Hello: I hope that someone here can help me out. I take prescription drugs daily. Morphine 2 times a day. 30 MS contin in the a.m. 15mg MS contin in the eve. I could take 4 breakthru 15mg Oxycodone but am down to two a day. I went to a pain clinic a while back and got a script for suboxone and never took them. I bought the out of pocket as I know there can be issues with insurance (another story.) My questions are: Do I have to taper off first.
How soon after my last dosage do I start taking my suboxone . What is the least amount of time I can be on suboxone before stopping. Do I stop cold turkey from the subs and do I also have to taper off. I know I've asked so many questions but I really appreciate any help I can get. The physician I did see passed away and I'm not interested in paying for any more visits when there are so many people that have gone through the same situation and have more empathy. Thanks Michelle p.s. I'm new to this forum and have posted this question in more than one place. I may not be doing this correctly and for that I'm sorry.
The bupe transition always goes easier if you taper down on whatever you're doing, to as low of a dose as possible, first. But either way, to take your first dose of bupe, you need to wait until you are in moderate-severe withdrawal from opiates, however long that is for you. For some it's 24 hours, some less, some more. Then, once you're sick enough, start building up the bupe slowly in your system by taking 1-2mg's at first, and waiting 2 hours (that's how long it takes for bupe to reach peak effectiveness), and repeating as necessary.
Given your tolerance, which is not very high, you are probably not going to need more than around 4mg's of bupe, as it is very very potent.
You have to decide how long you want to stay on the suboxone for. You can either do a short detox, a long one, maintenance, etc. Up to you. But, whenever you stop, you will want to then taper again on the suboxone, because those withdrawals suck too. Gradually reduce your dose over whatever period of time you are comfortable with, until you get to around .5-.25mg's (jumping off suboxone at the sub-milligram range is much easier than anything higher. Like any other opiate, the withdrawals will be worse the higher the dose you come off at).
Then, once you've taken your last dose of suboxone, and if you tapered correctly and came off at a low dose, you should feel very minimal withdrawal. You'll feel shitty, but be totally functional and okay. The acute withdrawal phase will last a couple weeks, followed by another couple months of PAWS.
I'm going to move this to the Suboxone Megathread and I advise you to read through it and the past versions, as there is a ton of info (both basic and advanced, everything you could want to know), in there. If you have more questions after reading through them and doing a search and reading our many other bupe/suboxone threads, feel free to post again and ask.
Also in the future, please do not post the same question in multiple threads. Find an appropriate thread for your topic, and post in that one and that one alone. Thanks.