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

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not smokin bud has been killin me.. when i say other then the bupe im clean i can piss clean

and i actually got off the bupe i went a whole week now im kinda getting a 8mg pill and breakin it down to 2mg.. and goin every other day just to help my pain
 
not smokin bud has been killin me.. when i say other then the bupe im clean i can piss clean

and i actually got off the bupe i went a whole week now im kinda getting a 8mg pill and breakin it down to 2mg.. and goin every other day just to help my pain

You're doing great! :)

Is there a reason you are forgoing weed? No choice in the matter - or you want to be off of everything?
 
well i pretty much quit everything else that was detected by a drug test figured why not cuz after i get my back issue worked out ima have to get another job and my last few jobs i always had to find somewhere that didn't drug test.. i think i can find a better job and have alot more options if i can piss clean i been drinking alil here and there just to have some kinda outlet... and u know how i been having trouble sleeping .. i did take xanax a few times but i wouldn't say it was recreational it was only half a bar and i went to sleep..i wish i woulda had extra i woulda got to enjoy it but i guess its good to be totally sober sometimes ..i do know one thing tho once i do get to smoke again ima be so loaded ...shit im bringing down all my tolerances haha ...i guess thats the drug addict thinking

really tho my goal was to stop doing junk ...i aint tripping on weed or a bar here and there
 
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well i pretty much quit everything else that was detected by a drug test figured why not cuz after i get my back issue worked out ima have to get another job and my last few jobs i always had to find somewhere that didn't drug test.. i think i can find a better job and have alot more options if i can piss clean i been drinking alil here and there just to have some kinda outlet... and u know how i been having trouble sleeping .. i did take xanax a few times but i wouldn't say it was recreational it was only half a bar and i went to sleep..i wish i woulda had extra i woulda got to enjoy it but i guess its good to be totally sober sometimes ..i do know one thing tho once i do get to smoke again ima be so loaded ...shit im bringing down all my tolerances haha ...i guess thats the drug addict thinking

really tho my goal was to stop doing junk ...i aint tripping on weed or a bar here and there

Well thats great! It sounds like you can use weed and alprazolam without being addicted to it. That's how I am too. :)

I'm glad to hear you've distanced yourself from heroin + full agonist opiates. That's just awesome. I was so happy when I was finally clean for a whole year. I felt like my old self except even better. :)
 
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.
I find this too. Paracetamol works great for nasty headaches. I'm on 8-24mg of bupe, Subutex, per day, as is my fiance, in 2 shots in the morning and one early evening.
 
and i actually got off the bupe i went a whole week now im kinda getting a 8mg pill and breakin it down to 2mg.. and goin every other day just to help my pain

dam if you were off bupe a whole week i would even take .5mg doses for pain every few hours...

im gonna see if i can go 24-48 hrs without taking bupe... usually i dose ever 12hrs...

the stability from bupe is freakin amazing compared to short acting agonists.. that roller coaster sucks!!

now i feel a little bored if that makes any sense lol.. im not used to feeling "well" all day
 
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i ended up having to take my dose real early in the mornin just to get some sleep but i sleept and once i got up i didnt take no more ima try my hardest to sleep tonight without taking none and then tomorrow dosing
 
I have a question for people who get monthly supplies of suboxone. What type of doctor/facility do you go to? I'm asking because I'm on maintenance, and the place I have been going to for the past several months is no longer treating people long term. They said I can stay with them and taper for 12-14 weeks, or find somewhere else. Because I have chronic pain, I know quitting subs will lead to bad things.

I went to the Suboxone web site and found a bunch of bupe doctors in my area, but I have no idea which to call. Some look like pain clinics while others seem to be family practice physicians. There's also a psychiatrist, and I've actually seen him before (for insomnia), but he kinda creeped me out then, and seeing him for sub maintenance seems like it'd be even worse. Also, I'm accustomed to a small office with zero to three people in the waiting room at any time, and would like to avoid overcrowded clinics.

Anyway, I'd really appreciate any info about finding a doctor for monthly visits. I have all these phone numbers, but I don't know where to start or even what I should be asking them.
 
^Just start calling the places you found in your area, and ask them exactly what you asked us. Unfortunately we don't know where you live, what clinics/doctors are there, and what their procedures are. I know it can be daunting to pick up the phone to find a new doctor, but if you have to do it, you'll be glad you did.

Just call around, tell them your situation, find out their procedures/costs/etc.
 
