Category Archive: Suboxone

Jul 25

Buprenex, Buprenorphine Started As Schedule V Narcotic in USA, 1985

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Buprenorphine Drug Scheduling Timeline

Buprenorphine was first marketed in America in 1985, it was then scheduled by the FDA as a Schedule V narcotic. The only available product in the United States at that time was a very low-dose formulation intended for injection.

It was sold under the brand name Buprenex®. The FDA said that diversion, abuse & trafficking was occurring in Europe and other parts of the world. Considering the strength of Buprenorphine, it doesn’t surprise me that it was misused and/or trafficked.

Anyone who has attempted to stop taking Buprenorphine (aka Suboxone) knows how difficult it can be, sometimes more difficult than quitting other addictive opiates. If you are trying to taper from an addictive opiate or suboxone, you can check out the suboxone taper calculator on this site, or check out the new one on http://warm-turkey.com/HalfLife

DEA Scheduling of Buprenophine

 

Subutex and Suboxone were approved by the FDA in 2002 as schedule III Narcotic

The Food and Drug Administration (FDA) approved two buprenorphine products (Suboxone® and Subutex®) for the treatment of opioid addiction.

 

Both products are high dose (2 mg and 8 mg) sublingual (under the
tongue) tablets:

  • Subutex® is a single entity buprenorphine product
  • Suboxone® is a combination product with buprenorphine and naloxone in a 4:1 ratio, respectively.

 

DEA Places Burprenorphine Products In Schedule III in 2002

The DEA placed buprenorphine and all products containing buprenorphine into schedule III in 2002. Since 2003, diversion, trafficking and abuse of buprenorphine have become more common in the United States.

 

FDA Approves Extended Release Buprenorphine Product - Butrans® in 2010

In June 2010, FDA approved an extended release transdermal film containing buprenorphine (Butrans®) for the management of moderate to severe chronic pain in patients requiring a continuous, around-the-clock opioid analgesic for an extended period of time.

 

 

Permanent link to this article: http://www.subotex.com/buprenex-buprenorphine-started-schedule-v-narcotic-usa-1985/

Jun 25

Zubsolv Takes On Suboxone In Two Phase 3 Clinical Trials, And The Winner Is . . .

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Zubsolv Phase 3 Clinical Trials – Positive Top-line Results Released

Uppsala, Sweden – June 23, 2014 Orexo AB (publ) announces the results of two clinical trials assessing Zubsolv for induction of Buprenorphine maintenance therapy in patients with opioid dependence.

Nikolaj Sorensen, Chief Executive Officer of Orexo, noted “We know a main barrier for DATA2000 certified physicians to start treating opioid dependent patients, is perceived difficulties in the initiation phase of treatment. With an expanded label Orexo can take an active role to encourage and educate the certified, but not active, prescribers in initiation of treatment and improve access to treatment for patients suffering from opioid dependence”

A total of 1,068 opioid dependent patients, showed that over 90% of patients treated with Zubsolv were retained in treatment at Day 3 using a 30% . (emphasis added by author, this is impressive)

The full press-release for the clinical trials are here.

Zubsolv & Suboxone are chemically similar containing buprenorphine & naloxone

 

Zubsolv 5.7 mg Sublingual Tablet

Zubsolv 5.7mg

suboxone241

Suboxone 8mg

Zubsolv is the newest drug available for treatment of Opioid Dependence. The current leader-on-the-block for treatment of Opioid Dependence is Suboxone. Suboxone has been around for several years and is chemically similar to Zubsolv in that both medications consist of two drugs Buprenorphine and Naloxone.

 

What is Buprenorphine?

Buprenorphine is a narcotic analgesic, and it decreases pain by working in the brain and nervous system. Put simply, it is a habit-forming narcotic pain-killer in the same ballpark as other narcotic pain-killers such as Oxycodone or Hydrocodone. All narcotic pain-killers are capable of causing addiction problems and are likely to cause dependence problems with extended use.

What is Naloxone?

Naloxone prevents or reverses the effects of opioids including respiratory depression, sedation and hypotension. Naloxone is an essentially pure opioid antagonist, i.e., it does not possess the “agonistic” or morphine-like properties characteristic of other opioid antagonists. When administered in usual doses and in the absence of opioids or agonistic effects of other opioid antagonists, it exhibits essentially no pharmacologic activity.

