Category Archive: Morphine

Oct 23

Street Value Of Suboxone, Steet Value Of Other Opiates (Oxycodone, Hydrocodone, Dilaudid, Subutex, Zubsolv)

Street Value of Various Opioid Medications

Suboxone Savings Hard To Find in 2014

Suboxone Savings Hard To Find in 2014

I would never condone buying medications this way.

I have been asked (several times) to solicit street pricing information from people across the world about prices for Suboxone, Suboxone Film, Oxycodone and just about any other opiate you can think of.

This is purely for entertainment purposes, it is sometimes funny to see what people are paying for things that our insurance buys for little to no copay.

I personally do not know how people can afford to buy on the street, but I am sure they have their reasons and we are not here to judge anyone.

Street Values For Suboxone & Other Opioids In Your Area?

I have been gathering information for a few weeks and have numbers for some of these opiate medications. If you have numbers for your city leave an anonymous comment please and I’ll update with your info. I might not be real fast but I will get it done.

Thanks for sharing it will be interesting to see the results. If I get enough of them I might make a nice graphic of the data.

Nothing Implied Here – Entertainment Only

Just because we might be interested in seeing what people pay for things we take, does not imply we would condone selling or buying anything on the street, for one it is illegal, and another you could be getting fake pills with dangerous cutting agents!

I speak for myself, have never, not once exchanged anything like this. I would be too nervous as a buyer (of dying) and too nervous as a seller of going to prison for a felony. But I do live in Florida and there is no shortage of people that know the under-world. So in the nature of entertainment…

Street Value Suboxone

MFG Deals on Buprenorphine

Savings Manufacturer for Buprenorphine

This section includes Buprenorphine as it is essentially the same thing as Suboxone but we will list some non-generic Buprenorphine equivalents. 

Orlando, Florida Area

Suboxone Film 8mg: $14 to $20 per strip, they are relatively easy to get.

Suboxone Tablet 8mg: $10 to $20 per tablet.

Suboxone Film 2mg: no market


Street Value of Butrans

Butrans20mcgThe only info I could find was on the transdermal patch and these estimates were not solid as there is apparently not a big market for it.

Orlando, Florida Area

Butrans Transdermal Patch 5mcg / Hour:  no market

Butrans Transdermal Patch 10mcg / Hour:  $5 – $8

Butrans Transdermal Patch 20mcg / Hour:  $8 – $12

Street Value of Subutex

Awaiting information

Street Value of Zubsolv

Awaiting information

Street Value of Oxycodone

This was the easiest one to figure out, apparently this is what everyone wants and the prices are CRAZY high.

Orlando, Florida Area

Oxy30Oxycodone 15 (aka Greens):  $10-$15 per pill !!

Oxycodone 30 (aka Blues): $20-$30  per pill !!

Oxycodone / APAP 10 / 325: $6 – $10

Oxycodone / APAP 5 / 325: $3 – $5 not much demand


Street Value of Hydrocodone

Orlando, Florida Area

Hydrocodone / APAP  5 / 325 or 5 / 500: $1 – $3 not much demand

Hydrocodone / APAP  10 / 325: $5 – $8

Hydrocodone / APAP  10 / 500: $5 – $6

Street Value of Dilaudid (Hydromorphone)

Orlando, Florida Area

Dilaudid 1mg Vial of Intravenous – $15 – $20

Street Value of Morphine

Awaiting information

Street Value of Demerol

Apparently these aren’t around anymore.

Street Value of Tramadol (yuck, people actually buy this that way)

Apparently very little value, possibly $1 or $2


Did I forget any others?  Probably. Again feel free to leave anonymous comments. Thank you.


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Oct 05

Quitting Suboxone or Buprenorphine on your own – Why is it so hard?

Why is Quitting Buprenorphine, Suboxone or other opiates so hard?

Voluntary control – Decision to take medicine

The initial decision to take a medicine or drug is considered voluntary control.

Once you start taking an addictive or dependent drug for a period of time and your body gets used to being under that influence, you are non longer under voluntary control. Your control is seriously compromised because you suffer major pain or uncomfortable feelings when you don’t take the Buprenorphine.


It can become very expensive to be addicted to Buprenorphine

Eventually the decision to take Suboxone was voluntary, but it becomes more and more important to the point that much of your day can go into planning on how to obtain the medications. So you need to find ways to save money on the purchases.


Brain Changes After Addiction – Long Term or Longer

Opiate addiction can impair the mechanism by which information from certain areas of the brain—handle judgment or caution. The brain will satisfy the need for opiates like it does for the need when hungry or thirsty.