Long message below, but I really need some input and help on this one. Please, any caring users, ex-users, or whoever...give me some advice. I'm about at a breaking point with my sub program and I'm only 6 days in.

I'm really beginning to wish I had never signed up for my Suboxone program. The local program that I'm in required me to instantly quit cold turkey off of a 2mg/day Xanax habit, won't allow any leeway for bud, requires me to meet with a therapist weekly, as well as go to 2 NA meetings per week, and on top of all that, they started me off with a dosage of 8mg 2x per day, which was WAY more than I needed. Yesterday I decided to take matters into my own hands and dropped down to 4mg 2x per day, and today I've only had 4mg and am going to try and stick with this dose for a little while.

The big issue that I'm having is that I REALLY needed my Xanax prescription (it was given out after I withdrew from school due to anxiety, and after an anti-depressant approach made me feel sick and suicidal), and I'm now having daily panic attacks and breaking down to the point where I'm considering suicide a viable option. On top of that, I went to my first NA meeting yesterday, and not only did it not help at all, but it actually made my cravings WORSE. The meeting was totally disorganized, there was only 1 actually sober member in the group, and everyone was chugging down Monsters and coffee, then chain-smoking cigarettes outside, all the while talking about how they were "beating addiction," and giving into the fact that they "were just addicts and couldn't control themselves." The program seems totally self-defeating, nobody really helped me get started, or gave me any literature, or tried to set me up with a sponsor. And worst of all, being around all these junkies and pseudo-junkies just made my cravings for drugs (mostly for my pot and Xanax, as I'm DONE with opiates) that much stronger.

Does this seem normal at all? For a sub doctor to require me to cease my much-needed script of benzos, and to be forced to attend a highly disorganized and self-defeating meeting TWICE a week? Am I just being whiny or does this seem ridiculous? The only relief I've managed to get from my cravings and anxiety has been through occasional use of kava kava extract and phenibut, as well as the occasional cigarette. Now I'm also worried that I might end up trading in my weed smoking habit for a cigarette smoking addiction and be in much worse shape. All in all, I think it was a bad idea to start this program and I really want out as quickly as possible.

I have my next meeting with my therapist on Tuesday of next week and I'm going to express these concerns with her. If she can't budge on the whole NA thing, I'm going to just pretend to go along with it for a few more weeks, taper myself off with all the subs they're giving me, and go back to my old routine of daily weed and occasional Xanax. I honestly think starting this sub program has caused me more harm than my year of opiate addiction ever did. Sure, it's allowing me to save up some money, but at what cost to me? If I end up killing myself during one of my panic attacks, will it really have been worth it? What will it take before doctors like this see what they're doing to people like me?!
 
The short answere is to find another dr and check out other NA meetings. Most cities have several choices for both. In the meantime you might want to stockpile as much subs as possible in case of emergency.
 
Long message below, but I really need some input and help on this one. Please, any caring users, ex-users, or whoever...give me some advice. I'm about at a breaking point with my sub program and I'm only 6 days in.

I'm really beginning to wish I had never signed up for my Suboxone program. The local program that I'm in required me to instantly quit cold turkey off of a 2mg/day Xanax habit, won't allow any leeway for bud, requires me to meet with a therapist weekly, as well as go to 2 NA meetings per week, and on top of all that, they started me off with a dosage of 8mg 2x per day, which was WAY more than I needed. Yesterday I decided to take matters into my own hands and dropped down to 4mg 2x per day, and today I've only had 4mg and am going to try and stick with this dose for a little while.

The big issue that I'm having is that I REALLY needed my Xanax prescription (it was given out after I withdrew from school due to anxiety, and after an anti-depressant approach made me feel sick and suicidal), and I'm now having daily panic attacks and breaking down to the point where I'm considering suicide a viable option. On top of that, I went to my first NA meeting yesterday, and not only did it not help at all, but it actually made my cravings WORSE. The meeting was totally disorganized, there was only 1 actually sober member in the group, and everyone was chugging down Monsters and coffee, then chain-smoking cigarettes outside, all the while talking about how they were "beating addiction," and giving into the fact that they "were just addicts and couldn't control themselves." The program seems totally self-defeating, nobody really helped me get started, or gave me any literature, or tried to set me up with a sponsor. And worst of all, being around all these junkies and pseudo-junkies just made my cravings for drugs (mostly for my pot and Xanax, as I'm DONE with opiates) that much stronger.

