Bupe Suboxone/Buprenorphine FAQ & Megathread v3; 2010 - 2022

[lolitaofott]

what is the best dose for craving control?

 

[OEandricearoni]

what is the best dose for craving control?

There really isn't one answer to this question. It really depends on the person. If you want to keep cravings away i would suggest tapering down to a small dose. For some reason people tend to actually feel their suboxone more if they are on a low dose. If you are actually getting something from your suboxone then your cravings may be lowered.

Really though, this isn't really something suboxone can do on it's own. A lifestyle change is what you need to completely eliminate cravings. It helps to avoid things you did while you were active in your addiction, or people you hung around with. You've probably heard that all before though. I'm on a very small dose of suboxone right now, after a long time tapering and i have very little cravings. I take between .25.50mg a day, which is a very small dose. I'm guessing you are going to need more than that to keep you well.

Suboxone is grossly overprescribed dosage wise and I'd suggest, if you are on a high dose, trying to take less and see if it still keeps you well. It is VERY easy to taper from a high dosage, and you will probably be better off on a smaller one, craving wise and planning for the future (quitting the sub)

 

[spini4]

Question

I am on suboxone for pain management from a major surgery. I was wondering I injured my surgery arm quite bad a few days ago. The doctor prescribed Tylenol #3 . It is not even touching the pain. Should I have told the doctor that I am on suboxone for pain management so they will prescribe me a stronger painkiller? Or what do I do in a situation like this? I think the suboxone has raised my tolerance to the point that the Tylenol #3 won't work. I would like to add I have been off the suboxone for 3 days to give the Tylenol #3 a chance to work. My pain is now unbearable. I don't know what to do....

 

[tyler5]

does anyone else find the taste of of suboxone disgusting?
im talking about the white N8 European pills, they taste like very bad lemon or something. hideous.

 

[OEandricearoni]

I am on suboxone for pain management from a major surgery. I was wondering I injured my surgery arm quite bad a few days ago. The doctor prescribed Tylenol #3 . It is not even touching the pain. Should I have told the doctor that I am on suboxone for pain management so they will prescribe me a stronger painkiller? Or what do I do in a situation like this? I think the suboxone has raised my tolerance to the point that the Tylenol #3 won't work. I would like to add I have been off the suboxone for 3 days to give the Tylenol #3 a chance to work. My pain is now unbearable. I don't know what to do....

It would be a good idea to tell the doc that you were taking suboxone before. It very well could have raised your opiate tolerance. Tylenol 3's are pretty weak, and they are super weak compared to suboxone. Go back to the doc and tell him the tylenol 3's aren't working. Hopefully he will give you something better. Pretty much anything would be better then tylenol 3's....hopefully he will give you percocet 10's or something else that will actually get the job done.

 

[Pegasus]

I am on suboxone for pain management from a major surgery. I was wondering I injured my surgery arm quite bad a few days ago. The doctor prescribed Tylenol #3 . It is not even touching the pain. Should I have told the doctor that I am on suboxone for pain management so they will prescribe me a stronger painkiller? Or what do I do in a situation like this? I think the suboxone has raised my tolerance to the point that the Tylenol #3 won't work. I would like to add I have been off the suboxone for 3 days to give the Tylenol #3 a chance to work. My pain is now unbearable. I don't know what to do....

IMO go back on the Suboxone for now, you're right, T3's aren't going to touch your pain now or even keep you out of withdrawal. You're probably withdrawing right now if you've only taken codeine over the past three days...

Tell your doctor and see if you can get something better... If not, what is your dose of bupe? You may be able to increase slightly or take nasally to get temporary stronger effects.

 

[mike_indy_317]

Hey whats up fellow suboxone users. Ive been on my subs for a year and 3 months and ive slipped up probably 6 to 10 times and im dissapointed in myself for slipping up and even more ashamed that I screwed up today. I came into some money and got some meth cause my friend came over and let me do a line out of his and about 30 minutes later we were on our way to get more with my money.