Brain imaging studies of addicts show physical changes in parts of the brain related to judgment, decision making and even learning or memory. So the dependence can be very destructive.


If You Still Feel You Need for Buprenorphine, You can find many ways to save money on the purchase here. See the side bar.


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Feb 07

The Suboxone Roller-coaster Is Not Approved by the FDA

The dangerous Suboxone Roller-coaster is gaining popularity

There is no real ride with this name, however it represents a trend that seems to be increasing among opiate addicts around the world.  This opiate ride is not approved by the FDA. It is not doctor approved. And even though the ride is dangerous it doesn’t stop addicts from living this thrill ride.

Subutex and Suboxone are medications approved for the treatment of opiate dependence. Both medicines contain the active ingredient, buprenorphine hydrochloride, which works to reduce the symptoms of opiate dependence.

What is the Suboxone Roller-coaster Ride?

It can be described in one paragraph.

When someone alternates between Suboxone & typical pain medications. They might start Suboxone Monday evening after a weekend binge on Oxycodone. They might also stop the Suboxone on Thursday in anticipation of another Oxycodone binge on the weekend. This is done with a dangerous disregard of the risks of Suboxone precipitated withdrawal. Precipitated withdrawal is dangerous and can occur when an opiate user takes Suboxone before the opiates are naturally eliminated from their body.

Why would someone do this?

The answer is very clear. It allows opiate addicts to maintain their habit with much less money than using typical opiates every day.


Alternating Suboxone (Buprenorphine Naloxone) with other narcotics is dangerous

You’ve all heard the expression, “Have your cake and eat it too”, right?  Well this is what I am referring to when I talk about alternating between Suboxone strips and typical opiate drugs.

The main driver for this disturbing trend is money. Opiates are very expensive to take on a regular basis. Once you become addicted then you must take opiates, otherwise you’ll feel bad withdrawal symptoms.

It costs hundreds, if not thousands of dollars to keep an opiate addict comfortable per month. Suboxone helps an addict reduce the monthly cost to keep withdrawal at bay. Suboxone also allows an addict to keep on partying, albeit the partying will be less often and less intense.

Which opiates are addicts taking with Suboxone?

  • Hydrocodone (Lortab, Lorcet, Hydrocodone-APAP)
  • Oxycodone (Oxy’s, Roxy’s, Blues, Blueberries, Percocet, Percs)
  • Hydromorphone (Dilaudid)


Suboxone Precipitated Withdrawal – Fact or Fiction?


I have talked about Suboxone Precipitated Withdrawal before and suggested that it might be a myth perpetrated by the drug-industry to scare addicts into not alternating between Suboxone and other short acting opiates. You can read more about it in Suboxone Precipitated Withdrawal – Fact or Fiction.
Please remember that mixing Suboxone with other opiates, especially long lasting opiates such as Methadone is not only dangerous, it is downright deadly. I am basing this on what I’ve read and I believe it.

The Suboxone Roller-coaster saves the addict money

Typical street prices for 8mg Suboxone strips (buprenorphine naloxone) are similar to that of an Oxycodone 30 however the Suboxone lasts about six times as long. This unique combination has some resourceful addicts flirting with disaster and mixing the two to party with Oxy’s on the weekends and ride the Suboxone Roller-coaster during the week.

Dollars Per Hours – The Driving Factor

Drug Name & Strength Half Life Hours Street Price (Florida) Cost: Get High (subjective) Cost: Stop Withdrawal (subjective)
Oxycodone 30mg Tablet     6   $20   $80 / Day    $40 / Day
Hydrocodone 3 x 10mg Tablets     6   $18   $72 / Day    $36 / Day
Suboxone Tablet 8mg split evenly over four days    36   $18   n/a    $3 / Day
Suboxone Strips 8mg split evenly over four days    36   $18   n/a    $3 / Day


Dancing with the devil

I have heard far too many stories about addicts alternating between Suboxone and other narcotics to save money without giving up narcotics entirely. This is a disturbing trend. I don’t know what the long term effects of long term Suboxone use are but from what I have learned it doesn’t sound like a great idea. What do you think?

So many people playing the Suboxone game. I seem them party on Oxy 30’s occasionally and then ease into a softer Suboxone world where major withdrawal doesn’t hit until two to three days after your last dose.

Oxycodone is a habit that can, and does financially break a lot of people.

Suboxone, or Buprenorphine Naloxone on the other hand is relatively cheap. Suboxone maintenance doses can cost less than a lunch and hold off severe withdrawal for amazing lengths of time.

