i have had precipitated withdrawal so many times. It is terrible.
It really only happens if you have been on subuxone or subutex for more than a year and decide to take a break.
a prime example. I was on subutex for two years. I did heroin for three days. I waited three days till I was in some pretty nasty withdrawal. I IVd 1/4 of an 8mg subutex pill....immediate even worse searing withdrawal that had me running to my xanax to just pass out. I litterally was crying over how hopelessy bad the withdrawal was.
In summery, most doctors don't know anything about what causes precipitated withdrawal, and the two factors I have noticed is duration of bupe use, and the duration of the break from bupe use before going back. Also, the more times that you take breaks from bupe to use full agonist opiates contributes as well.
My advice: If you are on bupe, chances are at some point you wanted to make a change in your opiate/opiod abuse routine. Maybe try following through with that, and seeing where it goes. you have two choices 1. work closely with your doctor and therapist to find your way to no longer needing an opiate to maintain, or 2. Going full bore junky style on life, taping a sack of fake urine to your johnson when you have to see your doctor, and then filling and saving the scripts of bupe to either sell to finance said habit (which down the road will not be enough) or to have on hand when you are out of your DOC. (If you notice, one of these options has the possibility of a happy ending that has a much less chance of jailtime or death.)
