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

[OEandricearoni]

So today i tried plugging suboxone for the first time(literally like 20 minutes ago) and i have to say i'm quiet satisfied with the result. I find it to be more effective than snorting it, and probably the most effective way besides IV. Afterwards i decided to check out what the bioavailability was by looking at this thread and was surprised to see it said 54%....I have a feeling it is a bit higher than this. perhaps close to 70. The effects of the sub are much more pronounced than when i snort it for some reason. Anyone else have a similar experience? It seems to me it very well could be over 54%, though i have no way to tell for sure.

 

[cj]

i'm just trying to explain to a previous poster why they're being uppped to 32mg/day. then, yes, most patients gradually come to 2mg or less per day.

personally, i find myself jumping around everywhere. i've been on suboxone for about two years, and i fluctuate from 0.25mg a day to 8mg a day.

does anyone else find themselves doing this? one month you are fine doing 0.5mg to 1mg per day, the next month 4mg a day seems much better, and maybe another month, you do it once a week?

what a strange compound.

Yea I do that but not quite as drastically. I think it has to do with the halflife being so long. I take anywhere from .5 to 2mg per dose depending on how I feel. I find it can fluctuate with my mood and enviromental factors my dose inevitably goes up in the winter. My current theory on the day to day fluctuations is that the half life is so long that dosing everyday isnt really physically neccesary but I just hate waking up in withdrawl so much that I hate taking the chance.
Point being that my dose constantly fluctuates.

 

[i are spectre]

i think im going to skip my next doc appointment and try and jump to loperamide. its much cheaper, and i have a theory it will be much easier to taper with. cutting up those strips becomes problematic because they stick together. not only that, but when placed under the tongue, some days i have more saliva than other days, and i wouldnt doubt a lot of the bupe (being polar) dissolves right in the aqueous saliva and heads down to the stomach.

i figure it will be much easier to drop doses of 2mg immodium tabs than those damn strips. most importantly, ill be saving a LOT of money.

i cant deal with these doctors/pharm companies raping my (our) wallets. it is much cheaper for a lot of us to go back on the streets, though im walking down the sidewalk instead... to (insert large corporate chain here).

sort of a lame pun there... anyway, im in school full time (biochem-eng major) and i work at the college about five to ten hours a week max, so i cant afford these routine doctor visits (they dont even check my BP anymore) for [snip] on top of the ridiculous suboxone prices. also, he even neglects to call in my script each month so im left hanging several days/up to a week without suboxone until i reach him and pay the absurd amount.

so, for a question, has anyone jumped to loperamide entirely from 'the bupe'? can you give some insight on what this did for you? was it a good idea?

i havnt seen much at all on this but its been two years and i need a change. perhaps ill be the first to make the permanent opioid maintenance switch, though i doubt it, i just havnt read anything regarding this.

honestly, i think this is a better choice from a financial stand point. unfortunately, loperamide doesnt work for everyone, but it does for me. ill let everyone know how this goes, ive already saved a decent amount of cash, and now i dont have to worry about having bucks every month or two on top of the damn script. each time i substitute loperamide, it works, damn well. the down side is that it wont be to easy to get back on suboxone, and i dont want to pay bucks just to talk to my doctor about this, its TOO MUCH MONEY THESE DAYS! who do they think we are?! that is all.

 

[sekio]

Please no costs or price discussion here.

 

[i are spectre]

aye, please forgive me, i will brush up on the rules again.

anywho, as far as the 'lope' switch, i am feeling very confident about it. i do feel a little strange, but nothing serious at all, i could go to work or school with no problems.

perhaps in a couple days i will add a small amount of bupe (0.25mg [hopefully every three days or more]) to counter-act this odd feeling, probably some empty receptors here and there...

again, my apologies for the previous post.

 

[Material541]

Anyone tried an intramuscular injection of a micron filtered solution of suboxone film? The link in the FAQ appears to be broken.

