Suboxone Precipitated Withdrawal – Be Careful

What is Suboxone Precipitated Withdrawal? In short, precipitated withdrawal is a very quick and intense onset of opiate withdrawal symptoms.  It’s like quitting opiates but jumping from day one withdrawal to day four withdrawal, really bad.  It is relatively uncommon …

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Suboxone Precipitated Withdrawal – In Simple Terms

Precipitated withdrawal and blockade effect We have all heard about the feared “precipitated withdrawal“, or heard some horror story about it.  What is the precipitated withdrawal or “precipitated withdrawal syndrome.”?   The dangerous part about it, is that it does …

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Suboxone Precipitated Withdrawal – Fact or Fiction?

Have you heard about precipitated withdrawal caused by Suboxone, but not heard of any actual cases of it? I’ve seen my share of friends and friends of friends go from Suboxone treatment to falling off the wagon, back to Suboxone …

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Stay Tuned! – The NEW Suboxone Taper Charting & Half Life Elimination Game is near!

The Suboxone Taper Charting & Half Life Elimination Tool is in the final BETA testing – Stay tuned for Version 2 of the already popular entertainment tool, exclusively on Subotex.Com. I’d like to say thank you from the bottom of …

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Suboxone Treatment Centers in Florida

This list will be updated as needed, if you are a doctor and would like to be listed please leave a comment or email me. Suboxone, Subutex, Subotex & Buprenorphine Treatment Locations – Florida Suboxone Clinics in the Orlando Suburbs   …

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Suboxone Precipitated Withdrawal – Be Careful Suboxone Precipitated Withdrawal – In Simple Terms Suboxone Precipitated Withdrawal – Fact or Fiction? Stay Tuned! – The NEW Suboxone Taper Charting & Half Life Elimination Game is near! Suboxone Treatment Centers in Florida

Mar
29

Suboxone Taper Chart Calculator – Blood Plasma Levels

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NEW – Suboxone Taper Chart and Calculator

This is a difficult question, one that you will find many opinions and much conflicting information.  The question is one for you and your doctor to work out, but we are proud to deliver our first cut at a dynamic Suboxone Taper Chart, or think of it as a Suboxone Taper Calculator.

Try our dynamic Suboxone Tapering Calculator to plot out a taper plan

Suboxone Taper Chart - Opiate Withdrawal Minimization

Click to open the personalized Suboxone Taper Charting Program

You can enter dosage amounts by day and then set the half-life to use in calculations, then see the blood plasma levels based on your inputs.  Our calculations cannot be trusted, and for now are for entertainment purposes, however we feel that this is a good rough guide and helps you understand the power of a drug with such a long half-life.

Experiment by setting the half-life higher, above the mean 37 hours for Suboxone in a normal healthy person.  Notice how as the half-life goes up the drug accumulation in your body increases exponentially.  So if your body is compromised at all your effective half-life could be high and you could be affected by Suboxone for weeks after your last dose.

Note: There was a change made to the drug taper calculator program, you can leave some of the boxes empty and it will default to zero for that day.  So when using the Suboxone Taper Calculator you only need to enter one daily dose (in milligrams, or grams, or whatever as long as it is consistent) and then click the button to see the estimated blood plasma levels as the suboxone is eliminated from your body.

Remember this is a basic half-life elimination calculator was made by a computer programmer, not a doctor so it should be used for entertainment purposes only.  DO NOT RELY ON THIS INFORMATION as a basis for taking ANY medication.

This is only a start to what we hope to be a very helpful tool.  We are welcoming suggestions and request assistance in making it more accurate. Please leave comments and/or send emails with this information.

Let us know what you think.  Try the Suboxone Blood Plasma Charter here.

The NEW Suboxone Withdrawal Taper Chart

This requires that you have Silverlight 4 on your computer. Silverlight is a client runtime similar to Flash but by Microsoft and it runs on many different platforms including Mac, Windows, etc., your computer may already have Silverlight 4, especially if you belong to Netflix as they deliver videos via Silverlight.  If you don’t have Silverlight just follow the simple instructions on downloading it.

Drug Half Life Elimination Chart for SuboxoneHere is another sample of me trying the tapering calculator out. Right now it only works for 30 day taper or less.  If you try entering values for the second month it won’t draw the graph (or at least it didn’t for me).  You could use this chart for any medication you know the half-life for. I am open to suggestions on how to make this better but remember this calculator is for entertainment purposes only.

