Aa
pls advise
Im sorry but why can ppl wright random stuff and get responses to it when i genuinely need advise im switching to subutex from methadone in 3 weeks i think im gunna withdraw from the meths and been offered some tramadol to help but not sure if they will help or put me in to withdrawals if any 1 has experience with these could u pls advise me thank you
Best Answer
u should b ok most of the time 48 hours is long enough? is this an addiction specialist or just a dr that can priscribe sub? theres a big difference the first dr i went to gave me too much and i was sick for 4 days. but they induced me with suboxone not subutex. they normally switch u too suboxone after induction. subutex dosent hav naloxone in it wich is what made me sick that and the immeadiate delivery of too much bup
Im also feeling hot flushes that come n go and i haven't really got a time limit to be on the subutex i guess its when i feel ready and strong enough in my self that i won't go back to the drugs.
Iv never felt drowsy with subutex but i should think if you not been sleeping well it could be down to that or any other stuff ya been having i e trazodone
Hey and thanks for ur comments i wasn't given the option for suboxone i told my key worker that i wanted to go on naltrexone afta methadone so she said why dont ya go on the subutex so i now have so pls dont tell me its not got a blocker in it afta all this that's the whole reason Ive switched to subutex?? And i was told to take paracetamol for my aches and pains so i did do.. I didn't feel too bad when i woke this morn but just feeling uncomfortable in my skin if that makes any sense it seems to come n go.. But i do feel a little tired tday and a little cloudy im hoping this will pass shortly and it doesn't mean im on too much im really not sure coz at the same time i dont feel my normal self also i was given some trazodone to help me sleep but Ive taken half of one when Ive been desperate to sleep i thought these would be ok as they no opiet in them and it did help im going back to see the nurse prescriber on thurs so hopefully she will know what will be the rite dose is it normal to feel tired and cloudy when just starting out on the subutex?
I understand! Thank you for answering my question. Im not familiar with all this! :)
Hi there.
It's actually very normal to feel some mild w/d symptoms for about the first week. That's because your opiate receptors are making the adjustment, going from a full agonist to a partial agonist. It's hardf to explain, but they "fill" the receptor differently. Like weaver said, if you can get by on the lowest dose possible, it's better for you.
Also, you may not have been far enough into w/d's at the time you took the Sub. Your post said something about pain killers? Didn't quite understand that. The worse the w/d's are when the induction dose is given, the better really. If Sub is taken too soon, one can have precipitated w/d's, which are NOT pretty. I think you having a cold also didn't help. You really should be feeling better every day. By the end of the week, you should be stabilized on your dose. Certainly mention eveything to your Sub doctor. If you have a good sub doc, he would have used the formula to determine for induction dose, which takes into consideration your level of w/d, and what you had been taking, how much, etc.
As for the length of time to stay on Sub, there are a lot of misconceptions out there. Like the poster who said he/she "heard" from someone you shouldn't be on longer than 30 days. That's not true. Be careful about people giving you Sub horror stories, or giving you info when they really don't have any background with it. Each case is individual.
The average length of time for people to be on Subs is about 6 months to a year. That allows enough time to stabilize the person on Subs, and allow them to start working their recovery program. To go on, then right back off, it reinforces the notion that Sub is JUST used to avoid w/d from the opiates, and leaves the person very vulnerable for relapse. That's not all it's for. Sub is a great tool when used as part of a holistic program that includes therapy, drug screens, and lots of discussions about the expectations of tapering off Sub, and maintaining aftercare. Allowing a person you may have relapsed a bunch of times, experience being clean for a decent length of time also builds their confidence levels. They can start repairing their lives, and get used to some "normalcy" again, while they work their program. Hopefully you've found a good clinic, one that places a lot of importance on all of these things.
A Sub taper should be very SLOW and deliberate, to minimize w/d symptoms, and to minimize chances of relapse. If a Sub taper is done correctly, you should only feel mild w/d's...nothing that would keep you from functioning. Most people won't experience w/d during the dosage decreases, but rather when they jump off completely. The lower the dose one jumps from, the better off they'll be. The Sub doc I worked for wouldn't let anyone jump from 1 mg or more. They always had to get below that, and they did very well. People jumping from even 2mg can have considerable, miserable w/d. I've seen patients come in, transferring from other Sub clinics in MISERY, b/c they jumped off a dose that was WAY too high.
