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Bupe Suboxone/Buprenorphine FAQ & Megathread v2; 2010

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just tell him your reasons politely why you are going to another doctor, leave on good terms.

that is not an outrageous request though...considering you are going to a substance abuse doctor for a narcotic addiction..its pretty common for them to want you to be off all illicit drugs

moonshield06 said:
Dude, call your bupe doctor and tell him this! Tell him you're still having major cravings and are feeling sick! Chances are he'll either have you come in that day, or tell you to up your dose by such and such increment until he sees you.

With a really hefty tolerance, 2mg isn't gonna be enough to hold most people. I take 4mg a day, 4mg at night. Or some days I just take the full 8mg in the morning just to try and catch a little "something" but it's my only second day on bupe. I don't get a high from it all. Which doesn't bother me at all considering it's taking away ALL WD symptoms, and I don't crave them in the slightest. Sure I think about them due to reading the forums here and such, that's the extent of it.

Suboxone saved my life that's for sure. I know it's kinda too early to tell but for right now, I feel GREAT. Completely content. Only thing I'm really peeved is the fact I have to give up weed since this doctor is a quack and wants me "completely sober living".
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Captain.Heroin said:
Go find another doctor like I advised in the first place. Your doctor is an ignorant fuck.

You could say "oh I tried so hard to quit, but I accidentally smoked once *sob sob sob*" and see if he'll believe you're not smoking that much.

I don't know what the UA will tell him.

My doctor doesn't care if I smoke weed, and doesn't UA me.

But, yes, stupid doctors really think opiates are safer than marijuana. A little propaganda/lies/deceit/hear-say can go a long way. 8)
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Well that's the thing. There aren't too many in my area. I think there's only one more in 50 miles, or at least thats what suboxone.com says on the doctor finder. I don't know. Figuring he knows I was an avid smoker before coming in, if I smoke during the week, it's not going to make a difference since I would need at least 30 days clean of pot to pass the piss test anyway, and I have appointments in that time frame. It's just a hairy situation. I'm really torn.

I want to get clean from opiates, and so far it's almost been 72 hours free of them and even though that's a relatively short amount of time, it's a big step for me, and it's all thanks to suboxone. It's just I don't want to give up the rest of my life. I enjoy smoking. I'm not physically or psychologically attached to it in anyway shape or form. I mean he even told me not to be around people who smoke.

And get this, he asked if my girlfriend smoked, since I told him I usually only smoke once before bed, with my girlfriend to relax and watch movies, etc. I'm not a die hard 24/7 stoned outta my mind smoker, that's for sure. So you know what he says? "I know you care about your girlfriend, but if she's a smoker, you should really think about not being around her or disassociate with her. ARE YOU FUCKING KIDDING ME? Yeah, I'm going to leave my soon to be fiance because she smokes weed and you don't want me too. This guy really is a quack. I just know that if he kicks me out and I run outta suboxone, I'm gonna get back on the oxy. Finding a doctor whos willing to let me pass for smoking weed seems non existent when there's only one other doctor showing up on the list in my area. Ugh this fucking sucks.

I'm 100% ALL ABOUT staying on suboxone and being clean from pills, hell I'd even like to taper off the suboxone in a reasonable amount of time 6months to a year and NO MORE than that, but giving up weed, something completely unrelated? Just seems overwhelming and mainly because of his biased views. I mean this guy describes weed as an extremely powerful drug, and he puts it in the same category as crack cocaine. He says all the media hype about marijuana have medicinal values and it being legalized is all bullshit and that it's a strong illicit drug. Everything this guy says, even though he's an addiction specialist seems to be utter bullshit.

/rant off
 
Thank you everyone for your help...I decided to forgo the SJW as it seems to most likely be the placebo effect or a possible bad reaction. Instead, I drank two glasses of white grapefruit juice before my 20MG Dose.

I have read different threads, some saying GFJ "potentates" the bupe, other saying since bupe doesn't pass through the liver there shouldn't be any effect. I did not notice much of a change at all from normal. I've been on Subs since August and I still get a nice little buzz after I take my dose which appears to be different than others since a lot of sub users say they don't feel anything anymore.

It seems a lot of you have had problems with your sub doctors which is unfortunate. I see my doctor once a month and talk to him for a few minutes and that is it. No drug testing, no pill counting. He agrees with longterm sub use and also got me on the patient assistance program which has saved me about $400 dollars a month. I also get to skip a trip to the pharmacy as at the end of the appointment he gives me my monthly amount which is 60. Maybe other states handle Bupe differently than the doctors I have had which is in Texas and Arizona.
 
1) You can stay on Buprenorphine (or Methadone) for as long as you want. You can quit after 1 day if you were so inclined.