 

[basstoodark]

So anyways, Ive been on every different form of suboxone/subutex (tabs, generic, wax compounds, w. naloxone, film, etc) since about 2004 now and I have been reading everyones posts. Alot of knowledge. I kind of settled on the film. I get a choice every time and wow they just hit me so much harder than any other form. Sublingual seems to work great for me regardless of all the talk of injecting having the highest BA. The only problem with the hard hitting doses of subox film is I cant sleep hardly at all and the taste is really starting to bother me. I dont wish to shoot any form of bupe because the payoff just didnt match the damage i.e. collapsed veins, week high, skyrocket tolerance, too many highs and lows through out the day, etc. So I have been using the film lately (which i chose my DR lets me), and I must say that I am not dissapointed. However, the taste is getting too raunchy after years of this stuff so a couple days ago I tried plugging 4mg of film. Wow I was floored. But not the opiate nodding out type of floored, but the opiate energy driven floored. It was highly euphoric and lasted a long time for me. Now Im kind of hooked because I would rather have my ass taste it than my mouth, and it hits nice and quick. The only problem is that it is started to almost become a compulsion just like shooting it was!!! Im trying to get away from it and get back to the sublingual route. I just want to leave you guys with a nice cocktail. Wait until you start to get that withdrawl dysphoria, then take orally about 75-100 mgs of diphenhydramine hcl, wait about a half hour and plug ~3-4mg. A beautiful high will wash over you briefly. Try to have a clonazepam on hand and also another mg or so of bupe because the comedown can be kind of nasty. Almost like coming down from an amphetamine like drug. Has anyone else noticed this? In any event, some people cant handle the depression that comes along with the diphenhydramine, just when you start to feel that way taking about 1-2mg clonazepam and .5-1mg sublingual buprenorphine should boost your high back and if you are lucky enough to have some hydroxyzine and remeron take that as well and the depression will diminish and in my experience I generally nod off into night night land. Buprenorphine is an odd drug. Different ROA's seem to work different on different people. Even on my self I notice one day plugging might be tits, then the next day sublingual is the bees knees. I think alot of it just has to do with body chemistry, enzymes, and even set and setting. Ok this is a huge post sorry. PS- I have been on bluelight for years, but lost my pc and forgot my username. It was sp0r something. Now I have a cell phone that doesnt allow me to log on so I have been reading all of this and was so excited to get to a computer today and post. GOOD day all, im starting to feel the withdrawl creep um my spine. Ill be back in a min tweet me @sp0r412

 

[basstoodark]

Oh one more thing, do any of you get extremely frustrated when you hear so called "professionals" tell you complete lies? The whole bupe/naloxone thing for example. And how many posts are on this thread where someone comes on and mutters some bs like " You guys are idiots you cant get high off of suboxone cuz the naloxone will give you withdrawls its a blocker, you can get high tho on subutex and do heroin too!" Wow is it frustrating to read and hear that so often. Sheesh. Ok love you guys, very smart people.. Ill be lurking %)

 

[Fire&Water]

Guess I'll share my bupe story so far.

Was speedballing, a lot, before I made the decision to change my life. I had a fairly large habit and my fast metabolism didn't help having to redose so often to stave off wd.

I've been on Suboxone for about 11 months now, starting at 16mg which did not hold me and had to be upped to 24mg for there to be any hope of me holding down my job and living a normal life.

I probably stayed at that dose for too long but have been dropping fairly rapidly recently. Going from 24 to 16, 12, 8, 4, 2 and then flipping over to 0.4 Subutex for 1.2, 0.8 and now 0.4.

No one said this was going to be easy and some of those jumps down where hard but with a goal in sight anything is manageable. Especially considering the normality it's brought back to my life.

I've been on 0.4 for 6 days now and it's just about starting to hold me for most of the day and not leave me dog sick by lunch time struggling to finish the work day which I'm really glad about as it's been a tough week. Tough, but still easy enough that I've been able, just, to function and get in to work.

The main point I'd like to stress though about bupe is that this is about curing addiction, not making life easy for yourself, no denying it has helped in that respect but most importantly it's helped in that by the time I come off 0.4 in 3 or 4 weeks, it will have been a year since I used heroin or any other opiate. Breathing space is what a drug like this gives you. Methadone just allows you not to get sick in-between buying heroin.

No doubt I can update on how I feel in a few weeks time when I'm suffering and on how much PAWS I may experience in months to come but time to break habits and sever cycles is vital.

I am immensely lucky to have had this help, with the NHS in the UK I pay 7.40 every two weeks no matter what my dose and no Dr's fee. It's just a flat prescription charge. Free if I was on low income or out of work. Compare that to a g+ of junk a day and just that saving is life changing.

I wish everyone else luck on there journey.

Nice write JB...You & the bupe', are (so-far) a great sucess story, it's working excactly how it's supposed to. Please update, I hope your path is still smooth.

