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

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I agree with ~4 days of bupe to do a rapid taper. It's best to do this in phases IMO.
 
Help with questions about suboxone

I have some questions and need help please.... i was clean and sober for a long time- 4 years, relapsed and then went back into treatment- I have a new job now and rehab is not an option- I cant take time off for another 6 months so I relapsed again, how I started is I have a medical condition and it is painful- I started taking ultram because my dr said it would be ok- before I knew it I was taking 20 pills a day then of course started with the pain pills again, percocet and vicodin- i met with a suboxone for the first appointment because I felt this was the only help or I was not going to make it. I started the suboxone today the film strips and my eyes are totally pinned and i am having trouble urinating and I actually feel high on it.......is this normal and will it go away. Any help would be appreciated.
 
charlie14 said:
I have some questions and need help please.... i was clean and sober for a long time- 4 years, relapsed and then went back into treatment- I have a new job now and rehab is not an option- I cant take time off for another 6 months so I relapsed again, how I started is I have a medical condition and it is painful- I started taking ultram because my dr said it would be ok- before I knew it I was taking 20 pills a day then of course started with the pain pills again, percocet and vicodin- i met with a suboxone for the first appointment because I felt this was the only help or I was not going to make it. I started the suboxone today the film strips and my eyes are totally pinned and i am having trouble urinating and I actually feel high on it.......is this normal and will it go away. Any help would be appreciated.
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You can lower your dosage so you still get effects but not to this degree.

What kind of dosage are you using? You can split the 8mg strips in half and try 4mg instead of 8mg or more at a time.
 
I have a question for those who have gone through a Scandinavian subuxone treatment inpatient for a month which is quite similar in every Scandinavian country. I signed a program entry for a summer as I have used recreationally oxycodone during weekends and through the weeks for pain management.
Do they let you do the tapering down with oxy before switching to suboxone or do they just wait until you start withdrawaling from oxy and give you suboxone then? How they treat the pain before they give you suboxone? And how much they should give me suboxone to treat my pain if it is without any medication in 8-9 in scale of 1-10 and about 4 with 60mg daily oxycodone?
 
MrRoot said:
I have a question for those who have gone through a Scandinavian subuxone treatment inpatient for a month which is quite similar in every Scandinavian country. I signed a program entry for a summer as I have used recreationally oxycodone during weekends and through the weeks for pain management.
Do they let you do the tapering down with oxy before switching to suboxone or do they just wait until you start withdrawaling from oxy and give you suboxone then? How they treat the pain before they give you suboxone? And how much they should give me suboxone to treat my pain if it is without any medication in 8-9 in scale of 1-10 and about 4 with 60mg daily oxycodone?
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I was in severe pain recently, for several months. Probably ranging from 8 to 10 at best to worst.

You don't want to go on Suboxone with this kind of excruciating pain level.

Suboxone only relieved my symptoms to maybe a 6 or 7. Just enough so that I didn't feel like I had no way out of it.

They have to wait to give you Suboxone until you are in withdrawals, so you would be in pain before the Suboxone, and then the Suboxone can only do but so much. Some people get more or less analgesic effects from it, I think that full agonist opiates work better for pain, as much as I didn't want to have to go back on them.

You can go on a high dose of Suboxone if you feel like it has some pain relief but you'd just like to get the most pain relief available. I increased my dosage 8 times to go from baseline effects to maximum pain relief.
 
Sounds scary. That program is voluntary so I can get out whenever I want when I am not high on anything or are not harmful for others or myself. But getting out of that in-patient program basically rules out suboxone maintenance program when I have got the surgery and have recovered from it and do not (hopefully if the surgery goes ok) need oxycodone to manage my pain. I think I should call to there and ask if I can do the program with the OxyContin instead of Suboxone.

Mostly the program seems to be to check out that you can use your drugs and watch that you dont do them recreationally. Also it is to form a daily routine and learn about addiction and how to cope with it. It seems actually to be for persons that are in much worse situation that I am in as I take care of my self, shave my beard, change clothes, go to shower etc. And I do exercise into the extent that I can. I for example go to physiotherapy three times a week which is the only times I lift weights as they supervise and tell the proper techniques to not cause harm to my back. I also do a lot of walking for a person that has my condition. I walk with my dog about three miles a day.

