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Opioids Why opiates are the devil's sidekick. Also, help with Suboxone withdrawals please?!

xburtonchic

Bluelighter
Joined
May 17, 2011
Messages
1,009
DISCLAIMER: I am sorry this is so long. I'm currently going through some pretty severe buprenorphine (Suboxone) withdrawals, and my brain is just sort of all over the place. Writing about it and talking about it/venting is helping get my mind off of it a bit, so I guess that's why it's so long... the more I type, the longer I'm keeping my mind a little bit occupied and distracted from the war raging inside my brain and body. Plus, I really just kind of want to get my story out there because none of my friends and family really understand and I think I might get a little bit more of that understanding on here. Also, I want other people to know that this stuff is not child's play and I'm hoping that after reading this, someone will maybe think twice before they go out and play with fire. If my story can help even one person... if it can stop just one person from going through what I've been through/am going through now, that's a beautiful thing. You don't have to read the whole thing; I know it's long... but I would appreciate if you did... moral support would be nice right about now. If not, then maybe you could at least read the last part where I'm asking for advice? Maybe someone on here can help me, because I'm sure as hell not getting it in real life. Thanks. <3

Before I ask my question and leave it open for discussion, I feel it's necessary to give a little background about my experiences with opiates and Suboxone. I have had trouble with drug usage since I was 15, and have done pretty much everything under the sun, the only exceptions being crack, heroin, and PCP. But anyway... continuing on to what got me into this mess.

Vicodin: Had surgery for my wisdom teeth, was put on Norco and Percocet. I had no experience with opiates before this, although I had plenty of experience with other illicit substances. Oxycodone doesn't work for me as well as hydro does, so I didn't even use it. It's still probably laying around my house somewhere actually, but anyway. I developed a dry socket, Norco dosage was upped. I was having to double my dosage in order to get proper pain relief, because I have a very low pain tolerance and very high tolerance towards opiates. I also develop tolerance rapidly. Not a good combination. So over the course of a month, I was upping my dosage by at least 15 mg per week. By the time I was done with my surgery treatments, I had gone from about 10mg per day to 60mg. Keep in mind, I was still very naive about opiates and had no idea what I was getting myself into. I didn't even know I could get addicted in such a short time. So anyway, my treatments ended, my Norco supply was cut off, and I went into mild withdrawals. Of course, now I wish I had just sucked it up and been done with it then. But we all know these types stories don't have happy endings like that ;) So anyway, the w/d's were mild, but uncomfortable enough that when an acquaintance started getting large amounts of Norco (the huge bottles that come with around 150 pills or so) and offered to give me a few, I accepted. Well, a few turned into more than a few. He got them for back pain and didn't take them often, and since he was already really rich, he didn't have any qualms about giving them out like candy to people. For about three months, I had a never-ending supply of Norco... as much as I wanted, whenever I wanted. Until one day I mentioned I had been wanting to try Oxy, and he handed me a pill. I had established a pretty trusting relationship with this guy, so I didn't even think to question what he had given me; I just took it. Stupid thing to do on my part. I ended up in the ER; turns out he hadn't given me Oxy at all, but Dilaudid. I guess because I had already taken my "daily dose" of Norco earlier, I overdosed; they gave me Narcan and I was released about 8 hours later. Once I got home, I went apeshit on the guy and tore him a new one, telling him he shouldn't be giving pills to people and claiming they're something else because it could kill someone. I know I should have looked up what I was taking before I took it, so no need to tell me. It was careless on my part, but I still put a lot the blame on him. For all I know, someone did die because he was giving out "fake" Oxy's. I was lucky to have already had such a high tolerance to opiates; I'm sure someone with no tolerance at all WOULD have died. But needless to say, that was the end of that relationship, and also the end of my supply to hydro. I was up to about 150-200 mg per day by this point, but that experience scared the crap out of me and I decided to finish up my supply, quit cold turkey, and be done with it for good. I was expecting the withdrawals to be the way they were the first time- just slightly uncomfortable. Hah... no. Wrong again. It was complete torture, and it made my withdrawals from before feel like a bed of feathers. I don't think I need to go into detail, I'm sure most of you already know what it's like. By the third day, I had literally lost my mind. I was throwing furniture, threatening to go find some heroin just to stop the withdrawals, yelling, screaming, crying for no reason... EVERYTHING was depressing me... just petting my dog was depressing. I just remember petting my dog and thinking, "He's going to die someday" and bursting into tears. My brain was so messed up at that point. My mom finally called the cops because I was so out of control, which brings me to my experience with...