 

[williamishopeless]

GUYS PLEASE SOMEONE HELP I AM TERRIFIED ABOUT AN HOUR AGO I SHOT A QAURTER OF A 8MG suboxone i am not in withdrawls because i havent done any oxy in 4 days, But I got a good buzz and now my head is throbing nauseated and my legs are cramping i feel like i may be somehow injured please someone reply soon I am scared to the point of crying

 

[Pegasus]

^ I don't know what to tell you really... How experienced are you with Suboxone? How much do you usually use? 2mg is a decent amount to IV, not a dangerous amount to an opiate user however, but certainly more than most IV bupe users will advise. It could be naloxone sensitivity (from what anecdotal reports of it... never experienced it myself, nor do many Sub IV users), you could have taken too much and feel bad because of it, you could be sick somehow, etc.

 

[muvolution]

I shot suboxone one time and got terribly sick. It is sensitivity to Naloxone. You will feel like shit for a couple hours, but you'll be fine.

 

[lman_15]

Hey I have a 120mg of oxycotin a day habit.. I just got accepted at the clinic and am getting prescribed 4mg of suboxone a day starting Wednesday.. I took oxycotin last at 10pm on Tuesday and probably did around 80-95mg over the course of the day (i sniff it).. I'm supposed 2 take my dose 2morrow and then go back to the clinic to let them know how I feel.. the clinic closes at 4pm and the pharmacy I'm supposed 2 get it from closes at 6:30pm.. So I'm stuck between taking my dose early and going back to see them and tell them how I feel.. or taking the dose after waiting 20 hours (which will hopefully be long enough to avoid the precipitated withdrawals)..?? What should I do?
I personally was thinking of calling and just explaining that I'm going to wait as long as I can which may be after the sub clinic closes and if that is the case I will just come in to see the doc the next day.. I just don't want to start off on the wrong foot with the clinic and all.

 

[bben]

took 2.5 mg (half a vicodin) that someone gave me between subutex dosing. Since it so low a dose can i go ahead and take me scheduled subutex dose 3 hours after the 2.5 hydro instead of waiting like 12 hours or whatever?

 

[ellua]

does anyone know what would happen if a person who's been buying subs on the street for a few years & has a dependence on it went to a sub doctor and told them they wanted help for this addiction? would the sub doctor continue to supply it for them, now legitimately, or turn them down?

i have a friend in this situation and told them i'd try to find out since i can imagine it's a scary place to be & not know what would happen if you try to get treatment.

 

[guitarwiz]

I took 2mg of sub intra-nasally after a long stretch of all types of opioids and doses (I mix it up every day depending on what's around). I never do the same thing too many times in a row, but I do do opioids/opiates every day as long as mycash allows it. At 7 am Tuesday I took the 2 mg up the nose. Wednesday at 8:25 am (25 hours) later I took 47 mg of hydrocodone (5 speckled 7.5s and 1 ten). When I take hydrocodone its usually between 40-80 mg to feel it or feel pretty good. I def. felt the effects for the amount I took and was feeling pretty good. At the 30 hour mark I snorted an IR morphine 30 and I don't care how people feel about the bioavailability of it, it does the trick for me. I was feeling the effects for sure, knowing my tolerance. A few hours later I sniffed another IR morph 30, and after it kicked in I was def. high and feeling great. I had the heavy eyes feeling, the forcefield around my body feeling, the numb head feeling, and light body feeling. So one does of a small amount of suboxone didn't do anything to block my opioid/ opiate use after waiting 24 plus hours.

 

[Bojangles69]

does anyone know what would happen if a person who's been buying subs on the street for a few years & has a dependence on it went to a sub doctor and told them they wanted help for this addiction? would the sub doctor continue to supply it for them, now legitimately, or turn them down?

i have a friend in this situation and told them i'd try to find out since i can imagine it's a scary place to be & not know what would happen if you try to get treatment.

Yes absolutely the dr would and there is always 1 major determining factor for this.

Put it this way. If you are legitimately in opiate wds (ANY TYPE OF OPIATE USED FOR ABUSE), and convey to the dr that you have a genuine desire to quit, I'd have to say 99% of the time you will get prescribed sub.

But other things can happen during the intake that can effect that. Mainly because I know a lot of idiots who just can't use their common sense no matter how hard they try.

Lying about what types of drugs you're hooked on is a good way to get rejected. Or lying about anything really. Thats why more than anything I told my bupe dr EVERYTHING I was doing to a t. And even when I refused to stop smoking weed on bupe, I told him, and he said "well we can work on that later its not a big deal".

