Bupe UK - Bupe doctor is spoiling x/mas

[Tony Williams]

I missed a medical review so had my bupe cut off comepletely for 5 days till today *being today I WAS meant to*. I OVERSLEPT THIS FUCKING MORNING. I've misssed it, I called this morning and it's pretty much I gotta see some specialist but the doctor said NO.

So right now I am OUT of a script BUT I need a 2weeks, script all-in-one. I HAVE FLIGHT DETAILS to prove I am boarding there on holiday. They wont allow me my script - so f- 'em.

I get 16mg/24hr day that's like 2/3rd H/L - so that's 224mg SCRIPTED


I know I can get by on less. In the past I've sublingally dosed 16mg and been able to skip the next day and dose the next - even every three days (AT A PUSH). That would mean.........

16mg/48hr -112
16mg/<>72hr 75-90mg

My question is would I be better changing my dosing regame? like insted of
16mg/48hr -112 total
8mg/24hr -112 total
4mg/12hr -112 total

I am asking if I had half the amount with me or not what would you find the best dosing reg? Should I stick to standard sublingal RoA or use say nasal if needed.


Right now I've 7x 8mg Suboxone 2mg s'oxe. But I am getting 5x 2mg 'tex and might be getting more and a mate has 8mg and somene else has >32mg

I can also get OxyContin and take that too, as in - out right buy it to make up for the first few days etc

 

[Jabberwocky]

Oxycodone will have no effect and you will be wasting the opiate if you take it with the bupe. Also - in supposing you're on maintance therapy? Or are you in actual pain?

I would stick to your normal dosing regulations - and possibly try and find another doctor ASAP that could prescribe you more.

I'm sorry but I find your post a little difficult I comprehend. How far behind are you with your doses?

You will be able to make it by on a lower dose and it actually might do you some good. Perhaps this is a blessing and will allow you to get by easier. Another alternative is that when you arrive at your destination, find a local doctor or ASAP and explain your problem to them in that you do not have your regular doses. They should be able to call up your doctor and prescribe it to you in that country. Just my advise.

 

[Toz]

Snort them instead, I find it far more effective than sublingual. I could get by on much smaller doses if I snorted my subutex instead of taking them sublingually.

 

[Tony Williams]

No. Only THIS doctor can write the script. 16mg a day but I reckon snort8mg a day. Even 4mg+4mg (morn+night)

Trying to get more bupe so I have enough but its hard but I can get OXY easier, one option would be 10x 80mg over 3-4days oral/snorted or IV then got my bupe still

 

[Jabberwocky]

hmmm... where are you going on holiday to? what was the docs reasoning behind him not prescribing more medication?

did you go to him personally with the flight tickets?

 

[Znegative]

Most people find that dropping from 16mg to 8mg is incredibly easy and don't report any withdrawals. I think it would work best if you dosed 4mg/12 hours as 4mg should definitely hold you into the evening (honestly you could probably drop down to 2mg/12 hours easily as well).

Though some claim the ceiling effect is 32mg (the maximum prescribed dosage), many (including myself) find no benefit in increasing the dosage above 4mg other than it can make a single dose last longer (I'm of the opinion that Bupe's maximal agonist activity is reached around 4mg and plateaus from there on forward). So basically, 4mg should give as much relief as 16mg, it will just wear off more quickly. All in all, you should be fine cutting your dose in half.

 

[BrokedownPalace]

^ Exactly.

I was also prescribed 16mg/day when i was on bupe maintenance. I NEVER found the need to take that much, it only jacks up your tolerance and increased unwanted side effects. 4mg a day was more than enough to hold me. With bupe, less really IS more. I would highly doubt you'll feel much, if any withdrawal symptoms due to lowering your dose. You may feel a little off for a few days whilst adjusting to it, but you will most likely have a LARGE surplus of bupe stored up in yoru system, and due to its long half life it will last a few days certainly.

Your post is pretty difficult to decipher though, so I cant understand exactly how much bupe you will have access to, for the time you will be gone. You said you'll be gone for two weeks?

Unfortunately for you though, these are the consequences for missing appointments.. Alarm clocks are your friend, my man. LIve and learn.

 

[laCster]

Dude you could get away with less than 1mg a day. If you have the 8mg pills, you would only need 2 for 2 weeks. Really,1mg is more than enough.

I started out at 16mgs and within two weeks I was on 1mg a day.

 

[SaosinEngaged]

I almost feel like Sub doctors are inherently irresponsible. I mean, putting people on such massive doses when a significantly lower dose will hold the majority of people (myself included, I've come off 250mg of Oxy daily snorting 1-2mg of subutex dailly.....). Now, I understand the proactive addiction methodology, wherein high doses of buprenorphine renders recreational opiates ineffective, however that should strictly be on a case by case basis. As I've read, Sub doctors do UA's, so why not start the patient on a minimal dose on a trust basis that they're in the practice to truly quit. Should they fail a UA, THEN the dr. increases the bupe dose as needed.

I mean, this seems like fucking common sense. (Read: Common sense and drug laws rarely go hand in hand) Sure, just give patients a whole shitfuckton of issues if they ever get in a bind without their subs at a dose of 24mg/ day. Remember, most sub patients aren't Bluelighters with a more advanced knowledge of this shit. Most probably follow their dr's to a T, and if they find themselves in a situation like the OP, they're pretty much fucked.

