• BASIC DRUG
    DISCUSSION
    Welcome to Bluelight!
    Posting Rules Bluelight Rules
    Benzo Chart Opioids Chart
    Drug Terms Need Help??
    Drugs 101 Brain & Addiction
    Tired of your habit? Struggling to cope?
    Want to regain control or get sober?
    Visit our Recovery Support Forums
  • BDD Moderators: Keif’ Richards

Suboxone maintenance

zdiddy

Greenlighter
Joined
Oct 26, 2012
Messages
11
Hello- this is my first post on BL. I have been reading a lot on here lately and thought I would contribute as I relate to many of the posts I've seen thus far.
The first topic I want to post about is suboxone. I have been prescribed16 mgs per day since January 2010, although I only take eight mgs per day or less. My doctor has made no attempts to taper me down. I have had a few of the people close to me ask about tapering off. Personally, I do not want to taper down because the subs help me stay clean all too well. But this got me wondering how long other people have been on sub, and how I stack up. Sorry if this is in the wrong forum or if this has already been addressed.
 
I was on for over a year and my doctor didn't want me to taper off, either. I tried tapering on my own but could never stay clean so I ended up going to treatment to get off the subs. Not to scare you or anything, but since you've been on the drug for so long it's going to be tough for you to get off. The withdrawals are mild and it's possible (necessary, actually) to function through them, but they last soooooooo long. You feel fine for the first couple days, then it really hits you after about a week and feels like it drags on forever. Took me 45 days to get over the physical symptoms (chills & sneezing mainly), 90 days before I felt like I regained my sanity.

I think eventually getting off suboxone should be the ultimate goal for everyone who takes that drug, but you have to come off at the right time. Don't let other people pressure you into getting off too early. Make sure you're prepared to deal with the withdrawal and the PAWS.
 
Though I have experience with opiate addiction, I've never been on opiate replacement therapy. However, due to my somewhat extensive research involving the relationship between humans and drugs, as well as my studies concerning society, I see no reason to push yourself beyond the slightest bit in getting off Suboxone. What's the point? Aren't opiates/oids what you wanted in the first place?
 
Maybe what he wanted in the first place, but addiction isn't what anyone really wanted; correct?

If you are ready I would talk to the doc about a taper, but don't force yourself. I recently forced myself to a 1/4 a day taper and it like to have killed me. The pain on top of w/d's were nasty and I had to see a new doctor to start the process all over again. I have a life to live instead of worrying about opiates.

It being the right time is exactly true as E said above. Mentally you have to be ready as well as physically.
 
I tried suboxone maintenance a couple times with the intent to quit opiates altogether each time. The withdrawal was so long that i always ended up relapsing and eventually just quit CT from heroin. I don't really understand maintenance that much, i don't know why they just cant prescribe heroin instead of suboxone.
 
I am not in a hurry to get off at all, although obviously that is the goal for the long term. I have heard sub wds are quite bad. Honestly the sub does not really effect me anymore, although I am sure I would notice if I had to stop lol. Thanks for the replies
 
Many people end up on Suboxone or methadone maintenance forever, sadly. Many doctors are perfectly happy with this - it's more money for them and more money for the pharmaceutical companies if you never get off it. A lot of doctors think being on opioid maintenance forever is the treatment for addiction. But of course it also would suck to have a doctor that forces you to taper when you don't want to. Anyway, the health care system is so fucked up, that's a whole separate issue.

The longer you take it, the harder it is to get off, so bear that in mind.

The good thing about maintenance is that it can provide stability in your life so that you can work on your mental addiction to opioids and all the reasons you use in the first place. But you have to put in the effort. If you haven't already, I strongly recommend you take this time to do so. If you don't do that, it is very hard to taper or quit successfully. Think about the fact that you don't really feel anything from the Suboxone other than it relieving your withdrawals - so what's the point of it? A mental crutch? Are you just taking it out of fear of withdrawals? Fear that without it you will go back to heroin? There are things you can do to work on those fears. If you think what's the hurry, I'll get off the Subs later, remember that the longer you wait, the worse the withdrawals you will experience will be. Waiting is not going to make it any easier from that perspective.

Now, withdrawals are a legit concern, because if you are unprepared, any hint of withdrawals can drive your addicted brain to rationalize running out to get some heroin or whatever your opioid of choice was. But don't give the thought of withdrawals too much power - if you work on the reasons behind your drug use, and learn how to cope mentally with withdrawals and cravings, without feeling like you "have" to do something to immediately stop them, then you can succeed.

But you do really have to be ready and want to taper/quit yourself, pressure from others is not a good enough reason to quit Suboxone. However, if you are on 8mg, then the early part of your taper should be relatively painless, so why not start tapering down slowly now so you are at least taking a lower dose? You don't really have anything to lose, you could always try reducing your dose a little bit and if it's too hard you can just raise your dose back to where it was. Plus you really have no idea how hard tapering or quitting will be until you try it. Some people find they are able to taper off relatively painlessly, there's no point in not even trying just because you are terrified you will be one of the people for whom it is really bad. There are also lots of things you can do and take to make any withdrawals more bearable. But I think the most important thing to work on is the psychological stuff. Mental addiction, mental health issues and psychological withdrawals/PAWS are why so many people who were able to quit, get through the acute WDs, still go back to using opioids again.

Personally, if I knew then what I knew now I would definitely not have stayed on methadone maintenance for so long. I stayed on it for 10 years thinking I would quit "later", not realizing how much harder that would be and how worse it would be for my mental and physical health.
 
I have cut my dose to about 50% of what it is supposed to be. I take about half of what I am prescribed. I have not noticed any side effects from this, no discomfort. I have worked on why I use quite a bit and feel like I am in a much healthier place now compared to a few years ago... I have not given a lot of thought to why I still am on the subs, other than fear of going back to my old ways. I
 
Top