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538697 tn?1218411482

Legal question regarding suboxone

Hi...

I hope someone can answer this question.  I started the Suboxone treatment yesterday with a horrible outcome.  Long story short, I ended up finding another detox location closer to my home to go through instead of the one I went to yesterday.  The med office wanted me to come in on a daily basis to get my dose for the day.  Mind you, I paid, up front for the pills.  I got my prescription filled, then decided that I didn't want to do it that way, and came home with my prescription.  
I don't need anyone writing saying that the docs do that for safety, blah blah blah.  I know this.  I get the reasons why they do it.  My situation is different though and I'm not willing to play by their rules.  Might sound bad to you, but I'm being honest.  I plan on taking the pills WHEN they are needed.. only when I'm symptomatic.  After a week to 10 days, I then plan on weening myself off the Suboxone.  I understand that the withdrawal from that is not as bad as with Lortab.  I started taking the Lortab because of kidney stones, not because I was trying to get high or party or whatever.  I became physically addicted because of a medical situation.
My question is this..... can I get into any LEGAL trouble for not returning to the clinic?  I did not sign anything nor was I an inpatient.  The "rules" at the clinic were that I was to get the RX filled, bring it back to the clinic and let them dispense it to me daily.  I just got the RX filled and drove home.  I'm going to do this MY way.  
I just don't want the cops showing up causing problems for me.  Maybe a bit paranoid.  But right now, with the way I feel, that's the last thing I need.
Thanks.  
Thanks in advance.
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538697 tn?1218411482
Gosh... sometimes I hate this program... I had this whole thing typed up and then I spotted an error and went to backspace and the program sent me back to the previous page... losing everything I had written.... GRRRRR
So anyway... I woke up this morning with REALLY crawly skin.  And a bit of the sweats.  I don't know if it's just me... THINKING I had the sweats ... because my husband said he was hot and sweaty too... I think maybe it's just more humid here in California than I'm used to.  But I had a full nights sleep last night... although I didn't go to bed last night until nearly 2:30... I slept until the little guy woke me up at 7:30 am.  That's 5 continuous hours... haven't done that in a year.  
As far as energy, i'm still listless, but i'm FORCING myself to make spaghetti today ... my husband is so excited.  He sees a glimmer of the wife of days gone by.  I haven't really cooked for year and it's something my whole family has missed.  They think I am the best cook in the world and they've all missed my famous spaghetti... complete with the best darned garlic bread you'll ever put in your mouth (thanks to a little secret my italian friend clued me in on).  So i'm trying to behave normally.. doing things that I used to do before getting ill, but i'm still having to force myself.  I have to admit that I don't think it's just the meds thats making feel this way.  Remember, i've done nothing but lay in bed for almost a year.  My stamina and energy level is way down regardless of the lack of meds.  So I think it's a combination of things.
But I feel so mentally awesome.  I see this light coming back into my husbands face.  For so long I just saw him looking at me with pity.  It was a disgusting feeling.  Because you still want to a wife and friend and everything else that goes with being a married couple and I just felt his pity on me.  I hated it.  He's been joking more with me and "busting my chops" ... poking fun at me.  We're on our way back.  YaY.  I have such a better outlook on things as each day goes by without the meds.  I have to say, this has been a true blessing for me.  I was terrified of the detox from the lortab.  I know what I went through 6 years ago when I first got sick.  This was the first time I had ever had any sort of illness, REAL illness and I just did what the doctors told me to do.  It wasn't until my friend who is a nurse told me that I could tell them NO and ask what other options I had.  But I was just doing what they told me and they had me on so much vicodin that my liver shut down.  Then they put me on methadone.  I never thought about the long term affect it was going to have on me.  I didn't realize that my baby was going to be born addicted to methadone.  I didn't realize I was going to have this 5 month ordeal of weening off the methadone.  And 6 years ago, there was very little to help with the w/d's... I was more than miserable.  Its why I was so terrified of detoxing from the lortab.  
Anyway..... like I said, this feels like it's coming to an end.  I know I might still have icky days, but my mind is in such a better place.  
And thanks for the explaination above.  My husband and I sat and read it together and actually understood it.  Imagine... the biology and chemistry FAILURES.  Understanding something so complex.  Only because of the EDUCATOR.  
Thanks big H... i'll either email you or post again later.  Did you get my email?  Because this post has been critisized for being too long, perhaps our conversations should continue in personal emails?  
To everyone who's been on this road with me and helped me through it... I can't tell you how much it's meant to me.  To those of you who've exchanged your personal emails with me... thanks, we'll keep in touch and to anyone who cares to keep in touch with me.. PM me... and i'll gladly give you my email addy.
Take care everyone and God bless.  
Helpful - 0
569676 tn?1315641158
Kecia!!!!!!!!!
Sorry its been a bit since I last posted, but I had to work a flight...  Simple trip, Left Budapest at 5pm Friday, Worked the flight to Kuwait, sat on the ground for three hours, worked the flight back to Buda, and its 06:00am and Im back in my hotel. What a job!  :-)