2) Buprenorphine is a partial agonist opioid. Some people do not find it adequate to stop cravings or some physiological symptoms, but many find it to be completely adequate.

The daily dose range is 0.1 - 32mg taken sublingually. Most Buprenorphine maintanence patients are on 2mg-24mg/day.
 
april fools day prank on my sub doc?

Call me stupid, very silly oh that I am, call me crazy, OH I'm crazy alright, I'm MANIC lol and my biorythms are wasted every year at this sheeeit time of year, been that way all my life, I fucking hate easter because of it.

So to cope with my mania side of manic depression which LOL would be way better under control if I was only able to be on FULL agonist Opium or opiates like Morphine, Opium etc, throw in some vercet and I"m on cloud 9. SO I see my sub doc tomorrow, my senses are screaming to me something bad is going to happen tomorrow, or that my sub doc is going to pull an "april fools joke on me as well".

WHat do you all think if as soon as he come in and greets me as usual and asks how I'm doing and I just say, "I'm gonna rob the pharmacy today and get the "real" Opiates like Morphine, Oxy, Fentanyl, Opium raw CI ha ha". Lol so I say april fools right away after that ha ha just kidding. What do you all think could happen? I have a slight feeling I'm "wasted" already or on the "fringe".

I got lucky last x I saw him since he was busy and didn't get a chance to ask if I'm going to Na AA etc. But I think it all is BS, heck I hate being around a group of strangers anyway and I trust NO ONE, that is until they prove themself worthy of my "testing" them to find out if they are true indeed. Very rare to find peeps like this these days lol. SO he knows I'm anti meetings guy anyway, is very strict this x around on subs for obvious reasons.

I'm obsessed with Opium or anything Opiate, when I wake up until I sleep I have "Love" on my mind all day long. If he should "waste me" lol kick me off so I go and can't find another sub doc, can't find my way to Heroin heaven due to my pos social skills, I'll go right back to "thorium" lol methadone and so I will, like a dog rushing back to his own vomit and gobbling it up so I will scarf down the "thorium" lol methadone again and "glow REAL GOOD again" MMMM lol ha ha.
 
Tchort said:
1) You can stay on Buprenorphine (or Methadone) for as long as you want. You can quit after 1 day if you were so inclined.

2) Buprenorphine is a partial agonist opioid. Some people do not find it adequate to stop cravings or some physiological symptoms, but many find it to be completely adequate.

The daily dose range is 0.1 - 32mg taken sublingually. Most Buprenorphine maintanence patients are on 2mg-24mg/day.
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What kind of withdrawals can one expect when using one 8mg Suboxone, tapering over the course of 7 days? So the last 3-4 days are only .2-.3mg/day...and this is after a week long heroin binge...
 
So I found a stash of bags from over a year ago, they've been sitting in my basement and I vaguely remember losing them. I'm really really really fucking tempted to try it.

Is it dangerous to sniff heroin that has been sitting around in a cool, dry place for over a year?
(Aside from sniffing heroin in general, I just mean will the duration of time effect the drug)

Also, is it seriously possible to maintain myself at 1mg during the duration of my binge and then up my bupe dose and feel no PWD?





And, yes, I know I'm retarded for even thinking of this.
 
BaybeX said:
'A week long heroin binge'????

So you're saying you aren't dependent?
You will not have W/Ds after one week of use.
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Some people have a psychological addiction long before one week of use.

I would say it can help out a lot, but it may take time as an ex-heroin user to reduce one's tolerance.

We can discuss this in the mega thread, so I'm going to merge it in there.
 
Quitting is only successful on your terms.

moonshield06 said:
Well that's the thing. There aren't too many in my area. I think there's only one more in 50 miles, or at least thats what suboxone.com says on the doctor finder. I don't know. Figuring he knows I was an avid smoker before coming in, if I smoke during the week, it's not going to make a difference since I would need at least 30 days clean of pot to pass the piss test anyway, and I have appointments in that time frame. It's just a hairy situation. I'm really torn.

I want to get clean from opiates, and so far it's almost been 72 hours free of them and even though that's a relatively short amount of time, it's a big step for me, and it's all thanks to suboxone. It's just I don't want to give up the rest of my life. I enjoy smoking. I'm not physically or psychologically attached to it in anyway shape or form. I mean he even told me not to be around people who smoke.
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To be honest, to raise your chances of successful quitting, I would move to an area with more Suboxone doctors. I would have never been able to quit without Suboxone and weed. I've been clean for 17 months.

People don't get clean because a doctor asked them to, but because the person themselves want to for themselves. People get clean for themselves and not at a doctor's request.

Taking away your freedom in your recovery will only lead you to a relapse. If I was told "You can only take Suboxone, not weed, not other RX medication" I would give the big middle finger to my Suboxone doctor. That or I'd lie.

