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

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WhoFalls said:
Ive wonder this for some time, but never quite got an answer when I researched suboxone. I dont have a prescription and obtain it from other sources so I cannot ask a doctor. Say your may withdrawl symptoms last only a week and you only take suboxone for a week 2mg a day without tapering off. Will withdrawal symptoms come on like you never took the suboxone? Or does the with drawal from your primary drug if choice get avoided?
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It really depends. Buprenorphine's a strange drug, and people experience it different in every regard. I would imagine that if you abruptly ended your weeklong 2mg/day regiment, you would experience some withdrawals but they would be a lot more mild. After a week passes by, most of the acute withdrawals from a full agonist (assuming its short acting like most narcotics are) should have dissipated, however, since you'd be maintaining with another long acting opioid, than you would still experience withdrawals, but they would be more gradual, since bupe (and methadone) leave your body at a slower rate. Ive hear of people who were able to take a single 8mg tablet or strip one time and that would be pretty much sufficient to get them off (though these habits were always pretty small, so I wouldn't recomend trying this).

The best idea would be to taper your dose down to .25 mg and then jump off from there, or down to .5 mg, skip a day, .5 mg etc.. and keep trying to avoid taking the suboxone for as long as humanly possible.

SPDemon420 said:
I honestly feel like starting on bupe was the worst decision of my life. When I got on, doctors were telling people you could "painlessly taper off", now, cut to 6 years later, they're telling people "you could be making a life time decision" - I really wish I had just dealt with the 2 week withdrawal of heroin, over the brutal stretched out sub withdrawal. I suppose there isnt a point to this post, just venting I guess.
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I feel like a "life time decision" is a bit stretch, but I hear you. When I first was prescribed suboxone I was told the same thing, that because it was only a partial agonist, there was little to no withdrawal symptoms. However, I think people really get wrapped up in the length of the withdrawal, and forget the other hideous aspects of heroin/opiate addiction that brought them to taking suboxone in the first place. You can make the argument that being dependant on suboxone can cause worse withdrawal symptoms than heroin (though I feel this is not really accurate as long as you taper slowly and jump off at a dose under 1 mg.), and you can definitely say that the withdrawal is longer (this is true in almost all cases, though the severity is not as bad), but you cannot say that suboxone drove you to steal money, lose your property, your home, your family, give you infections/virus's (unless you inject without proper hygeine), Phlebitis, Thrombosis, blah blah blah.

Things seem really fucking shitty for 2-4 weeks on subs, but it gets better. There is the PAWS, and depending how long you've been on Bupe, that may last some time, but you'll get over that too.
 
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I feel like a "life time decision" is a bit stretch, but I hear you. When I first was prescribed suboxone I was told the same thing, that because it was only a partial agonist, there was little to no withdrawal symptoms. However, I think people really get wrapped up in the length of the withdrawal, and forget the other hideous aspects of heroin/opiate addiction that brought them to taking suboxone in the first place. You can make the argument that being dependant on suboxone can cause worse withdrawal symptoms than heroin (though I feel this is not really accurate as long as you taper slowly and jump off at a dose under 1 mg.), and you can definitely say that the withdrawal is longer (this is true in almost all cases, though the severity is not as bad), but you cannot say that suboxone drove you to steal money, lose your property, your home, your family, give you infections/virus's (unless you inject without proper hygeine), Phlebitis, Thrombosis, blah blah blah.

Things seem really fucking shitty for 2-4 weeks on subs, but it gets better. There is the PAWS, and depending how long you've been on Bupe, that may last some time, but you'll get over that too.
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It is a bit of a stretch, thats just what doctors have told some friends of mine - and you could say that, but in my case, where I absolutely cannot afford to get a prescription (its 100$ for a monthly visit, 300$ for the script), it absolutely could drive you to steal, etc. And you're right, alot of people get wrapped up in the duration of withdrawal, but its understandable, especially if you need to hold down a job.
 
Hello everyone. I am new here. I came here for some questions on suboxone. I took 3mg of suboxone this morning at around 9am. This is my first dose ever. I did it to avoid w/d symptoms from a week long binge of snorting about 2 bags of heroine a day. I just snorted a 30mg oxy and felt it a little bit. Does the oxy knock the bupe off the receptor at all? How long will I have to wait to feel the full effects of the oxy? I'm 6'2"tall and 220lbs. I'm a body boulder so I believe my metabolism is rather fast since I'm all muscle. Can anyone help me with an answer?
 
I meant body builder. I say that because I heard it depends on your body type and metabolism as to how fast the bupe stays attached to the receptors.
 