You never cease to amaze me! And I love reading your posts... I can tell you and I are a lot alike personality wise... Kinda scary that theres another one of me runnin around out there!  :-)

You are truly doing great, and its a great sign that that nasty creepy crawly skin **** is subsiding!  As far as the lethargy, next time your little guys wants some strawberry milkshake malt balls, pick yourself up some Vitamin B12, the sublingual form  works the best and fastest.  Just gives ya a little kick when ur down, I use it when Im working really long flights.... Can u imagine 16 hours in the air?!?!?!?!? Ugh!

I wanted to respond to something you said in your posts awhile back that I forgot about.  You didnt seem to understand why they clinic wanted you feeling sick and in wd when you came in to see them.  Henry to the rescue!!!! Let me explain....

Buprenorphine is a partial opiate agonist/antagonist.  Opiate agonists are the drugs that fill our Mu Receptors, and make us feel wonderful and give pain relief.  Opiate antagonists are the chemicals that reverse that feeling, or block the receptors from getting it.

Suboxone is a combination of Buprenorphine and Naloxone.  Naloxone is a PURE antagonist, also known in its IV form as Narcan.... Given to opiate overdose patients.  Most people believe that u must be in wd when you start Suboxone because of the Naloxone in the pill.... This is not the case.

When taken orally, Naloxone has a Very poor if any bioavailability which means it can not be absorbed into the blood orally.  Which is why its given IV in emergency situations.  Since Suboxone can and has been abused, mainly by crushing and injecting it, naloxone has been added as a safe guard.  If you crush a sub and inject it, you are also injecting naloxone which renders it useless.  Pretty smart stuff eh?  Wait theres more....

The reason you must be in mild to moderate wd's when starting sub, is the Buprenorphine part of the medicine is not only an opiate, but it has its own antagonistic properties... How can I explain this......

Picture a football field covered with holes.... These holes are your MU receptors. A person who isnt taking full opiates has all these open holes, and then they take a sub.  The Bupe fills those holes turns on the receptor and gives pain relief and euphoria.

Now we look at a person who has been taking lets say morphine or lortab.  The holes in their football field each have a bowling ball in them (Morphine filling the receptors) they are feeling good.  They take a dose of sub, and the sub acts like a shovel. This is because buprenorphines antagonistic properties are stronger than its agonistic properties. The Shovel (Bupe) digs out those morphine remnants and the receptors (Holes) are now empty throwing you into whats known as preciptated wd.  Its the worst possible wd you can have.  Its like taking a weeks worth of wd's and giving them to you at once, its a terrible feeling.

They want you to experience mild wd's as that is a sign that those receptors are opening up, they are vacant.  This way the docs can be assured that when they give you bupe it goes and fills them in with Bupe bowling balls, and makes you feel better instead of digging out whatever was in there making you feel like dying.

Make sense???  :-) And to think that was the EASY explanation!  lol

I am glad you are feeling better Kecia.  You have come so so so far!  And I can smell that chicken all the way here in budapest....  Wait a minute, I think that was goulash.  Oh well....  :-)

Hugs,
Henry
Helpful - 0
401095 tn?1351391770
agree with avis and lifesaride...new people are checking out the forum every day...this is not a good example of a post for people to see...lots of bickering and negativity.....Lets see if my post can be the last?...will someone have to put in another 2 cents?  this is not what this is about....hatekidneystones.I doubt this is what u intended to happen when u posted...but sh!t happens!  LOL... u could start another post to have ur needs addressed....we will support u on a new post and let this one die
Helpful - 0
538697 tn?1218411482
you kill me :o)  

It's all a little ridiculous isn't it???  Your comments have gone unnoticed thus far... but I see your sense of humor and I like it.  Take care.
Helpful - 0
480035 tn?1222366164
Hey everyone! It was partly cloudy here today, or was it partly sunny, maybe mostly sunny, or a lil cloudy. anyway, it just was something today...
Helpful - 0
175734 tn?1225134440
Just hang in there.....Though you will feel bad for a couple days.....You will make it...

Good job !!!!
Helpful - 0
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