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

[adder]

Thanks for the replies!

Interestingly enough, I have noticed that when I take between 1-2mg of suboxone, I usually end up having to make a bowel movement within an hour of taking it. I don't take it regularly, and the max amount of consecutive days I will take it for is 4, but each of those days I will usually take 2 and then make a 2.

One guy I met at the ward reported that he got diarrhea when he swallowed saliva with not totally dissolved pill. I think a lot of people are unaware that the effects on opioid receptors of naloxone are totally blocked by buprenorphine. It's true that naloxone gets faster to the receptors in the brain but it's still a difference of seconds, I guess, and buprenorphine doesn't need to occupy a lot of receptors to promote its mu-activating properties in contrast to some other opioids. Also, when doses are repeated, buprenorphine is still already occupying receptors so naloxone doesn't stand a chance to do its job. Addicts generally don't know much about the way opioids work, another trend is if they have some information, it's often wrong or mostly wrong. It stroke me at first but then I realized my knowledge on opioid systems comes fully from general interest in neuropharmacology and chemistry. Being an addict doesn't mean being interested in pharmadynamics and pharmacokinetics of taken drugs and/or chemistry. And being a chemist doesn't mean ending up as an addict because of some knowledge in the fields of science crossing with chemistry - I was often accused by my mum that my interest in chemistry led me to addiction which is totally untrue.


I noticed the same thing concerning nodding on Suboxone. When I took clonazepam in the morning and Suboxone in the morning, this would happen. Also, I must admit that I used estazolam twice being already on Suboxone, and while I feel virtually no effects from a higher dose of clonazepam, estazolam and some other benzodiazepines with faster onset and a bit different pharmacodynamic profile will have an effect on me (e.g. I can feel the moment estazolam reaches enough levels to produce this strong but short-living anxiolytic effect, then it's just sedation, it used to be different but it's a proof for me that "tolerances" to different BZD receptor subunits build independently). But when I take clonazepam at ~10-11 PM and Suboxone in the morning the day after, there is no problem at all with nodding and buprenorphine's motivating and stimulating effects. And to be honest I need this substitution more because of refractory depression than because I keep getting back on opioids seeking euphoria, I took codeine to stop sweating. Maybe it sounds unbelievable but I've always been oversensitive about sweating because I had problems with it not only because of withdrawals but also due to anxiety. It was 2 months after I had stopped methadone so such terrible sweating became unbearable for me.

I guess my present tolerance plays a role here too. I didn't take opioids with "morphine core" in their structure in binges for a very long time before I got into codeine recently but it's much weaker. Other than that I injected morphine a few times dose after dose in August but it was just 200mg in total. Methadone was the main opioid I took on a daily basis for ~3 years (I round it as I don't remember the exact date I switched from pure buprenorphine hydrochloride, no naloxone, it was in a powder form). When I broke and started curing myself with codeine, my doctor first wanted to slowly taper me down with codeine but there is no codeine-only medication in Poland, so he placed me on tramadol. Again, tramadol is fully synthetic just as methadone. And tramadol was the drug with opioid properties I took before starting Suboxone. I guess that combined with my current health made 2mg enough. But since I left the hospital, I have been struggling with opposing thoughts. Maybe I could take 2mg every other day but today when I had to go to collect my Suboxone, I noticed my pupils had dilated, so maybe I should have stayed a few days longer and get used to 4mg dose. It's different functioning outside with all daily duties. I was to meet my doctor today but he didn't make it today to the give-away point (it's just ridiculous here in Poland how they make one person be the chief of the the maintenance programme, the senior registrar of the detox ward, and the specialist at the clinic; it's not that I'm justifying his absence today because I saw him drown in papers).

I need to meet him because I still don't have a programme participant card (thus I have no document to show in case my possession of Suboxone is questioned in some random situation) and I'm also in the process of tapering down clonazepam. The guys giving me away Suboxone today weren't really understanding that I'm a student and my lectures / laboratories start early in the morning and end not before 3 PM but on Fridays, thus I wanted to collect Suboxone on that day. Instead I got 5 pills which means I have to go to the university on Thursday without taking Suboxone, survive a 2-hour lecture on algorithms, and then ride to the give-away point... I know it's all in my head and buprenorphine has an effect on me for way more than 24 hours and I could easily dose it every 36 hours but today I sweated terribly on the way to the point so I know I will have to skip this algorithms lecture. It's anxiety coming from nowhere and I get Suboxone to treat it among other reasons, clonazepam reduction doesn't help but buprenorphine reduces all the anxiety luckily, I just have to cope with shaking hands right now.

