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Addiction: Substance Abuse Community
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3010990 tn?1340511756

Subutex after a relapse

I am on 8.8 mg of Subutex I have recently relapsed for a few weeks now I'm wondering if I will be okay to wait until I start feeling rubbish  then should I take my normal 8.8 mg subutex or should I take a lower dose to start off with and increase the dose going on how I'm feeling?  Any advice would be much appreciated thanks.
8 Responses
Avatar universal
Do not wait. Get the subbacl into your sys as fast as you can. Also what are u relapsing with???
3010990 tn?1340511756
Hi and thanks for the reply to my question but I do know I can't just take the subutex as fast as poss as subutex is a substitute for heroin so therefore it would put me straight in to withdrawals as I have relapsed on heroin and I'm finding it really really difficult to get back on track with my subutex tablets :-(
1 Comments
Hi Bonny, so Im assuming you stopped taking the subutex all together when you were taking heroin?

If that's the case then yes you do need to be in withdrawls just as you were when you commenced taking subutex.

Have you relapsed onto heroin any other times since being on sub?
Have you got support?

Please know you are welcome here.
SarahOz
3010990 tn?1340511756
Hi thanks for ur response well yes I have relapsed onto heroin before but I've always taken my normal dose after and iv still felt rubbish so I wondered if I should be starting on a lower dose of sub rather than the full dose. And I do have a weekly script and have to see a nurse every couple months but apart from that I don't have any support I'm letting every body down coz of my relapse and I'm been having a go at daily coz of how my life is and just been told to "sort my self out" which in turn just makes me want to go out and score it's either that or burst in to tears when ppl have a go at me. I can't talk to anybody coz they have heard it all before so really I'm dealing with this relapse on my own. Which is why I came to this site hoping I could have some help or advice, It's just so hard I know i will be fine after a couple days taking tablets I'm just struggling to start taking them :-(
3010990 tn?1340511756
Hi thanks for ur response well yes I have relapsed onto heroin before but I've always taken my normal dose after and iv still felt rubbish so I wondered if I should be starting on a lower dose of sub rather than the full dose. And I do have a weekly script and have to see a nurse every couple months but apart from that I don't have any support I'm letting every body down coz of my relapse and I'm been having a go at daily coz of how my life is and just been told to "sort my self out" which in turn just makes me want to go out and score it's either that or burst in to tears when ppl have a go at me. I can't talk to anybody coz they have heard it all before so really I'm dealing with this relapse on my own. Which is why I came to this site hoping I could have some help or advice, It's just so hard I know i will be fine after a couple days taking tablets I'm just struggling to start taking them :-(
4522800 tn?1470325834
Hi & Welcome

Do not beat yourself down because you had a relasp. It happens to many and this is why Aftercare is SO important.
ASAM defines addiction as "a primary, chronic disease of brain rewards, motivation, memory, and related circuitry, with a "dysfunction in these circuits" being reflected in "an individual pathological pursuing reward and/or relief by substance use and other social-spiritual illness would be "addiction involving opioid/drug use".
In this book I have called "The national practice guidelines for the use of medications in treatment of addiction involving opioid use", it says that you should wait12 to 18 hours after the last does of a short acting agonist such as heroin or oxy, and 24 to 48 hours after a long-acting agonist such as methadone.

