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Bupe Suboxone/Buprenorphine FAQ & Megathread v2; 2010

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^ oh i thought in his big long post that he said no one would give him pain meds and treated him like a junky.. and he could be losing that weight simply by shitting normally now that he isn't backed up anymore and not eating anything and a lack of sleep. He said all those in his post and they can all attribute to losing weight.

If im wrong.. my apologies JB.. was just tryin to help.

EDIT: also, sorry if i came off like a dick.
 
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^ oh i thought in his big long post that he said no one would give him pain meds and treated him like a junky.. and he could be losing that weight simply by shitting normally now that he isn't backed up anymore and not eating anything and a lack of sleep. He said all those in his post and they can all attribute to losing weight.

If im wrong.. my apologies JB.. was just tryin to help.

EDIT: also, sorry if i came off like a dick.

I believe SkagKush is in contact with his sister, and this is what she relayed to him.
 
Wow... JB... I've been treated like that too. But I don't know what to say... You've got this entire community wishing you only the best.
 
Dude you need to find a better pain management doctor, it's as simple as that. A doctor that specializes in pain management and addiction. I found a doctor, he worked with me to find a non-narcotic combination that worked (buprenorphine, ultram, lyrica, injections). He was very clear that, before he went to narcotics, we'd try every combination of everything available to try and treat the pain. I guess the difference is that my pain is documented, something you need to do. You need to suck it up and deal with the pain until you and your doctor figure out what's wrong, something I had to do for a long time before I could get treated.

One option is to tell your bupe doc that it's not holding you anymore and to increase the dose, for me Subutex has been a godsend and helps so much with pain (although I'm on a very low dose now). At the very least, you can increase your bupe dose which should help a hell of a lot with your pain.

Hate to tell you, but by definition bupe is a narcotic :)

But yea, finding a good Dr is key, it really depends on your money/insurance situation. I have really good insurance, and could switch around dr's w/o problem, however, some people have outrageous co-pays/no insurance, and its not that easy
 
Dude you need to find a better pain management doctor, it's as simple as that. A doctor that specializes in pain management and addiction. I found a doctor, he worked with me to find a non-narcotic combination that worked (buprenorphine, ultram, lyrica, injections). He was very clear that, before he went to narcotics, we'd try every combination of everything available to try and treat the pain. I guess the difference is that my pain is documented, something you need to do. You need to suck it up and deal with the pain until you and your doctor figure out what's wrong, something I had to do for a long time before I could get treated.

One option is to tell your bupe doc that it's not holding you anymore and to increase the dose, for me Subutex has been a godsend and helps so much with pain (although I'm on a very low dose now). At the very least, you can increase your bupe dose which should help a hell of a lot with your pain.

