• Select Your Topic Then Scroll Down
    Alcohol Bupe Benzos
    Cocaine Heroin Opioids
    RCs Stimulants Misc
    Harm Reduction All Topics Gabapentinoids
    Tired of your habit? Struggling to cope?
    Want to regain control or get sober?
    Visit our Recovery Support Forums

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

Status
Not open for further replies.
Regarding obtaining "euphoric effects" from low dose suboxone, are you referring to strips, tablets, suboxone or buprenorphine without naloxone in it? I may have been able to know had I read back far enough into the thread, but I haven't. Sorry. All I can say is that I'm taking about 16mg subs daily and don't feel a thing. I actually am starting to feel dysphoric and nauseated. I take the suboxone strips cause my dumb doctor thinks it's better to presribe that than bupe alone even though he well knows I'm not an IV user. Anyhow, the batch I've got this time around seems to have that "speckled" dotted appearance to it that was discussed here a while back on a closed thread. The date is well within the expiration limits and there doesn't seem to be any damage to the packaging but ALL the strips so far have had the speckled appearance to them which I'll probably post pics of. The only time I ever had a good feeling from taking subs was when experiencing w/d from oxy and then another time from hydros. I am feeling soooooooooo shitty nowadays but feel even worse when I don't take them and hope I can find a solution. Thanks. BTW I use these SLinlgually.

At 16mg/day you aren't going to feel anything from it unless you take a few days off. One of the main reasons why people say "less is more" is because of the negative side effects of higher doses like the ones that you are experiencing. 16mg is an unnecessarily high dose in my opinion. 8mg should do the same thing as 16mg is doing for you, but with less side effects.

If you are looking to feel euphoric effects from the suboxone then you have to drop your dose even more than that. Keep in mind that this may jeopardize your recovery though, since lower doses may not curb your cravings as much, and may not be as effective in blocking other opiates/opioids from getting you high.
 
Suboxone was really helpful when I went to rehab, it took away a lot of the w/d symptoms & gave me a buzz but I am just not a fan of it. I was prescribed 40 of the 8mg tabs and only filled 10 of them and took probably 8. Kicking the habit without it sure was a bitch though! And now I think about that, all of it was for nothing.. Went to rehab for painkiller addiction n got clean, moved back to NY and went straight to those little stamped bags of heaven -_-
 
At 16mg/day you aren't going to feel anything from it unless you take a few days off. One of the main reasons why people say "less is more" is because of the negative side effects of higher doses like the ones that you are experiencing. 16mg is an unnecessarily high dose in my opinion. 8mg should do the same thing as 16mg is doing for you, but with less side effects.

I totally agree. I can't feel the difference between 6mg and 8mg. And there was little difference between 4mg and 6mg. I dissolve my pills in alcoholic solution for better absorption. I guess 8mg is the limit for me and I'm not planning to go over it. It hardly gets more like full agonist, the difference was apparent from 2mg to 4mg, then it just wears off slower. I guess I had more full-agonist-like effects when I took pure buprenorphine a few years back because I used it with 18,19-didehydrobuprenorphine and that's why I expected more sedation now.
 
Regarding obtaining "euphoric effects" from low dose suboxone, are you referring to strips, tablets, suboxone or buprenorphine without naloxone in it? I may have been able to know had I read back far enough into the thread, but I haven't. Sorry. All I can say is that I'm taking about 16mg subs daily and don't feel a thing. I actually am starting to feel dysphoric and nauseated. I take the suboxone strips cause my dumb doctor thinks it's better to presribe that than bupe alone even though he well knows I'm not an IV user. Anyhow, the batch I've got this time around seems to have that "speckled" dotted appearance to it that was discussed here a while back on a closed thread. The date is well within the expiration limits and there doesn't seem to be any damage to the packaging but ALL the strips so far have had the speckled appearance to them which I'll probably post pics of. The only time I ever had a good feeling from taking subs was when experiencing w/d from oxy and then another time from hydros. I am feeling soooooooooo shitty nowadays but feel even worse when I don't take them and hope I can find a solution. Thanks. BTW I use these SLinlgually.
Hey there,
I unfortunately don't have the time to read Tommyboys response to your question so I apologize in advance if I come across as redundant.