SPDemon420 said:
It is a bit of a stretch, thats just what doctors have told some friends of mine - and you could say that, but in my case, where I absolutely cannot afford to get a prescription (its 100$ for a monthly visit, 300$ for the script), it absolutely could drive you to steal, etc. And you're right, alot of people get wrapped up in the duration of withdrawal, but its understandable, especially if you need to hold down a job.
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I wish that they did the first month on credit. Spending that much money on suboxone in a month is not the problem for most people, it's having it all up front. Considering we work we can get the money, but also since we work we can't get sick which means we have to continue buying off the street, making it impossible to save up for the first appointment and prescription.

bkap said:
Hello everyone. I am new here. I came here for some questions on suboxone. I took 3mg of suboxone this morning at around 9am. This is my first dose ever. I did it to avoid w/d symptoms from a week long binge of snorting about 2 bags of heroine a day. I just snorted a 30mg oxy and felt it a little bit. Does the oxy knock the bupe off the receptor at all? How long will I have to wait to feel the full effects of the oxy? I'm 6'2"tall and 220lbs. I'm a body boulder so I believe my metabolism is rather fast since I'm all muscle. Can anyone help me with an answer?
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Oxy doesn not knock the bupe off the receptor at all. Bupe binds to the receptor more than just about every other opioid, and in fact the nalaxone which is used to treat opiate/opioid overdoses by knocking them off the receptors can't even knock the bupe off (not in standard doses anyhow).

My general rule for how long to wait until you feel oxy (or whatever opiate/opioid you are trying to get high off of) after taking suboxone is this;

2mg: wait 1 day
4mg: wait 2 days
8mg and up: wait 3 days

So for you I would wait 36 hours since it's between 2-4mg. This is for single doses, and for people on maintenance who take it daily I would add 12 hours or so onto those times.

bkap said:
I meant body builder. I say that because I heard it depends on your body type and metabolism as to how fast the bupe stays attached to the receptors.
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I don't think that being a body builder has any direct effect on the time it takes for your body to metabolize a drug. I've known lazy overweight people that can take an 8mg suboxone and get high the next day, skinny kids with fast metabolisms that need to wait 3 days to get high after taking 4mg, and everything in between. I don't know the scientific reason for this, but all I can say is that it varies from person to person, although my general waiting times seem to be the average.

You also have to keep in mind that buprenorphine is extremely potent, and although it may not get you as high as full agonists since it's a partial agonist, it may increase your tolerance a little bit so that even if it isn't blocking your dose it may have raised your tolerance a bit so that the dose you take the day after it is a lot lower in comparison that you barely feel it.

I wouldn't expect 30mg of oxycodone to do anything for you if you took 3mg of suboxone the day before. Comparison charts vary a lot and are just a very general guideline, but looking at this one you can see how potent buprenorphine is compared to other opioids. All drugs are listed in respect to their oral dosage except for those that state otherwise, and the buprenorphine is listed for its sublingual dose.
 
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bkap said:
Hello everyone. I am new here. I came here for some questions on suboxone. I took 3mg of suboxone this morning at around 9am. This is my first dose ever. I did it to avoid w/d symptoms from a week long binge of snorting about 2 bags of heroine a day. I just snorted a 30mg oxy and felt it a little bit. Does the oxy knock the bupe off the receptor at all? How long will I have to wait to feel the full effects of the oxy? I'm 6'2"tall and 220lbs. I'm a body boulder so I believe my metabolism is rather fast since I'm all muscle. Can anyone help me with an answer?
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if you only took the one dose, and havent been doing it regularly, 24 hours or so should be enough, if you want to be safe, wait 48.
 
Tommyboy said:
I wish that they did the first month on credit. Spending that much money on suboxone in a month is not the problem for most people, it's having it all up front. Considering we work we can get the money, but also since we work we can't get sick which means we have to continue buying off the street, making it impossible to save up for the first appointment and prescription.
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EXACTLY man, couldnt have said it better. Its ridiculous that it all has to be cash up front. Where I am, I think the first visit is actually 300$ - and then 100$ monthly after that, and 300$ monthly for the script. I honestly couldnt really afford the 300$ script at all if I did get it, I normally stretch 2-3 subs over the week (at 15$ each), so im only paying 180$ or so, and even that I can barely afford.
 
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Hey,

I want to I.V. bupe soon since I have little of it left and I want to try how does it feel I.V.ed, as I always take it sublingually (the smoothest high), nasally (strongest but at the same time very nauseating so I've stopped using it) or by plugging (effects, duration and side-effects between snorting and sublingual). I'm not so tolerant to opioids, 150mg codeine will still get me high and when using bupe, I use(d) up to 1mg snorted (highest dose I've tried snorting and it felt very bad, nausea and generally unpleasant - 0.5mg was best snorted), more than a few times 1-2mg sublingual and 1-2mg when plugging.

I need a dose advice, I think of mixing it with 25mg to 50mg dimenhydrynate (almost same as diphenhydramine). I can easily measure any dose I want, knowing my fixed amount of bupe. I first thought about 0.5mg but now I'm not so sure, would it be too strong?
 
Limitbreaker said:
Hey,

I want to I.V. bupe soon since I have little of it left and I want to try how does it feel I.V.ed, as I always take it sublingually (the smoothest high), nasally (strongest but at the same time very nauseating so I've stopped using it) or by plugging (effects, duration and side-effects between snorting and sublingual). I'm not so tolerant to opioids, 150mg codeine will still get me high and when using bupe, I use(d) up to 1mg snorted (highest dose I've tried snorting and it felt very bad, nausea and generally unpleasant - 0.5mg was best snorted), more than a few times 1-2mg sublingual and 1-2mg when plugging.