Keep the lines of communication open with the Sub doctor. I'm anxious to read your updates. Just remember it IS normal to feel a LITTLE lousy for the first week. The people who feel perfect are probably on doses that are WAY too high. You WILL adjust. Please don't take the Ultram. That's just going to muddy the waters for you, and it's not going to make enough of a difference, IMO. Just hang in there. You can take Motrin, Tylenol for your aches and pains. The Sub doc I worked for highly recommended taking OTC analgesics for the first week, due to the aches and pains.
Take care, and good luck!
It's actually very normal to feel some mild w/d symptoms for about the first week. That's because your opiate receptors are making the adjustment, going from a full agonist to a partial agonist. It's hardf to explain, but they "fill" the receptor differently. Like weaver said, if you can get by on the lowest dose possible, it's better for you.
Also, you may not have been far enough into w/d's at the time you took the Sub. Your post said something about pain killers? Didn't quite understand that. The worse the w/d's are when the induction dose is given, the better really. If Sub is taken too soon, one can have precipitated w/d's, which are NOT pretty. I think you having a cold also didn't help. You really should be feeling better every day. By the end of the week, you should be stabilized on your dose. Certainly mention eveything to your Sub doctor. If you have a good sub doc, he would have used the formula to determine for induction dose, which takes into consideration your level of w/d, and what you had been taking, how much, etc.
As for the length of time to stay on Sub, there are a lot of misconceptions out there. Like the poster who said he/she "heard" from someone you shouldn't be on longer than 30 days. That's not true. Be careful about people giving you Sub horror stories, or giving you info when they really don't have any background with it. Each case is individual.
The average length of time for people to be on Subs is about 6 months to a year. That allows enough time to stabilize the person on Subs, and allow them to start working their recovery program. To go on, then right back off, it reinforces the notion that Sub is JUST used to avoid w/d from the opiates, and leaves the person very vulnerable for relapse. That's not all it's for. Sub is a great tool when used as part of a holistic program that includes therapy, drug screens, and lots of discussions about the expectations of tapering off Sub, and maintaining aftercare. Allowing a person you may have relapsed a bunch of times, experience being clean for a decent length of time also builds their confidence levels. They can start repairing their lives, and get used to some "normalcy" again, while they work their program. Hopefully you've found a good clinic, one that places a lot of importance on all of these things.
A Sub taper should be very SLOW and deliberate, to minimize w/d symptoms, and to minimize chances of relapse. If a Sub taper is done correctly, you should only feel mild w/d's...nothing that would keep you from functioning. Most people won't experience w/d during the dosage decreases, but rather when they jump off completely. The lower the dose one jumps from, the better off they'll be. The Sub doc I worked for wouldn't let anyone jump from 1 mg or more. They always had to get below that, and they did very well. People jumping from even 2mg can have considerable, miserable w/d. I've seen patients come in, transferring from other Sub clinics in MISERY, b/c they jumped off a dose that was WAY too high.
Keep the lines of communication open with the Sub doctor. I'm anxious to read your updates. Just remember it IS normal to feel a LITTLE lousy for the first week. The people who feel perfect are probably on doses that are WAY too high. You WILL adjust. Please don't take the Ultram. That's just going to muddy the waters for you, and it's not going to make enough of a difference, IMO. Just hang in there. You can take Motrin, Tylenol for your aches and pains. The Sub doc I worked for highly recommended taking OTC analgesics for the first week, due to the aches and pains.
Take care, and good luck!
Bonny-
You shouldn't feel like this. You should have felt VERY good the first day. That's the purpose of this drug. Call the office today and get some advice and a dosage adjustment. I'm sorry you're going through this but it can be fixed.
You shouldn't feel like this. You should have felt VERY good the first day. That's the purpose of this drug. Call the office today and get some advice and a dosage adjustment. I'm sorry you're going through this but it can be fixed.
hey i hope u feel better soon. i did not feel like that i felt clear headed and excited. i would stay away from the tram if u hav a good sub dr they should drug test u.
Dont know if they offer Suboxone in the Uk anyway I may be wrong but i was only offered subutex or methadone
hey just wanted to let u kno its probly cuz she was on methadone first due to the long half life they inducted her on subutex without nalaxone cuz she would probly get sick from it they will likley switch her when she stabilizes.