First off, in my post I was referring to Suboxone-(Buprenorphine + Naloxone, tablets AND strips), though I have used Subutex-(Buprenorphine) as well in the past. FYI, there is really no difference at all between the two, except for the fact that Suboxone is orange and doesn't come in generic form, the whole addition of Naloxone is a scare tactic as well as a ploy used to keep a monopoly on the drug, since buprenorphine attaches harder and faster than Naloxone does, meaning you CAN inject, sniff, plug, etc..with Suboxone without going into precipitated withdrawal.

Moving forwards, at 16mg/day you are almost certainly not going to get any appreciable effects from your dosage as it is. Buprenorphine is a Partial Agonist and has a ceiling effect. This means that while Suboxone is a potent opiate, it's narcotic effects will only increase with additional dosing to a certain point, and then the effects plateau. If you continue to take more buprenorphine (suboxone or Subutex), you won't feel anything and all you're achieving is an accumulation of buprenorphine in your blood stream, which will keep withdrawals at bay for longer.

If you want to start feeling any stimulation and mood lift from Suboxone/buprenorphine, you really need to taper. Luckily, its pretty easy to jump down from 16mg to 4mg in a small amount of time.

As I mentioned before, buprenorphine has a ceiling effect at a certain dosage, which is somewhere between 4-8mg IME. Once you stabilize at a dose above the ceiling dosage, you will likely not feel much from your suboxone, aside from the negative side effects some report. In order to begin to feel buprenorphines Opiate effects, you must lower your tolerance and stabilize at a dose either at or below the ceiling.

I said before that dropping from 16mg to 4mg is almost always a walk in the park, and here's why. Assuming the ceiling dose (the dose at which maximum Mu receptor agonism is reached) is 4mg, every dose above 4mg is more or less the same, the only difference being that it will stick around in your system longer. In order for someone to begin to experience opiate withdrawal from suboxone/buprenorphine, the amount of Bupe in their system has to dip below the ceiling point, because its only at that point that there are receptors which are not being (partially) occupied. Perhaps this graph I made can illustrate things better:
98aa9fce1b0144ee9b022175f3a2bbaa_zpsf43d47ee.jpg

This shitty photo shows a graph illustrating dosages above and below the ceiling, assuming the ceiling dose is 4mg (though the actual ceiling dose varies from person to person it seems). It should be noted that this graph shows only an acute dose of 32 mg, a person on a chronic dose of 32mg would actually have around 88mg or so accumulated in their body from the buildup of half lives (Based on the numbers shown in this graph), which would obviously allow the person to stay above the ceiling dose for multiple days. This is why people on high doses of suboxone can often painlessly skip at least 2 days without feeling sick.
 
I visited my new sub doc for the 2nd time today. The guy literally pretty much just asked me like 2 questions and sent me home with a months script. I didn't even sit down in an exam room.

Somethin i'm worried about though is he keeps asking me if I started counseling yet. He's expecting me to do an IOP treatment, or at least see a psychotherapist weekly, but i can't afford it right now. I fear he'll cut me off if i keep coming in and telling him i haven't started any yet.

Honestly considering lying about it, not sure what to though. The guy is really lax though, i mean he hasn't even given me one UA yet. Both times i've seen him he just seemed eager to get on out and on my merry way. I think part of the reason for his rushing is that its a walk-in clinic, that has no appointments. People can just show up whenever so he's always in a hurry trying to get to all the patients that arrive.

My advice...

1) determine whether you want therapy or not, it's your choice. Weigh the pros and cons, talk to other BL'ers who have gotten something out of therapy.

2) if you want to do therapy but can't afford it, look for free programs. If you're a college student you might be able to enter therapy for free through the university.

3) if you want to do therapy but have limited resources, you can try going once a month or once every other month. At the very least this would show your Suboxone doctor that you are doing the most you can for yourself, and that you are making steps in the right direction.