Why do Zubsolv & Suboxone contain Buprenorphine & Naloxone?

The combination of buprenorphine and naloxone is what makes Zubsolv & Suboxone effective at treating opioid dependence. The buprenorphine alone would be like taking any other narcotic pain-medicine, however when mixed with Naloxone it makes abuse of the drug difficult if not impossible. The Naloxone displaces opiates so it prevents a dependent user from abusing the drug and getting intoxicated in a way that would lead to addiction. The Naloxone also makes using the drug in IV form not desirable. So the buprenorphine helps to remove the effects of withdrawal while the naloxone keeps the user honest and removes the ability to abuse the drug or use it in a way to get high.

I am generalizing here, but in my understanding this is the basic concept.

My Personal Experience With Zubsolv Compared To Suboxone

The results of the studies surprised me because I had an opportunity to try Zubsolv and it was my opinion that the Zubsolv 5.7mg was much less effective than the Suboxone 8mg strips. After making my opinion about Zubsolv I decided to share it via a Twitter post. I didn’t hold anything back when sharing my opinion, as you can see in the Tweet below.

First Tweet About Zubsolv:

 

I received a very polite response from Chris, he believed that my experience was likely due to the placebo effect and I pretty much discounted that theory immediately because my experience seemed real. When the same Twitter user replied again five days later, he informed me of a clinical study that was completed and was about to be released.

I am aware that placebo-effect is very real, and in light of the study I was willing to entertain the theory that my “mind mighthave been playing tricks on me”, but I was still pretty sure that I was right.

Responses from Twitter user @Christipojk

 

Bigger is always better, right?

After reading the full press release and results of the studies, it is my belief that placebo-effect really did cause me to believe Zubsolv was less effective than Suboxone and I suspect this will be common among other Suboxone loyalists. It is easy to fall for this belief considering that Zubsolv is a smaller dose, and in most peoples’ mind a smaller dose will not be as good as a larger one.

I am used to making one Suboxone 8mg strip last about a week by slicing it into eight equal parts, but when Suboxone wasn’t available and I had the opportunity to try Zubsolv I burned through 5.7mg tablets at the rate of one every three to four days– which was depressing as the medication is relatively expensive.

Micro-Doses of Zubsolv Are Challenging Considering The Small Tablet Size

Zubsolv 5.7 mg Sublingual Tablet

Zubsolv 5.7mg

 

Part of the problem with micro-doses of Zubsolv may be the difficulty in cutting the small Zubsolv tablets into small doses. Cutting a 5.7mg Zubsolv tablet (very small in size) into seven equal parts is close to impossible as the tablets are tiny and they crumble easily when you try to cut them. This alone may make Suboxone strips a better choice for some people. 

 

Suboxone 8mg strips on the other-hand are very easily cut into eight, or even sixteen even parts using a razor blade or sharp scissors.

About Zubsolv®Zubsolv (buprenorphine and naloxone) sublingual tablet (CIII) is indicated for the maintenance treatment of opioid dependence and should be used as part of a comprehensive treatment plan, which includes counseling and psychosocial support. Treatment should be initiated under the direction of physicians who are certified under the Drug Addiction Treatment Act of 2000, and who have been assigned a unique identification number (“X” number).
Zubsolv sublingual tablets can be abused in a manner similar to other opioids, legal or illicit. Clinical monitoring appropriate to the patient’s level of stability is essential. Liver function tests should be monitored before and during treatment. Children who take Zubsolv sublingual tablets can have severe, possibly fatal, respiratory depression. Emergency medical care is critical. Keep Zubsolv sublingual tablets out of the sight and reach of children.

Permanent link to this article: http://www.subotex.com/zubsolv-vs-suboxone-clinical-trial/

Jun 25

Zubsolv Savings Card For $75 Valid For 2014

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The Zubsolv Savings Card –  $75 Savings Card For 2014

http://www.zubsolv.com/about-zubsolv/patient-savings.php

Zubsolv Card

Zubsolv Card

I wanted to let everyone know that Zubsolv currently has a program that will save you $75 on Zubsolv scripts via a savings card that you can use at most pharmacies.

