Bupe Suboxone not really working

[ixy]

I've been on suboxone a little over a year, i was doing pretty good for a while but i pretty much spent the past week high off my ass on dope. So now i'm thinking its time for me to stop. My last dose was yesterday morning, i took an ambien last night and fell asleep fine, but i woke up at like 4 this morning in PAIN. I ended up taking 24mg because less wasn't doing anything at all. I usually take 16mg a day, so 24 isn't that much more, but it's still not doing very much.
I'm kinda afraid to take anymore because if it doesn't work, won't i be stuck in WD until the subs wear off enough for me to do dope?
so wtf is going on and should i try taking more sub or do you think it did all it was gonna do?

 

[madog11]

From what i believe sub is a less is more drug. Maybe you should have taken a lower dose. You could also be in precipitated withdrawal:

http://www.helpmegetoffdrugs.com/wst_page8.html

 

[Znegative]

In some instances with subl, less is not more. Especially during induction (or re-induction). The less is more concept really concern maintenance users as it provides more of a pleasant buzz from the buprenorphine as well as less negative side effects. However, al,ost every time I've relapsed and gone back to suboxone I've taken 8-16mg the first day, and then quickly and easily titrated back down. 24mg does not make a difference for me but everyone is different.

OP, I would try and make it at least 24 hours before taking more suboxone or heroin. I would actually recomend that the next day you take 4mg of sub again, and then the following, split 4mg into two equal dosage for the morning and night.

I've found it's easy to titrate down on bupe after a slip then when your just taking suboxone strangely enough. However if 16mg is what makes you stable by all means continue on that regiment. In 48 hours you will probably feel a lot better.

 

[poloblue]

agree with maddog ur prob in precipitated, id wait it out a bit more..

 

[ixy]

It's not precipitated, i waited almost a day to take the sub and it did make me feel a little better, not worse. I think i just have a big-ish habit at this point and 4mg of sub isn't gonna do the same thing for me that it does for someone who snorts a bag or 2 and gets high.
Is it possible that being on sub maintenance would make it so it doesn't work?

 

[Jabberwocky]

Are you asking if being on suboxone will make suboxone ineffective? The answer seems a definitive no.

Taking 4mg every every couple hours certainly is MUCH more effective than 24mg at once. I find that taking 4mg twice a day (or if needed three times) is just as effective ime as 8mg twice (or three times) a day (and since I've had the flu 2mg twice a day works okay too, certainly enough to hold meh... but this isn't about me, it's about you, OP...).

Have you tried potentiating? What is your ROA? (for the suboxone I mean)

Do you listen to dubstep? Cause that might be at the root of all this...

 

[ixy]

Are you asking if being on suboxone will make suboxone ineffective? The answer seems a definitive no.

haha you make it sound ridiculous, but i heard somewhere (not that reliable i know) that if your on subs for a while, they will stop helping you with WD from other opiates cuz your body get's used to having the subs. Idk, that does seem kinda wrong, if you've got a habit your body just needs a certain amount of opiates and your good, right? But suboxone is really weird...

Anyway, i ended up taking another 8mg so now i'm up to... a lot, but i finally feel half way better (there was no way i was gonna wait it out, it was this or more dope :/). It's weird cuz I had been doing a lot of dope, but not that much, maybe a little more than a bun a day. Anyway i'm not gonna keep taking this much, the first day is always the worst getting back on subs.

 

[Jabberwocky]

Right, that's a good plan! I'd be willing to bet, if I was a betting man, that by taking you dose over the day, split up into smaller doses, will provide you with significant relief. Something to think about while you work on stabilizing.

I have often thought about such a possibility regarding the efficacy of suboxone as a mixed opioid agonist-antagonist, but I am fairly certain that you'd need to take suboxone for longer than anyone has yet to take it for your body to adjust so drastically to it. Then again, everyone is different. But the possibility of that happening is next to nil.

 

[xHippiexchildx]

24mg is way too fucking much suboxone. After 8mg, it stops being effective. Unless you are rich or got some insurance that will pay for it, you are wasting money.

 

[Jabberwocky]

Please don't start this again hippiechild... Actually suboxone, although I don't really find it's useful for most past 8mg, can still be effective at and ever over 16mg. It just depends on the person.

 

[paper planes]

if your sick ive noticed its better to split it up.. since you take so much already i would just take 4-8 mg and let the dissolve and get in your system plus its kicking the other opiates off and you know that suboxone takes 2 hrs to fully hit you so if you've been doing dope your not gonna get noticeable effects from the suboxone till after 2 hrs.. but after you take that first dose if you feel the need to take more add another 4-8 mg.. but what saying is that after you've been using any DOC you need to redose on your subs in steps like ive stated but thats just my experience.. but i know being in that sort of misery sucks so i understand.. simple will power can be one of your biggest weapons

 

[Jabberwocky]

simple will power can be one of your biggest weapons

yup. Thou once said something really profound to me. I was getting really fed up at the time with people telling me I was "to smart for my own good." I mentioned this to him and he said to me something along these lines, "So use the tools your mind provides you with." And you know what, it's been working. And working really well. There certainly is no ONE answer, neither will power nor a pill nor an organization nor anything else. But together they can each play very important role.

Sadly, thanks to a certain organization that does much good in some persons lives but certainly not mine, and given my experience I loath such, but anyways...

Anyways, have a positive constructive attitude towards recovery and life in general can be an extremely powerful weapon in your recovery arsenal.

 

[xHippiexchildx]

I'm obviously a suboxone troll.

Toothpaste, the receptors in your brain can only hold so much Bupe. You know that, right?

 

[Jabberwocky]

lol, yar...? and have we read the package insert?

 

[cire113]

let me educate you people sublingual absorption is lower than 50%

.8mg is can be too low for the first day definitely...

for induction purposes MORE IS MORE always....

 

[Jabberwocky]

Lol! Who said .8mg is was enough? I don't recollect anyone saying any such thing. Thanks for the education

So, according to your

more is more always

logic for induction, you suggest someone start off taking 24mg? (rhetorical question)

 

[xHippiexchildx]

No. They should start at 8, and taper down. Anything higher is just madness, and a waste of money.

 

[Jabberwocky]

For everyone's info, thanks to myself and others this threads has become very sidetracked. to get back on point, this is where we kinda left off:

Anyway, i ended up taking another 8mg so now i'm up to... a lot, but i finally feel half way better (there was no way i was gonna wait it out, it was this or more dope :/). It's weird cuz I had been doing a lot of dope, but not that much, maybe a little more than a bun a day. Anyway i'm not gonna keep taking this much, the first day is always the worst getting back on subs.

 

[tricomb]

No. They should start at 8, and taper down. Anything higher is just madness, and a waste of money.

While I agree that doses below 8mg should be used for maintenance, induction is another issue and dosing is determined on a case by case, patient by patient.

I personally have never needed more than 8mg to stop withdrawals, even coming off a big, bad habit. I would start at 250mcg and work your way up til you feel better.

I think a big problem is that most people start off taking a shitload of suboxone not even trying lower dosages first.

 

[xHippiexchildx]

While I agree that doses below 8mg should be used for maintenance, induction is another issue and dosing is determined on a case by case, patient by patient.

I personally have never needed more than 8mg to stop withdrawals, even coming off a big, bad habit. I would start at 250mcg and work your way up til you feel better.

I think a big problem is that most people start off taking a shitload of suboxone not even trying lower dosages first.

Yep yep..