But back in the subject I could also take the program before the surgery but there would be much older people than me in that program instead of 20-35 aged people in the group I am going to attend. And also there would be a alcoholics in the later group and I dont want to hear all night long the screaming when 50+ male screams as he thinks that bugs are crawling inside his body or other delirium effects.

But I also dont like having opposite sex of people in their twenties acting like going on puberty.
 
MrRoot said:
Sounds scary. That program is voluntary so I can get out whenever I want when I am not high on anything or are not harmful for others or myself. But getting out of that in-patient program basically rules out suboxone maintenance program when I have got the surgery and have recovered from it and do not (hopefully if the surgery goes ok) need oxycodone to manage my pain. I think I should call to there and ask if I can do the program with the OxyContin instead of Suboxone.

Mostly the program seems to be to check out that you can use your drugs and watch that you dont do them recreationally. Also it is to form a daily routine and learn about addiction and how to cope with it. It seems actually to be for persons that are in much worse situation that I am in as I take care of my self, shave my beard, change clothes, go to shower etc. And I do exercise into the extent that I can. I for example go to physiotherapy three times a week which is the only times I lift weights as they supervise and tell the proper techniques to not cause harm to my back. I also do a lot of walking for a person that has my condition. I walk with my dog about three miles a day.

But back in the subject I could also take the program before the surgery but there would be much older people than me in that program instead of 20-35 aged people in the group I am going to attend. And also there would be a alcoholics in the later group and I dont want to hear all night long the screaming when 50+ male screams as he thinks that bugs are crawling inside his body or other delirium effects.

But I also dont like having opposite sex of people in their twenties acting like going on puberty.
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That's understandable.

For some people Suboxone works really well for pain - if it doesn't work well for you - and you are allowed to - you can go back to oxycodone. Using Suboxone and then full agonists is OK (whereas when using full agonists and then Suboxone too early - this is what causes precipitated withdrawal).

My pain level is significantly lower today, but for the first few months this year it was horrible. Other than medication for surgery, I never really got pain management either. I increased my dosage of buprenorphine since whatever else I received wasn't doing anything for me. Total waste of time to ask them for pain meds. :|

I hope that Suboxone works well for you - it works well for a lot of people, and you can titrate the dosage as you feel you need to. Some people are especially sensitive to it, other people are less sensitive to it.

I'm glad you're not having a really hard time or anything with routine life activities though. Before the surgery, for me it took me at least 10 minutes to tie my shoes, I couldn't shower the whole time, the first 1.5 days after the surgery all I could do was cry because of how much pain I was in, and try to hold still (any small movement worsened the pain so much).

The next 1-2 months of physical rehabilitation was really unpleasant but I'm glad I persevered through it as long as I could, because I'm basically back to my old self again.
 
bupe question

i ran out of subs yesterday, and had a lot of stuff to do so i stupidly took 10mg of methadone at 8am. it was my first time taking methadone but now im seeing people say you should wait 72 hours after your last dose of methadone before taking suboxone. is this true even if i only took 10mg once, and dont have it built up in my system? i'd like to score some suboxone tonight but really dont wanna go into precipitated wd's. sorry if this has been answered already, i tried searching but couldnt find a straight answer for such a low dose of methadone only taken orally one time. thanks in advance!
 
I think you'll be ok. For only taking 10mg of methadone for one day and the dose being so small, precipitated wd shouldn't be an issue. I'm sure I could possibly be wrong so wait for some more answers to this. Good luck.
 
thanks! i thought that would be the case but i just wanna be safe. i'm leaving my house in like an hour to get some subs and wont be near a computer for the rest of the night so if anyone knows a definite answer, it would really be helpful
 
48hrs is the standard time to abstain from methadone until u dose suboxone, but i always take suboxone when i feel the withdrawl coming on-yawning, watery eyes,anxiety, etc...then i dose.
 
Captain.Heroin said:
If they used a very small amount of Suboxone to do a fast taper, it would be the easiest. I wouldn't go past 3 or 4 days at the most if you don't want to have to eventually taper off of buprenorphine itself.

Then you could save the leftover buprenorphine for recreational experiences. :)
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Exactly. And, you are able to function like a normal person at work/home/play.