PRINT a Copay Card for ZUBSOLV

Orexo / Zubsolv Helps You Save on Your Prescription For Zubsolv

 

  • Orexo, the maker of ZUBSOLV, is committed to helping you access the treatment you need
  • If you’re eligible, this copay card for ZUBSOLV can help lower your out-of-pocket costs like copayments, coinsurance, or deductibles on your prescription for ZUBSOLV. The copay card for ZUBSOLV covers up to $75 of your prescription costs
  • Call toll free 1-888-ZUBSOLV (1-888-982-7658) to see if you are eligible for a copay card for ZUBSOLV
Zubsolv 5.7 mg Sublingual Tablet

Zubsolv 5.7 mg Sublingual Tablet

Zubsolv 1.4 mg Sublingual Tablet

Zubsolv 1.4 mg Sublingual Tablet

Permanent link to this article: http://www.subotex.com/zubsolv-savings-card-75-2014/

May 13

Zubsolv, A New Suboxone Alternative for Opiate Addiction Treatment

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Zubsolv, A New Formulation of Buprenorphine and Naloxone

Zubsolv is a new drug formulation of Buprenorphine and Naloxone. Zubsolv is similar to Suboxone and has been approved by the FDA for the same use, opiate addiction.

  • ZUBSOLV is available in 2 doses for Opioid Dependence, 5.7 mg and 1.4 mg.
  • ZUBSOLV is Individually sealed in the highest level of child-resistant unit-dose blister packs (F1 child-resistant)

Zubsolv v.s. Suboxone for Opiate Dependence

Zubsolv comes in two dose sizes that compete directly with Suboxone’s 8mg/2mg and 4mg/1mg strips and sublingual tablets. Orexo, the maker of Zubsolv claims that the dose formulations are comparable to Suboxone even though they contain lower amounts of Buprenorphine and Naloxone. The lower dose sizes are equivalent because the new drug formulation has a higher bio-availability, meaning that a higher percentage of the dose is available to the human body in this new formulation.

The jury is still out on whether Zubsolv works as well as Suboxone. It is the authors’ opinion that Suboxone and Zubsolv should be compared by their dose size and not the claimed bio-availability of the drug. If I had the choice of Suboxone 8mg/2mg v.s. Zubsolv 5.7mg dose I would take Suboxone as it contains more of the medication.

Dosing Comparison For Treatment of Opiate Addiction

Zubsolv 5.7 mg Sublingual Tablet

Zubsolv 5.7 mg Sublingual Tablet

Zubsolv’s 5.7 mg Burprenorphine with 1.4 mg Naloxone comes in a round Menthol flavored sublingual tablet, and is said to have a higher bio-availability than Suboxone strips making it equally as effective as Suboxone in the 8mg/2mg size.

 

 

 

 

Zubsolv 1.4 mg Sublingual Tablet

Zubsolv 1.4 mg Sublingual Tablet

Zubsolv’s 1.4 mg Burprenorphine with .36 mg Naloxone comes in a triangular Menthol flavored sublingual tablet, and is said to have a higher bio-availability than Suboxone strips making it equally as effective as Suboxone in the 2mg/.5mg size.

 

 

 

 

How to take Zubsolv for Opiate Addiction

Taking Zubsolv is similar to taking Suboxone sublingual film, or sublingual tablets. Simply open the package and place the dose under your tongue allowing it to dissolve naturally. Like Suboxone, movement, talking, or drinking while dissolving the tablet is not recommended. Full instructions for taking Zubsolv can be found on Orexo’s Zubsolv website.

 

Permanent link to this article: http://www.subotex.com/zubsolv-a-suboxone-alternative-for-opioid-dependence-and-addiction/

Feb 07

The Suboxone Roller-coaster Is Not Approved by the FDA

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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.

 

Permanent link to this article: http://www.subotex.com/suboxone-roller-coaster-approved-fda/

Feb 02

Suboxone Withdrawal is TERRIBLE – Quitting Suboxone IS Possible

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Freedom from Suboxone Addiction begins as an idea

 

Have you tried to quit Suboxone and felt like you’re never going to succeed?

Beating Suboxone AddictionYou know quitting is the right answer. But quitting is hard. Quitting an addictive drug is like swimming out to sea against the incoming waves. You end up back where you started, over, and over again. Does this sound familiar?

