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should i take more methadone to stop the severe withdrawl if i already took suboxone
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Avatar universal
it's perfectly ok to use suboxone to quit methadone addiction. You just need to first understand how suboxone works, and when and how much suboxone you need to take  initially, and how much to take after your initial dose afterwards.

Suboxone is a strong antagonist, which means it bonds well to the opiate receptors, but does not make you high. When it bonds to the opiate receptors, it "kicks off" other weaker opiates.
If you don't take enough suboxone for your initial dose however, The "take over" of your opiate receptors may not be complete, the drug kicks off the weaker opiates, but there isn't enough suboxone left to occupy all the opiate receptors that are stripped off weaker opiates. This results in what is called "precipitated withdrawals". The cure for this is another dose of suboxone. This can be avoided if the suboxone was taken under medical supervision in the first place. The Doctor determines your initial starting dose in accordance to what kind and how much of the opiates you are addicted to you are taking. After this starting dose, you are then given a maintenance dose.
Some people will try tell you that it is the other drug in suboxone that causes percipitated withdrawals. This is nonsense. It is only present in suboxone to prevent abuse (people using suboxone interveinously) and nothing more. It has a low bioavailability when taken orally, and is overpowered by the Bupe in the suboxone, which has a higher bioavailability. The other drug is wasted and expelled along with the other opiates you were taking.

You probably didn't wait  at least 72 hours (the half life of methadone) before taking your first dose of suboxone (or scoring at least 5 on the COWS sheet) and as a result, you had too much methadone in your system for the suboxone to overpower.
Taking more methadone to stop the withdrawals would be a big mistake, as it isn't strong enough to kick the suboxone that has bonded, so you will not feel good until the subs wear off, which also has a 72 hour half life.
Had you taken the subs under medical supervision, they would have just administered you another dose of suboxone, and you would have been ok.
After you are stabilized on your first treatment, then you are given a maintenance dose and taper schedule  in accordance to your quit program.

Many people use subs to quit methadone, and much higher doses of it than the 160 you are taking. Contrary to other claims here, it is NOT dangerous as the suboxone kicks the other opiate off the opiate receptors in your system, rendering them useless, and they are expelled from your body.  It is not additive to them.
As with any substance abuse withdrawal program, some are successful, some are not. It's not that the suboxone doesn't work, it does, and very well. But beating withdrawal symptoms is only part off the problem, a first step among many more difficult ones that you need to take on your way to sobriety. Those steps are much harder, and you will need a lot of help along the way.  

Good luck, I hope things work out for you
Helpful - 0
Avatar universal
Did u say that you swapped from Methadone 130ml to 8mg of suboxone. what day did You take the suboxone? How long have you been on Methedone.I only ask so that i can answer your question.
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Avatar universal
Sorry, I said that that backwards!  Taking Suboxone AFTER Methadone can make you very sick unless you're in full withdrawals and are at a fairly low dose of Methadone.

I just read your other thread where you stopped the Methadone at 160 mgs and started Suboxone two days later. That was wrong to do. Who's helping you with this?  You need an expert,medically.

Good luck!
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Avatar universal
If you took some Methadone after taking Suboxone...that's why you feel so sick.  Now that you've taken Suboxone, the Methadone will not work.

Never take opiates when you're taking Suboxone,okay?
Helpful - 0
1235186 tn?1656987798
hi. were you originally on methadone and trying to use subs for withdrawal?
one should not be taken when you are on the other. can you give us some more information? are you trying to do this on your own without a doctor?
Helpful - 0
2011934 tn?1329332634
Read the posts here about methadone, and suboxone, I have not read one positive thing about taking either of those...but I don't know what your original drug of choice is?  How much and what were you taking?  
Helpful - 0
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495284 tn?1333894042
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