this is james' sister and i would first like to thank everyone who seems to care about him and is wishing him luck, but i have to say that i am disgusted at what some of you are saying. he told me that he had explained in detail what he has gone through, and i would imagine that would have made it clear to some of you, like the man who posted this quote, that james has done everything possible to get better. and when i read about you telling him to suck it up, it just makes me want to say things to you that i wouldnt say to my worst enemy but he told me to act civil when i posted for him so i am going to respect that.but you saying that makes me sick to my stomach.
i want to make something cllear to everyone. he is dying. there is no doubt about that. he hadnt eaten or slept for weeks until last night when i gave him some oxycotin that i got from a nurse friend of mine. i would have never done that but given the circumstances i know i made the right choice. as soon as the drugs hit his system he completely knocked out and slept hard. he is still asleep actually. so its been 24 hours now that he has been asleep. i guess the pain was the only thing keping him from sleeping and as soon as some of it was relieved, his body just couldnt stay awake. he looks like a ghost and doesnt even have a personality anymore. he has now lost 25 pounds i think it is and looks like he just came out of a concentration camp.
so please, dont tell him to suck it up because thats what he has been doing for almost a month now while going to several hospitals and doctors, and specialists, and chiropractors.....and they all refused to help him. actually, i apologize, its a bit more complicated then that.
The last hospital he went to, he had taken a bunch of kolonopin before so he could even stand up and get in the car to get there. he was reffered to that hospital by one of his regular doctors after being turned down by several other hospitals, and this regular doctor said that this hospital was sure to help him and believe him. well, when he got there the kolonopin started to stop working but he was able to get a cat scan in before he was unable to lie down or move anymore. im not sure if you are aware of this but when he doesnt have drugs in his system, he is basically immobile and cant even lift a glass. me and my mother have stopped working temporarily so we can act as his home nurses beause he literally cant do anything for himself. he cant even put his clothes on or take them off, he cant eat without vomiting in horrific pain, he cant lie down without hurting his sides and legs, and he cant sit up without experiencing horrible pain in his legs. he pees and poops by us pushing him over on his side which makes him cry in pain, and then he goes into a bucket we put there. but this has only happened a couple of times because he was only able to drink about a quarter of a smoothie we made for him once and then about a half of another one another time, so there isnt much to shit out. he cries every few hours after he has built up the energy to do it again. in between the crying he just lies there, too exhausted to speak or move. sometimes he will groan and its sad but thats how we can tell he is still alive sometimes.
anyway, after the cat scans and 9 vials of blood taken from him, the pain had come back in full force and he was hunched in his bed, rocking back and forth very quickly, screaming and crying. atleast they had gotten the tests done allready we thought. the doctor told us it was a problem with his intestines and basically part of his lower intestine had rolled over itself like pulling a sock inside out, and it can cause the worst pain he said. he also said its extremely rare in people other than elderly or infants, but since he had an impaction earlier it made more sense.
well, they refused to help with his pain, even though they had a diagnosis. the nurse literally told us that they thought he was faking most the pain to get opiates to get high because they thought he was still a drug addict. we couldnt believe it.
the doctor said they would perform surgery tommorow. so we went home because we have many animals to attend to and james was only screaming and crying and didnt want us to watch him like that all night. he told us that he was screaming at the top of his lungs for 4 hours all the way until 4 am and constantly pressing the nurse button on the bed and they kept telling him a nurse would come to help him over the intercom but they never came for 4 hrs.
They finally came, but not to help him, they came with a security guard to yell at him and tell him to shut up and that he was disturbing other patients. He told us that between the crying and screams he told them that he couldnt help it because the pain was too intense but they still didnt believe him and called him a stupid junky and took him out of that room, and moved him into a room in the corner by himself, unplugged the power to the buttons to call for a nurse or help, and shut the door, leaving him there crying like a baby, rocking himself back and forth. He couldnt even adjust the bed angle because they had unplugged everything. im not sure but he told us he thought that was illegal.
that is when he called my mom and screaming and crying on the phone he begged for her to come and take him away from that horrible place. of course we all rushed over immediately. and if you can believe it, they wouldnt tell us what room he had been moved to. luckily he had typed it into his phone as they rolled him in. he told us later that he had a feeling of being surrounded by people that he couldnt trust at that point so thats why he did that even though he was in horrible pain. he called us and told us what room he was in and we went there and tried to get him some help. we asked why he wasnt being gien painkillers to help with the pain and they told us because he wasnt really in pain and that he wqas putting on an act. i dont know why they thought this because he had lost so much weight and looked like death and could barely breath or talk and his heart was so weak. we just couldnt understand why he was being refused treatment.
Anywa, sometime in the middle of the night a surgeon looked at his cat scan and said that the diagnosis was wrong and it must be something else. so we were back to square one but he was now in unbelievable pain and no painkilliers to help him. they also took him cold turkey off of all his regular medicaltions as soon as he went in, which included the kolonpin. he told me this could have caused a seizure, i dont know why but he knows more about this stuff than me.
so they needed to do another cat scan they said but after he drank this 32 oz liquid that would light up on the screen or something. and james wanted to do it and we did to so we could finally figure this out but he was in way to much pain to lie down or sit still. he was half sitting half standing and frozen solid, rocking back and forth crying, and then being silent, but all the time in horrible pain. they also wouldnt allow him to eat or drink anything. not even water. even though he hadnt eaten or drank in weeks. allthough he couldnt keep anything down anyway, but im sure some painkillers could have changed that.
so they yelled at him and told him to stop faking it and stop crying and screaming and that he was a junky and they told him to do the cat scan but he said he couldnt even move or lie down or sit still. he said the pain was worse than death. he kept asking us to kill him, and when he was too tired to cry, he would whisper ways of killing himself. it made my mother cry and she yelled at him to shut up. that is the pain he was dealing with. and he is not weak or cant handle pain, he has broken dozens of bones during a 16 year soccer career and never cried once. but this was something different altogether.

the doctors told him that he was refusing treatment and wrote that in there charts. he yelled and cried at them saying that he wasnt refusing treatment, it just was impossible to do the cat scan in the pain he was in. they of course didnt believe him and kept saying he was refusing treatment and kept calling more and more security guards to stand in and out of the room. i dont know why. maybe because he was screaming so much. maybe because they were worried he would go junky crazy on them. i really dont care, they just stood there. they of course woudnt give him pain meds to help his pain just a little so that he could do the scan. my parents begged the doctors to do this but they kept calling him a junky. they kept using that word. junky. junky. junky. i wanted to slap all of thos idiot doctors for saying that and treating my brother like that.
then they said they would call a pain management specialist to the hospital to see if he would advise giving him pain meds so they could run the tests. james was screaming that he wanted to leave at this point. he had had it with the entire staff of the hospital and the way he had been treated. it had put so much more stress on his allready frail body and heart, we were all worried he would have a heart attack. he didnt want to wait for this doctor because they couldnt tell us when he would show up. he was a very busy man they said, they didnt know when he would be there.
9 hrs later, im sure it felt like a lifetime for james, the doctor showed up. and james told me that he allready told you about how that doctor treated him. calling him a junky and refusing to help him. he then bit off his IV and then ripped it out of his arm an bled all over the place and limped out of the hospital. my parents and i were all weeping.