Remember this is a basic half-life elimination calculator was made by a computer programmer, not a doctor so it should be used for entertainment purposes only.  DO NOT RELY ON THIS INFORMATION as a basis for taking ANY medication.

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May
09

Suboxone Precipitated Withdrawal – Be Careful

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What is Suboxone Precipitated Withdrawal?

In short, precipitated withdrawal is a very quick and intense onset of opiate withdrawal symptoms.  It’s like quitting opiates but jumping from day one withdrawal to day four withdrawal, really bad.  It is relatively uncommon but bad enough that it should be avoided.  The precipitated withdrawal with Buprenorphine happens because of it’s high binding strength to opiate receptors, so basically the Buprenorphine pushes out the opiates in your brain and fills the opiate receptors with Buprenorphine (in Suboxone) so it’s almost like jumping from no withdrawal to day four withdrawal intensity– and can even be dangerous.  Buprenorphine is strong stuff– it beats the crap out of opiates and displaces the opiates from your opiate receptors taking you to hell in a hurry.

What happens if you get Suboxone Precipitated Withdrawal?

Well to be honest, if you are affected by precipitated withdrawal, you are going to feel rapid onset of opiate withdrawal symptoms, much faster than cold turkey, and no this will not reduce the “detox” time.  Common sense would say, take some opiates, the Suboxone isn’t working, but taking opiates once precipitated withdrawal has occurred would not be helpful because your receptors are blocked by the Buprenorpine which has a much stronger “hold” on the receptors than opiates rendering the opiates nearly useless.  The best advice I can give if this happens is go to the hospital and explain what happened, they can give you medicine to reverse the situation and make you feel better.

Avoiding Precipitated Withdrawal

You need to restrict intake of opiates for a period of time before taking Suboxone, basically you should be in some form of withdrawal.  If you are not in some pain you are risking precipitated withdrawals.  If you need to taper, use the taper charting tool on this site, you can plot your own taper charts.

Suboxone TaperAvoid Short Acting Opiates for 24 hours to minimize chances of precipitated withdrawal.

Heroin
Crushed OxyContin®
Percocet®
Vicodin®
Oxycodone 

Please verify all information with your doctor every situation is different and drug interactions change things.

VERY IMPORTANT — Avoid Long Acting Opiates for 24 hours to minimize chances of precipitated withdrawal.

OxyContin® (Orally)
Methadone * really long lasting get medical attention first!

* It is recommended that patients transitioning from methadone to Buprenorphine slowly taper down on the methadone, for at
least one week. Last dose must be no less than 36 hours prior to induction, and better if be 96 hours or more.  Expect discomfort
for a few days coming from Methadone.
 

Does Suboxone Work?  Is it worth the risk?

I think that Suboxone is a wonderful medication that probably saved many lives including one of my friends.  So yes, it works and works well.  My recommendation is to find a doctor that believes in a shorter duration of treatment with Suboxone.  Longer periods of time on Suboxone will end up being difficult to wean down below 1mg so you’ll need to go below 1mg in slow, very slow micro amounts.  You can cut an 8mg strip into at least 24 tiny squares giving you around .3mg dose which believe it or not is enough to remove morning withdrawal or mild withdrawal discomfort, but it takes an hour or two.   Recognizing Suboxone’s strength is important, don’t go from one addiction to another.

Good luck and stay clear of Precipitated Withdrawal!

Another article about Precipitated Withdrawal
 
Sources of information:
Center for Substance Abuse Treatment.
FDA & Suboxone®/Subutex® www.suboxone.com/pdfs/DosingGuides.pdf

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Mar
04

Suboxone Precipitated Withdrawal – In Simple Terms

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Precipitated withdrawal and blockade effect

Precipitated Withdrawal of SuboxoneWe have all heard about the feared “precipitated withdrawal“, or heard some horror story about it.  What is the precipitated withdrawal or “precipitated withdrawal syndrome.”?   The dangerous part about it, is that it does not occur in all persons tolerant to full-agonist opioids, but rather depends on the severity of addiction and time elapsed from their last dose.  This can lead to a false sense of security or bad information shared from one persons’ experience.  Though this writer has not witnessed a single person who has suffered precipitated withdrawal, I have received letters from people who have, and I suggest that everyone respect this possibility.  Check out the Suboxone Tapering Chart where you can build your own plan to taper off of Suboxone so slowly that you won’t feel any pain at all!

