiotics and the swelling is down but i have a marble size painful lump. if i have it checked out its going to be obvious just by looking that i am an iv user.
when i was on methadone and hospitalised , they supplied the methadone and i still got the best narcotic pain meds.
thanks

When on buprenorphine, you can easily still use other opiates to effect. If you want to mention it, they might ask you to skip that day's meds, or maybe just take a minimum amount (like just 2mg).

Plus, when putting people under for surgeries, opiates are just one of many drug classes they'll access to have you ready for surgery. Buprenorphine isn't a problem at all in this case IMO, unless you are on a high dose like 16mg to 32mg.

 

[paintjunkie13]

thanks .again!

 

[662]

so does anyone have the side effects of sniffing sub compared to eating it???

 

[Pegasus]

^By "eat", do you mean place under the tongue? If so, I did both very regularly and the only noticeable differences were 1) effects set in faster when snorted, 2) effects are stronger mg for mg when snorted, and 3) the nasal passages and sinuses seem to become constantly filled with a weird, rubbery mucous which affects the nose's air flow pretty badly (if you snort it regularly enough).

 

[Ronald MacDonald]

I'm down to about .5 mg Suboxone a day. Thing is- I've been mixing in a day of using $10 worth of diesel here and there (every few days). Do you guys recommend getting low dose oxycodone and switching over to say, 10 mg a day and taper down, and stopping the sub altogether? I'm also planning on getting a good amount of alprazolam or diazapam to help with the mental effects of wd. Should I do the oxy taper or continue sub taper? I feel like switching over to oxy and wd from a tiny dose of that would be easier than completely stopping sub. What do you guys think?

I've used clonodine before and worked great, but I can't get it without going to an outpatient rehab, and it's not worth it right now. Any ideas on how to get clonodine?

Any suggestions?

 

[Idi0tequ3]

my sex drive isn't effected by suboxone at all...makes me last longer actually alot longer and when just feels better

 

[Pegasus]

Any suggestions?

That isn't a bad idea. When I quit Suboxone, it was a drop off from about 0.2mg/ day and it was still fairly unpleasant. What I did is pretty much like you described: I took a shorter acting opiate in a low dose to transition more smoothly. I used kratom, which is probably the most ideal substance for this... but as long as you use just enough oxycodone to taper smoothly, your plan is just as good as mine.

 

[Captain.Heroin]

Any suggestions?

Sorry Ronald I saw your first post but have been busy.

Honestly if you're at 0.5mg buprenorphine per day, I would go ahead and jump to 0mg. You can use 5mg oxycodone here and there to make the buprenorphine WD's go away but be extremely careful not to get back on full agonists again. If you can do that then sure!

Personally I would just taper 0.1mg per week and then jump off that way, but that's just me. I don't like messing around with full agonists (and probably wouldn't again unless I am in pain or something).

Most people haven't experienced too much negative WD symptoms when discontinuing 0.5mg per day, so I think you won't find it that hard. Good luck!

 

[Suboxone]

why sniff it? it's like 10% more BA, it's shorter. SL is longer lasting and just as effective imo.

 

[Pegasus]

^It's about 18% more, and 18% more than 30% is a 60% increase in absorption.

 

[Captain.Heroin]

why sniff it? it's like 10% more BA, it's shorter. SL is longer lasting and just as effective imo.

This is why I would choose between IV or sublingual, for maximum BA, or maximum duration of effects.

This is also not to say I don't see the point to snorting suboxone, if I didn't want to IV I might snort it, especially if using it sublingually still made me puke daily like it used to.