I know the doctor is present at the clinic on Thursday. But as now I'm a participant of the programme and have clonazepam for a month, I don't really want to steal his time because I know how many patients sometimes show up. Anyhow, I guess I have no other option. I can't attend group meetings which helped me quite a bit because of lack of spare time. Now I don't want to skip lectures because of some mistrustful therapists at the point. I don't care, I can pee every week so they test me, I have nothing to hide. I know I'm new there and they don't know me yet but a bit more individual approach would be advisable for those guys. I'm aware a lot of methadone programme participants sell their syrup and often overstate their need for higher dose, but Suboxone is hardly demanded on the black market for God's sake... Besides generally much more % of people on Suboxone really see help in substitution and plan quitting it eventually than % of people on methadone.

- - - - - - - - - - - - -

As a side note:

Of course this is the situation in Poland. We've got only 18 programmes (+ 7 in prisons) with only 2 200 participants in 2011 (country's population is 38.5 million people, estimated number of opioid addicts is between 10 444 and 19 794, but a more realistic number would be ~40 000, it's simply hard to count addicted people). They start new programmes but they are all of some people's initiative, not because of National Health Fund interest in the situation of addicts in the country. And these new programmes show up rather to fill demand in the region so people just switch from an already existing programme to a new programme because they don't want to ride 400 km to collect their weekly ration any more, new programme doesn't mean 200 more places for addicts, they start with a low number of places, thus the queues keep long even for methadone.

Suboxone maintenance is still relatively new here. The programme in my city was one of the first programmes to get it and it's been available in my city since 2006. Out of these 18 programmes few offer Suboxone and there's a shortage of this drug generally (methadone is much cheaper for National Health Fund so they aren't really keen on making a much safer alternative available to all patients, they prefer to cuff people in liquid chains).

I hope it's not too much off-topic, I like knowing various facts about other countries in the world, so I sometimes post such stuff. If there's me interested in this, there must be more of such people.

 

[cire113]

If the blood level of buprenorphine is ABOVE that ceiling, the opioid receptors are maximally, 100% stimulated. If the person takes more buprenorphine, and the blood level increases, the opioid receptors don’t feel the increase, as they cannot be stimulated more than 100%. But more importantly: when the person takes less, and the blood level of buprenorphine goes DOWN, the receptors also sense nothing– as long as the level stays above the ‘ceiling’ level.

DING DING DING; johnny we have a winner; Less isn't more; Less makes you feel your DOSE more because its below the ceiling; your blood levels are spiking up and down more like a regular agonist.... Honestly we really don't know exactly... But..

The true ceiling for Sub is different from everyone because absorption rates and metabolism vary per person... But if you experiment you will see that within a 12 or 24hr period after taking X amount.. taking X more does NOTHING


Ideally if your bad addict like me; U want to find the best bang for buck dose; Because Sub is hella expensive without insurance (albeit cheaper than active addiction);

What is the lowest dose possible i can take to keep my levels at the ceiling (thus no cravings) and less spike in blood levels; Me personally its around 6-8mg a day (sublin)

Below that ceiling level, the opioid effect from buprenorphine varies directly with dose—just as with oxycodone, hydrocodone, heroin, etc. Medications that have effects that increase with dose are called ‘agonists’. Buprenorphine is a ‘partial agonist;’ it acts like an agonist up to point, the ceiling effect, beyond which increases in blood level have no greater effect.

So yes taking Less will make you feel it more

Whenever I heard people say "bupe acts like an agonist at low doses", I always thought they meant that bupe acted like a full agonist on individual mu receptors. Now I'm thinking it has more to do with changing bupe plasma levels throughout the day.