Does this seem normal at all? For a sub doctor to require me to cease my much-needed script of benzos, and to be forced to attend a highly disorganized and self-defeating meeting TWICE a week? Am I just being whiny or does this seem ridiculous? The only relief I've managed to get from my cravings and anxiety has been through occasional use of kava kava extract and phenibut, as well as the occasional cigarette. Now I'm also worried that I might end up trading in my weed smoking habit for a cigarette smoking addiction and be in much worse shape. All in all, I think it was a bad idea to start this program and I really want out as quickly as possible.

I have my next meeting with my therapist on Tuesday of next week and I'm going to express these concerns with her. If she can't budge on the whole NA thing, I'm going to just pretend to go along with it for a few more weeks, taper myself off with all the subs they're giving me, and go back to my old routine of daily weed and occasional Xanax. I honestly think starting this sub program has caused me more harm than my year of opiate addiction ever did. Sure, it's allowing me to save up some money, but at what cost to me? If I end up killing myself during one of my panic attacks, will it really have been worth it? What will it take before doctors like this see what they're doing to people like me?!

It would be very irresponsible of them to take you off of your high-dose Xanax like that, assuming you had been on for more than a few weeks. Go see another doctor or hospital and they will have to help you, it is dangerous for them to not help you in fact. If you are in benzo withdrawal, which you surely are if you took that dose of Xanax for any period of time, you really need to see another doctor soon and get some benzos. Explain your situation honestly along with the feelings from the withdrawal and the doctor will be obligated to help you.

I agree that tapering with the Sub that you are stockpiling is a good idea. As far as the benzos, they are not good long-term solutions and so maybe you should think about tapering those in the near future!

Good luck! I've been exactly where you are and you will feel better!
 
The problem is there is literally only one Sub clinic available in my area, and they have a rule of "one strike and you're done," meaning that if they drug test me a single time and find any drug other than sub (or legals like caffeine, herbals), I will be kicked out of the program. Does anyone have any serious medical literature or anything I could print off to show my doc about the benzo issue? She simply told me "you should not have withdrawal at that dosage," and when I told her I would withdrawal and that I would please like to taper or at least receive an alternative script to ween me off for a week or so, she told me absolutely not and that we couldn't even begin the program if I wouldn't agree to the "no benzo" rule. I know the clinic is in the wrong here, but I don't know what I can do about it, and they may have contacted my anxiety doc and told him not to script to me anymore. I need to get things sorted out, but I don't know where to begin. I just want to get clean off this sub and get the hell away from this clinic. Anything I could bring in to show my doc/therapist in the meantime? Like a legitimate page detailing benzo withdrawal, what dosages it occurs at, after what period of time, what the symptoms are, etc. I really need some help!

Also I'm giving NA one more try tonight (I'm forced to do two meetings per week), and I'm just praying things work out better. Literally, one of the leaders at my NA meeting last night said the following to a girl who was talking about telling her friend to hide her pills from her, "I don't care who's ass they were up, I'd eat those pills." That just isn't the kind of message I need from a "recovery" program. I also recognized quite a few of the faces at the meeting as local users who I KNOW aren't clean and are just there for probation or some other court-ordered reason.
 
^
http://benzo.org.uk/manual/index.htm
http://benzo.org.uk/bzequiv.htm

Dr. Ashton is among the most respected benzodiazepine experts worldwide. Those links show that your dose when she pulled you off is equivalent to somewhere around 40mg diazepam, give or take a bit. That is a huge amount compared to the dose to which tapering is recommended: around 1-2mg diazepam or equivalent.

Again, this is assuming that you were on the benzos for an extended period...
 
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My doctor as well won't dare prescribe be banzos. He told me there are other medications that can deal with anxiety that aren't benzos, so he gives me those. If you haven't been on benzos for 3 weeks to a month, you are probably past benzo withdrawal and you are just missing them, although I agree your doctor should have set out a taper plan off them with you. My sub doctor is kind and understanding and although I told him I would really love something like clonazepam he told me addiction doctors aren't the kind to be prescribing benzos and gave me lyrica instead, which has done wonders for my anxiety and depression. He has also prescribed me trazodone for sleep, but at the dose I'm taking (300mg a night), it also doubles for an anti-depressant. The same goes for seroquil and other non habit forming anti-depressants.