Let me know if you have heard about the Suboxone Roller-coaster ride. I would love to hear comments about this and see if it is a Florida trend, or something larger.


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Apr 17

Opiate Dependence, Cold Turkey Withdrawal & Suboxone – Page 2 of 2

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Return to Page 1 of Article


Hitting Rock Bottom, Recovering & Hitting Rock Bottom Again

Rock bottom is a tough place to be, but on the other hand it can be a blessing because that is what it takes for some people to take action.  The truth of the matter is that a typical addict will hit rock bottom several times possibly as many as half a dozen before hitting that point where they have a chance of recovering. Some people do it their first time, for me it took about three times.

The first time I ended up in the hospital with complications related to high doses of opiates and it was enough to put a scare into me.  I put together a taper plan and followed it to the bet of my ability.  I actually almost made it to the end when I relapsed and within two weeks was right back where I started.


Real Rock Bottom – Cold Turkey Withdrawal & Counseling

My second crash to rock-bottom was much worse, my family intervened and they all told me how much I was hurting them and how they could see how I was hurting myself.  Getting my family involved was crushing and had me contemplating suicide as a very possible way to escape.   I was angry at my family and friends for not believing I could quit on my own and I proved them wrong by completing a cold-turkey withdrawal over about a ten day period. I gave it everything I had and barely made it; I can remember somewhere around day 4, 5 & 6 thinking I couldn’t take it anymore and was about to ask to be taken to the ER.  I held strong and pulled through on my own.   I swore to never go through that again and I attended NA meetings once or twice a week.

At this point I didn’t really believe *I* belonged in those meetings.  I still felt that I was “above” them.  This was far from the truth.

Suboxone Treatment & Counseling

But once an addict always an addict, I relapsed a few months later after I forgot about how bad things were.  This time I caught the mistake myself and took action on it myself.  I searched the yellow pages for Suboxone Clinics.  Let me start off by saying this, if Oxycodone is the devil, then Suboxone is the devils’ sister.  But if you go into a Suboxone treatment with a strong respect for it, you have a good chance at succeeding.

I make no money for talking positive or negative about Suboxone.  I can think of a lot of negative things to say about it, but I can say that it very well may have saved my life and I pray that the government never takes this amazing drug off the market.  If anything needs to be done, it is that doctors need a better education about Suboxone, the persons taking it know much more than those prescribing.

Lessons Learned in the Opiate Addiction

I’ve learned a lot over the years about opiate addiction, and various methods of recovery.  If one of my family members were on the same path as I was; I would definitely recommend he Suboxone Treatment, but I’d also make sure they had a very strong respect for Suboxone and how powerful it really is.  You are trading one opiate for another, but Suboxone has a very long half life and offers other advantages that basic opiates don’t offer.

I hope you enjoyed my story, and I hope that it compels you to share yours.




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Apr 17

Suboxone Film Coupons – Suboxone Here To Help $0 Copay Card

Suboxone Film Coupons – Here to Help Coupons & Printable Coupons

The manufacturer of Suboxone Film, Reckitt Benckiser currently has two money saving programs for assisting patients who are taking Suboxone.  They also have the “Here to Help” program to help those who are taking Suboxone with any treatment related questions or problems.

Suboxone Film Coupon, Pay $0 Copay and Save up to $50 per month. (Reckitt Benckiser Patient Assistance) (offer extended through 2016)

Suboxone Film Here to Help Guided Support for your Suboxone Sublingual Film Treatment

Suboxone Film Copay Reduction Offer – Free Printable Coupon – Save up to 75% Retail Prices

Suboxone Here to Help $0 Copay Card Save Up To $50 Monthly With Each Refill

Suboxone $0 Copay Card

Suboxone $0 Copay Card

$0 copay for SUBOXONE Film has been extended until 2015.

For more information, visit

Print the $0 Copay Card, visit

Specifics of the program:

  • copay card covers the portion that your health insurance does not pay (up to $50 per month) for SUBOXONE Film.  Instead of paying out-of-pocket amounts for Suboxone, you can use the $0 Copay card to reduce copay amounts by up to $50 a month.
  • Makes Suboxone Film more affordable than the SUBOXONE® (buprenorphine and naloxone) sublingual tablets (CIII)*
  • SUBOXONE Film is equally effective as the tablet with many benefits.

Suboxone Film is Better Than Suboxone Tablets

  • Faster to dissolve than SUBOXONE® (buprenorphine and naloxone) sublingual tablets
  • Better taste than the tablets (more than 71% of patients scored the taste as neutral or better)
  • Each dose is individually wrapped in compact unit-dose pouches that are child-resistant and easy to carry
  • Once-daily dosing like the Suboxone tablet
  • Clinically interchangeable with SUBOXONE Tablet, so your doctor can easily transition you. Your doctor will monitor your progress to ensure your dose of SUBOXONE Film is appropriate.