I guess because their dose is so far below the ceiling, they would notice their buprenorphine blood levels rising and falling a lot more. Whereas those of us who dose over the ceiling such that our blood levels never fall below it, we don't notice the wearing off effects at all. And noticing a dose kick-in and wear-off is reminiscent of addiction to agonists with shorter half lives.

Especially given that the people that dose so low they may be getting mild withdrawals in the morning - they would easily be able to feel the effects of their daily dose as it would provide relief from the withdrawals. Buprenorphine could then be associated relief, which could lend to an addictive mindset.

THis is very interesting; because I've really tried to get down to 1mg or 2mg per day; but it just doesn't hold me like 4mg+ does... I will actually feel withdrawals if i go down below 4mg

 

[cire113]

@adder
I used to nod hard on suboxone if I took it early in the morning and with a tiny bit of xanax. I had been prescribed the xanax for a while before that so it wasn't like I was new to it or taking it to get high, so maybe that's what's happening with you since you are also taking a benzo with it.

Back when I was on maintenance I was prescribed a lot, and my friends would take high doses of 8-16mg since that was normal back then. Years later the same friends just take 2mg and feel just as good off of that, without having to deal with some of the side effects. This is with somewhat lowered tolerances though, and some just take suboxone and no other opioids, but they take it maybe 3x a week.

Constipation is still very bad with suboxone if you are taking 8mg or more IME, but taking 2mg daily will just have you making solid bowel movements, but without the constipation factor. You have to consider that the long half-life means that the walls of the intestines which slow down in movement while opioids are in the system will be slower for a lot longer, so that contributes to the constipation, whereas other drugs are out of your system quicker and allow for the intestinal walls to resume normal function for part of the day.

Interestingly enough, I have noticed that when I take between 1-2mg of suboxone, I usually end up having to make a bowel movement within an hour of taking it. I don't take it regularly, and the max amount of consecutive days I will take it for is 4, but each of those days I will usually take 2 and then make a 2.

Before Sub when i was still messing around; I was on methadone for a period of a few weeks; I didn't have a bowel movement for about 15 days..

Finally oddly enough on my fucking birthday after not having a bowl movement for atleast 2 weeks; I had the biggest/most painful shit in my life; it took me 2 hours... I ended up tearing my anus (seriously) and still have problems today years later with bowel movements in general...

My whole shit taking system is still fucked up to this day... Taking shits is HORRIBLY painful; The problem is your rectum and whatever else doesn't really have adequate time to heal because you use it so much; and even if you don't shit for a few days it makes it worse cause then you take a bigger shit... MEH welcome to my shitty life

So yeah; Opiate constipation is some serious shit ppl

 

[adder]

As for constipation, well, this isn't the best comparison but the quality of life on Suboxone is as low as life of people taking e.g. morphine orally for pain and having the same problem. There is no rush, you get nothing from it (I don't mean I got on Suboxone to feel any rush or euphoria but 2mg is too low, now I know it) but still there are these stupid opioid side effects, the same as when you take morphine or heroin, or whichever full agonist.

I've collected my Suboxone today. And by the time I got there, I had been all wet and my pupils had become dilated like after some amphetamine. This is wrong. Also, anxiety came back, I was struggling with the thought whether I can make it to the uni today or not. Luckily, I've got a visit today and I'm going to talk with my psychiatrist about all of this (cutting my clonazepam dose by 50% wasn't a good move either, especially when one starts a daily treatment with an opioid which lowers the seizure threshold). Another problem is Suboxone was supposed to make my life easier in a way that I could go to the university without worrying about getting W/D and without taking some codeine to ease my nerves, and without spending spare time on buying codeine. And right now I am losing a lot of time getting to the point twice a week. This is not methadone for God's sake, this may be given to a patient for one week in Poland right away. If they want to test me, why won't they? It's the third time I was there to collect my Sub. But I don't know whether there is any reason if they see my damned pupils. My psychiatrist is also the chief of the programme so I hope he will increase my dose up to 4mg and as the chief there he will change instructions in my card so the people there giving away the meds won't make me appear there twice a week. Today I have got late for a test because someone had to cut a long conversation after getting methadone... This is ridiculous. The only thing I'm afraid is that I actually signed a paper where I accept it all because one day a nurse brought some paper not filled in yet, there was empty space in a few places. So I signed it in blanco...