May i ask y u wanted subutex instead of suboxine? Im on suboxone and since it had the blocker i cant use no matter what. With the subutex there is no blocker at all which could get u into some trouble.
Just to let you know and this is quoted on the subutex instruction leaflet in the box For people taking methadone you should reduce dose to at least 30ml methadone and have the last dose at least 24 hours prior to starting subutex im sure could perhaps have some meth inbetween tues and friday like maybe weds night as its a long time to go that
HI Just to let you know if there is any advice i can give re subutex its try and get off them as quickly as possible. I heard somewhere its best to do a 30 day taper. I started at 24 ml 2 years ago and im still on them now its been good for me as kept me clean as a whistle but making that final leap from sub to norm is hard work I did 2 days from 2ml just now and had to fold last night and have a 2ml so I suppose its a case of how bad you want it. I was informed that subutext was easier to get away from than meth thats why I chose them but now its just getting a long drawn out road. I can tell you that berocca helps and obviously Diazepam but iv never got past the 3 day mark so im just taking it as I can. I wish you the best of luck tho and regarding your quest. I have took tramies with subs before and been okay the max you can have subutex wise is 32ml then taper from there.. the main thing with subs iv noticed that makes them work better is to try and have them last thing at night if possible... Like I said iv been at it now 2 years and will gladly advice you on any dosage and other meds that ya can have with them. I just wish i could make that final leap
First off, there is no "normal dose." The sub is accumulating in you system, it takes a little while. You should be feeling pretty good real soon. The lower the dose you can get by with the better. Hope you got some sleep. Just try to relax and not think about how you feel. I know that can be hard, but get distracted. The subs will start to make you feel sober, with energy. Hang in there. Keep us posted.
Hey yea well i started them on Friday felt really **** when i first took them so just had painkillers but still i really didn't feel as bad as i thought i would but also had a cold and chesty cough so that hasn't helped. Im into my 5th day now but still feel aching mainly on my legs and hot n cold and anxious when i wake up and like spiders crawling threw my body is this normal to happen? The nurse has kept me on 8mg and gotta go back on thurs to let her know how i feel Ive been told that 12mg is the normal dose to be on but im not sure? I stayed away from the tramadol but at the same time been very very tempted to take one to seef it would help me a bit but scared id go into withdrawals so didn't bother. Im writing at this hr as i can't chuffin get back to sleep its half 6am :-( pls reply. Will try sleep again now.
did u start ur sub today? how do u feel? if u hav any ?s im here for and weaver knos alot bout sub too.
Yes there is a very good reason that you need to be in withdrawal, and you don't want to experience why. The good news is, the sicker you feel before induction, the better they work IMO. I was the most sick I had ever been before I used subs, and it's a good memory to have now. You will be fine. At 17ml of methadone, 48hrs should be long enough. Google COWS and that will explain why you must be in withdrawal and when to induce. I always worry about doctors who give a time frame for subs, that's not how they are taught to administer them. Good luck, everything will be different soon.
Hey well ive had my last dose of Meths this morn so i hope ill feel not too bad Friday morning when i see the doc i think its wrong that they have to see you withdrawing b4 they will give out the script for subutex i guess they have there reasons tho i will keep you posted on how things go thanks for the update on the subs just praying i will feel ok not long afta i take them coz the doc says i may go into more withdrawals once i take the sub as i may still have methadone in my system so im hoping by Friday it will be out of my system will have to wait and see ill write back soon :-)
The thing about the 48 hrs is, it will all end in about 30 minutes with the sub. When you are waiting, just remember that. I've had to go days without methadone many times, but knowing that I was going to feel better soon made it much easier. You will be in program of recovery that will change your life forever, as soon as the sub induction starts.
u will feel so much better when u switch just a tip it will take a few days on sub to get used to it. u will feel tired and maybe high a lil but only for a few days then u will b clear headed and feeling the way u used to. thats how it went for me anyway good luck keep us posted
Hey and thanks for all the comments i really do appreciate it but by the responses ive got its looking like the tramadol is a no go i really don't want a buzz i just really want to feel ok with this switch that's all but i don't want to make things worse for my self. I am starting the Subutex on Friday 5th so therefore i have to take my last dose of methadone on tues 2nd which is only tomorrow :-( as ive got to wait 48hr b4 can start the sub god knows how im gunna feel in these 2 days but yet if i was to have heroin its only 12hrs uve got to wait i know which sounds worse but at the same time i feel 12hrs is much betta than 48hrs i don't want to have time off work also.. can't believe how quick this has come round but i asked for it so gunna have to ride it thru.. The doc is starting me on 4mg sub on Fri then 6mg on sat then 8mg on Sunday then i got to go back docs on Mon morn to let em know how i feel.. I will keep ya's posted thanks Tracy.