Present this offer each time you fill your SUBOXONE Film prescription. This Suboxone Film Coupon offer is valid until June, 2015.

Reckitt Benckiser Patient Assistance – Suboxone Film Here to Help Program

Here To Help ProgramThe Here to Help® Program was created to help motivate, encourage, and equip you to manage your daily experience while in treatment for opioid dependence. Reckitt Benckiser is one of the best drug manufacturers out there when it comes to caring about patients, they are second to none in financial assistance.

Visit the Here to Help website by visiting here.

Think you might be opioid dependent?

Take this quiz.

Ready for treatment?

This can help you find a doctor certified to treat opioid dependence in the privacy of his or her office. You can also call 1-866-973-HERE(4373) for help connecting to a doctor in your area.

Want to know what treatment is like with SUBOXONE Film?

This can help you understand the stages of treatment.

3. Printable Coupon For Suboxone – Up to 75% Off Retail Prices

Printable Coupon for Suboxone


For more information on this program visit here.

Save up to 75% off Retail Prices for Suboxone.


  • Discount program for drugs.
  • Works like an AAA card that will get you discounts on hotels.
  • Ideal for people with no drug coverage, self employed.
  • Donut Hole Seniors
  • Use the coupon at most large pharmacies such as CVS or Walgreens
  • Not to be combined with insurance or other offers.

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Jan 06

3 Month Suboxone Addiction – Help to Quit

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Suboxone Addiction – Help to Quit

The subject of this blog post is taken from another that I found via a web-search for Suboxone Addiction.  I am making a post about this question because it is a common one that I get asked here and I believe it is more of a problem than we know about– and the main reason I started this website was to help others with this problem.

I will post quotes from the full blog post titled 3 Month Suboxone Addiction – Help to Quit found here.

This post also discusses the authors real-world taper off of Suboxone using a very gradual taper which is illustrated using the self-made Taper Charting Tool

Have Been Addicted to Roxycodone For Almost 2 Years

I have been an addict to Roxycodone for almost 2 years, I have attempted to quit multiple times using the cold turkey method first, which helped me mentally and physically because it gave me a new aspect on life. However, I only stayed clean for maybe a month and slipped back in the hole.

This is a common start to the story, an addiction to a powerful opiate like Ocycodone and then getting some form of help which leads to Suboxone Treatment for Opiate Addiction.

Used Suboxone for Opioid Addiction thinking it is Safer and/or Better

After some talk with my friends, they persuade me to not use Methadone because there is a great chance of becoming addicted, so instead they told me Suboxone would never get me addicted because it never gets you high.

Again, this is so common and I think so far the original poster is taking the right path.  I think Suboxone Treatment saves a lot of lives and helps people break free from the strong opiate (oxycodone, etc.) addiction that destroys lives but in my humble opinion it leads to people dependent on Suboxone or who find it very hard to break free from the Suboxone.

Failed Quitting Suboxone – Tried Quitting Suboxone Unsuccessfully

The first few times trying to quit off Suboxone I failed but eventually this last time I successfully quit the “blues”. I took the suggested dose of suboxone 2mg 2x a day and was doing fine, with mild w/d effects. Every once in a while I would do an extra 2mg when I would get depressed or start craving the “blues”…

There are so many variations to this persons; story but the basic story is the same, the person broke free from the Oxycodone stronghold but is now dealing with a less-destructive but equally as challenging problem.  Quitting Suboxone is very difficult and not many doctors admit this up front– I’m convinced that many doctors don’t believe it much like psychiatrist didn’t believe in SSRI withdrawal.  It took years before psychiatrists’ and drug manufactures (and FDA) believed in SSRI withdrawal or SSRI discontinuation syndrome but now it is widely accepted.

Suboxone is Very Strong Medicine – Much Stronger Than Doctors Seem To Believe

My theory is that doctors do not realize how strong Suboxone is and they underestimate how a 2mg dose can cause an addiction.  I recall certain doctors saying that anyone noticing withdrawal from a 1mg Suboxone dose is not really experiencing withdrawal and it is “all in their mind”.

First of all – isn’t withdrawal always “in our mind”?  That is a rhetorical question.

Want To Quit Suboxone But Cannot

The last part of the post that I’ll talk about is the part where the original poster talk about how they believe it is time to quit and they feel that being on Suboxone is not being “really clean”.

