Suboxone help pls

[FiveGuys]

Hi there

I am scheduled to start Suboxone this Monday for a very extreme Oxy habit. We can please save the talk/comments about using Suboxone at all, I have thought long and hard and spoken at length with my GP, this is the way it is going to be for many reasons I can't begin to explain here. What I am looking for is help from someone who has gone in Suboxone maintenance therapy before.

I have a few questions that I would live some help with if possible:

The required withdrawl period:

I am going to do 24 hours prior in order to avoid any chance of PWD. I have never gone more than 6 hours without at least some level of bare minimum pills (15-20 mg for minuscule "relief") so naturally I am both scared and stumped as to how I am going to make it through 24 hours. I am intentionally running 100% out if everything before this so that there is no chance of cracking. I am going to take my last 80 mg of oxy Sunday morning and withdrawl until my appointment at 9am Monday morning. Is that too long/not long enough? Thoughts on this schedule. I want to go the absolute least amount if time WDing will still eliminating any and all risk of PWD.

Is the first 24 hours the worst in oxy withdrawl, or I think I heard day 2 or 3 is the worst but I could wrong? If the latter is true then I guess that's somewhat encouraging as I only need to do the initial period.

I don't know if I just have a very low tolerance to pain or if my body is unusual in this respect, but at even 6 hours, I am wishing with every cell in my being for anything to make it stop, it's that bad. I have a feeling it's going to be horrible, just getting to the point where I can take my first Suboxone. I am looking for any tips and advise on how to get through this 24 hour period.

The facts:

- I have this 24 hours and the following day off of work and the house to myself.

- I have roughly 8 mg of Lorazapam and 10mg of pure Xanax powder

- I can get any/all OTC stuff this weekend before it starts.

- I have a ride to the clinic so all I have to do is get in the car.

Some ideas I have:

- drinking alcohol. I am considering getting either a bottle of tequila or jäger or something to drink through this, hoping it will numb out some pain, or at least make me not care as much about what I'm going through. (Note: I am aware and careful with mixing alcohol with benzos)

- I have a hot tub. Ive heard this is good, though when I'm WDing I can barely get up to make it to the bathroom, getting in and out if the hot tub on my back porch seems like it will be tough

How should I ration the little amount of benzos I have, save them for the night time when I am guessing it will be the toughest? By the time night falls, that will be far and away the longest I have ever gone without oxy. Add that too the depression and panic of being alone in pain at night.

I think that's it, if anyone experienced would give me point by point advise on all this stuff I've mentioned above, I would be eternally grateful!

Thanks

[FiveGuys]

I think you guys are right about psyching myself out on this...it;s ALL I have thought about for the last 2 weeks since I made my appointment, getting through those 24 hours and how bad it will be. I've made a mountain out of what I'm learning is a relively small molehill. I need to just suck it up and suffer for ONE DAY and then all will be well. I meant think about the people that go to prison or something and have to cold turkey 100% for weeks with nothing. I am pretty well off I think.

Nurse, I thought about emailing the doctor again, but the likelihood of him replying on a weekend is VERY slim anyway.

Weaver - I am going to look into all this once stabilized. I will for cdertain participate in something, but my doctor suggested I get off Oxy and stabilized on Subs before piling that on top of my already full brain right now.

[VICourageous]

I just wanted to add..I took a bezo with the Methadone and nether my Dr nor Phams told me how dangerous the two where mixed..It was right on the done paper..Also a benzo just like all opiates and alcohol and all street drug Ect..Many of them do the same Thing to the Neuro-Chems..and Benzo is right there Two..There is a chart that tell you which ones and there are a lot!!!
So Please Do Your Homework on this Situation it is your Life you are talking about..OK I sure do wish you the Best traveling down this Road..But remember that the Road to Recovery was not meant to be walked alone.
Bless.

[nursegirl6572]

You could always try e-mailing the doctor again, to find out for sure.  Just ask a very brief simple question (as a long email is likely to generate another canned response)...make it clear that you already have your initial assessment scheduled for Monday, and ask if you are allowed to take your prescribed anti-anxiety meds before the appt, and ask for clarification as to how long before the appt is adviseable to take your meds.

If the doc answers and says it's okay, I would take the minimum necessary, so that the assessment process goes smoothly.

Let us know how you do, good luck!

[nursegirl6572]

You are trying to talk yourself into it being okay to take a benzo if you do.  You can't know that for sure.  Every clinic is different, but here in the US, MANY clinics will not take people who are on benzos at ALL, Rx'ed or not.  It largely depends on the clinic.  

You may be right about the clinic you're going to go to, but what if you're wrong, and you find out, after it's too late, that you would be turned away if you have benzos in your system?  I just honestly think it's not worth chancing...just my opinion.  The fact of the matter is, subs and benzos ARE strongly contraindicated together...and many sub doctors take that very seriously.

You already may test + because of the xanax you took yesterday, but I wouldn't add anything on top of that.  I understand about your anxiety, I have panic disorder myself, so I get it...but you're talking not even a whole day.  It would be BETTER for you if you went into the clinic in moderate w/ds, not taking anything else to complicate matters.  You have to decide what to do.  I would like to see you get started in the best way you can!

I agree too with the others about psyching yourself out, making w/ds worse.  You're already overly focused on this, which will likely make you feel worse.  Get out, get busy doing other things...get out of your head as much as you can!

[weaver71]

Knowing there is a light at the end of the 24hrs should help. I agree with all the above.  I found that benzos, alcohol, nothing helped acute detox. I went from about 200mg of methadone to Subutex, pure buprenorphine without  naloxone. I was given Valium, but  I only took them once. They made me feel weird and more aware of my discomfort. I took 8mg of sub the first day. I felt great in 30 minutes. It was about 3 days of adjustment and then stabilized. As for the WD for induction, keep in mind you can't die from opiate detox. No matter how you feel, you will be okay. The pain you are experiencing is likely rebound pain, it is a symptom of detox. A lot of folks, including me, have less pain after getting clean. Try not to feed your anxiety with anticipation. You can do it. What kind of counseling or 12 step program does your sub doctor have you participating in?

[FiveGuys]

Ok. I am going to try everything to get through without the benzos. The thing is, I have sever panic issues, and especially when you pile WD on top, I am ready to run head first into a wall just to stop the panic. But the last thing I want is to be denied the subs after all this.

Another thing, I'm not sure how it is where you are, but in Canada they actually dose you at clinics regardless of what's in your system, though if you are on other drugs it severely limits your freedom for dosing. Fo example a friend of mine is on Methadone, and she constantly does valium. cocaine, alcohol while on the program. They won;t kick her out of the program, but they will not give her take-home doses at all. And they lowered her methadone dose recently because she would not stop with the other stuff. I am thinking that regardless of what I test positive for, I will get my sub dose and after that my urine test results will pertain mostly to my freedom or take-home doses.

I only mention this, because as it stands I will test positive for benzos even if I don't take them again, seeing as how I took my xanax yesterday for anxiety before all this discussion. Thoughts on this prediciment?