Suboxone: When the cops arrived, they gave me two options- go to the hospital, or be taken into custody. Well. That was a no-brainer. My dad took me to my primary care doctor; luckily he is licensed to dispense Suboxone, and I started my treatment that day. One minute my withdrawals were full-blown torturing me physically and mentally from the inside out... 40 minutes later, I felt like I could fly to the freaking moon and back if I wanted to. OMG. It was miracle drug! (or so I thought). He told me I would have NO withdrawals when I got off of it and that there were absolutely no side effects. I was stoked. So he started me on 16 mg a day, and my Suboxone treatment was going perfectly for about 6 months... that is, until he suddenly decided to take MY recovery into HIS hands and began drastically reducing my dosages. This caused me to be in pretty much a constant state of mild withdrawal for the next 6 months, and it turned me into a completely different person that I was before. I became depressed, withdrawn, lost all of my energy and motivation, irritable, and I woke up in the morning just generally feeling like complete crap, and it didn't get much better throughout the day. I isolated myself from my friends and family because my anxiety levels shot through the roof, which was causing me to be irritable... I stopped talking to anyone because everyone would annoy me; someone could just say "hi" to me and it would annoy the crap out of me and I would snap at them... and also because I got so depressed that I just felt like there was no point to having human interaction anymore. It just completely screwed me up. It took me a long time to figure out it was the dramatic change in my doses that was doing it, so on my most recent refill (last month April the 25th) I went against what my doctor told me to do and started self-dosing. Nothing dramatic... I wasn't abusing it or anything... I was just giving myself the dosage I felt comfortable with.

Just on a side note... before anyone reams me out for not doing what my doctor told me to do, I would just like to point out that addiction is a unique disease. Being treated for opiate addiction through Suboxone is not like having an infection or the flu, where you take your medicine at certain intervals and there are no problems. Suboxone is meant to help you STAY OFF of opiates. It's supposed to prevent withdrawals and give you a clear head long enough for you to get your life back in order. I strongly believe that a person's recovery should be in their own hands... no one else's. You can't force a person to change their personality any more than you can force an addict to get clean before they are ready. That is just a recipe for disaster and relapse. The only reason I was self-dosing the way I felt comfortable with, is because my cravings were coming back BAD, I was constantly feeling crappy and depressed, and I knew I was on the verge of a relapse. I do NOT want to go through that again. I've heard that with opiates, relapses get worse and worse each time... and God forbid I don't go back to Norcos, but something like Oxy or heroin. No thanks. So I did what I needed to do to stay clean, okay? I didn't want to get off of Suboxone or even decrease my dosages before I was ready, because I knew I wasn't ready. I'm still not. There are still too many issues I need to deal with, things I need to work through- the things that caused me to fall into this addiction in the first place. I need to throw out the skeletons in my closet before I can go back into the world on my own. I'm not going to go into detail, but I haven't been able to cope without some sort of substance since I was 15 for a reason, and there are a few things that happened in the military that made it worse. For me, the pills were a way to forget and numb the pain more than anything else. So before I get off of Suboxone, I want to be at least 99% sure that I'll be okay, that I can deal with my demons on my own- without having to turn to pills to help me out when it gets to be "too much". And at this point, I am not 99% ready... more like 50% or 60% ready.