This is a hotly debatable topic, are you really clean when on Suboxone or not?

I used to say “Yes” but am leaning more towards “No’ after a few years experience and/or exposure to the medication through myself or friends.  I think an addict should be proud of breaking free of Oxycodones’ and getting on a Suboxone treatment plan by a Suboxone doctor but I also think that the addict needs to remember they are still dependent.

I have noticed recently I have been seeing signs of addiction towards the Suboxone; things such as getting depressed, feeling tired all the time unless I do another dose of suboxone, and craving doses a lot. I think it is time to give up Suboxone and getting completely clean. I am a student in College and am holding a job, and I have made it this far without being clean because I don’t ever have the time to quit and deal with w/d.

The original poster said their dose was currently at 8mg daily, which in my opinion is pretty high, much higher than probably needed but I am not a doctor and everyone is different.  I personally feel that any addict after they have gone a month without Oxycodones can wean down to 4mg daily without much physical discomfort.

I also believe it is not that difficult to wean down to 1mg Suboxone daily over a period of a month, even from an Oxycodone addiction from as much as 120 – 240mg daily.

My personal experience is that you need a front-loaded dose of Suboxone, something in the neighborhood of 8mg – 24mg daily for a few days and can then taper down to 8mg daily for the first week after.  Depending on how strong of an addiction you came from it shouldn’t be hard to taper to 1mg of Suboxone daily within 30 days.

Tapering To 1mg Suboxone Daily is Not That Hard

I have found that going below 1mg of Suboxone the point where things start becoming challenging. But again this information is being provided for entertainment purposes only and all dose amounts should be provided by your doctor and followed exactly.

The original poster also said:

My daily routine:

– I wake up and immediately insufflate 2mg, I go to my job or school and last 4-5 hours later when I insufflate another 2mg, then in 3 hours I insufflate another 2mg. Recently, I insufflate another 2mg in another 2 hours.

I have to say that this is a bad idea.  You should not snort Suboxone for one it is not an efficient means of treatment and wastes the medication not to mention you don’t know what the side-effects are from taking medication that way.  There is no recreational value to snorting Suboxone, generally speaking from what I have seen.  There is little to no recreational value in Suboxone period from what I’ve seen and experienced.

How To Quit Suboxone For Good – Long, Slow, Gradual Tapering

I believe that tapering from any addictive medication is the way to go IF you can do it. Tapering from a highly addictive substance like Oxycodone is nearly impossible because it is so addictive and because it has such a short half-life.

Half-life basically means the number of hours before one half the useful part of the medication is removed from your body. Oxycodone has a very short half life in the neighborhood of six hours so if you rail 30mg of Oxycodone at noon half that is gone by 6pm and nearly all of it gone within 24 hours.

Suboxone Has a Very Long Half Life

Suboxone has a super long half-life compared to Oxycodone, approximately 37 hours and it is different for everyone, could be as high as 60 hours in some people on other medications with over-worked liver.  The difference between a medication having a 6 hour half-life and a 37 hour half-life is night-and-day.

Suboxone Half-Life Night-and-Day Difference Compared to Oxycodone

You can check out the Half-Life Elimination Charting Tool on this site to experiment with how long medications stay in your system based on half-life.  The tool was developed by a programmer and is for entertainment purposes only but it will give you an idea of the differences between a 6 vs 37 hour half-life medicine.

The tool works for any medicine that has a linear half-life as long as you use the same unit of measure for example use dose in milligrams, grams, micro-grams,  oz, etc., it doesn’t matter as long as the dose is numeric and consistent.  If you took 1.2 grams of a medicine one day and 200mg the next day just enter 1,200 milligrams and then 200mg using the common denominator of “milligrams”.

Suboxone Half-Life Elimination Tool – Suboxone Tapering Tool

** For educational purposes only I am not a doctor – I am a computer programmer who used basic half-life elimination formulas to develop the tool.

If you open the tool, you will need to have Microsoft Silverlight on your computer.  You may already have Silverlight, but if not you will be prompted to install it.  You can run the tool on non-Microsoft computers such as Mac or Linux.


The Real Secret To Quitting Suboxone

I think that a very long, shallow taper is the way to get off Suboxone with little or no discomfort.  When I say long, I am thinking of at least one month to go from 1mg daily to nothing.  Getting to 1mg daily of Suboxone is a walk-in-the-park but going below 1mg starts becoming challenging and I would never wish anyone go “cold-turkey” from any dose of Suboxone heaven forbid 8mg daily.  I an not a doctor and you need to get all dosing information from your doctor. This information is being provided as an opinion and possibly something you can suggest to your doctor and ask your doctor if it is something they are willing to allow you to do.