Precipitated Withdrawal – In Simple Terms

Suboxone Withdrawal Precipitated WithdrawalBuprenorphine (Subutex) itself binds more strongly to receptors in the brain than do other opioids, making it more difficult for opioids (or opiates) to react when buprenorphine is in the system.  When one takes opiates to get “high” the bupenorphine is already bound to the opiate receptors letting the opiates go to waste and causing the addict to not get “high”, or not get “high” like he/she was used to.   Buprenorphine has a very long half-life, meaning it stays active in your body for a long time and even if you stop taking it on Thursday with the intention of getting high on Saturday, well, it just isn’t going to work.  A person on a Suboxone therapy will have relatively high-levels of buprenorphine in the system and it would take weeks before the receptors become available for opiates to bind, and allow the user to get “high”.  May Suboxone users who try to get high end up wasting money chasing a high that they will not be able to attain.

Blockade effect – Is it the same as precipitated withdrawal?

In simple terms, the blockade effect is what causes the precipitated withdrawal.  Buprenorphine the active ingredient in Suboxone binds very strongly to receptors in the brain than do other opoids.  So it is that blockade effect that may cause precipitated withdrawal syndrome.

A person is suggested to wait until withdrawal symptoms start before starting Suboxone.  In reality users report switching back and forth between Suboxone and Opiates without apparent problems but this is dependent on person, dose, length of time addicted, and cross-tolerance.

Precipitated Withdrawal causes memory loss?

The blockade effect of Suboxone also has the result of blocking endogenous endorphins from binding to receptors thus causing blockade in the reward system.  This has been shown to cause mood alterations, and alterations in memory, particularly deficiencies of mental capacity.

Switching from Methadone to Suboxone – Not Easy

Switching to Suboxone from methadone is usually difficult especially when Methadone doses were higher than 30 mg/day.  The 30mg dose is low for Methadone and most find it difficult to reach.   Those that perform a slow taper have the best success at dropping to a low-enough dose of Methadone to switch to Suboxone.

Users of oxycodone (Roxy’s Oxy’s Blueberries, Berries, Blues, or even common opiates, need to wait a maximum of only twenty-four hours before they are fully in withdrawal and ready to begin Suboxone.

Naloxone is NOT what causes precipitated withdrawal

It is common belief the naloxone causes the precipitated withdrawal, but in reality it prevents one from abusing the Suboxone by intravenous route.  Buprenorphine alone is responsible for precipitated withdrawal, or the blockade effect because of it’s very high binding affinity with opiate receptors.   Because of this false belief demand for buprenorphine without naloxone is high among addicts.

Precipitated Withdrawal – Fact or Fiction?

It is this authors’ personal belief that twenty-four hours recommended between opiates and Suboxone is rarely followed and switching from weekend opiate binges to Suboxone only 8 -12 hours later has been reported by some addicts.  This author has received comments from readers warning about precipitated withdrawal, and heard horror stories so this author believes one should follow doctors orders exactly to be safe.

How to successfully wean from Suboxone

Suboxone Taper Chart - Opiate Withdrawal Minimization

The Subotex Exclusive - Suboxone Taper Charting Software!

My personal experience with Suboxone was a positive one, after a couple failures.  I was able to taper off of Suboxone without any significant problems.  The key was realizing that even a 1mg dose of Suboxone is very powerful.  One must taper extremely slowly down to below 1mg daily, and eventually to as small a dose as one can make using the strips– so that one strip will last about two weeks.  When Suboxone users realize (and doctors believe) that one fourth of a 1mg dose works just fine at removing withdrawal symptoms after several month off opiates they will be able to taper off.  Again, it is my strong belief that unless one respects the sheer power of Suboxone they will be forever hostage to it.

My advice to anyone struggling getting off Suboxone.  Realize that 8mg, 16mg, 24mg are necessary at first, but after a few weeks and one is stable, one can rapidly decrease to down around 1mg daily at which time they will find stopping difficult.  A 1mg dose after being on Suboxone for a few weeks is in my opinion just as effective as an 16mg dose during the beginning of the treatment.  Once you are down to 1mg, you should plan on taking two more months taking sub-1mg doses (this means cutting a strip into more than 8 pieces, preferably 16 pieces) and only take the dose when you feel “bad”.  If you take a dose after feeling “bad”, know in your mind this stuff is very powerful, you only need to taste the “orange” for 10 seconds or so.  Then wait at least an hour before thinking the dose didn’t work and taking another.  Small doses work, but they do take some patience.  If you can make a strip last two weeks THEN you can think about stopping without much pain.  Suboxone doctors would laugh at this last paragraph, but this author has witnessed several people learn this the hard way.