Anyway, back to the matter at hand. My doctor didn't like that too much, and he completely cut off my Suboxone script. Now I am SOL and going through some pretty nasty withdrawals. That's the one thing that completely pisses me off about Suboxone doctors- a lot of them are ignorant to the side effects and the withdrawals they cause. It's not just my experience, either. In almost every story I've read about another person's experience with Suboxone, their doctors told them the drug had zero withdrawals or addictive properties. Such a freaking lie. Like I said, you can't just force an addict off of Suboxone before they're ready. That's just setting them up for failure. Because I wasn't ready to get off, and these withdrawals are horrible. They're a bit milder than the hydro withdrawals, but at the same time they're a lot worse because I know they also last MUCH longer than hydro withdrawals... and it seems to be tricking my brain into thinking they're a lot worse than they really are for some reason. Or maybe they just really are that bad; who knows. The one thing I DO know is this: I have a few Percocet and a whole lot of Vicodin in my house somewhere... I just have no idea where they are. I have searched high and low, and I absolutely cannot find them. I think I put them in a box somewhere, and I really just don't have the energy to move all of these boxes around and keep looking. But believe you me, if I knew where they were I would be ALL over it in a second. I lost contact with all of the people I knew who had them because I cut them all off when I quit... so that's not an option either.

So since hydro isn't an option to stop these withdrawals unless they magically turn up somewhere, I guess what I would like to ask is this: has anyone ever been through this before? Is there anything I can do... anything AT ALL... to make it better? My symptoms are as follows: chills, gooseflesh, cramps, muscle/joint aches and pain, crazy anxiety, restlessness, depression, irritability, and extreme lethargy. I am so tired and I just want to go to sleep, but I can't because of the restlessness and anxiety. I just can't seem to get comfortable. I have xanax, and it's not helping much, even when I double the dosage. I have some Tramadol left over from a surgery I had back in December, and I'm wondering if that will help? I've seen people on other forums say that it works wonders, but I think they were talking about the instant release ones... and the ones I have are the 100mg ER. Will that make a difference, or will it still help me? And if not, what will? If you know of anything that will relieve even ONE of the withdrawal symptoms, especially the chills (blankets, sitting in the sun, etc. isn't helping either) and the restlessness (I just want to sleep)... please let me know. Hell, at this point I am open to anything... anything at all that might help... even moral support would be greatly appreciated. I don't want to relapse and I don't want to feel like this anymore. I just want this nightmare to end. :(

Again, sorry this is so long... and thanks in advance for your help..
 
I don't think it is likely that many people will read your post - it is too long and you would have found the answers to your questions if you'd taken even one minute to use the search engine. That said, I understand it must be difficult to concentrate on anything right now.

Immodium (loperamide) seems to have quite a large following; it helps with aches and pains, specifically in the stomach, and also with the shits. Some people swear by it and others hate it, but for someone in your position it could probably only help.

Naproxen sodium is also good for aches and pains and soreness generally.

I can't think of anything better than Xanax (except maybe barbituates or another benzo like temazepam or flunitrazepam) for insomnia and restlessness. Just DON'T swap one addiction for another.

I'm surprised to read about your doctor forcing you off suboxone. Sounds to me almost like negligence. But I hear alot of bad stories about idiot doctors from America - is that where you are?

S
 
Hello! Just last week I went through horrible wd's too from vicodin. I have a script for it but tend to go overboard as we do sometimes. I was soo desparate but I just waited it out till I got my script today. I too began my drug use early around 12 and it was with weed, then went to an expensive coke habbit aroaround, stopped that around 21;(I did the coke with my parents so that is how I was able to afford it, by partyying with them)

Nothing comapres to the opiate withdrawl. Coke wds were bad for a day or two but them you could function. Opiates seems to be a physical wd. I feel unmotivated and like I have sand runing thru my veins and all I can think about is how to get some vicos or tylenol 3s, something... we turn into monsters

Anyhow, if I was in your situation I would probably see, I know this sucks but another doctor. Tell him everything and be honest. Wds like this are not healthy and from what I heard you should be weaned off of vicodion and or opiates. Once I decide to stop vicos, I don't think I would try sub due to hearing stories like this.