My Personal Taper From Suboxone

First three days 24mg Suboxone, then three days at 16mg, then two days at 12mg to finish out the first week.  After getting past the first week you have bypassed the hardest days of opiate withdrawal.  From then on a moderate taper down to 4mg Suboxone daily.  I then took another TWO full months to taper from 4mg to zero taking the last month to go from 1mg to zero by cutting Suboxone strips into very thin tiny (almost as small as a pin head) that when you put under your tongue you barely taste the “orange” stuff.

Getting to 1mg isn’t really so tough and if you take it slow enough you will be able to quit.  This was my personal experience and should not be used by anyone without approval and guidance from your doctor!!

Notice this first month chart, how it loads heavy at first to curb the hard part of opiate withdrawal and ramps down fast to a lower dose.  You would be surprised how STRONG 4mg of Suboxone is once you break the Oxys.  In fact 2mg Suboxone can kill some pretty bad withdrawal if you give it a few hours time (patience!!!) and let yourself experience a little discomfort.

Good luck!!

Planning a Drug Taper

The Tool for creating this graph was made by a programmer (me) and only does a month at a time for now but I will update it to do more as soon as I get time. :)


View larger image HERE or open the Suboxone Taper Charting Tool HERE

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Aug 06

Morphine Addiction Treatment – Buprenorphine Naloxone (Suboxone or Subutex) vs Methadone

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Quitting Opiates – Which works better Suboxone or Methadone

There is no silver-bullet answer to this question, but in my experience buprenorphine naloxone (aka Suboxone) is a better choice because I think it works better and it is easier to quit once you reach that point.  Quitting Suboxone or Methadone can be a challenge, but I think Suboxone is just a little easier.

There are some variables involved that will probably be considered, price of course is always on the list unless you are made of money.  Then you have to ask the question, does the drug do what is promised, will it help you quit abusing opiates and get you off opiates ultimately with the least amount of pain possible.  The third factor I would consider is how easy is it to quit taking the medication once you are ready, because you are trading one opiate for another with either choice.

Summary – There are basically two choices of approved drugs for opiate addiction

  • Buprenorphine Naloxone (aka Suboxone, Subutex)
  • Methadone


Summary – How to decide between Suboxone or Methadone


  1. Cost of Suboxone or Methadone Treatment Plans
  2. Effectiveness of the drug in getting you off of opiates and keeping you off them.
  3. Ability to quit the drug without major problems or withdrawal symptoms.

Suboxone Strips

Suboxone (aka Buprenorphine Naloxone) Treatment Plan Typical Prices

First Month Costs

Initial Doctor Visit or Evaluation Visit – Around $300

Regular Visits for counseling and script refills average around fifty bucks weekly –  $200 first month

Cost of Suboxone medication per month, assuming one and a half 8mg Suboxones’ daily (45 pills * $10) – $450 first month.  You will probably start at two or three 8mg Suboxones the first few days and rapidly drop to one 8mg daily and possibly 1/2 of an 8mg Suboxone by the end of the month.  4mg of Suboxone is still a very potent dose.

Second Month Costs

Regular Visits for counseling and script refills average around fifty bucks weekly –  $100 second month.  Many doctors will allow you to visit less frequently after you build some trust in the relationship.

Cost of Suboxone medication per month, assuming 1/2 of an 8mg Suboxone daily (15 pills * $10) – $150 second month

Third Month Costs

Regular Visits for counseling and script refills average around fifty bucks weekly –  $100 third month.  Many doctors will allow you to visit less frequently after you build some trust in the relationship.

Cost of Suboxone medication per month, assuming average of 1/8th of an 8mg Suboxone daily, plus a few extra pills to cut as small as possible for tapering (use two pills for an entire month period!  (10 pills * $10) - $100 third month

Total Cost of Suboxone Treatment over a three to four month period:  $1,400.  This sounds like a crazy high number, and it is expensive if you don’t have insurance coverage, but it is a low price to pay compared to the alternative.  I don’t know about you but I know of many people who were at a two hundred dollar per day habit so the Suboxone was actually cheaper than the daily routine.


Effectiveness of Suboxone

Buprenorphine is a relatively new drug for treating opiate addiction, such as oxycodone addiction or even heroin addiction.  Suboxone has become very popular in the US, quite simply because it works for most people, and the numbers are slightly better than Methadone for number of addicts who remain clean after a period of months after treatment.

From personal experiences I can say that it works because I’ve seen friends go through the treatment with good success.