I would love to hear comments from others!

Peace out!

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Jul
10

Suboxone Precipitated Withdrawal – Fact or Fiction?

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Have you heard about precipitated withdrawal caused by Suboxone, but not heard of any actual cases of it?

Suboxone Withdrawal Precipitated WithdrawalI’ve seen my share of friends and friends of friends go from Suboxone treatment to falling off the wagon, back to Suboxone treatment over-and-over again while not experiencing the so-called precipitated withdrawal.  I’m sure that it must really be a valid concern but I wonder if the risk is much lower than we are lead to believe.  If you know anyone who has experienced precipitated withdrawal from Suboxone please leave a comment and let us know.  I know of people who have gone from blue to orange the same day and not experienced the so-called precipitated withdrawal.   You should never try taking Suboxone without doctor supervision, and if your doctor has you take Suboxone too close to coming off other opiates such as oxycodone (Roxies, Blues, Blue-Berries, Berries, 30′s) you should remind your doctor about precipitated withdrawal.

What is Suboxone induced precipitated withdrawal?

Suboxone Withdrawal Precipitated WithdrawalIt is a rapid and intense onset of opiate withdrawal symptoms precipitated by taking Suboxone shortly after taking high doses of opiates, specifically while not in full withdrawal.  The simple explanation of why it happens is that Buprenorphine (in Suboxone) has a higher affinity to your opiate receptors than opiates themselves so if you are not feeling withdrawal the Suboxone basically clears off what opiates are bound to your receptors and replaces the opiate with Buprenorphine.  This rapid removal of opiates is supposedly what triggers the precipitated withdrawal.

For more information about the Suboxone precipitated withdrawal you can visit The National Alliance of Advocates for Buprenorphine Treatment, yes believe it or not,  there is an organization dedicated to Buprenorphine treatment!  The organization also has a link to a scale used for measuring your level of withdrawal you are experiencing.

Your Opiate Withdrawal was How Bad?

Take a look at the Clinical Opiate Withdrawal Scale (COWS) over on the National Alliance of Advocates for Buprenorphine Treatment site and you can get an objective idea of how bad it really is.  Tell us about how bad yours was by leaving a comment!   Keep it honest, no fishing stories here. lol

Addicted, dependent?  Find out if you are you dependent on opiates or not?

The Suboxone official website has a link to a questionnaire for testing whether you are dependent or not.   I don’t know much about the subject myself.

 

Tapering Off of Suboxone?    Try the Suboxone Taper Charting Software.

Suboxone Taper Chart - Opiate Withdrawal MinimizationTake a look at version 2 of our Suboxone blood plasma half-life elimination tool.

This do-it-yourself tapering chart can help give you a visual on how the drug is eliminated from your system and might help your doctor in determining a pain-free and smooth taper plan.   This sample plan is a 60 day taper starting at 16mg of Suboxone and ending with 1mg spaced out every third day.  Here is a link to the Suboxone taper planning tool, remember it is for entertainment purposes only and you should never adjust your medication dosages without discussing with your doctor.

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Jun
30

Stay Tuned! – The NEW Suboxone Taper Charting & Half Life Elimination Game is near!

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The Suboxone Taper Charting & Half Life Elimination Tool is in the final BETA testing – Stay tuned for Version 2 of the already popular entertainment tool, exclusively on Subotex.Com.

I’d like to say thank you from the bottom of my heart for all the positive feedback about the first version of the Suboxone taper chart.  It feels great to help others in learning more about the general concept of how a long half-life medication like Suboxone can stay in your body for a  long time, and that it should be respected and taken exactly as your doctor prescribed.   As always I welcome any feedback positive or negative.

Unlike some other software programs that have been promised for month after month this one is going live on or before July 10th, you can quote me on that.  I know the feeling of empty promises for months on end, for example Netflix for Android (Thunderbolt) which was supposed to be just around the corner back in 2010.  The same goes for Hulu plus which has been promising that Android is right around the corner… what corner are they talking about the turn of the next century? I love my HTC Thunderbolt with crazy Verizon 4GLTE speeds, but very disappointing to say the least, but I digress.
Suboxone Taper Chart – Taper yourself off without any withdrawal symptoms!