I never got into therapy when I was going to a Suboxone doctor and that was fine with my doctor at the time.
 
I'm just going to tell him i can't afford therapy at the moment, so i am just attending NA meetings a few times a week. I honestly don't see the guy cutting me off for not going to therapy but that doesnt mean its impossible. If he really bugs me about it I could probably start going once a month or something. I have health insurance, I'm just kind of short on cash and don't want to spend money to see a therapist.

I've done therapy in the past and honestly don't believe it helped me stay clean at all.


On a side note i read an interesting blog entry about increasing sublingual absorption of suboxone, which can be found here http://www.suboxonetalkzone.com/optimizing-buprenorphine-absorption/
 
I'm just going to tell him i can't afford therapy at the moment, so i am just attending NA meetings a few times a week. I honestly don't see the guy cutting me off for not going to therapy but that doesnt mean its impossible. If he really bugs me about it I could probably start going once a month or something. I have health insurance, I'm just kind of short on cash and don't want to spend money to see a therapist.

I've done therapy in the past and honestly don't believe it helped me stay clean at all.


On a side note i read an interesting blog entry about increasing sublingual absorption of suboxone, which can be found here http://www.suboxonetalkzone.com/optimizing-buprenorphine-absorption/

Yeah I would firmly say what you believe helps/doesn't help, but definitely say in lieu of having no money to dedicate to therapy that you are going to NA meetings and that you are as open with the group as you are a therapist (you can just say this to help him see it's your way of getting the "help" he wants you to get), and I'm sure that will suffice.

I think it's great that doctors are making sure their patients make productive steps/changes in their lives, but I also agree with the notion that therapy isn't for everyone. :)

Best of luck with your maintenance!
 
A different option to NA meetings is group therapy which people with various problems attend. I have learned that it may be helpful as long as too many kinds of problems aren't mixed. Once I was on a meeting where I was the only addict and I could suggest some solutions to the others but they couldn't say anything about my situation and opioid addiction and words like "morphine" and "heroin" were unimaginable for some. Actually I met there only 2 people who took / take opioids, there are more alcoholics or people addicted to stimulants. There are also people who simply can't deal with their life, not always drugs play the leading role. Long story short, I believe it's possible to get good effects from group therapy if one finds the right group. Different people have different experiences and you may learn from theirs. Sometimes you may even realize something you didn't notice / know / understand. But if you decide to start a group therapy, you must know that effects don't come right away but they definitely come much faster than in case of individual therapy if you're ready to open yourself. It's bad to get discouraged by one meeting. Also, when you start group therapy, you must try not to skip a single meeting because then you will start putting off your next therapy.

I've stopped group therapy after a meeting I came to when I was in a codeine binge. I talked to the therapist about it and told him I didn't want to come as even though codeine just kills physical post-withdrawal symptoms, I felt I wasn't fully myself. But he was of a different opinion and told me to come. So I came . And it didn't have a good outcome for me. Later my psychiatrist put me on tramadol but it's a terrible substitution when you have to take pills 4 times a day and you re-dose when you start feeling the drug wearing off. I told the therapist I wouldn't come to meetings until I taper down tramadol and I was supposed to do that by Christmas. Eventually I was given an option of entering Suboxone programme. Having considered all pros and cons I went for Suboxone. This led me to postponing group therapy further and as a result I haven't been to a meeting since that time on codeine. I wanted to go many times, but meetings are at hours when I still have labs at the university. And I noticed it's better when you're from the beginning as it lets you focus better.