I'm glad you got back to us! And you have been given some great advice from people who have been on the forum much longer than I have, and who have more or different experience that I have, I can only tell you what my experience with suboxone is, and I am taking it for both addiction and pain management. I have very severe chronic pain, and the suboxone actually works very well for pain relief. I would say that it works about as effectively as my old meds (fentanyl, dilaudid, and a bunch of others before those). I still have breakthrough pain, which I use motrin 600 for. I am telling you this because like the others have told you, you won't need the tramadol when you get on the subs. As long as you have ibuprofren or tylenol, or whatever OTC med that you prefer, you will be fine. If you start taking tramadol, it sort of defeats the purpose of going on the subutex, You are going on the subutex to stay away from opiates/narcotics etc. You will not feel withdrawals once the subutex starts to work, and that is very quickly. So if you are thinking you would need the tramadol for help with withdrawal symptoms, you will not. I really think that the tramadol will cause you more trouble than good. The subutex will take care of the withdrawal symptoms and give you pain relief, and any other pain will be relieved with OTC meds. And you can make other changes too....you can start taking some of the vitamins or supplements that are included in the Thomas Recipe (link is on this page on the lower right side under "Most viewed health pages"....you will get more energy and feel better overall, and you can start adding more exercise if you can....even a walk each day, and that will help your overall health. The vitamins and exercise DO help with pain.
I am not sure how your doctor plans on starting you on the subutex, but usually you start at a certain amount, and then titrate up if necessary to a dose that is sufficient. I will tell you that I was in withdrawals from my fentanyl and dilaudid for about 36-48 hours....I hadn't taken any dilaudid for 48 hours, and my fentanyl patch had been off for 3 days. I was started on the suboxone, and about 15-20 minutes after, I started to feels less withdrawal symptoms.
If you have more questions, definitely let us know...and also let us know when you start the subutex,,,,and good luck:)
I am not sure how your doctor plans on starting you on the subutex, but usually you start at a certain amount, and then titrate up if necessary to a dose that is sufficient. I will tell you that I was in withdrawals from my fentanyl and dilaudid for about 36-48 hours....I hadn't taken any dilaudid for 48 hours, and my fentanyl patch had been off for 3 days. I was started on the suboxone, and about 15-20 minutes after, I started to feels less withdrawal symptoms.
If you have more questions, definitely let us know...and also let us know when you start the subutex,,,,and good luck:)
You won't need the tramadol when you are on subs, and it won't work any way. I agree with Vicki, you don't want to play that game. Narcotics from latin are any pschoactive drug, in America it has evolved to primarily mean opiates. Opiates are plant base drugs like codein, morphine, heroine. Opioids are synthetic opiates, like oxymorphone, methadone, hydrocodone. I went from methadone to subs and am now clean. Just follow the rules and it will be worth it. Good luck.
All opiates are narcotic but not all narcotics are opiate. Look up the definition of narcotic by Webster.
Can you just stay away from the Tramadol? It really muddy's the water. It's just best to go by the the rules and get off the methadone and start the subtext when you are in wd's from the methadone. You'll hurt yourself if you take Tramadol in between those two.
Can you just stay away from the Tramadol? It really muddy's the water. It's just best to go by the the rules and get off the methadone and start the subtext when you are in wd's from the methadone. You'll hurt yourself if you take Tramadol in between those two.
Have an Answer?
You are reading content posted in the Addiction: Substance Abuse Community
Is treating glaucoma with marijuana all hype, or can hemp actually help?
If you think marijuana has no ill effects on your health, this article from Missouri Medicine may make you think again.
Julia Aharonov, DO, reveals the quickest way to beat drug withdrawal.
Tricks to help you quit for good.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