There were several GREAT requests for enhancements and fixes to the first version of the tool and the final bugs are being worked out.  The annoying as hell tab order problem will be fixed, so you can tab from day one, to day two, etc..

You will be able to enter up to THREE full months worth of data for a very comfortable 90 day taper plan!

You will be able to do “What-If” analysis, for example… “what if” you had 20 8mg Subotex tablets or strips and wanted to find the most gradual 90 day taperusing all 20 of the 8mg tablets?   This feature like all others is for purely entertainment purposes.  The program feature allows you to challenge your buddies in guessing the most efficient use of a certain number of tablets for a certain period of time, to determine the most gradual and gentle taper possible. Plus more cosmetic and minor changes coming.

I’ll be adding a donate button for those who might want to throw me a dollar or two for efforts.  The advertisements on pages do provide a very small amount off revenue but not enough to cover hosting costs.  I can appreciate the thinking that clicking an advertisement may be a way to compensate me, but please don’t click ads that aren’t something you were genuinely interested in anyway because advertisers could lose trust in me as a publisher and it could not only harm my reputation but it could get me banned as a publisher of ads.  If you like the tool consider sending me a dollar and I’ll forever be grateful… really!

If you have a website, and would like to have the Suboxone taper chart as part off your website, contact me and we can arrange a revenue sharing arrangement where we both earn a portion of revenue generated if an advertisement is clicked from within the main page of the tool.  If you would like to have the taper chart branded specific to your  website please contact me to discuss options.

IMPORTANT WARNING: Any use of the online Suboxone taper chart or information taken from it constitutes an immediate and complete release of ALL liabilities of Subotex.Com, its’ owners, its’ employees and its’ business partners from any wrongful death, physical harm, overdose or injury. This includes immediate and complete release of ALL criminal or civil liabilities that may occur as a result of using the Subotex Taper Chart in a manner other than purely entertainment.

  • I am not a doctor.
  • I am a computer programmer with no training in the medical field.
  • I have a very simplistic understanding of the concept of half-life elimination of medications from the bloodstream, and am not qualified to estimate the rate of elimination of ANY medication from any human or animal.
  • The tool was built for entertainment purposes only. No exceptions!
  • Never adjust your medication dosages without permission from your doctor, any change in dosage no matter how minor they might seem may result in death.

Stay tuned for the better, faster, prettier & funner Suboxone Half-Life Elimination Taper Chart.

 

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Jun
01

Suboxone Treatment Centers in Florida

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This list will be updated as needed, if you are a doctor and would like to be listed please leave a comment or email me.

Suboxone, Subutex, Subotex & Buprenorphine Treatment Locations – Florida

Suboxone StripsSuboxone Clinics in the Orlando Suburbs

 

Longwood, Florida

Dr. Tatum

Information & Appointments: Curt Resnick
Phone: 407.478.6321

Dr. Tatum is not only a Board Certified Addictionologist but also Board Certified Psychiatrist and offers an outpatient treatment program to ease withdrawal from addictive opiate using Suboxone.  If you have experience with Dr. Tatum please share your experience.

Sanford, Florida

Dr. Ralph Chambers

New Hope Family Care
1403 Medical Plaza Drive, Suite 100
Sanford Florida 32771
Phone: (407) 302-3444

Dr. Ralph Chambers is a suboxone prescribing doctor located in Sanford Florida. New Hope offers inpatient treatment that consists of two meetings per week after an extensive set of initial visits.

Dr. Murray

 
Apex Pain Management
1444 Lexington Green Lane
Sanford, FL 32771
Tel: (407) 323-9099
Fax: (407)323-4565

Opioid dependence isn’t just physical. It also affects the way you feel and how you act. That’s why successful treatment takes more than medication alone.*

Get the support you need to reach your treatment goals:

  • Only SUBOXONE offers the Here to Help® Program, shown to help patients stay committed to their medication-assisted treatment. When you stay in treatment, you are less likely to misuse opioids—and may also increase your opportunity for treatment success†
  • Only SUBOXONE comes with free one-on-one support
  • Only SUBOXONE is specially formulated to be taken at home‡

You can do this… But you don’t have to do it alone. With SUBOXONE plus counseling and Here to Help, you have support—support that’s there to help you every day.†