It's not a suggestion to switch from NA. I just wanted to write about a bit different approach to a similar problem. I didn't want to go to NA as I didn't want to meet only people with drugs problems, I've always thought it could have a negative impact. Also, my character is quite hard, I don't like rules AT ALL, I don't believe in some systems like "12 steps" etc. I prefer when therapy isn't based on any system, so a discussion on a random idea is better for me. Although I have a scientific approach to life, I think humans are too complicated to be solved by some equation. Rules apply when I program or when I'm in a lab and supposed to synthesize something. Strictness is bad when serious life problems must be solved. That's why I don't think making someone obliged to go to any therapy is going to help. Doctors should inform patients about options they have and provide information, but they shouldn't make anyone go to a therapy. I know sometimes law states otherwise and doctors can't do anything about it. But since I was 14, I heard "therapy, therapy, therapy" all the time when I was totally unable to open in front of a stranger. Now I'm given a choice and I don't run into drugs any more, although I'm still not happy about my life.

On a side note i read an interesting blog entry about increasing sublingual absorption of suboxone, which can be found here http://www.suboxonetalkzone.com/opti...ne-absorption/

I should give this to my mum to read as she finds the way I take Suboxone to be caused by my addict character. Right now I'm on one 8mg pill. I crush it, add Scotch to it, and then drop a cotton wool ball that absorbs the mash (the suspension is very mash-like, I prefer 2mg pills, they also taste a bit better), and then I put that ball under my tongue. I keep telling her that if how I take my drugs was a behaviour of an addict, I would stick clonazepam up my ass... Also, she doesn't understand 10-15 drops is hardly one 1ml.
 
Last edited:
^What i found interesting about that is the fact that sub can be absorbed in ALL the mucus membranes in the mouth. I was always under the impression that you needed to keep it under your tongue, because the veins underneath them(don't know what they are called off the top of my head, you can see them if you look in the mirror and lift your tongue up though.) is how it entered your bloodstream.

I would think that since the average BA of sublingual sub is around 30%, it could probably be increased to around 50% if you actually swished it around in your mouth and allowed to to be absorbed by all of the mucus membranes. This is just speculation though, no idea whether it is true or not. This guy seems to think so, and he seems like a reliable source considering he is a anesthesiologist, and a PhD chemist.

What's weird is he says its better to start with a dry mouth, while if you look at instructions on the suboxone website, they will tell you to drink a little water beforehand to get your mouth wet so it will dissolve faster.

I've done group therapy in the past as well. While i found it more useful than one on one therapy with a psychotherapist/psychiatrist, it still wasn't something that could really help me stay clean. Now, this is just my opinion on the matter. I think that a person will only stay clean if THEY truly want to stay clean, regardless of whatever therapy or whatever they are doing. Everyone has to do therapy when they go to rehab, and i bet people coming out of rehab don't have a much better chance of staying clean as someone who detoxed at their house on their own sheer willpower.

In fact, the only time i have been actually COMPLETELY clean of opiates, meaning nothing, no kratom, suboxone, tramadol ect was when i kicked heroin cold turkey at my house. In rehab they just gave me suboxone and it was a cakewalk, that is, until i got home and was withdrawing for over 2 weeks because i dropped off 4mg of suboxone. Ended up relapsing, less than a month out of rehab. When i kicked cold turkey by my own will, i stayed clean for 6 months, because i wanted to.

Now I'm kinda stuck back in the sub addiction, which is both a good and a bad thing. Suboxone is still a bitch to kick. The withdrawals aren't near as severe as other full agonist opiates, but the duration is what gets you. As much as i hate that I'm back on it, its still a godsend in a way.

I can go back to living my life normally, at least as normal as it gets for someone like me. I don't have to worry about how I'm going to get enough money for my next fix, how I'm going to save enough to get through work, and all the other troubles that come along with a heroin habit. I'll probably be tapered down to less than 2mg within a couple weeks, and will maintain on that for a while.

Really, I'm just incredibly tired of the opiate addict lifestyle. For the past 5 years of my life, there has been 6 months where i haven't been hooked on some sort of opiate agonist. Its tiresome. I wish i didn't have to worry about this anymore.....I feel dead inside in a way, from years of being numbed by painkillers....I'm sure there's people on here who can relate with me...

Kinda ranted there...I'm on like 2 hours of sleep and just got home from a 10 hour shift at work. I think i just need to crash at this point...
 