so dont ever fucking tell me or my brother to suck it up. he is the strongest person i know and i cant imagine lasting this long in that much pain. especially since he could have easily gone to the streets to get painkillers this entire time. he was trying to do it the right way, but instead, he was treated like scum. we had gone to so many hospitals, doctors, specialists, we didnt know what to do anymore. my brother is dying and we cant do anyhting. we cant go back to the hospitals because he left against doctors orders. and the earliest doctor he could find that could get him in was 3 and a half weeks away. i am almost positive he will not make it that long. that is when i decided to get him the oxycotin. just seeing him sleep made my mother cry and cry and cry. she was so happy because her son had been awake for weeks, screaming in pain, and that was the first moment she had seen her son in a peacefull state.
we are going to wake him up soon as we are worried about how sleeping that long could effect his spine and back. we are also going to try to feed him. because if we can get food and water down his throat, even little by llitte, he has a much bigger chance of surviving.
he has told us that he cant do it anymore and wants to die and that when he dies he wants us to sue the hospital and doctors and get alot of money. but this makes my mom so angry and cry so he has stopped saying and he now pretends like he has some hope in front of her, but he tells me he doesnt have any hope in anything anymore except his love for his family. he says he doesnt even care anymore. im sry but im getting too emotional to write anymore about this. i have been crying for a while now and cant type like this.
i hope that some of you people who are trying to give james advice about sucking it up or just find a better doctor, learn something from this because that is one of the reasons i typed all of this. the other reason being that he had asked me too. and i swear to god that if my brother dies i dont want to feel guilty for not doing his last wish. and it digusts me to people telling him that there are such simple answers to his problems. no there arent. he has tried everyhting. he has gone to over a dozen doctors. he has gone to almost all the hospitls in our city, he has dealt with the worst pain of his life for almost a month, he has not slept or eaten in a month, he has not had one peacefull moment, he is dying, and no one will help us.
we are desperate, and we do not know what to do.
he cant keep living like this without help.
please, people, just hope that my brother gets better, and he wanted me to tell you to make sure that you do your best to not let this kind of shit and injustice happen where you live. nowhere in the world should a family have to watch there son die because he use to do drugs and because of that, he is not worth giving painkillers that could save his life.
 
those infamous florida pill mills
i live in waycross ga and i know several people who go and get 120 lorecet 120 percocet 120 xanax 90 roxies and 90 methadones all because they have a mri

On any given day at any given clinic, you will see cars with plates from Georgia (most common) North and South Carolina, Tennessee, Kentucky and as far away as Michigan.

What absolutely KILLS me is the fact that most of these places will let you walk in and you'll see a nurse or PA and they'll give you a script for an MRI and then send you to some mobile MRI thingy that will give you a scan for almost nothing. Once you had your scan, they had you come back that same afternoon to see the doctor who would then fill your script and then send you across the hall to their in-house pharmacy where they will fill said script.

Now, the REAL kicker is that they also have detoxing available! I swear! On the back pages of the local, free papers are ads that say in huge lettering: "In pain? Come in and get relief TODAY" and right under that in smaller print it will say "Suboxone detoxing available".

They've since cracked down on a lot of the pill mills because convicted felons were running the places. They were making a FORTUNE because it was literally one stop shopping for addicts. And it was a perfectly legal way to deal drugs. They had no overhead because their offices were always some hole in the wall in some dumpy part of town with bars on all the windows. The waiting rooms were nothing but blank rooms with folding chairs... There's a bouncer type receptionist (they had to have someone big and strong to guard the employees in the back from the addicts up front. The exam rooms were teeny tiny with a couple of chairs and a counter. The highest part of their overhead (I'm sure) was the doctor's salary. But any drug dealer that wanted to open shop could do so. All they needed was start up capital (enough to rent a hole in the wall and cover the windows with bars, put heavy duty locks on the doors, and install a lot of cameras) and find a not so ethical doctor. Since the new law passed this year, about half of these places closed down. Only doctors can own and operate the clinics, they can only see so many patients, and no out-of-towners.

