Sorry to double post, but I wanted to address how 32mg a day of bupe is unnecessary and also how the ORT system is massively broken in most clinics.
A poster on the previous page was asking how to lower their 32mg intake of suboxone for a 70mg a day oxy habit (also said 70 hydrocodone, I hope that person did CWE's or had Vicoprofens, because I think only my country serves pure hydrocodone in both syrup and pill form (Hycodan 5mg or Hycodan 5mg/5ml syrup). That's messed up, traded one medium tolerance to a full blown blockade where if they would get hurt, they'd need to eat 6 to 10 800mg Fentanyl pills. Bupe is already pretty harsh on the liver, its gotten so evident that now they take blood tests every 3 months to verify our liver enzymes when Subs (a bit least scary than the EKG appointment every 3 months on methadone to verify your QT). Just want her to have a safe liver. 32mg is not even allowed here, the insert inside the Suboxone box says max dose is 24 and they don't script higher than 24 although I know how that is different in the US, although it's just a money making scam and not anything science-based... I'm glad we have generic suboxone now, well, partially, i'm on 10mg a day so I need a 8 and a 2. At first they were both by Teva, which make much less acidic pills, which is good for one's teeth...But then my pharmacy was going to switch entirely to the new Mylan generics and those really taste horrendous, like they even tried to imitate the taste of meringue, too. After telling the owner of the pharmacy I deal with I'd really wish I could have Tevas instead, they keep ordering some 8mg Tevas for me, unfortunately no 2's, but hey, after they've seen me from down in the dumpsters in 2012 with a huge track mark on my hand and arriving at opening time (8 am) every 90 days where I had to pick up my methadone before I was even given one takehome in panic (because the fuckers took a long time to get me where I needed to be, considering I was IV'ing 32 to 64mg of Dilaudid a day, which is a hell of a lot worse than OP's habit. But somehow when they reached 50-55mg, I was really fine there. I don't understand the people who would need over 100mg of methadone a day either.
But I guess it's because my psychiatrist told them that they have to leave me my valium, no matter what, that I was using it responsibly (verified with pharmacists) since way longer than before I ever stuck a needle in me. The Valium with the methadone and the clonidine scripted by the ORT clinic made it so I didn't need so much methadone. Told a couple of the coolest doctors there that I probably never went north of 60mg of methadone because I was allowed to keep taking valium, which was indeed the truth, without it at 55mg I would wake up like when they were messing with me and sticking my dose to 35mg for a whole month before they raised it sharply to 45mg, I guess they had one hell of an exchange with my very very good psychiatrist.
I got a really painful cyst on my skin that went through the bupe very easily and when it exploded left one deep crater of flesh. I was scripted Abstral 600ug pills (fentanyl pills) to get any sort of pain relief, after the initial doctor attempted to get to it with a script of 8x 80mg oxycontin thinking "if you stop taking your suboxone right now and start taking these you should get some relief". Well I didn't, and all the oxycontin did (and it was APO-Oxycodone CR's, I asked for em since they are cheaper, much cheaper, than the stupid OxyNeo and they knew evidently I wasnt doing it so I could get high. All it did was put me in a sort of almost nod that gave me a migraine on top of it. So the doctor came to my house (yay for home services) and scripted me 24 of these Abstral 600ug (second strongest strength of em, strongest are 800) saying that patches in my case would be useless.
It worked, I also slept for 12 days and my boss was really unhappy with me. Not my fault I got a pilodinal cyst (look up at one's own risk, it's pretty disgusting, and it was even more for me when it burst in a sea of blood and pus). At least it kinda worked too at making the cefzil's side effects I could have had unnoticeable.
They really have to enlighten and have us take very serious 30 day morphine (MS-Contins 200mg/Kadians 200mg/M-Eslons 200mg...whatever else exists) detoxes in a hospital bed, in your own room. I can't believe the first 6 days of my methadone induction I had to live with cokeheads and drunks who dared to say their withdrawal is worst than mine "everyone's different" some cokeheads would say. What a joke. The only people I did believe suffered more than me were the old (over 50) lifelong alcoholics. Its apparently even worse than a typical benzo withdrawal. And then they complain that the benzos they are given makes them tired and "stoned". I tell em, it's to prevent you from seizing up and dying, in the smoking room...they don't listen, most of em. I would give them tips like after you are detoxed, ask the doctor for an Antabuse contract, it'll prevent you from drinking even if you want. (Antabuse makes one feel 2 beers like 20). They gotta sign a contract they acknowledge this, but i think it's the best prevention for them. That and a slow detox using Librium to prevent the impulses of getting some beer anyway and the seizures. As I was telling this, a nurse who was spying on the convos of people in the smoking room on the other side of the door comes in and tells me that I had "one infraction" for telling a guy this, somebody who wanted to get better and was listening to me too.
They treat you like animals when you're over there, the worst is them opening your bedroom's door a couple times during the night. Like, what the fuck? They got cameras, I'm pretty microphones and even one patient whom I was sure was either a cop pretending to be an addict or someone part of the team who's role is to listen to what everyone's saying.
Once I told the 2 very young cokeheads who were there, when on the 5th day that I was feeling good finally, so good they couldn't imagine and that it was impossible for them to feel as good as I was feeling (the withdrawals were gone...I had a very slight buzz, but that's it, I was just saying how I was so happy to feel normal)...well one of the 2 bitches there, one was a nurse so, I'm pretty sure it was her, yeah, a cokehead nurse surveilled by other nurses...pretty sure they were giving her some unwritten authority. When the new team of nurses arrived after supper at 6 pm, I got scolded by the 2 of em, probably read notes about how I said I was high as fuck. Didn't make sense.
Alright I ranted more than I expected to, sorry about that. But that's how broken the clinic I was at was, it was for general detox, they took charge of ORT people, but the original week or so where you gotta stay at the hospital in that closed quarter inpatient clinic, man that didn't help to be mixed up with these douchebags, I was the only one there for opiate abuse.