^What i found interesting about that is the fact that sub can be absorbed in ALL the mucus membranes in the mouth. I was always under the impression that you needed to keep it under your tongue, because the veins underneath them(don't know what they are called off the top of my head, you can see them if you look in the mirror and lift your tongue up though.) is how it entered your bloodstream.

I would think that since the average BA of sublingual sub is around 30%, it could probably be increased to around 50% if you actually swished it around in your mouth and allowed to to be absorbed by all of the mucus membranes. This is just speculation though, no idea whether it is true or not. This guy seems to think so, and he seems like a reliable source considering he is a anesthesiologist, and a PhD chemist.

What's weird is he says its better to start with a dry mouth, while if you look at instructions on the suboxone website, they will tell you to drink a little water beforehand to get your mouth wet so it will dissolve faster.

I've done group therapy in the past as well. While i found it more useful than one on one therapy with a psychotherapist/psychiatrist, it still wasn't something that could really help me stay clean. Now, this is just my opinion on the matter. I think that a person will only stay clean if THEY truly want to stay clean, regardless of whatever therapy or whatever they are doing. Everyone has to do therapy when they go to rehab, and i bet people coming out of rehab don't have a much better chance of staying clean as someone who detoxed at their house on their own sheer willpower.

In fact, the only time i have been actually COMPLETELY clean of opiates, meaning nothing, no kratom, suboxone, tramadol ect was when i kicked heroin cold turkey at my house. In rehab they just gave me suboxone and it was a cakewalk, that is, until i got home and was withdrawing for over 2 weeks because i dropped off 4mg of suboxone. Ended up relapsing, less than a month out of rehab. When i kicked cold turkey by my own will, i stayed clean for 6 months, because i wanted to.

Now I'm kinda stuck back in the sub addiction, which is both a good and a bad thing. Suboxone is still a bitch to kick. The withdrawals aren't near as severe as other full agonist opiates, but the duration is what gets you. As much as i hate that I'm back on it, its still a godsend in a way.

I can go back to living my life normally, at least as normal as it gets for someone like me. I don't have to worry about how I'm going to get enough money for my next fix, how I'm going to save enough to get through work, and all the other troubles that come along with a heroin habit. I'll probably be tapered down to less than 2mg within a couple weeks, and will maintain on that for a while.

Really, I'm just incredibly tired of the opiate addict lifestyle. For the past 5 years of my life, there has been 6 months where i haven't been hooked on some sort of opiate agonist. Its tiresome. I wish i didn't have to worry about this anymore.....I feel dead inside in a way, from years of being numbed by painkillers....I'm sure there's people on here who can relate with me...

Kinda ranted there...I'm on like 2 hours of sleep and just got home from a 10 hour shift at work. I think i just need to crash at this point...

If you are capable of getting yer' tolerance way down, you'd be amazed of the effects of .25 mg Buprenex (or 1-2 mg subutex)
But thats giving yourself breaks from it a few days in a row...I know, it's hard to get to that place
 
Oh I'm more than capable of getting my tolerance way down. I've done it in the past. A little over a year ago i was on Suboxone, and i had tapered down to less than .25mg/day. The last week i took it was probably taking like .10mg a day intranasal.

Once i was tapered this low i stopped taking the suboxone and switched over to kratom. I think it had been like 3 or 4 days since i had taken suboxone when i first took the kratom, and i remember being amazed at how all the w/d symptoms i was having just went away for the most part. Kratom will do wonders for you if you are on very low dose bupe, and want to switch to something shorter acting so you don't have to w/d for a month.

Kratom withdrawal still isnt fun but its over within 4-5 days and really isn't much worse than sub w/d. I'd rather go through a slightly more painful 4-5 days than a month of RLS its like hell to me.

