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  • EADD Moderators: Pissed_and_messed | Shinji Ikari

The EADD Maintenance and After-care Thread

Eveleivibe said:
Not sure if I've done the right thing in tapering to 4 mg as I'm starting to feeling emotional over stupid stuff.
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This is absolutely normal and to be expected during opioid w/d. There is no possible way you cannot be in opioid w/d given you only halved your dose a few days back. It will pass over the next few days - will gradually improve until you feel much like you did on 8mg only a bit less deadened and a bit more alert and generally alive. It's a drastic move halving your dose but 4mg is still a fair amount of bupe so this will be fairly mild w/d. I'd advise being far more cautious about dropping doses from this point cos it starts to get trickier the lower your dose is. Big jumps are doable when you're on quite a lot anyway but not a good idea when at the lower end of the spectrum because it just sets up a relapse usually.

Ride it out for a few more days and it will steadily improve. Will've been a pretty shitty week but does mean you've probably knocked months off your overall maintanence period which is no bad thing as long as you take it a bit steady and take time to deal with any underlying issues that may exist that could trigger cravings and/or relapses. You kinda need to be on a lowish dose to deal with anything like that cos you're (meaning anybody in that situation) too emotionally distant to be able to properly engage when on high doses.
 
I liked being emotionally distant. My emotions are too intense without opiates. Maybe I should go back to 6?

It was actually something someone said to me that had me think n it made sense. I don't need suboxone when when I can have exercise which is better for my mental health.

But eck I've no energy for exercise i just want to lie in bed n the idea of going anywhere seems an effort plus my hips are hurting for some strange reason.

I was told you can't be in withdrawal if you drop from 8 mg to 4 mg but when you drop from 2 mg you get withdrawals.

I hope I'm hope going to start craving opiates again because I like not craving them n having a laugh even if it feels empty.

I got to a point I was even jeallous of people in severe pain because they got codeine, DHC or morphine. How messed up is that? The first time I had codeine I took 60mg of zapain. 30/500s n I remember it feeling like the diamorphine I was given whilst giving birth to little one.

Evey
 
^ I would've said the exact same thing. Until I put a bit of distance between me and my addicted self and found that actually I'd gotten past many of my prior issues and the addiction had only been holding me in a state of limbo without me realising it.

Eveleivibe said:
I liked being emotionally distant. My emotions are too intense without opiates. Maybe I should go back to 6?
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You can't stay on a mainance script forever so you have to find other coping strategies sooner or later. Or just use smack instead of course.
 
In terms of sheer potency bupe is vastly more potent than even the very best street gear could ever hope to be. They feel completely different though and heroin gets you a lot more wasted.

Anything can be bought online. Doesn't mean it's essential or owt though. You can also not buy it at all apparently.
 
Diamorphine is only very rarely used for home childbirth , pethadine on the other hand is given to pretty much everyone , that and gas and air. lol.
Source = my sister the mid wife.
 
strungout2010 said:
Diamorphine is only very rarely used for home childbirth , pethadine on the other hand is given to pretty much everyone , that and gas and air. lol.
Source = my sister the mid wife.
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That's the one I was thinking of. Knew a woman in her late 40s/early 50s that enjoyed the pethidine she was given during childbirth so much she sought that out over any other opi. She was still scripted it a good decade or so after she stopped popping out sproglets. Had a go on it once and wasn't massively impressed but each to their own.
 
You didn't accidentally take an 8mg cos you already told us in Gibberings you deliberately took an 8mg one. There's no reason to be all Raasy about things and switch up the story to suit - you can take whatever you want to take. I would strongly recommend against dropping to 2mg when you barely lasted a week on 4mg before 'accidentally' going back up to 8mg. You're setting yourself up to fail which will only upset you later on.

It's called maintanence for a reason. The idea is to maintain and taper down gradually as and when you are truly ready to. I know it can be frustrating but I also know it's a surefire way to relapse trying to push too hard too quickly. Speak to your DSP about wanting your dose reduced and work out a proper plan with them. That way you won't be able to have 'accidental' days cos you won't have enough Subuoxone to do that with. Also, you'll be on a managed and controlled taper which is far, far easier to stick to than jumping up and down doses as drastically as this. It is entirely up to you but you could hardly choose a way of going about it more likely to end up going horribly wrong if you tried.
 
You managed to flush the other 8mg pills... 8mg pills do not 'go off' on any kinda timescale that's relevant... 8mg pills can be split into smaller doses...

Not criticism, just pointing out some things that you perhaps overlooked at the time.

Also, you can raise or lower your script if you speak to your DSP. Don't be afraid of them - they are there to help you. By all means try it your way but always bear in mind there is another option that has a proven track record of success whereas your current approach has precisely the opposite. But good luck all the same :)

And I may be cheeky but I make sure to include enough smilies to get away with it ;)
 
Now that you can look back on it, a year after switching from codeine to buprenorphine maintenance, what are your thoughts on how bupe has helped you deal with your dependence on codeine?
 
You wouldn't feel 60mg codeine (or presumably DHC? codeine doesn't come in 60mg tabs does it?) any more. Not even a few of 'em. Bupe is waaaaaaaaaaaaaay more potent than codeine. You'd also go into precipitated w/d which would be doubly shit. This is another reason why bupe maintenance is a handy thing. Yes you can 'cheat' when on it but you have to plan it in advance then stick to the plan and if you're doing that you probablly shouldn't be on a script anyway. That cooling off period really is a handy thing cos allows time to think whether it's really such a good idea.

What dose did you decide on today, Evey?
 
Fucking around with your dosage and lying to your drug worker is not the right route to be going down in my opinion. If your working relationship has broken down then you need to change your drug worker, it's your right to ask for a change.

The whole lying to your drug worker thing is totally pointless anway, if you want to start reducing dosage they can't stop you. Might as well have it out in the open.

Anyway....telling lies to your clinic, talking about feeling like you want to be using opiates recreationally again, drinking lots, talking about how you want to feel emotionally distant....doesn't sound like you're heading down a healthy route at all Evey. I would really do your best to take a step back and try and get some perspective on what is going on for you at the moment.

<3
 
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FWIW, Evey, I've been going to regular drug counselling sessions for the best part of 20 years and been on and off a variety of scripts and seen various case workers - some I got on great with, some I didn't, chopped and changed as required (or sometimes got lumbered with one but that's relatively rare). There is more of an emphasis on kicking people off scripts and off the books (government targets 8)) but people who work at such places know that's not always realistic. There's no point them trying to offload people if they're only going to be back (and most often) with even deeper problems not so far down the line. I'm sure your DSP/key worker is as aware of this as anybody else and would rather you told her what was going on and how you feel so they can at least try to help and support you better than perhaps is the case when they don't really know what's going on with you. Yes they do like people to drop doses - but only cos they now have government targets to meet... they also know that's a ridiculous policy and (in my experience at least) don't really give much of a toss whether they meet targets or not as long as their clients are doing okay. They can only help if they know what's happening though...
 
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