But if your friend lies about something like xanax say, "no doc I'm not taking anything else" on his intake day, dr does a urine/blood test and finds xanax, than asks "why did you lie about the xanax?" thats potential to not be accepted.

Not because you're a horrible person but because you're already giving the dr a reason on the first day of why you can't be trusted.
What I honestly think sub drs care about the most is that YOU take your sub. I've picked this up after only 6 months of seeing my dr but he doesn't care if I smoke pot, or if I'm going to NA or not.... all he really cares about is that *I* am taking *my* sub as prescribed.

So if your friends get a 30 day supply, then doesn't call in till day 60 for a refill, thats a great way to get fucked out of service.
Even complaining about the sub a lot I think is a great way to get fucked out of service. There are definitely ways to get rejected. But you really have to be one massive moron for that to happen imo.

And I also don't know where your friend lives as I hear attitudes differ from state to state.
What I can say is that in NJ & NY sub drs simply do not give a shit about anything. There are TONS of them, and they all just want to fill up their rosters with consistent no bs patients. I am a consistent no bs patient. So my dr is consistent no bs dr in return.

Long story short, yes the drs around here I know for a fact will help him. But you need to be displaying signs of active wds when you go in. And the only thing they really check in terms of that is blood pressure. If its high, you're good to go. If you're shaking and look sad, even better. When I went in I was in wds on top of naturally being hypertensive, so the dr did not blink twice when he precribed me sub. And I told him I had been using tramadol, pods and occassionally bupe. But mainly tram when I went in.

He did not give a fuck at all about what type of opiate I was on, only that I was a "safe bet". So like I said know how to play the role while being as honest as possible, and your friend is very likely to recieve treatment.


edit: one more thing about being "scared" in terms of not recieving treatment. If you go on NAABT.org, the place that matches you with sub drs. You will NEVER be refused treatmet. This is because you explain your predicament before you even go in. And you get contacted by a small army of sub drs that WANT YOU to come into their office, before even making any sort of phone call whatsoever.

NAABT.org is really the shit I'm sure I sound like a spammer thats how much I love the site. But even now if this dr were to refuse me my sub randomly for any reason, I'd go right back on that site, get contacted by dozens of drs tommorow, and get to cherry pick the cheapest to resume treatment with. There are literally that many drs. Its almost impossible to not get treatment if you really think about it.

 

[ellua]

thanks bojangles, that's what i was looking for. i've had 3 different sub docs and it's easy to see already how much their attitude can vary and affect how you're going to be treated. my friend was going to find some oxy or something and say they were addicted to that & have it in their system when they went in but since my doctor screens for bupe too (like you said, to make sure *you're* actually taking it-- i've been re-tested for this twice because my levels were so low & they were cracking down on ppl selling it) it would raise flags that they lied about what they've been taking.

since i don't get on here often anymore i'll give a quick update... i've been on bupe for over 4 years now and the last time i took any other opiates was 3 years ago- it took me a few tries of wasting lots of money to try and "break thru" the subs before i realized as long as i took my meds steadily the cravings were manageable. i'm 22 weeks pregnant now and glad i got that much time clean from other drugs so i don't have to put up with judgmental people worrying that i'll be a bad mother- though i feel horrible thinking about when the baby is born and has a 50/50 chance of having to stay in the NICU for a week or two so they can treat the w/d's... also i'm a little worried about the epidural not being strong enough for me but my sub doc assures me it won't be a problem.

if anyone knows someone who has gone thru labor on subs and how they managed their pain please share, and if the babies had withdrawals or not & how long it took to treat them, i'd love to hear some experiences.

 

[lman_15]

Hey I got a question. I take 8mg suboxone pills everyday (they are prescribed and I'm on the suboxone "program") I'm living in Canada and get prescribed the Octagon shaped pills that are creamy white and have "N8" imprinted on them. I've heard that suboxone has better bioavailability when snorting is versus taking it under the tongue.. If I sniff my suboxone pill (once I get take homes) will it:
1. get me higher?
2. will my doc be able to find out? I heard there is naltrexone in the pill and will naltrexone show up on a drug test when he tests me?
3. will the naltrexone block out the sub high if I sniff the pill?

Final question:
- can I sniff the creamy white octagon shaped canadian suboxone 8mg pills, and not get caught by the doc (through drug testing) and get higher?

 

[muvolution]

Hey, first of all we don't allow drug testing ?'s, ok?

As to your question - BA of suboxone is 10% Oral, 30%-Sub-Lingual, 50% Insufflated.=, 100% IV. The naltrexone is non-active by all routes except snorting