In the hospital I had terrible headache on the second day I took 4mg. Now I realize all I needed was more time, so my body could accustom. It accustomed to 2mg and not counting that terrible constipation, I don't get any side effects like headache or nausea. This is not a straight agonist after all and doses used for maintenance are much higher than dose for alleviating pain (well, these programmes are called in fact High-Dose Buprenorphine Programs). I know the proper way to enter the maintenance programme isn't 4 days in the hospital but I really had a lot of tests that week and one was the day after I was discharged from the hospital. That's why I asked the psychiatrist if it's possible I can get discharged and my dose would be cut to the previous one. I know it's possible to increase the daily dosage of methadone by 10mg being already on the programme and not going to the hospital again.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Is there any way I can get more from these 2mg pills? I know the bioavailability for s.l. administration is not more than 50%. I hold saliva under my tongue for like 15 minutes after the pill is totally dissolved, I swallow it when I don't taste the pill in it any more. I don't want to inject them because all I've got is NaCl 0.9% solution and I don't want to make up some story to get Aqua pro injectione at the chemist's. Also I don't have micron filters, I don't study chemistry any more and I don't work in any lab so I don't know if it wouldn't be suspicious if I wanted to acquire some. I found a Polish shop that has Whitman's 0.2 μm filters but it's going to take ages before the shipping comes and I need to start feeling normal right now. I've got just two 2mg pills left because I couldn't come on any weekday in the following week so I had to come on Sunday. It shouldn't be like I come to the giveaway point and I'm already uncomfortable. I took pure buprenorphine s.l. before and after a few days I could function normally for like 30 hrs after a dose.

 

[ellua]

haven't posted in a while, guess that happens when you're "clean"-ish for a few years... still maintaining on subs, switched to subutex 1.5 years ago due to pregnancy and not only is the copay cheaper, but no nasty fake fruity taste!! i did a search and saw one brief mention of this brand from earlier this year but wanted to throw in my 2 cents.

i used to get the oblong white generic subutex, shown on the first page, and they were decent. then it went to an aspirin-sized round white pill, pretty similar, slightly worse taste but tolerable. past few months though i've been getting these teeny tiny round pills, .5cm diameter, from a mfr called Hi Tech. logically i know a drug is a drug is a drug but when you see them you think "these can't possibly work as well!". after several months though i'd say these are the strongest generics i've had. after 5 straight years on sub, i still feel an 8mg/day dose come on each time i take it. what's nice is when i crush it up to funnel under my tongue, there's not nearly as much powder as the larger pills produce, which means quick absorption and less time not talking/drooling when trying to talk.

supposedly some docs don't like them because less filler = easier to inject, but i think people who inject will do it regardless. my copay for these is the same but if you pay out of pocket it may be higher than other generics. a friend of mine recently changed jobs and begged her doc to script subutex in the meantime as she had to pay out of pocket for 3 months but he has a ridged, suboxone strips only policy. it makes me sad that some docs are so closed-minded about this, and reminds me to be thankful for my awesome doc, who frequently tells tales of his wild acid & mushroom trips in the desert.

 

[cire113]

^^^ So you were pregnant and switched to Subutex? I dont understand why? Or was it just an excuse you told ur dr to get you to switch?

wasnt your baby born with dependence to sub?

 

[Fire&Water]

I have been prescribed the Hi-Tech 8mg Subutex for going on 2 years now. You (might!) wouldnt believe how easy it is to get down to a 4mg dose within 2-3 weeks w/ miniscule discomfort. I use between 1-2 mg's daily as part of a chronic pain regimen If I could talk my Dr. into being able to use the .25mg Temgesic ampules, thats the route I'd choose - but I'm not sure of the legalities involved...But I do know it's by far the best ROA when it comes to Buprenorphine.

I look forward to the day when .25mg intramuscular takes away my pain & rocks me a little all at the same time (it actually worked that way for me a few times 20 years ago)

Edit: I think the biggest point I'm trying to convey is that 8mg's daily could potentually lead to unwanted side-effects.