I never had problems with any drugs except for heroin, and I sought out treatment for heroin addiction only.

And get this, he asked if my girlfriend smoked, since I told him I usually only smoke once before bed, with my girlfriend to relax and watch movies, etc. I'm not a die hard 24/7 stoned outta my mind smoker, that's for sure. So you know what he says? "I know you care about your girlfriend, but if she's a smoker, you should really think about not being around her or disassociate with her. ARE YOU FUCKING KIDDING ME? Yeah, I'm going to leave my soon to be fiance because she smokes weed and you don't want me too. This guy really is a quack. I just know that if he kicks me out and I run outta suboxone, I'm gonna get back on the oxy. Finding a doctor whos willing to let me pass for smoking weed seems non existent when there's only one other doctor showing up on the list in my area. Ugh this fucking sucks.

I'm 100% ALL ABOUT staying on suboxone and being clean from pills, hell I'd even like to taper off the suboxone in a reasonable amount of time 6months to a year and NO MORE than that, but giving up weed, something completely unrelated? Just seems overwhelming and mainly because of his biased views. I mean this guy describes weed as an extremely powerful drug, and he puts it in the same category as crack cocaine. He says all the media hype about marijuana have medicinal values and it being legalized is all bullshit and that it's a strong illicit drug. Everything this guy says, even though he's an addiction specialist seems to be utter bullshit.

/rant off
Click to expand...

"Addiction specialists" often know less about Suboxone than I do. I'm sure he also believes "You can't have Subutex, there's no antagonist to keep you from relapsing!" when really you can IV either Suboxone or Subutex to the same effect.

If you want to stay with the doctor you have now to avoid moving, try printing out some literature for his ignorant ass:

http://www.alternet.org/story/9257/

qwe said:
^with your location too. ask bluelight to remove you from the database or something
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We don't do that. Users can delete their own posts. :)

Suboxone said:
So I found a stash of bags from over a year ago, they've been sitting in my basement and I vaguely remember losing them. I'm really really really fucking tempted to try it.

Is it dangerous to sniff heroin that has been sitting around in a cool, dry place for over a year?
(Aside from sniffing heroin in general, I just mean will the duration of time effect the drug)

Also, is it seriously possible to maintain myself at 1mg during the duration of my binge and then up my bupe dose and feel no PWD?

And, yes, I know I'm retarded for even thinking of this.
Click to expand...

You should be fine. Just definitely stick to snorting.

I would not "maintain yourself" on buprenorphine while using the extra bags of heroin. Just go off of buprenorphine completely, when you're feeling the time is right - indulge. Then, after the honeymoon turns into an abusive relationship, (and you're in the middle of WD's once again) - buprenorphine should still work fine.

It depends on how long your "vacation" is so to speak, but I am assuming you will be fine if you keep it to a few days or less use.
 
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for the most part yes. i was already in withdrawals when i got on, so i certainly feel better. but if someone is coming directly off a high dose of full agonists, then they may want to take a day off to adjust.
 
coming off a long half life full agonist means 2-7 days of withdrawal before it clears your system and you can use bupe without PWD. coming off a shorter half life agonist usually means 24 hours of withdrawal before switching onto suboxone

taking a full agonist before taking suboxone causes PWD; taking a full agonist while currently taking suboxone will simply render the full agonist moot

personally i'm at T+24h after stopping bupe so that i can feel myself again without being all wired for a day or two (vics/percs).. then when i run out i'll be back on bupe
 
BaybeX said:
'A week long heroin binge'????

So you're saying you aren't dependent?
You will not have W/Ds after one week of use.
Click to expand...

Well it's not as easy as that. I've been addicted for as long as a year at a time, to high amounts, so now, any time that I use for a short time frame like a week or two, I always have some degree of withdrawals...basically anything over 3 days of consecutive use. So I got this one 8mg sub. pill to help dull the pain of the wd's, and hopefully coast to feeling normal...
 
Brose said:
for the most part yes. i was already in withdrawals when i got on, so i certainly feel better. but if someone is coming directly off a high dose of full agonists, then they may want to take a day off to adjust.
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Wow, that really is a miracle drug then.

I'm only addicted to oxy's, not heroin, but I might try the bupe down the road if/when I decide to get off the pills
 
the young one will learn to talk BL-Eloquence and spread BL-HReduction-ok-ideas soon enough guys, after a modicum of newb-nibbling

talking about drug psychological addiction is dangerous territory imo though... what about gambling addiction, or ice cream? they all involve chemical changes, but "addiction" and "drug addiction". i can't think of a definition, actually, that would separate addiction and liking... either way there are chemical changes in the brain that cause you to want to do it more. i suppose you could call it an addiction once it becomes self destructive?
 
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