Opioids switching opaites

[jbundlez]

so ive noticed some people saying how your opiate receptors dont care what opiate you use, it will still stop withdrawl symptoms regardless what opiate / opioid youve currently been taking daily which is of course true. what ive also seen been said is that you cant kick your dope habit by taking suboxone for 7 days ( 7 days being typical detox time period) without using dope for those 7 days and be in the clear. (in the case you wouldn't be then dependent on subs which for me 7 days wouldn't be long enough to feel moderate w/d) im not going to say this is possible because i have never fully gone through the motion of successfully attempting this method because of the fact my detoxs have always been cold turkey of course not willingly due to being in jail or other facility's that dont offer medical detox. the thing is though is that almost every medical detox that ive been to or called uses the same method..putting u on low doses of subs or dones for around 5 days. what i always took away from that was that they were switching your opiate with subs or dones (almost positive if you were on either suboxone or methadone that they would have to put u on the one your not currently on but not sure about that) thus getting you off heroin, oxycodons, hydromorphone, fetnayl etc.. and putting you on the subs or dones for a short enough time to not get dependent on it and thus geting you ALMOST thru detox hypothetically...im currently not sure how this situation works as though i obviously think it does work lol so if anyone wants to tell me there experience or the TRUE facts behind this then please fill me in because id love to be able to know EVERYTHING lol
---BUNDLEZ

 

[Mr.Scagnattie]

^^^

Putting you on suboxone or methadone for a week, will not take away your withdrawals completely. Any detox who promises you will feel 100% better after you leave and finish the protocol, be it bupe or methadone, is lying to you. That's not to say though that you wont feel worlds better.. you will.. you just wont be fully 100% detoxed.

The reason why something like methadone and bupe work for this purpose.. is that they have a long half life and do not stimulate your opiate receptors like your DOC does.. so taking them, and tapering down your dosage to a low level, over the course of 5-7 days, allows for your tolerance to drop (which is what determines how bad your withdrawal will be), while not being incredibly sick in the process (as in the case if you just stopped everything cold turkey). But, bottom line is that even if on a very small dose of methadone or bupe, whether it be 1mg of methadone or .25mg's of bupe.. you are still dependent on opiates, just at a very low tolerance level, which in turn will make for very minor withdrawals.

So basically, what detoxes should tell you, is that they will lower your tolerance to a manageable level so that you can be on no opiates whatsoever, and physically deal with the withdrawals... but that's a lot more annoying and difficult to say than, "we'll detox you and you'll be fine." Understand?

So it's not about, "switching you to another opiate you're not addicted to while you detox from the one you are." That is not how it works. It's about, using opiates with long half-lives, that allow for once daily dosing, and an easy tapering process, so your tolerance can get down to almost nothing, and therefore allow for the least severe withdrawal possible, to the point where it's barely more than a common cold.

So really, once you take your last dose of meds and leave detox, you're not actually totally detoxed and physically 100%, for 2-4 weeks after, as your tolerance has to get to 0 to no longer feel any acute-withdrawls at all, and the only way for that to happen, is to stop all opiates completely.. it's just, doing that from a very very low tolerance level is 100x easier than doing it from a high tolerance level, like what you check into detox on.

That is the true purpose of detox, and what it does to your body.

 

[jbundlez]

^^^

Putting you on suboxone or methadone for a week, will not take away your withdrawals completely. Any detox who promises you will feel 100% better after you leave and finish the protocol, be it bupe or methadone, is lying to you. That's not to say though that you wont feel worlds better.. you will.. you just wont be fully 100% detoxed.

The reason why something like methadone and bupe work for this purpose.. is that they have a long half life and do not stimulate your opiate receptors like your DOC does.. so taking them, and tapering down your dosage to a low level, over the course of 5-7 days, allows for your tolerance to drop (which is what determines how bad your withdrawal will be), while not being incredibly sick in the process (as in the case if you just stopped everything cold turkey). But, bottom line is that even if on a very small dose of methadone or bupe, whether it be 1mg of methadone or .25mg's of bupe.. you are still dependent on opiates, just at a very low tolerance level, which in turn will make for very minor withdrawals.

So basically, what detoxes should tell you, is that they will lower your tolerance to a manageable level so that you can be on no opiates whatsoever, and physically deal with the withdrawals... but that's a lot more annoying and difficult to say than, "we'll detox you and you'll be fine." Understand?

So it's not about, "switching you to another opiate you're not addicted to while you detox from the one you are." That is not how it works. It's about, using opiates with long half-lives, that allow for once daily dosing, and an easy tapering process, so your tolerance can get down to almost nothing, and therefore allow for the least severe withdrawal possible, to the point where it's barely more than a common cold.

So really, once you take your last dose of meds and leave detox, you're not actually totally detoxed and physically 100%, for 2-4 weeks after, as your tolerance has to get to 0 to no longer feel any acute-withdrawls at all, and the only way for that to happen, is to stop all opiates completely.. it's just, doing that from a very very low tolerance level is 100x easier than doing it from a high tolerance level, like what you check into detox on.

That is the true purpose of detox, and what it does to your body.

ok that definitely clears things up man thanks but one more thing still seems a bit off to me or maybe im taking it the wrong way. you say detox is only finished once tolerance hit 0 but that takes a very long time from personal experience. i was in a 10 month lockdown nd when i got out i came home did 1 bag of some moderate nyc shit and didn't nod but felt good that would tell me tolerance is not down to 0 yet! .......off topic i cant PM yet so i guess ill ask u hear u clean now? ignore the question if u don't wish to share

 

[Crashing]

Most detox centers do a 3-7 day suboxone taper, but trust me you still go through withdrawal. It's just not 'quite' as intense. It's basically a step down from opiates program, rather than a cure all. Definitely worth it to taper down with sub a little bit before jumping off, but keep the dosages very low, 2mg at the max if possible to prevent ramping your tolerance and making w/ds worse.

 

[Mr.Scagnattie]

ok that definitely clears things up man thanks but one more thing still seems a bit off to me or maybe im taking it the wrong way. you say detox is only finished once tolerance hit 0 but that takes a very long time from personal experience. i was in a 10 month lockdown nd when i got out i came home did 1 bag of some moderate nyc shit and didn't nod but felt good that would tell me tolerance is not down to 0 yet! .......off topic i cant PM yet so i guess ill ask u hear u clean now? ignore the question if u don't wish to share

I should have clarified, I didn't mean that when you no longer have a tolerance, that's when you are then fully detoxed (because often your tolerance never completely drops to zero). I meant it in regards to physical dependency. There is only a direct correlation between tolerance and withdrawal severity, not overall dependency. So, you can still have a slight tolerance, and not be physically dependent anymore. Lowering your tolerance, as is done in detox with maintenance meds like bupe and methadone, only serves the purpose of bringing it down enough so that you don't really feel the withdrawals much when you finally stop the meds all together. It is then time, and time only, that will rid you of your physical dependency, regardless of tolerance. Does that make sense? I know this can be kind of a complicated topic at times, but I try to explain it the best I can.


As to your other question, I am not currently using anymore. I am on methadone and eventually going to do gradual taper.

 

[jbundlez]

ya goodlooks that makes more sense thanks