If you're having the symptoms you described, you're addicted. However, you're not in deep shit, yet. Bupe can help you come off of your small addiction with little to no pain at all.


FWI: I am FINALLY down to 2mgs of Suboxone a day, snorting a small amount every six hours. The last pill lasted almost five days, so it's even lower then 2mgs. What's really weird is that I find that cut down, I get a "kick" or buzz from the the Bupe about a half hour after snorting it.

Straaaaange.....
 
^Yep, that's why we for the most part all agree that <1mg is the ideal range for feeling bupe's effects, maybe <2mg for some, but <1mg is best for most, it seems.
 
Can someone please send me a PM or reply to this post or split this post into it's own thread as I would really appreciate some help here...been on Suboxone for 4 years at a low dose 0.5mg a day. Would like to quit, and wish to know the easiest, least painfully/WD way I can do this... or reply to this thread! I'm not a noob (check post count or posts from 2007-2008 when I was a full blown junky, I used to know my shit, but haven't been on BL a lot lately and need some advice from the regulars).

Should I go cold turkey from 0.5mg a day or should I take it every other day then every third day? Should I split 0.5mg into two doses of 0.25mg by mixing them into 0.9ml-1ml of water and taking 50% of that solution sublingually? What is the best way to quit Suboxone without feeling any W/D, or as little as possible?
 
enoughorangejuice? said:
Can someone please send me a PM or reply to this post or split this post into it's own thread as I would really appreciate some help here...been on Suboxone for 4 years at a low dose 0.5mg a day. Would like to quit, and wish to know the easiest, least painfully/WD way I can do this... or reply to this thread! I'm not a noob (check post count or posts from 2007-2008 when I was a full blown junky, I used to know my shit, but haven't been on BL a lot lately and need some advice from the regulars).

Should I go cold turkey from 0.5mg a day or should I take it every other day then every third day? Should I split 0.5mg into two doses of 0.25mg by mixing them into 0.9ml-1ml of water and taking 50% of that solution sublingually? What is the best way to quit Suboxone without feeling any W/D, or as little as possible?
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I have found that with Suboxone, you lower your intake at your own rate.

I would try to break it down to as little amounts as possible and take it that way. Like I said, I crush and snort mine, so it's easier to take a really small dose. Plus, it hits you quicker than taking it SL.

I'm currently on 2 mgs a day and plan to drop to a half mg a day. Once I'm down to that level, then I plan to make my dosages further and further apart....thus REALLY weaning myself off.

I'm the first to admit it. I'm a pussy and can't come off the drugs. I have major anxiety, so I'm going to go as low as I can and try and go for longer periods of time as I can in order to wake up one day and go "WOAH..... I didn't need my bupe!"

If I were you, I would just try to make the time between my dosing longer and longer each day. Don't stress yourself out over it because it's only going to make it worse. You gotta go at your own pace.
 
Pegasus said:
^Yep, that's why we for the most part all agree that <1mg is the ideal range for feeling bupe's effects, maybe <2mg for some, but <1mg is best for most, it seems.
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That is maybe true if you use Bupe recreationally but like me I was on the Suboxone program for my heroinaddiction.
1-2mg would never ever have held me "well enough". It would just be an impossible struggle, a struggle that might have been better without any Bupe.
What semi-worked for me was to go a lot higher in dose, around 16-24mg I believe if my memory serves me right Any higher than that was just a waste, no improvement.

I ended up going over to Methadone instead. That is another story!
 
The main problem with buprenorphine is that it doesn't work the same for people who are highly insensitive to opiates, or have a gigantic tolerance to them. I know this to be true as my friend who passed away used to take well above 32mg per day, and another friend I know who is (hopefully) still alive, wouldn't have fared well on 2mg or less per day.

As I am sensitive to opiates and have basically no opiate tolerance now, buprenorphine works exceedingly well for me.
 
Captain.Heroin: From reading a lot of your posts in the past and now, it seems like you have been on bupe for awhile now. I've been on it for well over a year now, and was on methadone before that. My question is how should I go about getting a good feeling from the bupe again? I take maybe 4 to 8mgs a day, everyday. how long would i have to withdrawl to actually feel a little buzz.
 
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