 

[Fire&Water]

As for constipation, well, this isn't the best comparison but the quality of life on Suboxone is as low as life of people taking e.g. morphine orally for pain and having the same problem. There is no rush, you get nothing from it (I don't mean I got on Suboxone to feel any rush or euphoria but 2mg is too low, now I know it) but still there are these stupid opioid side effects, the same as when you take morphine or heroin, or whichever full agonist.

I've collected my Suboxone today. And by the time I got there, I had been all wet and my pupils had become dilated like after some amphetamine. This is wrong. Also, anxiety came back, I was struggling with the thought whether I can make it to the uni today or not. Luckily, I've got a visit today and I'm going to talk with my psychiatrist about all of this (cutting my clonazepam dose by 50% wasn't a good move either, especially when one starts a daily treatment with an opioid which lowers the seizure threshold). Another problem is Suboxone was supposed to make my life easier in a way that I could go to the university without worrying about getting W/D and without taking some codeine to ease my nerves, and without spending spare time on buying codeine. And right now I am losing a lot of time getting to the point twice a week. This is not methadone for God's sake, this may be given to a patient for one week in Poland right away. If they want to test me, why won't they? It's the third time I was there to collect my Sub. But I don't know whether there is any reason if they see my damned pupils. My psychiatrist is also the chief of the programme so I hope he will increase my dose up to 4mg and as the chief there he will change instructions in my card so the people there giving away the meds won't make me appear there twice a week. Today I have got late for a test because someone had to cut a long conversation after getting methadone... This is ridiculous. The only thing I'm afraid is that I actually signed a paper where I accept it all because one day a nurse brought some paper not filled in yet, there was empty space in a few places. So I signed it in blanco...

In the hospital I had terrible headache on the second day I took 4mg. Now I realize all I needed was more time, so my body could accustom. It accustomed to 2mg and not counting that terrible constipation, I don't get any side effects like headache or nausea. This is not a straight agonist after all and doses used for maintenance are much higher than dose for alleviating pain (well, these programmes are called in fact High-Dose Buprenorphine Programs). I know the proper way to enter the maintenance programme isn't 4 days in the hospital but I really had a lot of tests that week and one was the day after I was discharged from the hospital. That's why I asked the psychiatrist if it's possible I can get discharged and my dose would be cut to the previous one. I know it's possible to increase the daily dosage of methadone by 10mg being already on the programme and not going to the hospital again.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Is there any way I can get more from these 2mg pills? I know the bioavailability for s.l. administration is not more than 50%. I hold saliva under my tongue for like 15 minutes after the pill is totally dissolved, I swallow it when I don't taste the pill in it any more. I don't want to inject them because all I've got is NaCl 0.9% solution and I don't want to make up some story to get Aqua pro injectione at the chemist's. Also I don't have micron filters, I don't study chemistry any more and I don't work in any lab so I don't know if it wouldn't be suspicious if I wanted to acquire some. I found a Polish shop that has Whitman's 0.2 μm filters but it's going to take ages before the shipping comes and I need to start feeling normal right now. I've got just two 2mg pills left because I couldn't come on any weekday in the following week so I had to come on Sunday. It shouldn't be like I come to the giveaway point and I'm already uncomfortable. I took pure buprenorphine s.l. before and after a few days I could function normally for like 30 hrs after a dose.

adder...
Cut your 2mg pills in two, put half in a shotglass add 3 drops of Vodka (if their the small round pills) More drops if their bigger etc. Let bupe' dissolve - scrape the cotton of one end of a Q-tip with a serrated knife, drop cotton in & let it soak up the solution - drop it under your tongue and dont swallow that shit ! Let it soak through your membrane. The longer, the better

 

[OEandricearoni]

I recently got back on the suboxone. I was prescribed the 8mg strips and i gotta say i fuckin hate these things. I wish that i was just givin i prescription for the pills. As far as taking it sublingually, the strips are better than the pills, but it still tastes practically exactly what the pill tasted like, unbearably awful, the only difference is it dissolves a bit faster, so you aren't tortured quite as long.

