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

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Just and update on to everyone on my current condition. Flip back a page or two to read my post about getting ready to start Suboxone. Had my sub appointment today, and it went...alright. The doctor stared me down with a devil's eye and insisted that I immediately cease all Xanax use immediately without a taper (I'm only on 2mg a day so it should be okay) and also quit smoking all pot. I also have to go to 2 NA meetings weekly and visit a substance abuse counsel every other week.

I kind of expected most of the above (minus the extremely negative attitude towards Xanax and the expectancy to quit overnight cold turkey), but what really blew my mind was the dosage she gave me. I've been given 8mg twice daily for coming off of a minuscule 120mg daily roxy habit. That seems absurd to me, I've used subs in the past recreationally and gotten buzzed from 2-4mg (with a tolerance about the same as mine is now). I've only taken 1/2 of 1 tablet so far today, and I think that might be all I need. It seems silly that the doctor would be so extremely mean-spirited about drug use and staunchly anti-drug, and then hand over to me the equivalent of...what...4 1/2 grams of morphine a week? Just seems extreme and extremely ironic/hypocritical. On a more positive note, the nurse I saw before the doctor was much nice and more understanding than the actual doctor.
 
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Precipitated Withdrawal

I've read around the forums and it seems that 24 hours would be the safe point for me but I just want some personal opinons.. I've done heroin 2 days in a row.(used to be a daily user, been off it for 7 months) Now my question is.. do you think I will be safe taking suboxone within the next 2 hours if I did heroin last night at 11pm? I mean I doubt i'll have ANY withdrawal symptoms from the heroin so... when do I judge doing it? Personally I feel i'll be fine but... just wondering if anyones had any personal experiences. NOT trying to go into precipitated withdrawal.
 
^To be safe you should wait until you well into withdrawal symptoms. If you mean that you aren't actually dependent on heroin and just want to take the sub for fun, then it is doubtful (though debated) that you can even experience precipitated withdrawal and it might just sober you up. See this thread. precipitated withdrawal in people that are non-dependent??

edit:
by the way saying the last time you used heroin was "last night at 11pm" and then asking if you can to it within "the next 2 hours" is completely meaningless as these are international boards where 11pm last night can be anywhere from an hour ago to 24 hours ago. Adding your location would help if people wanted to look up your time zone but just using how much time has passed is easiest.
 
fuma518 said:
quick question. can i plug the film strips? and is the basically the same as plugging the pills? just dissolve it in water and use a needless syringe?
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Yeah the strips dissolve just as well, if not better than the regular suboxone pills. Just mix with water, and pull it up with a needle-less syringe. Do NOT heat when you're mixing it up. The suboxone strips dissolve very fast and easy.
 
How do I combat this hellish nausea from bupe???

:( hello bluelighters,I've been having it out with bupe maintenance:(

First I find out I'm hell allergic to naloxone(really really bad itch/burn,fever,hives)

So doc switched me to subutex,gone are the itch/burn fever and hives but I'm a literal puke machine:(

after my first dose of the day I'm fine for about 4-5 hours then the damn vommiting starts:(

I can't even keep water down,food forget it

this goes on and on all night and it's wearing me out:(

is there anyway to combat this nausea?because if not I'm going to have to nix this whole treatment thing and that just blows:(

PLEASE suggestions? thankyou all:\


oh and btw-I've never puked from opiates ever
 
Hmmm what is your dosage? It could be an overdose on bupe or the beginning of withdrawal. Perhaps try breaking your dosage up to multiple times during the day to limit peaks and valleys. If it is not that and has to do with upset stomach than you can try a different method of administration like sublingual or rectal.
 
The first time I used buprenorphine I had issues with nausea, turns out I had just taken a bit too much.

I was able to stave off the vomiting by smoking large amounts of cannabis and sublingual ondansetron...although it eventually got the best of me, I puked a few times, and felt better.

I say take amapola's advice and space your dosage out so you're not getting the peak-and-valley effects.
 
SubDude said:
I've been dosing .5-1mg subs daily for over a yr now [after a taper] and yesterday I had a horrible tooth ache and 2 mg didn't touch it.

Long story short... I took 2 mg more twice about 30 minutes apart each. Total 6mg and not only did it knock out a 7.5-8 pain scale tooth ache... but I nodded for about 4 hrs. Totally surprised. Not about pain relief but the nod. Comforting to know I have a bunch of pain meds if needed... especially since i have history of kidney stones. Anyway, I might try this again in about 2-3 weeks just to see what happens. I'm sure if tried again today or tommorrow it wouldn't be as good. BTW I also had 1mg xanax which is my normal dose when not taking prescribed K-pins.... so that probably potentiated.
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When I had extreme/excruciating bone/tendon/muscle pain, even higher doses of IV buprenorphine weren't doing much for my pain. :(

I'm glad to hear that it helped with a tooth ache though. :)
 
NeighborhoodThreat said:
The first time I used buprenorphine I had issues with nausea, turns out I had just taken a bit too much.

I was able to stave off the vomiting by smoking large amounts of cannabis and sublingual ondansetron...although it eventually got the best of me, I puked a few times, and felt better.

