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

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Universal_General said:
But I keep hearing the bup does something to our receptors and body that makes people stay in PAWS for 6 or 10 years if not for life? I have read and heard more then a dozen of times that bup triggers some issues in our brain and body that it can damage it permanently, hence of ever lasting PAWS... Because it's a new drug people do not know anything about iit's long term affects, and basically we are all guinea pigs and trials..Again this is not encouraging indeed..

Many people cannot ride through PAWS, it can be impossible because its like the living dead, this is why I believe its one of the reason people cannot stay off subs, or have to go on an opiate, but its also a concern that not even opiates work after quitting subs as the receptors have adjusted to sub and destroyed pathways that feed in other opiates..

I also do not know if its true that anybody who takes sub for over 6 months will lead a miserable life as their testosterone will be destroyed for life, thyroid messed up for life, endorphins productivity never being able to be the same and basically creating health issues which can be mistaken for underlying health problems, but were only created when on sub and post-sub.

Another issue is the PAWS include symptoms lke fatigue, low-energy, depression, insomnia, no motivation etc and who can really cope with that for 6 months let alone 5 or 10 years or life? when people claim methadone symptoms or PAWS do not last as long it does make you wonder doesn't it whether there is indeed some truth to these horror claims.
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I have to use (up to) 120 mg's a day oxycodone some days for acute chronic pain in conjunction w/ 2 mg's of subutex as an aid for the rebound effects of the full agonist med' So I'd have to disagree with your analogy.
And no, 60 mg's would not cut through the pain if I wasnt using the subutex Been there, done it enough to know the difference.
Though 4-8 mg's subutex could possibly fight the effects of the full agonist med'...
 
Thats a strange combo, do you take the oxy and subs together? Always thought that was counteractive as the bup knocks any agonist off quickly. I was told if using oxy must wait til your really feel wds to start the subs. I been there also going back and forth oxy to subs. Its no fun, hope you feel better. Everytime I made the switch to subs was affraid I did it too early and would get the terrors like they warn about.
 
Its possible and the new pain related anti depressants might help. The problem is they take soo long to actually work, weeks or a month sometimes. I never been a fan of any anti depressants. Rather go thru a week of hell than months of weird feeling meds designed to change who you are.
 
wow i cant find an answer to this anywhere...

we all know that sometimes we can get subs illicitly. well ive got a good question

What if anything would a Sub doctor do/say if you have been taking suboxone as the last thing before going to your first appt?

like say your waiting all weekend to get an appt made the next week. all you have to get by on is a little bit of suboxone.(one strip in my case) my only other choice is to try taking my tramadols which im super afraid of

u think im going to have to wait until the sub is gone for the doctor to even start my induction? i mean its not like im gonna have P/W. and id be honest.

it would be crappy to think that they would need me to stick to dope in order to help me, rather than a safe small dosage of suboxone.
 
It depends on the dr. They all have diff policies of their own within the regulations. I just tell them I been a sub patient for long time. Old doctor moved out of the country because he russian and now need to start therapy with this new dr. You get piss test possitive for subs and you in.
 
Slum Survivor said:
did u tell them that?? what did they say?

how much did u take and how long did u wait until the induction after your last sub dose?
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Yes, I told them. I had been off of poppy pod tea for a couple weeks, was using kratom. Had took suboxone a week before. It's all a bit of a blur now because I was suffering from amphetemine psychosis.
 
Poppy pod tea dammmm, i always wanted to try that. Serenity now!!! I jealous but good you getting off that.
 
RodRamsey said:
It depends on the dr.
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arguh!!! that sucks, but, its kind of what i was thinking as well...
its like they are promoting the use of the DOC by not allowing u to be positive for bupe in the induction. i mean its a lot safer for someone to have taken some bupe than street dope.
im so damn paranoid about it now... someone at another forum told me i should try asking over the phone about it before i make an appt. idk about that either, id certainly want to use a different phone and name to ask from however.

also dont most of these "drug tests" or urine screenings have to be specifically for bupe to even show it?

my old sub dr from a couple years back used a totally different testing kit to test me for bupe from the one he used for the induction. he even said it was a pain in the ass because it took so long to work and was more expensive for him than the normal test. (dont worry i didnt have to pay for the urine tests tho, he didnt rip me off)

so maybe depending on the situation, and how sick i can stand to be before the induction, i should just keep my mouth shut about the bupe unless im asked about it specifically

now i just wish i could go back and slap that suboxone strip right out of my hand. i woke up pretty sick and took 1/4 of a strip subL. it honestly didnt hold me over all that great either so i basically scrwed myself.

i hope i can help someone else avoid this situation... just go sick instead of trying to get away with taking bupe, especially if u dont even have much bupe in the first place like me; i thought i was gonna make one damn strip last like 3-4 days stupid stupid me.
 
