Category Archive: Support Groups

Sep 04

Florida Sunset from Webster, Florida

This post doesn’t really fit the blog category but I really liked the sunset a lot and thought it was peaceful to look at. Hope you agree. This was taken near Webster, Florida in August of 2014 around 8:30 p.m. (est.) I put the picture under “Recovery” and “Support” because it could help with both!

 

Sunset

Sunset in Webster, Florida

Permanent link to this article: http://www.subotex.com/florida-sunset-webster-florida/

Link

Suboxone Detox Centers

 

Suboxone detox programs and those that use buprenorphine can help patients stop taking opiate drugs. Suboxone and Subutex are two drugs approved for this treatment. People who suffer from stronger opioid dependency may be treated with buprenorphine.

See the full article here along with the toll-free phone number

http://www.detox.net/articles/suboxone-detox/

Permanent link to this article: http://www.subotex.com/suboxone-detox-centers/

May 09

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 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

Permanent link to this article: http://www.subotex.com/suboxone-precipitated-withdrawal-be-careful/

Mar 19

Suboxone Tapering & Withdrawal – Worse Than Opiates?

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

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. :)

Permanent link to this article: http://www.subotex.com/suboxone-tapering-withdrawal-worse-than-opiates/