I know that gut wrenching feeling of ending up in the same place. I’m in pain. I’m exhausted. I’m losing hope that I’ll ever make it. Have you ever lost faith?

You are not alone. I was where you are now. I learned how to break free from my addiction. I know that you can too. Are you willing to make one small change?

Suboxone is very addictive and can cause unpleasant withdrawal symptoms. Quitting Suboxone is impossible without making a decision to change.

You made it this far. You can end your addiction. All you need to do is initiate change no matter how small. You can make small changes right?

Congratulations you are on the road to recovery from Suboxone Addiction.

 

The next step in beating Suboxone Addiction is deciding on a change

 

A nuclear submarine is on collision course with a massive iceberg. The course must be changed to avoid catastrophe. Are you ready to change your heading towards a better future?

The captain of the submarine knows his direction of travel must be changed immediately. Without change the sub will crash into the iceberg. It would be a tragedy of epic proportions. Each moment of delay makes the turn away more difficult or impossible. Now is a great time to change direction, don’t you agree?

We can change our destination with a thought. That sounds weird but it is true. The moment you change direction,  no matter how small, you have changed your destination.

It happens instantly why not give it a shot?

Imagine your self-confidence soaring as your small changes accumulate becoming noticeable changes, and you begin to feel better. You will start thinking clearly again. This is how I beat addiction. It’s how you can beat addiction too if you want to.

Now is the time to turn the ship.

Now is the time to begin the change.

Now is the time to alter the destination!

Thankfully, the submarine crew followed orders and it was a happy ending.

Change is the key idea that starts the recovery. The laws of physics are clear that an object in motion is likely to stay in motion. You must make change a top-priority. If you accomplish only one thing today, decide what change you are willing to make to beat Suboxone addiction.

Are you ready to end the Suboxone addiction once and for all?

 

The most important step is making the change that you decided on

You need to make your change and make it permanent. After you make your change then you should repeat the process from the beginning but make each change more difficult. It may take several months to quit Suboxone and avoid withdrawal symptoms. If you haven’t seen my Suboxone Taper Charting tool you may want to work with your doctor and plan a very gradual taper plan.

Addicts are brilliant people. It is proven that addicts tend to have higher IQ’s than non-addicts. Then why isn’t beating an addiction easier?

I wish that I had an answer to the question.

I do have a solution to the problem. You can conquer your addiction starting today. You simply need the right motivation. You need to want the change before you can make it happen.

Have you decided what change you want to make today?

Knowledge acquisition IS change

You can start by learning about addiction.

Learning about addiction will help you to conquer it. The submarine captain has studied the enemy so the enemy can be destroyed. Knowing the enemy helps defeat the enemy. Addiction is the enemy, right?

It doesn’t matter how small your change is. The smaller your change the better chances of success! What changes can you commit to right now?


A drug holiday IS change

You can initiate drug holidays or times when you will NOT use the drug. It doesn’t matter how small the window of time is as long as you are serious about sticking to it. Don’t make your change too difficult and set yourself up for failure.

Refuse to use on Sunday.

Refuse to use between 9am and noon.

Refuse to use on holidays.

These are only ideas. What small change will you make today?

Write it down somewhere where you’ll see it every day. If you can’t do that than do something to symbolize the decision like tying a string on your finger. Hold yourself accountable to the small change. I know this probably sounds corny, but it’s serious. Make your changes SMALL so you easily handle them. I mean really small too, so that you could bet your life being able to do it. OK?

Small change is easier than big change.

Small change has the highest probability of succeeding. If you make a small change in the right direction your confidence will soar. This pattern of small, steady changes will take you to a place you never thought existed without drugs.

I learned how to escape addiction with the help of others. My present, and future is bright and hopeful. I know you will succeed because you are still reading. Will you stick with me?

You are almost there. The next step is urgency.

 

Recovery from Suboxone addiction works best with a sense of urgency

 

Urgency is driven by fear or passion.

Change is critical in quitting SuboxoneIf you don’t have fear or passion than you don’t have urgency and you are unlikely to change course. Urgency means making change your first priority. Can you think of a change that might be good for you?