Either way, i hate taking suboxone sublingually because of that taste. I really can't stand it. So here i am with these strips that i don't want to put under my tongue. I don't want to IV them either, so what's left? Either plugging or figuring out a way to get this shit up my nose.

I decided to break the tip off of an old insulin syringe to use as a nasal sprayer. I mix a little bit of the strip with like 30units of water and squirt it up my nose. It seems to work alright and its a pretty simple method.

Something im curious about is how much water i should really be using for this. Is 20-30 units enough, or too much? Such a pain in my ass. This would be so much easier if i had the pills and could just sniff some...

 

[Fire&Water]

I recently got back on the suboxone. I was prescribed the 8mg strips and i gotta say i fuckin hate these things. I wish that i was just givin i prescription for the pills. As far as taking it sublingually, the strips are better than the pills, but it still tastes practically exactly what the pill tasted like, unbearably awful, the only difference is it dissolves a bit faster, so you aren't tortured quite as long.

Either way, i hate taking suboxone sublingually because of that taste. I really can't stand it. So here i am with these strips that i don't want to put under my tongue. I don't want to IV them either, so what's left? Either plugging or figuring out a way to get this shit up my nose.

I decided to break the tip off of an old insulin syringe to use as a nasal sprayer. I mix a little bit of the strip with like 30units of water and squirt it up my nose. It seems to work alright and its a pretty simple method.

Something im curious about is how much water i should really be using for this. Is 20-30 units enough, or too much? Such a pain in my ass. This would be so much easier if i had the pills and could just sniff some...

Not sure about amount of ml = mg But you should for sure use a sterile saline solution like "Ocean" vs. any other type of (water)

 

[OEandricearoni]

I'm not going to go out of my way and get saline solution for squirting sub up my nose. I just use filtered water....I'm not worried about getting a nasal infection or anything. If i was doing it IV maybe i'd consider that but for a nasal solution nah.

 

[cire113]

^^
the problem is its gonna almost impossible to get a consistent dosage...

Is sublingual really that bad? i put it under my tongue and i dont even taste it; then i spit it out after a few minutes

 

[OEandricearoni]

^^
the problem is its gonna almost impossible to get a consistent dosage...

Is sublingual really that bad? i put it under my tongue and i dont even taste it; then i spit it out after a few minutes

What do you mean impossible to get a consistent dosage? If i was taking it sublingually I wouldn't be taking the whole strip at once and breaking a piece off of it. Probably about 1mg so i'd try to break off about 1/8 of the strip. When making a nasal solution i try to make it about .5mg, so 1/16 of the strip, which is kind of hard to eye out, but that's not really because of the intended ROA.

And yes, i really hate taking them sublingually that much. Every second of having that terrible tasting strip under my tongue is torture. When i first got the prescription i nearly vomited before half of a 8mg strip was able to dissolve. Like i said its still better than the pills but pretty shitty.

I don't get how they havent figured out how to make a formulation that doesnt taste so goddamn awful, at least the strips were in step in the right direction duration wise, but they need to do something about that terrible taste...lime flavor my ass....

 

[cire113]

What do you mean impossible to get a consistent dosage? If i was taking it sublingually I wouldn't be taking the whole strip at once and breaking a piece off of it. Probably about 1mg so i'd try to break off about 1/8 of the strip. When making a nasal solution i try to make it about .5mg, so 1/16 of the strip, which is kind of hard to eye out, but that's not really because of the intended ROA.

And yes, i really hate taking them sublingually that much. Every second of having that terrible tasting strip under my tongue is torture. When i first got the prescription i nearly vomited before half of a 8mg strip was able to dissolve. Like i said its still better than the pills but pretty shitty.

I don't get how they havent figured out how to make a formulation that doesnt taste so goddamn awful, at least the strips were in step in the right direction duration wise, but they need to do something about that terrible taste...lime flavor my ass....

I mean taking it intranasally it really hard to be consistent; U make a solution with X amount; but when u administer it some doesn't stick to mucus membranes some is swallowed; i think u know what im saying..... but go for it..

 

[Captain.Heroin]

I mean taking it intranasally it really hard to be consistent; U make a solution with X amount; but when u administer it some doesn't stick to mucus membranes some is swallowed; i think u know what im saying..... but go for it..