Do no harm, indeed.

 

[Znegative]

Dude you could get away with less than 1mg a day. If you have the 8mg pills, you would only need 2 for 2 weeks. Really,1mg is more than enough.

I started out at 16mgs and within two weeks I was on 1mg a day.

^I disagree. Jumping from 16mg to 1mg would be too much. Once you go below 4mg, that is when tapering buprenorphine becomes more difficult as you begin to dip below the ceiling dose between dosages, and if you are below the ceiling dose, the drops in buprenorphine plasma levels between dosages will be much more dramatic, just as the spikes will be when you do dose (hence, less is more).

I was also prescribed 16mg/day when i was on bupe maintenance. I NEVER found the need to take that much, it only jacks up your tolerance and increased unwanted side effects. 4mg a day was more than enough to hold me. With bupe, less really IS more. I would highly doubt you'll feel much, if any withdrawal symptoms due to lowering your dose. You may feel a little off for a few days whilst adjusting to it, but you will most likely have a LARGE surplus of bupe stored up in yoru system, and due to its long half life it will last a few days certainly.

Yeah, IME, it takes a full 72 hours to adjust to a new tapered dose (once you've dipped below that ceiling). Whenever I tapered I would feel mildly uncomfortable for three days, and hardly feel my suboxone at all. However, come the morning of day 4, I would feel the effects of the suboxone more intensely than I had previously even when I was adjusted at the higher dosage.

 

[SaosinEngaged]

Edit: Message fail. Apparently I still have room to level up my ability to read a forum in sequence.

 

[Znegative]

I apologize, I was refering to LaCster's post, You must have made your post right before I posted mine lol. I edited it so it was more clear .

 

[laCster]

i agree that jump would be a little gnarly, but 1mg suboxone is better than no suboxone at all. i didnt realize how much he had as i didnt read his post so i thought he had a limited amount like <16

 

[SaosinEngaged]

I apologize, I was refering to LaCster's post, You must have made your post right before I posted mine lol. I edited it so it was more clear .

Whoops! I apologize too, I actually missed his post! I need to lay off the...well....drugs...

 

[stivsmegg]

Most people find that dropping from 16mg to 8mg is incredibly easy and don't report any withdrawals. I think it would work best if you dosed 4mg/12 hours as 4mg should definitely hold you into the evening (honestly you could probably drop down to 2mg/12 hours easily as well).

Though some claim the ceiling effect is 32mg (the maximum prescribed dosage), many (including myself) find no benefit in increasing the dosage above 4mg other than it can make a single dose last longer (I'm of the opinion that Bupe's maximal agonist activity is reached around 4mg and plateaus from there on forward). So basically, 4mg should give as much relief as 16mg, it will just wear off more quickly. All in all, you should be fine cutting your dose in half.

i agree, on subutex i only needed 4mg a day, with the same habit(5 20s of tar heroin a day)but on my methadone i need at least 110mg(at now), i even start to feel crappy at ...well now, its 3am and i am waiting til 4 am so i can take it(usually wake up at 2am). anyway i wish it wasnt so hard for an uninsured person to get on it.

 

[stivsmegg]

^^or rather to pay for it, also to find a doctor who can prescribe(not sure the status on that but as of 1 1/2 years ago there was only a handful of bupe approved docs in the twin cities and most had their qouta already but i think that may have changed)

 

[stivsmegg]

sorry didnt see the uk part. im in the u.s. so probably totally different.

 

[BIGsherm7272]

When I had a oxy habit of around 300mg a day, I was prescribed 16mg of bupe a day, and within 2 weeks I was able to taper down to 2mg a day. Bupe is a very strong drug and anything above 4-6mg a day is excessive IMO.

 

[Znegative]

While I agree that IME dosing above 6mg was unnecessary, I believe that higher dosages most definitely do benefit some people for a period of time, especially when first transitioning off of their DOC. Some people need a secure blocking dosage in order to give up trying to get high.

Bupe is great though, in that its so easy to taper down on.

 

[Fire&Water]

Oxycodone will have no effect and you will be wasting the opiate if you take it with the bupe. Also - in supposing you're on maintance therapy? Or are you in actual pain?

I would stick to your normal dosing regulations - and possibly try and find another doctor ASAP that could prescribe you more.

I'm sorry but I find your post a little difficult I comprehend. How far behind are you with your doses?

You will be able to make it by on a lower dose and it actually might do you some good. Perhaps this is a blessing and will allow you to get by easier. Another alternative is that when you arrive at your destination, find a local doctor or ASAP and explain your problem to them in that you do not have your regular doses. They should be able to call up your doctor and prescribe it to you in that country. Just my advise.

Oxycodone works as well (and maybe even better) for legitimate pain as long as you stay below 3 mg's of subutex
And that's taken "together"

I've been keeping records w/ my pain Dr. for over a year...w/o the 1-2 mg's of subutex my oxycodone tolerance steadily climbed With the addition of small amounts of sub' it's has stayed even keeled. I believe the .25 Buprenex IM would work even better