How long have you been off of the sub? You may have said it but I may have missed it (I did read your whole story though)
 
I think everyone that has tried it while sick considers Suboxone a miracle drug. I'd rather CT and be somewhat straight in a week or so than go the Suboxone route. Your Dr sounds like a real asshole. Immodium is good for the diarrhea and stomach cramping. At any dose it never did anything for my other symptoms but some people swear it does. 8-10mgs is usually enough for me. This time of pain you are having will be over eventually. It may not seem like it but it will.

Amazes me how many of these idiots that went to 10 years of school say Suboxone has no withdrawal. It is a opiate receptor agonist and it does have a withdrawal. I would call the Dr and explain that you are in WD. Might not help but worth a shot. Google Suboxone WD and print it off the internet and show the idiot that it does in fact have a WD.
 
Immodium for a few days until you can get some kratom shipped to you IMO. I've been on and off bupe a few times and this is definitely the way to go IME.
 
Immodium for a few days until you can get some kratom shipped to you IMO. I've been on and off bupe a few times and this is definitely the way to go IME.

I got Kratom and never touched it while sick because I took it one time and it was a stimulant and a half and stims suck while sick. I read conflicting info but does a higher dose make the stim effect more powerful or the opiate receptor effect higher? Also what dose of Kratom do you take?
 
suess; My main concern was about the Tramadol and whether it would have any effect, which I did search, but I was looking specifically for the Tramadol ER since that's the one I have. I did find a couple of threads on regular Tramadol regarding it's use with Suboxone withdrawal, but none of them addressed the ER kind. :( I will try the Immodium and the naproxen you suggested though, thanks for the suggestions!

misszee; I have been off the Subs for about two days now (after the 42 hour half life, so really it's been 4 days). I already feel horrible and I know I am not even at the worst of it yet; that's what scares me. From what I've heard, they get progressively worse for about 2 weeks, level out for a while, and then they gradually get better. But I've read about people who have been off of them for months and STILL don't feel normal. I mean yeah, full agonist opiate withdrawals are more intense, but Sub withdrawals are only marginally better, and they last MUCH longer. It's like seriously, what the hell is the point of it then? I agree, opiate withdrawals are just... nothing compares. I've always said that if there is a Hell, the devil is down there force feeding people opiates and then abruptly cutting them off. It would be the perfect war tactic and torture method for POW's as far as I'm concerned. I hope you're at least starting to feel better from your vicodin withdrawals... if it's been a week, just try to hang in there! I'm sure the cravings are intense, but you're so close. I commend you for sticking it out that long. Good luck!!

As for both your questions concerning my doctor... yes, I am in America; a lot of doctors out here are ignorant regarding Suboxone withdrawal. They seem to think Subs don't give you any type of withdrawal at all, which is a freaking joke. And yes, I do plan to maybe switch doctors. I've got an appointment with my primary care doctor tomorrow, and if he still refuses to give me more Suboxone or at least clonodine/valium/anything to help with the withdrawals, I fully intend to find a different doctor. If all else fails, I'll go to a detox center or back to rehab. I do NOT want to relapse.

I know this was long lol... I wasn't expecting many people to read it to be honest, but thank you both for reading the whole thing. Mostly just trying to stay distracted... whatever I can do to keep my mind occupied, even if that means typing a novel on Bluelight. You should see my blogs on Facebook right now... utter nonsense lol. I'm sure once these withdrawals are over, I'll look back at it and ask myself what the hell I was thinking haha.
 
Tramadol is tramadol whether it's ER/SR or normal release. In fact, I would suggest that ER would be preferable in your situation as it stays in your system for longer and is likely to bring you down slowly. But if you wanted to just chew it, it would probably release more quickly.