I got 60 $s worth like 10 hours ago and havent done it all got like half left but the stuff has got me all jittery and nervous. I was wondering if I could just take my subs before I go to sleep im thinking it will calm me down and take the edge of this paranoid jittery feeling. I dont know if you cant mix the two like opiates and suboxone so I wanted to make sure.

 

[OEandricearoni]

Hey whats up fellow suboxone users. Ive been on my subs for a year and 3 months and ive slipped up probably 6 to 10 times and im dissapointed in myself for slipping up and even more ashamed that I screwed up today. I came into some money and got some meth cause my friend came over and let me do a line out of his and about 30 minutes later we were on our way to get more with my money.

I got 60 $s worth like 10 hours ago and havent done it all got like half left but the stuff has got me all jittery and nervous. I was wondering if I could just take my subs before I go to sleep im thinking it will calm me down and take the edge of this paranoid jittery feeling. I dont know if you cant mix the two like opiates and suboxone so I wanted to make sure.

When you say meth do you mean methadone or methamphetamine? I'm guessing you mean methamphetamine because you said you are paranoid and jittery but im not sure. Methamphetamine is not an opiate so you should be able to take you suboxone on it. If it's methadone you don't want to take your suboxone again for a few days, basically until you are in withdrawal again or else it will cause precipitated withdrawal.

 

[i are spectre]

i think doctors prescribe high dose suboxone (16/24/32mg) because there is a very small chance anything else is going to compete with that.

it would be much easier for a patient to break through 2mg than 32mg. not only that, but 32mg of bupe is going to be in your system a lot longer than 2mg.

this would make the prescribing doctor more comfortable... a smaller chance that the patient is not abusing anything else (at least opiatesque drugs).

 

[Pegasus]

^Yeah, but 2mg will discourage use of other opiates still, and doesn't have nearly the side effect profile of higher doses. If it's doctors' comfort prescribing a drug vs patients' comfort taking the drug, I'm on the side of the patient every time. FFS, this drug is for opiate abusers, meaning the perceptible effects are the intended effects... doctors shouldn't try to force the dose they see fit, as only the patient can gauge perceptible effects.

 

[i are spectre]

i'm just trying to explain to a previous poster why they're being uppped to 32mg/day. then, yes, most patients gradually come to 2mg or less per day.

personally, i find myself jumping around everywhere. i've been on suboxone for about two years, and i fluctuate from 0.25mg a day to 8mg a day.

does anyone else find themselves doing this? one month you are fine doing 0.5mg to 1mg per day, the next month 4mg a day seems much better, and maybe another month, you do it once a week?

what a strange compound.

 

[mike_indy_317]

Hey OEandricearoni yea im talking about methamphetamine I know you cant take some methadone after taking suboxone for awhile well you can but it wont do nothing. I didnt know if meth and suboxone was a bad mix cause on some sites it said that the meth would increase the potency of the suboxone. So your sure that its not a bad mix? Im sure its not ive been feeling pretty good.

 

[cire113]

i'm just trying to explain to a previous poster why they're being uppped to 32mg/day. then, yes, most patients gradually come to 2mg or less per day.

personally, i find myself jumping around everywhere. i've been on suboxone for about two years, and i fluctuate from 0.25mg a day to 8mg a day.

does anyone else find themselves doing this? one month you are fine doing 0.5mg to 1mg per day, the next month 4mg a day seems much better, and maybe another month, you do it once a week?

what a strange compound.

I kinda do this.. But what a strange compound indeed..

It seems the magic dose for me is about 2mg 3x a day... so about 6mg 8mg day..

I personally like to have all my receptors full saturated for atleast 24 hrs... that dose keeps them well above the ceiling for an extended period of time..

Honestly suboxone is a weird drug.. its ultra powerful but like is missing all that euphoria lol...

Technically it should cover all my receptors and stop crave

 

[Captain.Heroin]

Don't feel bad for using meth, just use your bupe and try to get some rest. If that is hard to do, you can take some antihistamines like benadryl.

Many people find benzodiazepines to be perfect for the comedown, so if you have any of those, they should definitely help.

