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

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So I am nervous and scared and pretty sick, and I have an appointment with a suboxone doctor tomorrow at 1pm...

I have some questions....

From your experiences, will I be given suboxone at this appointment, or will I have to schedule another appointment for my first dose?

If I am to be given suboxone tomorrow, can I ask the doctor for a low dose? I want to take no more than 2mg to start and see if that holds me.. I want the lowest dose daily that is possible. I am gonna be pissed if the doctor MAKES me put an entire 8mg under my tongue because I have never needed more than 3-4mg to soothe wd symptoms.

If I do decide to use again in the near future (I am not planning on it) will I be drug tested? Do many sub docs drug test? And will I be kicked off the program if I fail my first test?

Please help! Thanks!

Haden

It's possible that they will give you suboxone tommarow, but most of the time they tell you to come in the next day when you are in full withdrawal for them to do your "induction" You have to be in withdrawal when you take your first dose of sub. You can tell the doctor that you would like to take the smallest dose that you can get by on. There's no way for me to know whether or not he will actually do that though. I don't know if it would be a good idea for you to tell him you've obtained it illegally before and taken it. If he does put you on a higher dose, you don't have to take what he prescribed you to take, just take what you need. It will probably be helpful to have some extra anyway. Your suboxone doctor will most likely drug test you. I've never heard of any that do not.
 
^^ My sub doctor used a full panel urine test, which tested for:

•Amphetamines
•Barbiturates
•Benzodiazepine
•Buprenorphine
•Cocaine
•Methadone
•Methamphetamines
•Ecstacy (MDMA)
•Opiates (300ng)
•Oxycontin
•Propoxyphene
•Marijuana (THC)

And i looked online, didn't find any full panel tests that testing for buprenorphine and not methadone. Bupe isn't that old so not all drug tests test for it but methadone has been around for a while, so if it tests for bupe among most other common substances, yes, it probably also tests for methadone.
 
It's been a week, I thought I'd be able to stop taking this shit and be okay now..

Ugh.
 
hey,i am brand new to this site but definitely not to the drug world,so i feel stupid asking....what is this kratom i keep reading about?
 
hey,i am brand new to this site but definitely not to the drug world,so i feel stupid asking....what is this kratom i keep reading about?

http://en.wikipedia.org/wiki/Kratom

Kratom contains many alkaloids including mitragynine (once thought to be the primary active), mitraphylline, and 7-hydroxymitragynine (which is currently the most likely candidate for the primary active chemical in the plant).[1] Although 7-hydroxymitragynine and mitragynine are structurally related to yohimbine and other tryptamines, their pharmacology is quite different, acting primarily as mu-opioid receptor agonists. Other active chemicals in kratom include raubasine (best known from Rauwolfia serpentina) and some yohimbe alkaloids such as corynantheidine.
 
Just wanted to drop in for a minute & let any interested parties know I'm feeling much better today.
The PWD had subsided by about an hour & a half.
I ended up using 1mg of bupe over the course of the day rather than getting dope.
Though as I stated I'm still very curious as to how the hell it could have happened?!
I doubt I will find an answer though as it would appear to be an anomaly considering the circumstances.

About to dose another .5mg today as my back is killing me (have back pain problems normally).
However, I don't feel much in the way of w/d symptoms besides bone aches.
Which is quite odd as normally I don't experience bone ache's until I'm in severe w/d.
Regardless bupe is an odd one & as such I'm willing to accept bone aches if it covers the rest of my w/d symptoms.
At this point I'm figuring bupe is my best bet for getting through the holidays & such without the up's & down's & such associated with full agonists.

However, I would love to find a way to deal with the feeling of being "orange" that I get from bupe.
What I mean by "orange" is this indescribable nausea that I get whenever I take sub's.
It's completely different than full agonist nausea (which I rarely experience) or the nausea of being sick from w/d or sick from say the flu.
I basically feel what seems to be a nasty lemon-lime feeling throughout my body accompanied by said nausea.
I realize I'm doing a terrible job describing it but as I said it seems indescribable. :)
I use my sub's intra-nasally as that seems to help a bit with the nausea as opposed to sublingual.
I'm wondering if it's perhaps the povidone, as I've experienced nausea from other substances containing povidone.
I've tried promethazine & hydroxyzine to counteract said nausea.
The hydroxyzine was the more helpful of the 2, however my supplies are extremely limited on the hydroxyzine as opposed to the promethazine.
I should be able to acquire more hydroxyzine but am not sure on the time frame on this.
I also use cannabis to help combat the nausea.
Besides the methods I've listed does anyone have any suggestions as to how to treat this nausea?

Another point of contention I'm having with sub's is that they seem to mess with my vision quite badly.
It's almost as though everything is slightly blurry or hazy.
I do not experience this effect on full agonist's & as such find it somewhat curious.
Also quite annoying! :\
Any tips on dealing with it? I'm hoping it subsides after a few days of getting used to the sub switch.
I plan on getting kratom to use as either an adjucant to the sub or for coming off the sub's or both.

Speaking of kratom, let me point chrismaccius to this thread.

The Kratom Thread

Continuing onwards I'm luckily so far not experiencing much in the way of constipation though I usually do with sub's.
I'm attributing this to the use of Docusate Sodium which I recently added to my regimen.
I usually dose the Ducosate approximately every 3 days.
To those that struggle with opiate induced constipation I highly recommend trying this.

Anyways once again I'd like to say thanks to the thread & BL for permitting my ramblings.
I'm finding this thread to be a good outlet with the stress of the holidays & being opiate dependent.
I hate having to try to balance pain management with everything else but we all do what we must.
Luckily in the coming new year with insurance kicking in I'm hoping I can get proper medical treatment.
I'd love to stop this constant scramble that I'm sure some others can identify with.