Ability to Taper off of Suboxone after the treatment

This is probably one of the weak points for Suboxone, but it is no cakewalk for Methadone either.  You are trading one opiate for another, so you are technically not “clean” until you kick the Suboxone habit, and that is not as easy as it might seem.  But don’t let that deter you from improving your life, or possibly saving it!


Methdone Costs, Effectiveness and Ability to Taper off

I have not seen person experiences or talked to people who have, so do not have this information in as much detail.  The costs are similar to Suboxone for treatment however the Methadone drug itself is very low cost.  Methadone has a longer half life so technically you would think it will be easier to wean off of, but I have heard of many addicts that are on methadone for life.

I am definitely biased towards the Suboxone but I recommend you try to find more detailed info on Methadone first.

If you are looking for a medication for Heroin addiction treatment, Morphine Addiction Treatment, or Hydrocodone Addiction Treatment, then learn about buprenorphine naloxone and methadone  as much as possible before making a decision.

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Aug 03

Chronic Pain Management Using Buprenorphine

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How Buprenorphine Works for Pa in Management or Opiate Addiction

Buprenorphine is being used for drug addiction treatment because it is a long-acting opioid (24-72 hours) and it produces less respiratory depression at high doses than other narcotic treatment drugs. Buprenorphine is much more potent than morphine as an analgesic; and like morphine, it produces dose-related euphoria, respiratory depression, and sedation.

How Buprenorphine Works

How Buprenorphine Works

Low doses of buprenorphine can eliminate opiate withdrawal symptoms

When treating someone who is addicted to opioids, a low dose of buprenorphine is strong enough to allow an addict to stop taking opiates without  experiencing withdrawal symptoms. Side Effects of buprenorphine are minimal.  The most common was sedation but it was mild.

Other side effects reported in less than 5% of the patients in this study were as follows:

  • Sweating
  • Hypotension
  • Hypoventilation
  • Vomiting
  • Headache
  • Nausea

Acute pain treatment can be hindered by the use of buprenorphine.  Suboxone has phannacological properties, and emergency care centers  find it difficult to control acute pain by using full agonist opioids because their effects will be minimized by the buprenorphine molecule.  Opioid tolerance also contributes to diminished pain relief as a result of the chronic use of a long lasting opioid, Special consideration needs to be given to potential circumstances that buprenorphine maintenance


Vivitrol (naltrexone) and Suboxone (buprenorphine and naloxone) are the new hope for opiate addicts

Vivitrol (Naltrexone) is a monthly injection given in a physicians office. It controls addiction by preventing euphoria from other opioids or alcohol.

Suboxone (buprenorphine and naloxone) works by limiting the euphoric effects of opioids but at the same time preventing withdrawal symptoms. While there is no perfect treatment, both of these medications can be safe and effective when used properly.

These are far lower cost to an addict than typical opioids.  I know of some addicts who were spending $160 daily to support their addiction, and spend a good portion of the day seeking out the drug for fear of intense withdrawal.

A doctor mentioned some real-world experiences with subxone…

To see a 42 year old nurse to break into tears when talking about how she feels like she got her life back due to these Suboxone treatment.  To have a young mother hug me while crying because she was so happy to be able to care for her children and be normal again.

Potentially fatal interactions with other depressants such as benzodiazepines (Valium, Xanax, Ativan), THC, alcohol, sleep aids, muscle relaxers, etc.

Withdrawal: Although the addict feels like dying, withdrawal from opiates in itself is not lethal (as withdrawal from alcohol and benzodiazepines can be)


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Aug 03

Legal Uses of Buprenorphine for pain (Buprenex®) and opioid addiction

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Legal Uses of Buprenorphine (Buprenex®) & (Suboxone® and Subutex®).

(based on DEA Narcotic Addict Treatment Act effective 2006)

  • Treatment of pain under the trade name of (Buprenex®)
  • Treatment of opioid addiction under the trade names (Suboxone® and Subutex®).


Prescriptions Dispensed for Buprenorphine in the US

In 2009, there were 5,080,000 prescriptions for buprenorphine dispensed.

In 2010 (up to September) there were 4,600,000 buprenorphine prescriptions dispensed which is on a pace to reach 5,750,000 prescriptions dispensed by the end of 2010.


69 Tons of Pure Oxycodone & 42 Tons of pure hydrocodone were dispensed the US in 2010

Nationwide, pharmacies received and ultimately dispensed the equivalent of 69 tons of pure oxycodone and 42 tons of pure hydrocodone in 2010, the last year for which statistics are available. That’s enough to give 40 5-mg Percocets and 24 5-mg Vicodins to every person in United States

How many pills that equates to for every single person in the Unites States for a year?  