Given my experience with using kratom for getting off sub, i tried switch between kratom and heroin which was completely stupid and a huge failure. Kratom really didn't do much for heroin withdrawals, its strange how well it worked for sub but how crappy it worked for H. I suppose my tolerance may have beem considerably lower when i was taking the sub, but i have a feeling there's something deeper here at work, but that's an entirely different discussion.(I hope someone sees this post and can get some useful info out of it, like don't make the same dumbass mistakes as me)

It's nice once you get down to low dose bupe though (like 1mg and less) you can actually catch a buzz from it if you want. I don't really get anything from it right now. I'm currently taking 4mgs a day. I started on the 4th of December at 8mg and am already down to 4. By mid January I'll probably be down to 2.
 
Thanks for replying, Znegative and Tommybody. I am going to try 8mg tomorrow after having taken off a day today. I am going to try to see if the "less is more" strategy will work for me. As far as the speckled appearance on the sub strips are concerned, does anyone consider that to be problematic? I asked for a new box when I went to pick up the rest of my script two days ago, with a different lot number, in order to avoid getting the same "defective" strips as last time, but ended up with the same issue, strips that have a speckled appearance. The pharmacist kept reassuring me that they run out of subs so quickly that it coudln't have been a storage issue and what not....I don't know. If anyone has any thoughts on this please let me know. Thanks again.
 
Last edited:
Subs with a speckled appearance? You've got me intrigued about this...I wonder how that could have happened? Maybe they changed what they look like?

You have anyway to post a picture of this?
 
I think I know what he's talking about, when you hold the film strip up to the light, you can see white dots, unevenly spread out over it. the 8mg have a bunch and the 2mg have considerably less
 
Now that I think back to how I got to the level of "can't get high anymore" on heroin in less than a year of using it, it blows my mind that I'm seriously high and close to nodding on 120mcg buprenorphine, after years of being on it. I think being careful with how much you dose helps to conserve the euphoric effect of the drug for sure.

I hope everyone is having a great holiday season thus far! :)
 
I'm thinking of going from 1mg to .5mg subs and asking my primary care dr to prescribe tramadol for long term in replacement of subs. I'm wondering if anyone has done this and what dose of Trams would be needed to equal .5mg subs to keep WD's at bay. Input much appreciated
 
subdude my sub doc has dispensed tramadol to me in his office for no good reason, somehow he just mentioned he had some and i said "i'll take them" and he gave me 10 of them. i don't know how tram equates to bupe but on that little bupe i'd think the standard 50mg trams would be fine.

what's your reason for switching?
 
Hey guys. I haven't posted in like 2 years. Anyway, I've been on Suboxone for quite a while (~2 years) starting at 8mg a day now down to 2mg a day (been taking that for a few months now). I took a dose of 1mg last night at roughly 1am. It's now 12:30pm. It's been so long since I've been in the scene that I don't really remember a lot of the calculations and comparisons, but I'm wondering if at around ~3pm if I were to bang (up to) 30mg morphine sulfate IR if I'd feel anything. Like I said I've been on Suboxone now for a long time steady on it. I don't usually miss a dose (1mg AM and PM) but any time I do I usually start to feel rough (RLS, burning sensation in my arms and back, tingling) after about 4 hours of missing it.

I guess all that to say, is (up to) 30mg IV morphine sulfate IR going to break through the amount of Suboxone in my system or should I just wait until I'm feeling real rough. Honestly, if I have to wait I'm probably just not going to do it at all because of reasons.
 
Ellua... If 50mg of Trams would hold me for 24 hrs the same as .5mg subs then I plan to try it. I'm just not sure it will. I'm in the VA healthcare system because everything is free for disabled vets over 50% service connected. AND... we have all these ORT hoops to jump thru in order to not get thrown off. Not to mention the stigma/ignorance I see with other dr's in the system. So if I can get off ORT and in Pain Mgt with Trams, then I'm all in. I'm getting up in yrs so will likely need other treatments [including surgeries??] and I think everything would go smoother off subs... as long as it can hold me.

VA health care is of course govt controlled and if I didn't qualify, I'd definitely use a private md. One reason being is that once your been on ORT, Pain Mgt will not prescribe ongoing and effective drugs like oxy...etc. But will do Trams. Even if you were in pain mgt before ORT.
 
Status
Not open for further replies.
Top