To make a most ideal solution you would make it fairly concentrated so you can administer your dosage in a volume of water that is small enough to just hit your nasal passages without creating a drip.

 

[Tommyboy]

I have been prescribed the Hi-Tech 8mg Subutex for going on 2 years now. You (might!) wouldnt believe how easy it is to get down to a 4mg dose within 2-3 weeks w/ miniscule discomfort. I use between 1-2 mg's daily as part of a chronic pain regimen If I could talk my Dr. into being able to use the .25mg Temgesic ampules, thats the route I'd choose - but I'm not sure of the legalities involved...But I do know it's by far the best ROA when it comes to Buprenorphine.

I look forward to the day when .25mg intramuscular takes away my pain & rocks me a little all at the same time (it actually worked that way for me a few times 20 years ago)

Edit: I think the biggest point I'm trying to convey is that 8mg's daily could potentually lead to unwanted side-effects.

I know you said you were prescribed the 8mg subutex, but I was wondering if that was the daily dose that you were on when you did the 2-3 week taper down to 4mg. It is good info for others to know.

I decided to break the tip off of an old insulin syringe to use as a nasal sprayer. I mix a little bit of the strip with like 30units of water and squirt it up my nose. It seems to work alright and its a pretty simple method.

Something im curious about is how much water i should really be using for this. Is 20-30 units enough, or too much? Such a pain in my ass. This would be so much easier if i had the pills and could just sniff some...

You can buy an oral syringe at any pharmacy if you don't want to keep using the broken tip insulin syringes to administer the nasal spray. I'm not sure of the ideal amount of water to use for the spray, but I would keep it low.

 

[Captain.Heroin]

You can buy an oral syringe at any pharmacy if you don't want to keep using the broken tip insulin syringes to administer the nasal spray. I'm not sure of the ideal amount of water to use for the spray, but I would keep it low.

Good advice; I wouldn't want to use an insulin syringe with a needle tip removed as the plastic part could scrape your nasal lining, leading to nose bleeds, etc.

I actually have 1ml tuberculin slip tip syringes, and they are perfect for intranasal use, and won't hurt your nose at all.

 

[shadeyshaun]

I have just spent 2hrs reading this thread from its beginning and just had to say something, like how lucky u all are. I'm fuckin jealous man, i'm still stuck in active about 6 to 8 bags a day, in South Africa thats a lot of money. I was on subotex once for 7 days and i dropped from 8mg to 4mg after 3 days then 2mgs for days then the Idiot doctor dropped me all together. Result is I went into full blown turkey and was back on the H in 12hrs. My veins have all disappeared as have my loved ones ( aint addiction a bitch) I would swop a kidney for a suboxone script but cant seem to find a doc who willwrite me one, they all push some 12step treatment facility i can't and wont afford. Ive been there done that even spent 4 years as an addiction councilor. But help myself i can't.
thanks for letting me gripe, I wish I could find a doc on line, i'd be prepared to drive 6 hours if it could mean getting legal and off the needle.

 

[Captain.Heroin]

i'd be prepared to drive 6 hours if it could mean getting legal and off the needle.

If I was in your situation, I'd move to the United States, or another country with a more well established Suboxone maintenance program, where there's more doctors willing to give you an out patient prescription of Suboxone.

That, or you can try to source Suboxone illegally in South Africa, but it's up to you.

 

[OEandricearoni]

Good advice; I wouldn't want to use an insulin syringe with a needle tip removed as the plastic part could scrape your nasal lining, leading to nose bleeds, etc.

I actually have 1ml tuberculin slip tip syringes, and they are perfect for intranasal use, and won't hurt your nose at all.

Yeah i've been pretty careful with it so far as its not realy something designed to be put in your nose. I try not to stick it up too far, and instead lightly snort while i squirt the sub solution. I'll probably go to the pharmacy and get an oral syringe after i get my check this weekend.

I'm seriously so broke right now that i couldnt afford it. Part of the reason why i got back on the subs....H sucked me dry these past few months, messin with that shit again was a big mistake.