 

New Life Connections Inc (Oviedo)

Address: 320 North Central Avenue, Oviedo, FL 32765
Phone: (407) 366-7477
Intake: (407) 322-7779
Website: http://www.new-life-connections.com

Primary Focus: Substance abuse treatment services
Services Provided: Substance abuse treatment
Type of Care: Outpatient
Special Programs/Groups: Women, Men
Forms of Payment Accepted: Self payment, Access to Recovery

New Life Connections Inc (Sanford)

Address: 404 West 25th Street, Sanford, FL 32771
Phone: (407) 322-7779
Website: http://www.new-life-connections.com

Primary Focus: Substance abuse treatment services
Services Provided: Substance abuse treatment
Type of Care: Outpatient
Special Programs/Groups: Seniors/older adults, Women
Forms of Payment Accepted: Self payment, Access to Recovery
Special Language Services: Spanish

New Life Connections Inc (DeLand)

Address: 122 South Amelia Avenue, DeLand, FL 32724
Phone: (386) 734-6161
Intake: (407) 322-7779
Website: http://www.new-life-connections.com

Primary Focus: Substance abuse treatment services
Services Provided: Substance abuse treatment
Type of Care: Outpatient
Special Programs/Groups: Women, Men
Forms of Payment Accepted: Self payment

Sheree Cox, RN, NCC, DCC, LMHC, Counselor in Sanford

Sheree Cox – Sanford (Counseling Only)

Counselor , RN , NCC , DCC, LMHC

Verified

Office

A New Perspective Counseling Center
705 West First Street
Sanford,  Florida  32771
Show map
Visit my website

Contact Information

phone: (407) 488-6697
fax: (407) 369-8659

Please let us know about others….

 


 

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Apr
09

Suboxone Withdrawal – Tapering to minimize withdrawal

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Suboxone – Quitting it is no walk in the park

Suboxone Withdrawal

Suboxone Withdrawal

Suboxone withdrawal is for real, it sneaks up slowly catching you off-guard and peaks after about 2 days.  Suboxone withdrawal typically begins to diminish after around 5 days, although most people will feel nagging withdrawal pains for several weeks or more after stopping. The long half-life of Suboxone is one thing that makes it so good at what it does, but is what can make the withdrawal symptoms drag on for so long.  Subotex.com has a Suboxone Half-Life Elimination Tool where you can enter dosage amounts for up to two months and a half-life to use,  and it will generate a graph visual representation of the Suboxone taper and how slowly it is eliminated from your body.

Symptoms of Suboxone withdrawal may include:

  • Anxiety
  • Cold or flu symptoms
  • Yawning
  • Sweating
  • Nausea
  • Vomiting
  • Diarrhea
  • Irritability
  • Leg Pain
  • Leg Restlessness
  • Insomnia
  • Runny nose
  • Watery  eyes

Symptoms of Opiate Withdrawal

It is still possible to experience opiate withdrawals while taking Suboxone, however it is unlikely and they are usually mild.  These side effects may include trouble falling asleep or staying asleep, agitation,  vomiting, goosebumps, shaking, runny nose, diarrhea and nausea.

Minimizing Suboxone or Opiate Withdrawal Symptoms

Suboxone Withdrawal

Minimizing Suboxone Withdrawal

Eliminating withdrawal symptoms is pretty much impossible but there are things you can do to minimize the pain.  Staying hydrated will apparently help flush opiates from your system faster so keep plenty of fluids close by.  Some people claim to have success with massage chairs to ease the body aches and pains, however the massage chair warms your body up and makes you feel overheated.  Being prepared for temperature fluctuations will help you be comfortable.  It is common to go from feeling too hot, to too cold many times within an hour.  Do not prevent yourself from throwing up–it is a natural reaction of you body in withdrawal. If you run a high fever (over 103 F) or you cannot keep food down you should check yourself into the emergency room.

Article from: Subotex.Com

 

 

 

 

 

 

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Mar
19

Suboxone Tapering & Withdrawal – Worse Than Opiates?

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Is Suboxone a good way to detox from opiate addiction?  Or trading the Devil for the Devils’ Brother?

[adrotate banner="5"]

Suboxone TaperThis is the million dollar question that nobody can answer for you, except maybe your doctor or a Judge, depending on the circumstances.  I am not a doctor and you should never make decisions on your own without your doctor, nor should you modify your dosing instructions in any way.  Someone who isn’t me provided this information for informational purposes based on his own experiences.