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Try a few doctors, have a list ready to go in your area. One gives you a hard time try another and adapt your approach as you go. Its always weird dealing with new doc's, just feel them out. Put them on the hot seat and questions about them and qualification dealing with bup. Since you already been on subs drop your old dr name and tell them it really helped you stay clean. Most doctors need patients or they make no money even if your using insurance. Don't go to best dr or the worst. Find one in the middle, they usually more understanding. If a doctor has been in practice for long time less chance he get hasseled by agencies which means your getting in the door easier. I would go there on subs and tell them your there new patient. You not asking for anything, your their customer/patient. Make it real business not about the subs. You need this certain med to work and function so they should comply. They tried making me pay for piss tests. The check is in the mail lol did I fail ooops. This dirty bastard never even look at my results or chart, he just said how much you need and when paid I out the door. Did I just see a dealer or a doctor? He did me real dirty in the end so now I write a few noterized typed letters to medical board and license committee. Thats way more peaceful solution than what I had planned for him.
 
anyone ever have trouble because you came in on any benzo's?? like say u admit u took 20mg diazepam or more the night before for example, would some dr's refuse to dose you, being worried about mixing the bupe with benzos that u already took and have remaining in your system?

i mean damn, how do they expect u to make it till your appt ya know?

my old doctor was cool about everything, but he was VERY strict about benzos. luckily at that time i wasnt on any. now i have a script for valium, go figure more to make me worry about.

all this crap makes me want to become an addiciton specialist my damn self in order to really help people, really knowing how it is.
sorry to post again, but my last post is pretty long anyways. ;)
 
RodRamsey said:
Try a few doctors, have a list ready to go in your area. One gives you a hard time try another and adapt your approach as you go. Its always weird dealing with new doc's, just feel them out. Put them on the hot seat and questions about them and qualification dealing with bup. Since you already been on subs drop your old dr name and tell them it really helped you stay clean. Most doctors need patients or they make no money even if your using insurance. Don't go to best dr or the worst. Find one in the middle, they usually more understanding. If a doctor has been in practice for long time less chance he get hasseled by agencies which means your getting in the door easier. I would go there on subs and tell them your there new patient. You not asking for anything, your their customer/patient. Make it real business not about the subs. You need this certain med to work and function so they should comply.
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i mean thats the idea and all but i cant afford to pay the damn doctor and then them refuse to give me any sub... im just going to have to ask over the phone i geuss.
you would think since they are addiciton specialists that they would understand that your an ADDICT, and that as complicated the situation may be that they still need to help you either way,

my doctor was working with me on the cost back then btw, my sis is a psychologist and he was a friend of a collegue of hers thru the grapevine. im sure that helped me avoid extra costs like the drug tests. he even would call me in a script without seeing him since it was such a drive and obviously costly. looking back on it now, i sure wish i still had him. or hope that maybe he will take me back... we didnt end on a sour note, i just couldnt afford either the script or the visit at the time and quit going. so it wasnt like i violated his rules on substances or anything. my only complaints were how hard it was to get ahold of him, and how he didnt want to let me lower my dosage when i really really wanted to. i mean damn at least i was honest with him ya know? he never said anything about marijuana use either and i smoked the whole time thru. i think he just casually mentioned not to smoke pot anymore when i saw him the first time. but when he tested me i would have failed for pot everytime and he never said crap. he even had me go to an A.A. meeting with him and he said quite a bit about his past, which shocked me. cant believe he trusted me with that info... but i was always honest with him.

sure hope this guy will take me back, and that i can deal with him being so far away from me.
 
Ya some doc's get tight about benzos. Usually they might just give you a 2 week script but they going to test you more often. If you can find a decent doc stay there and gain trust. Then its smooth sailing. The beginning always a bit tense for both patient and doc.
 
^Not really at all, I wouldn't say the bupe does anything to the coke high, if you IV the coke....IV coke is way too strong to be brought down by something like bupe....If you don't have much of an opiate tolerance and bupe gets you high, it might be different, but I have a feeling the whole experience would be just as intense...you wouldn't even feel the bupe at all while the coke was active...
 
Bup and cola is a bad mix from my experience. Better to benzo down from the cola then think about bup if you even need it. Never heard of it being used to treat speed, only opiates as it is an opiate. Btw I tried every ROA off the films possible and was very disappointing compared to the tablets. If you ready to go clean and taper use the films. If not stay with the tablets, now have generic tabs also. The films are very effective for tapering but came across very weak to me after being on tabs for 3 years.
 
New to BL here, had a quick question. Had addiction problems the last 4-6 years, with last 3-4 years (off/on) with opiates.. Vicodin, Lortabs, Lorcets, Hydrocodones.. After a few self-detoxes, rehab detoxes, relapses, etc etc, you know the story, finally found a local Dr. to prescribe Siblingual Suboxone strips. Been working great past 7-8 months.. Prescribed 60 8mg/2mg strips a month (2 daily), but never took close to that amount. Maybe 8mg daily (quarter/half in morning and before bed, or as needed), now down to 8mg/per day, but found myself needing more, especially in mornings.. Got Dr. to prescribe 45strips/month instead of 30 strips (so basically 3 half-strips daily), but my question is.. The only reason I even take as much as I have been is because I feel leg/back pains, or soreness, or stiffness (which was the worst part of my opiates detox).. At the beginning of this sub treatment, one 1/2 of a strip would last me all day, or 12 hours for sure.. Now it's feeling that after a few hours, my body starts to ache or pain if I don't take another 1/4, 1/2 or even a full strip.. What is causing this, is it normal? Maybe all of it is not being absorbed? I don't know, just figured I'd ask..
 
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