S
 
Thanks for your encouraging words, lozgod. :) And you have no idea... he is really stingy about prescribing me my meds when I need them, and other times he will cut me off without warning. It pisses me off beyond belief. It's definitely an issue I plan to address when I see him tomorrow, because this is not okay. Doctors should be there to help you, not make you even more sick. At least, I assume that's WHY they went to medical school in the first place. If they just wanted to piss people off for a living, they should have gone to law school. I am printing off a bunch of stuff from the internet- scientific findings about Suboxone withdrawals as well as personal user experiences- and proof that clonodine does, in fact, help withdrawals tenfold. Even certain detox clinics use clonodine for that purpose; he can't argue with that.

Surprisingly, I'm not having stomach/digestive problems... yet. But I am going to ask my mom to bring me some Immodium to stock up on just in case.

What is Kratom? I've never heard of it. What part of the withdrawals does it help with- all of them? Or does it just make them less severe?
 
Kratom is an herbal type substance that is similar to yohimbe but attaches itself to the opiate receptors. I've tried it and it amped me up but I read that in higher doses it has the opposite effect and the opiate effect takes place. I am afraid to do a higher dose out of fear of getting more amped.

You can just google it and find suppliers online. It is legal at the moment but I believe there is legislation to ban it in the US. It is illegal in some countries and classified as a narcotic.
 
I'll check it out. Hopefully it isn't too expensive, but luckily my mother is really supportive of me in this and is open to letting me try whatever I need to try in order to prevent withdrawals. Even smoking weed, and she is like the anti-drug queen. Mostly because I was throwing furniture and breaking things and threatening to go to skid row and find heroin the last time I went into opiate withdrawal... :/ But maybe she'll buy some for me, if that's what it takes.

Any idea how long I have to wait before another opiate will work for me? I had to get off Sub back in December to go back on Norco for surgery; surprisingly, the Norco staved off the Sub withdrawals and gave me those wonderful itchy and burning feelings, but they provided absolutely no pain relief whatsoever.
 
I metabolize opiates pretty fast. I can feel the full effects within 48 hours after dosing suboxone. Then again I take low doses. I won't go over 4mgs and won't take it more than 2 or 3 days as a back up if I am out of anything else. After being on it a year you may need 3-4 days. Kratom is not reversed by Narcan from what I read so you may be able to take it immediately after Sub. From what I read it isn't euphoric, it just helps relieve WD symptoms for a 1/2-3 hour window then needs to be redosed. I have no experience with it. Hopefully Pegasus will chime in here.
 
OP...I actually did read your entire post. It amazes me that doctors prescribe Suboxone/Subutex/Buprenorphine in any form to treat addiction to Norcos and Percocet. The withdrawals to bupe are obviously mild in comparison to those caused by heroin or dilaudid but probably on par or greater than those cause by addiction to Norcos (although I can't say for sure, having never experienced hydrocodone withdrawal myself). Personally, I find Suboxone withdrawal extremely mild and the drug extremely useful in overcoming my own addiction to heroin.

Here is my advice:

1) Due to the long half life of buprenorphine (36 hours), the withdrawal symptoms will last quite some time. I highly encourage you NOT to relapse. Because once you relapse, you will probably use escalating doses of your drug of choice, or even worse, progress to a more potent opiate. Then the withdrawals you'll experience will make THESE look like a bed of feathers.

2) Do you realize that for every 100-200 mg of hydrocodone you ingest with a Norco or Vicodin, you also ingest a certain amount (~300-500 mg) of acetaminophen (tylenol)? This is extremely dangerous and damaging to your liver. If you do choose to use again, I highly recommend a Cold Water Extraction on the pills.

3) Xanax is extremely helpful for opiate withdrawals by altering your perception of the experience without itself being an opiate. Make sure to take enough so that your comfortable, but conserve; you'll want your supply of xanax to see you through the worst of the withdrawals. You might get lucky and just sleep through the worst of it.

4) Exercise to get endorphin levels and Testosterone levels back up.