Regardless I wish the best of luck to others in the thread with there struggles.
I'm guessing I'll check back in here at some point in the relatively near future for my own piece of mind & to help any others that I can.
I hope everyone is doing there best in dealing with & enjoying the forthcoming holidays. :)

I just noticed that captain.h beat me to the punch on the kratom answer but the above link still may be useful to you chris.
 
back to 1mg......so im very stoked on that.........apparently my body readjusted................
 
^^ Nice.

I've got probably 2-3 days max left of kratom left, im a week and change since taking suboxone and it's going pretty good. The only withdrawal i get now is slight temperature regulatory crap. We'll see if that increases when i run out of kratom.
 
^ this makes me think of when ill need to stop taking my bupe.......not a pretty thought.........

i dont no what it is, but i feel like opiates / opiods got a grip...........i realize i can stay on BMT or MMT as long as i want, and im doing well.........but man, i still think about using......a good amount to.......and its not even that........

i dont wanna WD anymore, so stopping BMT is not an option atm........

^although i do plan on going 0.5mg and 0.25mg first..............so i know it wont be hell, or even half bad
 
PAWS and headaches / nausea

I was tossing up whether to post this in TDS or here but it will probably get more relevant views here...

Since getting of Suboxone 7 weeks ago, I've been waking up with fairly severe headaches and occasional nausea. The headaches are slightly worse than a typical migraine. They are always present and the only way I've been able to numb them is through strenuous exercise. Anyway, I've got a couple of questions:
- Has anyone else had these side effects from post acute Sub/Bupe/Opiate withdrawal? If so, how long did they last and did you find any effective way of minimising the effects?
- Is it possible, likely or probable that this is not related to the cessation of Suboxone and is a symptom of some other condition?

Thanks!
 
Ya I am a chronic pain patient (diagnosed w/ T.O.S. and was prescribed E.R. opioids from 16 to 20, now almost 21) and then went to a pain clinic in cali (im from WA) and he put me on opana and subuxone. I thought the head aches were just from my nerve pain shooting up my neck, but I never used to wake up in the morning with headaches/migranes that bad. I decieded to try to wean off the opana and try the subuxone alone.

Thats when it got really bad, one my pain wasnt managed anymore and i got up to 24mgs a day and the headaches were horrible, i was drinking enough water, eating properly, ect. The nausea was also another bad side effect for me, even worse once i changed to subutex. Before I got put on E.R. meds i got up to about 16 norco so my stomach is sensitive. Especially waking up in the morning and having to let that sit under my tounge. Headaches are about 20% more common in subuxone than placebo, nauseas equal to placebo.

I tried going from 24mg subuxone down to 4mg/day, then subutex 12mg/day down to 1.5mg/day and still the headaches and nausea were horrible, i started to loose weight again which i couldnt afford to do. I got switched back my original E.R. opioids and within less than a week the headaches were gone besides my usual nerve pain headache and my appetite is soo much better. Ive tried no meds, and every kind of pain med and you just gotta find what works best with your body.

I hope this helps. I liked the clear headed part of suboxone but it didnt do shit for my nerve pain, plus the side effects werent worth it. If you have a cool doc just explain whats goin on, its not good to have side effects like that.

Stuie
 
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^
Thanks.

I think it makes more sense in your situation as you were either going through withdrawal (due to decrease in dose) or medication changes and had chronic pain to begin with. I've never suffered from any severe physical pain in the past. What puzzles me is that I've been totally off all opiates, booze and weed for 7 weeks and I'm still getting the headaches. If anything they are worse than they were a couple of weeks ago.

My Dr. is cool but I'll have to wait a few days to see him given the time of year.
 
well i was never actually going through withdrawls, i wanted to make sure that a higher dose of subuxone/subutex wasnt the cause of the headaches. The lower the dose i went the less managable my pain was but i can take like 1mg of subutex and stay outta withdrawls almost all day... but the headaches are completely different, my nerve pain causes shots of pain up the back left corner of my neck/head. The subuxone/subutex headache is a horrible throbbing migrane. But id been off all booze weed n opiates while in cali and just subuxone and the headaches were horrible. The doc switched me back to opana after i tried the subuxone for 4 weeks.
 
"The Suboxone Blues"

I have been on about 0.5mg - 1mg every morning for the past few months... But for these past 3 days I have been using around 4mgs of Sub everday (2mg in morning, 2mg at night)..... I Don't know why I am even doing it.....its like it feels like im doing nothing, ya know that feeling you get right before you do a drug that you ENJOY taking? Well, I don't get that with suboxone at all.... (I call it the "Suboxone Blues." So yeah its 2:59am here on the east coast and I just got done smoking a little in the ol' water pipe. But yeah, so I am just bibble-blabbing right now..lol :)

Check out this video if your bored and wanna see a bad ass song song being recorded...this is some old school shit for real....but damn its good when your feeling irie eyed...
http://www.youtube.com/watch?v=YN0PI5b4Nww
^^ "Yes I am the ganja mon..." -MR. Lee "Scratch" Perry
 
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I was tossing up whether to post this in TDS or here but it will probably get more relevant views here...

Since getting of Suboxone 7 weeks ago, I've been waking up with fairly severe headaches and occasional nausea. The headaches are slightly worse than a typical migraine. They are always present and the only way I've been able to numb them is through strenuous exercise. Anyway, I've got a couple of questions:
- Has anyone else had these side effects from post acute Sub/Bupe/Opiate withdrawal? If so, how long did they last and did you find any effective way of minimising the effects?
- Is it possible, likely or probable that this is not related to the cessation of Suboxone and is a symptom of some other condition?

Thanks!

Does anyone have any further thoughts on my post above?
 
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