  • 40 Percocets
  • 24 Vicodins

Parts of New Mexico have seen tenfold increases in oxycodone sales per capita and fivefold increases in hydrocodone. The state had the highest rate of opioid painkiller overdoses in 2008, with 27 per 100,000 population.  The increases have coincided with a wave of overdose deaths, pharmacy robberies and other problems in Nevada, Utah, Florida and other states. Opioid pain relievers, the category that includes oxycodone and hydrocodone, caused 14,800 overdose deaths in 2008 alone, and the death toll is rising, the Centers for Disease Control and Prevention says.

2001 Narcotic Addict Treatment Act Amendment

Amended to allow qualified physicians, under certification of the DHHS, to prescribe schedule III-V narcotic drugs (FDA approved for the indication of narcotic treatment) for narcotic addiction, up to 30 patients per physician at any time, outside the context of clinic-based narcotic treatment programs.

2005  Narcotic Addict Treatment Act Amendment

The patient limit was increased to 100 patients per physician, for physicians who meet the specified criteria, under the Office of National Drug Control Policy Re-authorization Act.

2006   National Drug Control Policy Re-authorization Act

The patient limit was increased to 100 patients per physician, for physicians who meet the specified criteria, under the Office of National Drug Control Policy Re-authorization Act.



Suboxone® and Subutex® are the only treatment drugs that meet the requirement of this exemption. Currently, there are nearly 15,700 physicians who have been approved by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the DEA for office-based narcotic buprenorphine treatment.

Of those physicians, approximately 13,150 were approved to treat up to 30 patients per provider and about 2,500 were approved to treat up to 100 patients.

More than 3,000 physicians have submitted their intention to treat up to 100 patients per provider. IMS Health National Prescription Audit Plus data indicate that 5.08 million buprenorphine prescriptions were dispensed in the US in 2009.


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Jul 21

Taper 101 for Addictive Opioids like Buprenorphine Naloxone

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Tapering 101 – Addictive Pain Killers and Opiates

  • Heroin
  • Demerol
  • Methadone
  • Morphine
  • Hydrocodone
  • Oxycodone
  • Suoxone
  • Dilaudid
  • Vicodin
  • Percocet


 Suboxone Taper

Factors that affect the Taper From Addictive Opiates (Opiate, Methadone, Morphine, Hydrocodone, Oxycodone, Suoxone and Dilaudid)

  • how long you’ve been on the med
  • what dose you’re on
  • your age
  • what other meds you’re taking
  • your general health.


Opiate Tapering using Gradual Dose Reduction (aka Tapering)

The purpose of tapering a medication is to find an optimal dose or to determine whether continued use of the medication is needed.  A taper of an addictive opiate such as (Opiate, Methadone, Morphine, Hydrocodone, Oxycodone, Suboxone, and Dilaudid) may be made much more comfortable using tapering.  You can use the Buprenorphine Naloxone & Suboxone Tapering Tool on this site to plan your own personal taper.

Buprenorphine Taper

The Buprenorphine Naloxone & Suboxone Tapering Tool

Cold Turkey – Stopping Suboxone or Opioid Medications

What to do if your doctor says you can stop pain killers cold-turkey?

Question: I’ve been on Suboxone. My doctor has now said I can stop taking the medication. I’ve heard from others that you should not stop taking this medication cold turkey but should wean from

it using a gradual reduction in dose over time. The doctor said I should be fine that 4mg daily is not that much to stop. Should I just stop or taper on my own?
—Carlos, Sanford, Florida
ANSWER: Opioid medicines have common and easily seen withdrawal symptoms and some have rebound effects. Overall, pain killers can be tapered without problem but when your physician says you can stop them, most likely, you don’t need to worry about tapering off. (Ask questions if you’re not sure.)

Some other medications, such as antidepressants and blood-pressure meds, do need a tapering schedule. Sometimes docs will taper them over a short timeframe like 2 weeks or sometimes over a long period such as a year.  It depends on how long you’ve been taking them and what dose.


What can happen if you stop taking certain opioids (pain-killers) cold-turkey?

For opioids such as (Opiate, Methadone, Morphine, Hydrocodone, Oxycodone, Suoxone and Dilaudid):

  • high blood pressure
  • rapid heart rate
  • seizures
  • anxiety


When stopping medications, a taking your time may save your life, health and minimize withdrawal symptoms.
A really nice drug tapering tool that can be used for just about any medication including opioids (Opiate, Methadone, Morphine, Hydrocodone, Oxycodone, Suoxone and Dilaudid)

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