I feel bad for people who are in legitimate, hardcore pain and need a strong opiate to function. I'm so glad I'm off those things. I felt so guilty in so many ways for going to those stupid places. The fact that my clinic was one that was shut down was a blessing in disguise. It forced me to get off of them and it (so far) has been the best thing that has happened to me in YEARS! My clinic has since reopened, and I feel like sending them a Thank You card for helping me get off those fucking Roxi's. I was getting oxys from two different places and I was either a) going to wind up in jail, or b) overdosing.

Not. Pretty.
 
Ugh, I had a long post, but I decided to not pots it.

I will say this, in regards to the jamesbrown posts, if this sttory is exacly as written, drive him to a far away/out of state hospital, and LIE. If you've truly done everything, then this would have been done.

Do not mention past Drs/hospiatals/drugs/records. If you have done everything else, this avenue should be seriously considered
 
@jamesBrown sister: I don't know who was saying to "suck it up", but I find that appalling too, and actually completely out of the norm for this forum. Bluelight has its share of assholes just like anywhere else, but we're definitely more of the supportive and informative type. The person(s) that said this to you either didn't read everything or are trolls. It's pretty rare, and very obvious when some random asshole posts their 2 cents in here. Keep us updated.
 
i think my post(s) could have looked like a suck it up type of post if you read it with the mindset that it is what i meant, but no where in my post did i say "suck it up" or did i mean anything asshole-ish by what i said.. i was just trying to help him out.

What im wondering JB is that you stopped taking your bupe because you wanted to see how long you could go without it to prove something.. why don't you start taking it again to help with the pain? also is it just coincidence that the pain started once you were off the bupe?
What im getting at is if they wont give you full agonist pain meds like you want.. deal with it with what you have (bupe).. tis better than nothing IMO.
I have had major back pain since i was 14 and no one ever gave me pain meds (hence why i became addicted to them on the street) and when i tried to get help i went on methadone for my addiction but it helped A LOT with my back pain, then i switched to bupe and the pain has slowly been coming back, i have 2 mri's a bone scan and x rays all saying my back it fucked up and i still only get suboxone, tramadol, muscle relaxers galore, and benzo's..it works as an alternative to full agonists. Maybe that will help you as well.. all of those a pretty easy to get either off the street or scripted. Goodluck with everything. 8(

I have a feeling you will be fine as long as you get nutrition into you somehow and find a way to cope with the pain either with or without medicine. %)


^ oh i thought in his big long post that he said no one would give him pain meds and treated him like a junky.. and he could be losing that weight simply by shitting normally now that he isn't backed up anymore and not eating anything and a lack of sleep. He said all those in his post and they can all attribute to losing weight.

If im wrong.. my apologies JB.. was just tryin to help.

EDIT: also, sorry if i came off like a dick.


oh alright.. well at least he's getting help now. that's good.
 
^Yeah man, well we obviously had no idea of the extent of his issue. There's nothing wrong with your advice; it is good for most anyone else. His situation is very unfortunate.
 
Guys i have a few questions
What does "precipitated" withdrawal mean?
Is nalox/naloxone really narcain? And is exactly what they give you when you od?
From what i understand, if im going to use while on suboxone, i need to wait from when i have had my last dose to when i start to withdraw, then use, then wait till i feel withdrawal again, then dose again, is this correct?
How can you shoot suboxone, wouldnt the antagonist-nalox, prevent any effectd?
 
^It is going from other opiates to bupe that causes precipitated w/d... The only issue that would come from taking the other opiate after the bupe is that you don't feel the other opiate since the bupe is occupying the receptors. If you're going to use when on bupe, you need to wait before you take the bupe initially to keep it from ripping the other opiates off of your receptors and throwing you into withdrawal (precipitated withdrawal), and you'll have to wait again when you decide you want to feel the other opiate so that the bupe wears off enough to feel the other opiate.

The naloxone will not prevent you from getting effects from the bupe when used IV...
 
^I answered all of your questions except for Narcan vs. naloxone, which the answer is yes, they are the same thing. I dunno, maybe you're confused? I don't see what else you're looking for an explanation of...
 
To JB's sister: You can't let him stay home like that. It's obvious he needs to be in the hospital. Like someone above said, you've tried everything locally, you have to keep tryign though. Drive to a hospital far away and dont give them his past records or mention drug addiction. He needs to be treated, even if not for the pain, he needs surgery to fix whats causing the pain. I know you know this, but him being at home is only making his situation worse.


Also, I'm sorry but you have to realize that this is the internet and people are going to be insensitive/not care because they hide behind a veil of anonymity. Dont waste your time bitching at these people.

Get JB to a hospital that will treat him, I promise you there IS A HOSPITAL somewhere that will treat him like professionals.


Good luck to JB and his fam.
 
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