I need a dose advice, I think of mixing it with 25mg to 50mg dimenhydrynate (almost same as diphenhydramine). I can easily measure any dose I want, knowing my fixed amount of bupe. I first thought about 0.5mg but now I'm not so sure, would it be too strong?
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I'd start lower, like 0.1mg. I don't even use that much at a time.
 
Stick with the captains advice. It can't hurt to start low if you're going to shoot bupe.

I GAURANTEE that if you IV anymore than .25mg with the tiny tolerance you have, you will get pretty damn nauseous (okay, maybey you could get away with .3mg IV tops-that's the dose they use to treat pain in hospitals with Buprenex, equivalent approx. to 10mg of IV morphine).

When I was on suboxone maintenance and I tapered myself sublingually down to .5mg 2x/day (basically 1mg total), I once tried to shoot .3mg and I felt pretty damn buzzed-and that's with chronic dosing. I imagine with your tolerance .1mg (or 100 micrograms) would do you just right. It sounds like a low dose, but for pain bupe is prescribed only in microgram dosages (look into Temgesic, BuTrans, Buprenex, etc..). It's thought that when used in these tiny doses, Bupe's full agonist metabolite Nor-Buprenorphine is able to connect to receptor sites which would other wise be blocked by partial agonist Buprenorphine at higher dosages (2mg>).
 
what would you all recommend for a benzo to use when coming off bupe? specifically a benzo that would keep my thoughts as clear as possible.

im at university and i cant be too out of it. xanax seems a little too strong mentally and would probably have the greatest *negative* affect on school work.

i just want something to help with the anxiety (chest tightness) and sweating. ive tried a lot of other things, i want to give benzos a shot. im sick of replacing bupe with other opioids...
 
Have you ever tried Lyrica or GAbapentin? Neither are benzo's, but they are GABAergic's, and really fucking helpful for opiate withdrawals. I actually find them to be more effective at combatting withdrawal than any benzo, and there is not as great a risk for Dependancy as there is with benzo's.

However, if you do want to go with benzo's, perhaps give clonazepam or diazepam a shot if you find alprazolam a bit too much.
 
i are spectre said:
what would you all recommend for a benzo to use when coming off bupe? specifically a benzo that would keep my thoughts as clear as possible.

im at university and i cant be too out of it. xanax seems a little too strong mentally and would probably have the greatest *negative* affect on school work.

i just want something to help with the anxiety (chest tightness) and sweating. ive tried a lot of other things, i want to give benzos a shot. im sick of replacing bupe with other opioids...
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When I needed a benzodiazepine to be able to sit still throughout a 6 hour long class (which took place 6 days of the week for a few weeks in a row), I used 1mg of lorazepam and it worked wonderfully. I ended up getting an A in the class. %)
 
Subutex Post acute withdrawl help

I was on bupe for about a year got detoxed last month so I have a month clean. Whats the deal with Getin no sleep ever? Anyway to get some sleep I'm going crazy.
 
I'm going to merge this with the Suboxone/Buprenorphine Megathread and FAQ.

As far as your question goes, buprenorphine (the active partial agonist opioid in Subutex and Suboxone) withdrawals, and Post Acute Withdrawals last for quite some time due to its long half life (36 hours). It actually takes around 11 days without dosing for the body to fully rid itself of any trace ammounts of buprenorphine. I experienced the same thing when I was taken off Methadone years ago. I litterally went four weeks with a total of maybey five hours of sleep, it was really bad. however, it's been a month now, and I GAURANTEE that you will start to feel better, and sleeping normally. IF, your insomnia continues, I would seriously talk to a medical professional regarding this. Sleep Deprivation can be very dangerous.

Have you tried low dosages of alprazolam, lorazepam, or Zolpidem (ambien)? While none of thee are good to take in the long run due to their own high risks of Dependancy, they can be very helpful when nothing else works. staying Healthy and getting good sleep and proper nutrition is very important for recovery, and if you don't adress these things you risk the chance of relapse.
 
suboxone is unreal. i wish i knew how long i was going to be affected by it.

im not even off it yet and i sweat constantly and sleep is almost non-existent.

i will be trying some benzos shortly; no more tramadol, kratom, or any other mu agonists. it just doesnt work that way.
 
I are spectre,
Can you get your hands on gabapentin (neurontin) or pregabalin (Lyrica)? Those drugs are amazing when it comes to bupe withdrawal, IME they're more usefull than benzo's as they help with a multitude of opiate withdrawal symptoms. When I was on bupe, each time I tapered down by 50% I would use gabapentin for four-five days while I adjusted and it made a huge difference. I really recomend those two as they are also not as likely to cause dependency with short term use.
 
I'm going to merge this into the Suboxone/Buprenorphine Megathread and FAQ. You should also read through the thread as there are many discussions regarding withdrawal, tapering etc..
 
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