And as far as meetings go, you should find one you love. I have the great ability of living in a major city where many meetings occur, and it has taken me some time to find one I enjoy, although my sub doctor doesn't require it. Finding a sponsor isn't as easy as someone coming up and asking you, my meeting lets people who are willing to be sponsors raise their hands at the beginning of meetings, and if you hear one of them say something that particularly hits a nerve, you have to go up to them after the meeting and ask them. It's about as awkward as asking a girl out to prom, but it's worth it if you work it.

My doctor also doesn't require me to go to a therapist, which I always found daunting and unnecessary. I'm really sorry that your sub doc is really pulling your strings and making you do all kinds of nonsense, but it that's what it takes to get clean, so be it. Maybe try getting on methadone and see what that's like, or skip town and find another sub doc that doesn't require you to take so much time and cash out of your week to get meds.
 
high off subs??

alright so i recently moved to a new city and don't have connect for anything (dammit seattle!) but i did bring along a few subs my friend gave me for the comedown. it's now been like 3 weeks since i've had any opiate (usually 60-100mg of oxy would fuck me up pretty nice).
the other day i got one of the subs (the 8mg pills, not the new strips) broke a quarter off and snorted it. I was craving oxy kind of when i took it, but after that I actually got a little high off it! i've heard that subs have like trace amounts of opiates in it, which is how it works, (correct me if i'm wrong) but i never really got high off it before. i had the nice calm mind and sleepy-like state.
Has this happened to anyone else? is it bad to take subs if i'm basically off opiates already?
 
Yes, many people get high off of buprenorphine. Having a low opiate tolerance helps this become a reality.

It's not bad to use buprenorphine when you're off opiates already, but buprenorphine in itself can be addictive and habit forming for people who haven't yet gotten addicted to full agonist opiates. I know because I've seen people fiend for it like crazy when I never thought such a thing was possible! 8o
 
i'm a pain patient. have been tapering off oxys. doc today started me on suboxone cause i was having a withdrawal-like reaction to a dosage change in Nucynta (which was sposta be my bridge off full agonist opiates). i started with two test doses of those nasty tasting strips, and they eventually gave me the rest of the full 8mg strip. i also got a 20mcg/hr Suboxone transdermal patch, which i have on now.

shockingly, the suboxone in day 1 of usage is really working great. no wd symptoms. some pain is still there but very manageable. with a script for 7-day patches, i don't have to deal with anxiety about worrying if i'll run out before my next appt. in general, i feel good. no nice warm euphoria like a handful of hydrocodone but a general feeling of being at ease.

i'm not using anything recreationally, am not on benzos, do physical therapy regularly, etc. No drinking, no pot, just some prescribed zopiclone for sleep.

so, i'm committed to healing from my injury, playing by the rules, etc. i've been sensitive to dosage changes and seem to experience wd symptoms easily. my goal is to manage my pain and manage my pain management so that i wind up healthy and wd free.

it seems that starting out at an 8mg/day level of suboxone is high, yes? in months previous i was on up to 160mgs of OC plus 60mgs of hydrocodone a day. had tapered to 20mgs of OC/day, then was briefly on Nucynta.

is there anything i can do now to minimize exposure to suboxone wd's later? am i on too much suboxone? its the only analgesic i take, and i still have substantial pain. as i sit here, i feel like i can handle this level of pain. but this is day 1 of subs. will tolerance develop?

i still have some leftover nucynta, which my doc said i could take for breakthrough pain. the nucynta is like tramadol, basically. since i'm using the transdermal patch i'm pretty much constantly dosing the sub. if i take a nucynta, do i run the risk of getting sick?

thanks
 
8mgs of sub for pain isnt so bad though I personnlay use it for pain,subutex though,(subutex=suboxone so no difference) and I seem to get better pain relief by only taking 0.5-1,5mg at a time maybe a few times a day rather then dosing the full 8mg. Bupe is actually Rx'd for pain(Buprenex IM) only though and is at extremly low doses. Also Temegesic is rxd for pain in something like 0.3mg pills so its pretty damn low. Try it out after youve been on it a few days so its in your system and can feel it out how its works on your body.

Tolerance will develop but slower than full-agonists im pretty sure but it will eventually build like any other drug. also Nuycnta can be taken with sub no probs, other then being safe when dosing both drugs etc etc. but its been discussed here on BL that they both synergise fairly well so give it a try once your familar with how the sub works on you. Good luck thoe i hope it works out for you as im in the same boat as you, been in PM a # of yrs and finnaly got off full-ags and been trying to just live with sub helping the pain. Good luck!
 
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