If you don’t make changes than you will never change the destination. You will end up at the same place over, and over again. Your life will not get any easier until you start to make changes. Every day, every week that goes by makes it more difficult to quit. You know in the back of your mind that something needs to change. Are you with me?

Could you NOT use for the first ten minutes of each hour?

You could easily not use from the top of each hour until ten minutes after the hour. I mean, ten minutes can not be that hard. Sure, it might be uncomfortable if you are partying and you suddenly stop for a break. Your partying friends will laugh but they’ll watch and expect you to fail. Do this every day, every week, and you will begin glowing with confidence. Your confidence will become contagious. Can you see it?

Are you not ready to reduce usage yet? No problem.

You can still begin to change now.

Learning about addiction is action. Learning will help you understand the enemy. You can destroy the enemy with knowledge and time. Imagine how you will feel once you have conquered addiction. Make knowledge your first change.

Find a good book about addiction so you can learn.

If you don’t do it now while the voices aren’t telling you otherwise, you may never do it. Start steering your life in the right direction today. Start your change now with urgency because life is not a drill. You may have dodged bullets until now but you can’t forever. You already know this though, right?

I picked two of my favorite books on addiction and they are both really cheap. You can probably buy both of them for less than it would cost for one Suboxone tablet on the street. It’s hard to believe that one pill costs the same as two books that could save your life. I’m sure you are tired of wasting money on Suboxone, right?

The books I recommend are shown as links within this article. Consider reading your book with a friend. Two people have a better chance of success than one.

It is not heroin or cocaine that makes one an addict, it is the need to escape from a harsh reality. There are more television addicts, more baseball and football addicts, more movie addicts, and certainly more alcohol addicts in this country than there are narcotics addicts. Shirley Chisholm

In the interest of full disclosure, I am an affiliate of Amazon. The prices are exactly the same whether you use an affiliate link or not.

Consistent change, a sense of urgency and time are the pillars of success

Some people don’t have addictive personalities. Some people have strong will-power. We weren’t blessed with will-power but we were blessed with intensity.

Addicts do things with great intensity. Now is the time to get intense and make a small change.

Then another change. And another. You get the picture right?

Now is the time to stay on track and continue changing your destination. Begin making your first change today. And remember that knowledge is a start in the right direction.

I’m excited that you have made it this far.

You are obviously ready to quit Suboxone for good and I’m confident you will succeed.

Its time to crush your Suboxone addiction while there is still time.

Suboxone Withdrawal - How to quit Suboxone once and for all

 

What are your thoughts about this article? I hope it helped motivate you to make a change. I hope it starts the same fire in you that it started for me. I beat Suboxone addiction and so can you.

I would also LOVE to hear any success stories, or lessons learned that I can pass on to others.

 

 

 

Permanent link to this article: http://www.subotex.com/why-are-you-still-addicted-to-suboxone/

Jan 24

Drug Half-Life Elimination & Blood Plasma Level Taper Planning

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Drug Half-Life Elimination & Taper Charting Tool 

 

Q U I T   S U B O X O N E   T O M O R R O W . . .

but start quitting today

 

I n   a   h u r r y ?   Jump to the dedicated taper charting tool page here

 

Cold-Turkey Suboxone Taper

Suboxone will build up in your system because the half-life is very long, it takes about 37 hours before half the active drug has been removed from your blood.  This is an average, if you take many medications or are older the length of time may be significantly higher.

Due to the long half-life withdrawal on day one after cold-turkey will not be too bad, and day two through seven are a rapid descent from normal to hell-on-earth. The withdrawal will get worse over the next three do five days peaking at around seven to ten days. This is my opinion you should contact your doctor with questions about how the drug might affect you.

Suboxone Cold Turkey

Suboxone 10 x 16mg  - Then Cold Turkey

Cold Turkey Suboxone - 14 Days of 16mg

Day 12-30 Withdrawal

 

 

 

 

 

 

T h i s  i s   h o w   t o  N O T  t a p e r . . .

 

Warm-Turkey taper of Suboxone with a two tiered drop down in dose

The next taper example is much better than the cold-turkey, but still has a rapid drop off in blood levels after the first week but the taper after that is more gradual and would be easier than a full “cold-turkey”.