5) Get your demons out. I don't have any problems as such myself, but I worked as a peer counselor for sometime and I honestly believe talking about shit you don't want to with somebody you trust DOES help. Just get it out, and knowing that somebody understands and isn't judging you will help you move on.

6) Finally, don't use chemicals to cope with emotional issues or "real life." Control the substance, don't let the substance control you.
 
I did read your whole post as I always do when people tell about their personal experiences on buprenorphine withdrawals. It makes always clear not to through that way when I go to a rehab as the buprenorphine needs to be upped for to 16mg a day until it keeps off my pain and seems like it is pure hell for going down from that stage.

I wish you a good luck, others have helped you with the drugs you could take to ease the withdravals, so I might try to help you by some other way. How is your diet? You said you dont have any bowel/stomach problems so atleast you can have the food stay inside you.

I would suggest you for try to experiment on cooking. Start with the easy healthy foods and then go to some exotic and time consuming recipes. That would be a meaningful thing in your life and proper diet can ease the withdrawals and also keep your body and mind occupied. Remember to eat lot of fish as it contains plenty of fats that are essential for your brain. One mouthful of fish contains as much absorbed fat oils than one pill of supplementary products as it does not absorb easily to your body in pill or liquid form.

Have you tried acupuncture? It is offered here during the Subuxone maintenance programs and during the acute withdrawal phase as well as during PAWS. I have heard that it will help in each phase.

And remember to exercise yourself in order to get your endorphins flowing and help the withdrawals. Also reading a good book keeps your mind busy and not occupied thinking about situation you are suffering from.

Good luck and hopefully you havent had any permanent deteriatorion or lack of development as our brains do develop until you are somewhere around 25 years. Hope you get your things sorted out. Btw what age are you ATM?
 
I metabolize opiates pretty fast. I can feel the full effects within 48 hours after dosing suboxone. Then again I take low doses. I won't go over 4mgs and won't take it more than 2 or 3 days as a back up if I am out of anything else. After being on it a year you may need 3-4 days. Kratom is not reversed by Narcan from what I read so you may be able to take it immediately after Sub. From what I read it isn't euphoric, it just helps relieve WD symptoms for a 1/2-3 hour window then needs to be redosed. I have no experience with it. Hopefully Pegasus will chime in here.

Please take in to account that naloxene is not responsible for opiate blockade efects in case of Subuxone. It is the buprenorphine itself that binds in opiate receptors and keeps other opiates from binding those receptors.
 
Please take in to account that naloxene is not responsible for opiate blockade efects in case of Subuxone. It is the buprenorphine itself that binds in opiate receptors and keeps other opiates from binding those receptors.

I was referring to Narcan not removing Kratom from the opaite receptors. The narcan in Suboxone is pointless because Bupe has a higher binding affinity no matter what ROA. It is pretty much just there. Even if injected with opiates in your system any withdrawal would be due to the buprenorphine not the nalexone.
 
Kratom is an opioid agonist. A tree in the same family as Coffee plant hailing from SE Asian whereby the leaf of the tree is dried and ground to a fine powder.

It actually has withdrawals in itself, but they are much easier managed when you simply taper down your dose and you certainly won't be throwing around furniture.

It is perfectly legal in USA.

In my opinion, it is the best thing you could use to come off a hard opiate. I was addicted to Poppy Pods and felt pretty much NO withdrawals whatsoever when using Kratom to come off (a hefty addiction might I add).

Immodium, Chamomile and Valerian Tea (and lots of it), exercise (sounds simple but it's amazing what simply going on an hour long cycle or if you can manage, lifting some weights) is incredible for helping, cold showers aswell as Kratom.
 
16mg of buprenorphine is equivalent to about 200-400mg of hydrocodone, that was your first mistake. Bupe doctors have a tendency of starting people on too high of a dose. If you already went 4 days without bupe you should just tough it out. The problem with long term Opioid Replacement Therapy is that once you decide to come off, you are likely to experience post acute withdrawal sydrome, which can last for a long time.
 
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