 

[Fire&Water]

I use to have a few different doctors in Mexico in a few different port cities starting about 25 years ago I used to be able
to get pretty much every opi', speed, filled at the pharmacia's I was in Mazatlan about 12 years ago my doc' said I can write for anything you want but good luck finding a pharm' that will fill it The feds' were leanin' on them HARD !
He was right, finally he just gave me 40 syringes & 40 ampules of 0.25 Bupreorphine told my wife to shoot 1 ampule in each buttcheek & I'd be set for 24 hours Well, raise my rent, he was my hero !! I was able to party lika a M.F. & didnt even care if I had pockets full of opiate like every other time on vacation in Mex.

 

[Ashley]

I'm getting bumped up to 32 mg of bupe from 0 in like 10 days. Does this seem excessive? fuck it does to me...

Yeah, the quacks here in Australia seem to love prescribing excessively high dosages of Subutex/Suboxone. Both my fiance and I started out on 32mg of Subutex daily around 3-4 years ago, we're down to 8mg each a day now and I can definitely attest to feeling much better on a lower dose. I'd work up a sweat walking from the couch to the bathroom when we were taking 32mg/daily, also I tended to oversleep a lot, found it really hard to wake up, and often I would miss the clinic before it closed at 12:30 PM. I have seen many people agree that they feel better on lower doses of bupe.

I mean, there is just no need for anyone to be scripted 32mg per day. Though when we were getting 8x 8mg Subutex tablets daily, and only taking 8mg each, the cash from selling the other 6x 8mg tablets @ $20 each was nice. Now only I attend the clinic and my fiance shares my dose with me, I'm still scripted 32mg, I just keep 2 and sell 2. Ideally, I'd like to get down to a much lower dose than 8mg, but from 32mg > 8mg / day is a decent achievement. I just want off the stuff. I'm sick of attending the clinic 7 days a week because they won't give out take aways of Subutex, only Suboxone. I did give the Suboxone a go but it didn't work right, I didn't feel like it completely held me and had a couple of other strange reactions too.

They keep telling me it's exactly the same but that minute bit of Naloxone must be playing some sorta silly business. Apparently only in very special circumstances will they authorize take aways of Subutex and it isn't the actual clinic that grants the authority, it's an organization above them. How much more special can my circumstance be than I have uncomfortable reactions to Suboxone and it still leaves me hanging out?

Seeing as we've both just worked out that we have a habit on the benzos now too, after my fiance had a grand mal seizure last week and I having had several over the past 6-12 months we've established that its not just me and that explains why we feel so lethargic and sweaty, depressed, sleep deprived, anxious, agoraphobic and just generally shitty all of the time. I just thought that the bupe wasn't working like it used to, as the symptoms are very similar to hanging out from opiates. Should have realised that the the only time we actually felt normal was after we'd taken some Xanax or Rivotril, the sweats would go away and leaving the house wasn't a terrifying thought.

Does anybody know of a rehab/detox that accepts couples that would do both a bupe and Xanax detox, preferably in NSW? Sorry if this is a tad off topic, mods feel free to move it to where you think it best belongs.

 

[Captain.Heroin]

I also experienced hypersomnia from a high dose of buprenorphine.

I am glad to be on a relatively low dosage.

 

[runnyPoop]

im down to about .5 - .75 mg a day sublingually on the strips. Feeling good about it.
started exercising more, got some multivitamins, choline, magnesium, imodium, and a couple xanny bars.
im preparing for the jump off. been on it a year. time for me to stop.

i think this week im gonna focus on getting under .5 mg and then next week start working on skipping a day.

then off i go.
i think i will still have a full strip when i try to quit as planned. just in case i need it.

i dunno. ive heard its really hard to quit and then i've read that if you taper down to a low dose its not bad.
not sure what to believe but im gonna be positive.

 

[Pegasus]

^You really have to find out for yourself. It depends on how long you were on for, previous w/d experiences, individual chemistry, etc.

 

[Captain.Heroin]

As you are carefully tapering - whatever mild withdrawal symptoms you experience should be mild and manageable.

If you jump off prematurely, it might be very rough, but nonetheless doable.