I say take amapola's advice and space your dosage out so you're not getting the peak-and-valley effects.
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Well I've found that under the tongue roa gives me heartburn and upset stomach so I've been railing the tex,

I'm breaking an 8mg pill into 6 parts so the amount I'm doing is pretty small,

The weird thing is the puking don't start till 4-5 hours after a dose,I've railed alot of different opes and never had this problem unless it happen to be garbage street dope that had god only knows what in it.

I don't feel that I've overdosed because thats usually really obvious,I'm begining to think my body just don't get along with this stuff:(

I've decided against methadone so if the sub don't work out I'm kinda screwed,

If I did'nt have legal issues to deal with I might try weed again after not smoking for at least 10 years
 
Captain.Heroin said:
When I had extreme/excruciating bone/tendon/muscle pain, even higher doses of IV buprenorphine weren't doing much for my pain. :(

I'm glad to hear that it helped with a tooth ache though. :)
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I also have a tooth ache right now and my 32mg Suboxone does almost nothing to the pain. The only thing that somewhat helps are regular Paracetamol.
 
DeLee said:
I also have a tooth ache right now and my 32mg Suboxone does almost nothing to the pain. The only thing that somewhat helps are regular Paracetamol.
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I think sometimes some of us don't get that great pain relief from buprenorphine others do.

I am also using relatively small doses, and am probably going through less than 1mg per day IV (probably about 0.1mg or less at a time).
 
i been doing pretty good on being clean off opiates been over 2 months now and i was 7-10 days off the subs but i had to get afew more really for pain not the withdrawls that was over with but they do help my pain i got something wrong with my back im trying to figure out what the deal is i actually got a MRI done yeasterday i should get the results back within the next week or so ...lets hope its nothin to serious and something that they can correct for me
 
^ I sympathise with you. my back has legitimately begun to hurt me when I wake up in the morning I have to take the bupe immediately to numb it, and after an hour it goes away. However, I feel like I should probably get mine looked out for to, so I don't go around taking pain medication that I'll just build a tolerance to to a point where it reaches ceiling effect, at which point, it's only a matter of time before the back pain comes back.

To CH,
Im sorry to hear about your your pain too. did you try SL suboxone?
 
yea it sucks i cant sleep half the time cuz my back and thats really the whole reason i got addicted to dope i was more self medicating then anything i didnt really chase a high i usually just wanted to make the pain stop or atleast take the edge off but its to expensive to try to deal with it like that and i was at the point where i was slangin H and OC it was just a matter of time before i got caught up so i had to give it up im proud of myself tho its the first time i been clean in in shit...14 years i think pretty much since my dad died when i was 13 i been smokin herb daily ..or eatin shrooms.. or summin ya know
 
Znegative said:
^ I sympathise with you. my back has legitimately begun to hurt me when I wake up in the morning I have to take the bupe immediately to numb it, and after an hour it goes away. However, I feel like I should probably get mine looked out for to, so I don't go around taking pain medication that I'll just build a tolerance to to a point where it reaches ceiling effect, at which point, it's only a matter of time before the back pain comes back.

To CH,
Im sorry to hear about your your pain too. did you try SL suboxone?
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I would never try sublingual buprenorphine again to be honest. I was in excruciating pain and buprenorphine doesn't help against really bad kinds of pain.

I'll PM you though - I'll explain why I was in pain.
 
@podswell j pods: How are you taking your subs? I projectile vomited everywhere first time I tried snorting it, but that was also during the first few days of the transition from H to bupe, and at high doses. At much lower doses (2 mg and under), I had a much easier time snorting, but only tried that a couple of times. If you are taking them sublingually as advised, and still having problems, then maybe you should consider alternatives such as methadone, and see where that gets you? Or as suggested, lower doses... But puking is definitely not a good sign. It could also be diet related, and that you have some stomach acid issues or something... One thing is consulting other BL'ers, but try get a second opinion from another clinic or doctor...
 
Does anyone else think it's strange that I was started with a dosage of 8mg 2x daily of Suboxone to treat a 120mg/day roxy habit? It seems like quadrouple overkill to me, but I'm not complaining...but I really don't think I could physically take 16mg/day.
 
24mg suboxone, how to taper?

Hey guys, i guess ill fill you in on my story so youll have a little background. I've been addicted to opiates off and on since i was 15 (20 now) and my last relapse was the 1st week of april 2011. I was put in an outpatient program after my family found out that i had once again relapsed. I had been dropping about 300 dollars (6 50 bags) a day on very potent heroin for a week until i ran out of money. I made the stupid mistake of injecting the suboxone the clinic was prescribing (this was 2 thursdays ago...april 7th) too soon after using heroin and precipitated withdrawal which i can only explain as feeling like i was being lit on fire from the inside. That whole event scared the shit out of me and i have been following the Dr's orders (i told him what happened) with no hesitation. Im concerned because i had only been doing heroin for a week and yet they "titrated" me to a dose of 24 mgs which i most certainly feel "over-medicated". I had been taking 4-8mg suboxone for several months before this relapse and never needed more.


Do I really need this high of a dose? How can i start to taper down without experiencing withdrawal symptoms ?

I really am serious about recovery this time, i know i cant keep destroying my life. I want to be off the suboxone permanently so i dont have to be a slave to it either, but from what ive read it can be even harder to kick than dope.

Does anyone have any advice or success stories from tapering down and getting off completely?
 
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