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

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I was prescribed tramadol as a substitution for like 3 weeks. The daily dose was the maximum dose, i.e. 400mg. It was split into 4 doses. I didn't like it myself, it didn't help depression, increased anxiety, and tapering down clonazepam was impossible as I couldn't get stabilized on tramadol. That's why I was eventually offered to be switched to Suboxone. However, tramadol firstly was applied so I don't go through withdrawal from codeine (and each day counted because of my studies), I took 450mg of codeine in the morning and 300mg in the afternoon. I know remembering to take a new leaf with myself and dosing it 4 times a day was tiresome and I felt when it was starting to wear off. Also, tolerance rises so sometimes I dosed 150mg when I was outside and left 50mg for later. I didn't really care how much I'd have left because I helped myself with estazolam a lot then. Those additional NA effects were unpleasant and they were totally overpowering opioid effects. I've got no idea how a switch from Suboxone would look like though.

400mg of tramadol is the maximum safe daily dose, so I suppose a psychiatrist won't prescribe more without some anticonvulsant, but then again it definitely won't be a benzodiazepine and drugs like carbamazepine are known to induce some enzymes so metabolism and clearance of other drugs may be faster. Thus, I doubt more than 400mg is prescribed (I was on clonazepam and got only 400mg a day but I don't think I would have wanted more as I became sick and tired of tramadol quite fast).
 
Hey guys i have a friend who does like 3-4 dimes of east coast powder H a day and i was wondering what u guys think would be a good sub dose for him. I know that there's no way to know exactly how potent his dope was but the amount he's doing per day should give at least a general idea of what his tolerance is, and there's really no other way to measure how much heroin one uses.

I said 2 mg but I'm not sure if this is enough or not, for me it was when i had a similar habit, but i'd like to hear others input.

I'm not using SWIM or anything like that, i know better than that. I literally have a friend that is curious about that. He wants to quit his H habit for a while but only has a limited amount available to him.
 
It's pure speculation when it comes to powder, tar, & done
I've had aquaintances that needed at least 16 mg's after first signs of w/d's (usually not needed after once)...

Edit: I'm speaking of subutex, not suboxone
 
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Captain.Heroin said:
2mg is a good starting dosage to gauge how much bupe he'll need to be stabilized on it.
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I told him to take 2mg as i figured it should be enough to eliminate pretty much all w/d symptoms. Hopefully it is enough. If not i will tell him to take 1-2 more mg, then take 3 or 4mg for like 2 days and start taking 2. Even if he requires 3mg at first i think if he takes 3mg for 2 days then just continues taking 2mg everyday he should be alright.

It's even possible he won't even need a whole 2 mg. I don't know what ROA he intends to use, I'm assuming sublingual but for all i know he may end up wanting to try IV or intranasal, which he would need considerably less bupe for.

I'll report how he's doing tomorrow after his initial dose.

Fire&Water said:
It's pure speculation when it comes to powder, tar, & done
I've had aquaintances that needed at least 16 mg's after first signs of w/d's (usually not needed after once)...

Edit: I'm speaking of subutex, not suboxone
Click to expand...
Subutex, suboxone, it really doesnt make much difference as they are essentially the same thing as the naloxone isnt even active in suboxone. I cant imagine him needing any more than 4mg with his tolerance though. You'd need a pretty hefty habit to need 16 mg. I was doing close to 1g heroin a day and I probably could have got by on less than the 8mg i took the first 2 or 3 days.
 
OEandricearoni said:
I told him to take 2mg as i figured it should be enough to eliminate pretty much all w/d symptoms. Hopefully it is enough. If not i will tell him to take 1-2 more mg, then take 3 or 4mg for like 2 days and start taking 2. Even if he requires 3mg at first i think if he takes 3mg for 2 days then just continues taking 2mg everyday he should be alright.

It's even possible he won't even need a whole 2 mg. I don't know what ROA he intends to use, I'm assuming sublingual but for all i know he may end up wanting to try IV or intranasal, which he would need considerably less bupe for.

I'll report how he's doing tomorrow after his initial dose.


Subutex, suboxone, it really doesnt make much difference as they are essentially the same thing as the naloxone isnt even active in suboxone. I cant imagine him needing any more than 4mg with his tolerance though. You'd need a pretty hefty habit to need 16 mg. I was doing close to 1g heroin a day and I probably could have got by on less than the 8mg i took the first 2 or 3 days.
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I stand by my reply just from what I've seen...his reaction will be what counts
 
adder said:
I was prescribed tramadol as a substitution for like 3 weeks. The daily dose was the maximum dose, i.e. 400mg. It was split into 4 doses. I didn't like it myself, it didn't help depression, increased anxiety, and tapering down clonazepam was impossible as I couldn't get stabilized on tramadol. That's why I was eventually offered to be switched to Suboxone. However, tramadol firstly was applied so I don't go through withdrawal from codeine (and each day counted because of my studies), I took 450mg of codeine in the morning and 300mg in the afternoon. I know remembering to take a new leaf with myself and dosing it 4 times a day was tiresome and I felt when it was starting to wear off. Also, tolerance rises so sometimes I dosed 150mg when I was outside and left 50mg for later. I didn't really care how much I'd have left because I helped myself with estazolam a lot then. Those additional NA effects were unpleasant and they were totally overpowering opioid effects. I've got no idea how a switch from Suboxone would look like though.

400mg of tramadol is the maximum safe daily dose, so I suppose a psychiatrist won't prescribe more without some anticonvulsant, but then again it definitely won't be a benzodiazepine and drugs like carbamazepine are known to induce some enzymes so metabolism and clearance of other drugs may be faster. Thus, I doubt more than 400mg is prescribed (I was on clonazepam and got only 400mg a day but I don't think I would have wanted more as I became sick and tired of tramadol quite fast).
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Thanks Adder... your info was helpful!
 