The person who isn’t me that anonymously sent this information said that one Suboxone taper chart reflects what he remembers his doctor prescribing for him, and the second Suboxone Dosing Chart and Blood Plasma Level Charts reflect that of what he believed would have been far superior to that which the doctor prescribed.  In looking at the information myself; I had to admit that it seemed to reflect what I had been hearing from a majority of people discussing Suboxone dosing strategies on various message boards on the internet and a few people that weren’t me who left anonymous comments in my mailbox.

Suboxone Works, Suboxone Works Very Well,  Suboxone is a Crutch and a Strong Medicine to be Respected

I was prescribed Suboxone, and if I had to give a quick synopsis of what I thought of it; and how it worked I would have said, it really works good!  Suboxone is very strong medicine, stronger than doctors seem to give it credit.  This may change as the number of people addicted to Suboxone increases; the program I was in consisted of weekly meetings, weekly scripts and very close monitoring.  The common denominator in the classroom was that Suboxone really works good even if you are addicted to relatively high amounts of strong opiates. The average addict in my class had come from an 6 to 12 Roxy 30mg per day habit that escalated over a period of 3 or more years.  Some addicts had come from using Heroin; and had good success with Suboxone.  Another common belief is that it is easy to taper down to around 2mg, or one fourth of an 8mg tablet or film, but from that point it is extremely difficult to quit or go much lower.  The doctors would sit and argue saying it was in the addicts “mind” that there is no way that one can be addicted (physically) to 2mg of Suboxone.  Yet in the long time I attended the class not one addict fully quit Suboxone.

Suboxone will take away your withdrawal within hours of the proper dose.

Suboxone makes quitting opiates a piece of cake.  If your doctor gives you enough Suboxone you will walk out (within a few hours) feeling “normal” and the wild thing is that you no longer have to worry about your next “fixes”.  You won’t have a craving for your Roxy’s or whatever your drug of choice was.  Another amazing feeling I remember is waking up in the morning and not being in severe pain; the Suboxone has a very long half-life so that you are not withdrawing again by morning.  Once you are “steady-state” with Suboxone (a few days to a week) you can stop taking Suboxone for about three days before “any” withdrawal starts; it gets bad around the fourth day.  You will be so excited to be living what feels like a normal life but always remember Suboxone is swapping one drug for another; and yes it is addictive the longer half-life makes it easier to taper and takes away the “highs” and “lows” so that you can focus on learning or remembering that you ARE an addict, the sooner you believe it the better.  If you are looking around the room and thinking, “I don’t belong here, well I wish you the best but would bet money you’ll be back, and humbled more each time.”.  Learn how to live with your illness while you are being treated.

Suboxone is addictive, and doctors downplay it’s strength

Ask anyone who has been on the program and they will probably tell you that it IS hard getting off only 1 or 2mg of Suboxone, and the doctors will discount that.  Just be prepared and keep on tapering until you get to the smallest dose you can measure.  Only do this if your doctor tells you to because I am not a doctor and I don’t have a clue what the proper way is to get off of Suboxone.

 

The Suboxone Treatment and Taper Program Prescribed to A Person Who Is Not Me

This chart was created using a very basic excel formula using linear formulas which do not reflect accurately how the body eliminates medicine.  These are very rough and crude guesses.  These charts were run using the mean half-life of 37 hours and were run across a 60 day period, which seems long but the person who isn’t me believes a long slow taper is painless and effective.

This first chart is a much higher dosage than the second one and the person who sent it wished they had not started at such a high dose.

 

This second chart indicates a lower starting dosage and long and light taper.  The person who sent these to me believes this type of taper would have been much easier and he wishes he had asked his doctor if it would have been effective and safe for him.  He kept on saying to lengthen the taper from 2mg to zero, to months if possible but to drop from initial doses to 2mg as quickly as possible.  If you have any real-world experiences that you’d be willing to share they would be greatly appreciated.  Leave them in the comments or send an anonymous note to me.

Summary of Suboxone Treatment and Tapering

Suboxone is very effective at helping one end addictions to opiates, however it requires special treatment by doctors who have special training.  Suboxone is also a crutch and will cause some discomfort when you eventually taper off it completely.   Suboxone has likely saved many lives including the person who wasn’t me that provided this information. :)

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