There is technology available that can actually help with this problem, it is a LOCKED dispensing device where you can literally LOCK your doses and you can only access them according to your plan. I wish they had this before I went COLD-TURKEY.

You can find details right here.

SuboxoneMonth1

 

 

Use the Taper Charting Tool to create a personalized taper plan that minimizes withdrawal.

 

This plan is better but still too sharp after the first week.

 

 

 

 Maintain Strict Dose Schedule 

 

Costs less than two Oxy 30′s and will save you 100 times that in the long run

This watch on Amazon allows you to program in medication dose times and reminders so that you can follow a strict taper plan?  The cost is around $34.64 with Free Shipping which is less than the street price for just two tiny Oxycontin 30 milligram pills. You can get a pill scheduling watch at my f a v o r i t e on-line merchant, Amazon.com and the cost is around $34.64 shipped.

 

Error!

It goes without saying that any changes to your medication must be directed by your doctor or health-care professional. This information is being provided for purely entertainment purposes and while the half-life elimination computations are intended to be as accurate as possible the simulations are being done by a computer-programmer and not a doctor or scientist.

Taper Charting Tool  - Use it here

If the Taper Charting Tool does not open below, you can try going to the dedicated page. The tool is written in Silverlight so you may be prompted asking for permission to run/install the Microsoft Silverlight embedded run-time library.

 

 

End of the half life elimination tool article.

 

 

 

Permanent link to this article: http://www.subotex.com/drug-half-life-elimination-blood-plasma-level-taper-planning/

Dec 20

Suboxone (Buprenorphine) Addiction Taper Planning

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How to successfully wean from Suboxone

Tapering slowly, taking into account how quickly the opiate in your system is leaving. Keeping your blood plasma levels steady and moving slowly downward is the secret. Don’t cheat because you aren’t cheating anyone but yourself! Not your wife, daughter, son, family, friend, but yourself. You have bright life ahead of you! I am positive.

 

Suboxone Taper Chart - Opiate Withdrawal Minimization

Click the image to run the Suboxone Taper Charting Tool

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 or withdrawal symptoms. There is one key understanding that you need to make about Suboxone.

Suboxone is extremely STRONG and addictive. Your doctor didn’t share that with you when you went in for treatment did they?  Suboxone is better than typical opiates in that it doesn’t produce the “high” you get with opiates but it blocks the intense and excruciating withdrawal symptoms felt when tapering down usage of an addictive opiate.

Once you realize how strong Suboxone is you can begin to wean off from it. I must remind you that changing your medication dosage is something you can NOT do without doctor approval. Anything suggested here is simply something that worked for one person and that person got doctor approval to wean in the method being described.

It doesn’t take a lot of Suboxone to kill 90% of the withdrawal symptoms, but it does take a fair dose to make you feel “almost as good” as when you were taking your opiates. What do you want to feel good or get off of opiates?

Building a Taper Charting Plan

Use the tool on this site, that was built by a developer who dealt with this same issue. You can plot out your daily dose amounts and get an idea of how much drug is still in your system as the days go by.  Since Suboxone has a long half life you don’t always feel the withdrawal the day after quitting your last dose, it could take up to four days from high doses but when it hits, it hits like bricks.

Use the Suboxone Taper Charting Tool here

You must taper extremely slowly down to below 1mg daily, which is where most people begin to feel it most difficult to wean lower. When you get below 1mg you have to be prepared to wait an hour or two after taking a dose for the pain to go away. If you are patient, the mild discomfort does go away with extreme-micro doses of Suboxone.

My doctor disagreed but allowed me to move forward with my taper plan.  Once I got below 1/16th of a strip I was pretty much weaned off and any remaining pain minor.  It was well worth the extra effort.

Not respecting the power of Suboxone will make you slave to it

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 doses of 24mg or 16mg are necessary at first, but after a few weeks and one is stable, one can rapidly decrease to down around 1mg daily, within a week or two max. Tapering below 1mg is when you need to slow things down big-time and you let yourself feel some discomfort during the day.

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”.

Just tasting the “orange” taste is enough to ease pain

 

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.

Wish you the best in tapering and quitting highly addictive opiates for ever! :)

Permanent link to this article: http://www.subotex.com/suboxone-buprenorphine-addiction-taper-planning/

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