Yes this is exactly what I'm referring to. I'll try to post a pic anyhow soon. Thanks everyone. (Regarding the speckles when holding the strips up to the light that is)
 
Captain.Heroin said:
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! :)
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Does this equal to 1.2mg of sub? If so that is quite a small amount. Hearing your remarks gives me some hope regarding bupe use since I've almost given up and ready to start pursuing hydrocodone again (my DOC)
 
this is day one of no suboxone after over 3 years. there isnt a sub doctor within 300 miles from here. out in the sticks at engineering school.

i am fortunate this happened on break; i somehow ALWAYS slide on that. i am also glad i had the worst ear infection ever about a week ago; i am comparing the ache in my legs to that pain, and this is better. but this is only day one. i just wanted to share this, i also have a kilo of kava. im hoping to get to a store and grab some cough syrup and sleep aid... anything, motrin, whatever.

thanks
 
sorry, any recommendations on how to drink this kava? it is like drinking shredded wood chips soaked in water. it is almost as bad as cough syrup or that cactus with mescaline in it. i dont have a blender. perhaps soaking it in soda?
 
joojookat said:
Does this equal to 1.2mg of sub? If so that is quite a small amount. Hearing your remarks gives me some hope regarding bupe use since I've almost given up and ready to start pursuing hydrocodone again (my DOC)
Click to expand...

Throughout the day I'm probably doing enough shots to equal a sublingual 1.2mg when converted with the BA. Of course that's a rough estimate way of doing it and I personally believe if I took 2mg sublingual it wouldn't hold me and I'd require more. I haven't tried sublingual use in a long time with it for this reason (right now I don't have a prescription; am looking to change this soon).

How long have you been on Suboxone? After I started Suboxone it took at least 6 months if not 9 to 12 months until I regained my sensitivity to drugs like buprenorphine. Heroin and other potent full agonists can really mess up your tolerance.

i are spectre said:
sorry, any recommendations on how to drink this kava? it is like drinking shredded wood chips soaked in water. it is almost as bad as cough syrup or that cactus with mescaline in it. i dont have a blender. perhaps soaking it in soda?
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We have a kava kava mega thread, did you check the OD Directory? ;)
 
Alcohol120 said:
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.
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In terms of strength, that should get you high (1mg buprenorphine is roughly equal to 40mg of oral morphine, so considering it will be IV'd it will definitely be enough) so it's now a matter of waiting long enough. Wait until you are feeling withdrawals so you know that the bupe is leaving your system and you have some opiate receptors available for the morphine to attach to.

OEandricearoni said:
Hey guys i have a friend who does like 3-4 dimes of east coast powder H a day and i was wondering what u guys think would be a good sub dose for him. I know that there's no way to know exactly how potent his dope was but the amount he's doing per day should give at least a general idea of what his tolerance is, and there's really no other way to measure how much heroin one uses.

I said 2 mg but I'm not sure if this is enough or not, for me it was when i had a similar habit, but i'd like to hear others input.

I'm not using SWIM or anything like that, i know better than that. I literally have a friend that is curious about that. He wants to quit his H habit for a while but only has a limited amount available to him.
Click to expand...

Tell them to wait 36 hours before dosing. I find that to make a world of difference compared to waiting 18-24 hours. 2mg might not hold him on day 1, but 4mg definitely should. They can be comfortable on 2mg after 3 or 4 days of working their way down from the 4mg to 2mg. Only once did it take me 6mg to feel comfortable when I had a similar tolerance, but I didn't wait that long before dosing. Another time I had a higher tolerance and waited longer and was comfortable off of a lower dose, so that's why I stress waiting 36 hours before dosing the subs.
 
Tommyboy said:
Tell them to wait 36 hours before dosing. I find that to make a world of difference compared to waiting 18-24 hours. 2mg might not hold him on day 1, but 4mg definitely should. They can be comfortable on 2mg after 3 or 4 days of working their way down from the 4mg to 2mg. Only once did it take me 6mg to feel comfortable when I had a similar tolerance, but I didn't wait that long before dosing. Another time I had a higher tolerance and waited longer and was comfortable off of a lower dose, so that's why I stress waiting 36 hours before dosing the subs.
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Today i told him to wait a minimum of 24 hours. I warned him about taking it too early. Precipitated wd's are terrible. I'm hoping he's able to get by on 2mg a day, but I told him worst case scenario to take 4mg for 2 days then start taking 2mg a day.

I figure after 2 days of 4mg he should have enough in his system to get stabilized on 2mg easy. Personally I've never had to take more than 4mg to make me feel better, less if its snorted.

Thanks for your input man, its appreciated.
 
OEandricearoni said:
Today i told him to wait a minimum of 24 hours. I warned him about taking it too early. Precipitated wd's are terrible. I'm hoping he's able to get by on 2mg a day, but I told him worst case scenario to take 4mg for 2 days then start taking 2mg a day.

I figure after 2 days of 4mg he should have enough in his system to get stabilized on 2mg easy. Personally I've never had to take more than 4mg to make me feel better, less if its snorted.

Thanks for your input man, its appreciated.
Click to expand...

I had to use 16 mg's one time (after at least 30 hours)...waited 2 hours for the other 8 (half), may have been good w/ 2-4 more instead
I know 3 others that did the same all from diamorphone & oxymorphone (large habits) Two days later 8mg's then lower each time.
Edit: I know I needed more than 8 mg's that one time, it was not all psychological...
 
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