The BIG thing about Addiction is getting Support. Some of us can stuff things in our pockets never to let them out...we must talk things out and learn to live in our own skin clean & sober. It is a day to day job, but it will get easier with lots of time in. I came clean at the age 56 and now I am 60. During my first 18 months I had lost my whole family and more in a 90day period. Then a few months after that I had found out I had a silent heart attack and had to have 2 stents. During this time I had to reach out in so many different direction for support. I stayed close to this site and got tons of help in my journals. Hit many AA/NA and also hit some grieving groups. LIFE will always has it's UPS & DOWNS and how we deal with them by staying clear headed off Booze & Drugs, will make a big difference in our lives. It has been over 4 and a half yrs and what REALLY helped was going back to Church and Bible study. It takes baby steps along the way to finally get to the point were you understand more on the "whys" we wanted to get high". Taking a good inventory on yourself and knowing you defaults take time too.Different types of substances can hit different areas of the brain, changing our chemical makeup in our brain,  but the one area is the Mid-brain, Pleasure, Reward center, that is highly affected in any addiction no matter what it is. We groove habits in our brain and have to WORK on changing these habits for better ones. ALL of this takes TIME & PATIENCE!!! We can NOT do this alone.
When I first came clean I went on a heavy journey to learn all I can about Addiction and the Brain. During the whole time I went to any meeting I can find, stayed close to this site and the friends I had met, and now I am involved with the Church and other Mindful healthy life style changes. YOU can do it too!!!! Do NOT be ashamed that you had that fall back, get right back in the saddle and this time take a new path along the way..talk to people that understand and those ppl you will find at recovery meetings, and there are all kinds. I wish you all the best and will Pray that you will have many new blessing come rolling in..ALSO.....I would stay as low you you can on those Subs and get off as soon as you can. These meds come with there own downfalls and w/ds if on them to long and at a high dose. Just a tip!
Bless U
Vickie
1 Comments
Hi and thank you so much for your reply   It doesn't sound like you have had it  easy neither it's great that you have been clean for so long you should be proud of yourself I am really going to try and get back on my tablets and try get on with my life without having to fall back on to the drugs every time I get stressed or have a rubbish day I will try and gradually lower my dose of subs in time. And they is group meetings I could  attend but I tend not to as I am quite a shy person but I guess I have nothing to lose and hopefully something to gain. Thanks again for your long reply. :-)
Avatar universal
Hi BonnyT, it's great you wrote back and really shared some of what's happening. You're not in a very good space right now, the positive though is that you're trying, you've come here and that takes a lot and you've come back. Bonny anyone who rolls there eyes at you and does the here we go again thing, they aren't for you to go to go to, sometimes we just want so much for someone to understand and no matter which way we say it, we still have the same outcome and it hurts I know.

Bonny if you're ready to reach out for help find a support group such as NA/AA. Have you been to a meeting before? If so and it wasn't the group for you. Then don't give up, try another one. Or find a therapist. Anything Bonny that will give you the support you need AND deserve.
We will always be here for you. Be as open as you feel able. You're safe here always.
Avatar universal
Hi Bonny, how are you going?
2 Comments
Hi thanks so much for ur reply to me.. but I'm not that good well I mean in the same situation.. there is groups I could go to but I tend not to as I am a little shy but I do have key worker appointments which I attend and just talk about how I'm doing which can be good for me at times but I'm not always honest with them about my drug use and how much I actually smoke... And I know it's not nice to not be able to talk about it with my closest coz of the earache etc  but I am hoping to get back on my subtext tomorrow, I really want to and really need to I just need to have this mind set tomorrow I just think so different at the beginning of the day and then iv been an idiot as I call it.. I think it's just the withdrawal symptoms that really set me back as iv not to come across that I'm feeling ****** and I've to try be ok. I'm may start with 4mg to begin with and then the same a few hrs later as opposed to just having the 8mg first I mean. But is that how it should be with subutex when getting back on the them should you gradually take them anyways.. I'm not sure.and also try if ibuprofen will help at all. And try block any cravings :-( I have to I just want normality back I really do.
Hi thanks so much for ur reply to me.. but I'm not that good well I mean in the same situation.. there is groups I could go to but I tend not to as I am a little shy but I do have key worker appointments which I attend and just talk about how I'm doing which can be good for me at times but I'm not always honest with them about my drug use and how much I actually smoke... And I know it's not nice to not be able to talk about it with my closest coz of the earache etc  but I am hoping to get back on my subtext tomorrow, I really want to and really need to I just need to have this mind set tomorrow I just think so different at the beginning of the day and then iv been an idiot as I call it.. I think it's just the withdrawal symptoms that really set me back as iv not to come across that I'm feeling ****** and I've to try be ok. I'm may start with 4mg to begin with and then the same a few hrs later as opposed to just having the 8mg first I mean. But is that how it should be with subutex when getting back on the them should you gradually take them anyways.. I'm not sure.and also try if ibuprofen will help at all. And try block any cravings :-( I have to I just want normality back I really do.
Avatar universal
Hi Bonny great to hear from you. Yes you are going through alot and at the same time there is a way for you to get back in your feet. You have groups, you have someone you can talk to 1 on 1....
Some people don't have this...Bonny you do. If you want to get out of this mess you need to change what you are doing. If starting back in the sub is going to help you in the interim, then start back in it. Then the question is for you- How are you going to stop using heroin?

Firstly by cutting all contact with dealers etc. Being honest with your worker and telling them the truth, that you were using and how much and staying truthful and accountable. Going to the groups.

You cannot do this in your own, that does not mean you are weak, this means this is big stuff and if you really want to change and be happy you need to take the help on offer with both hands. This is the only way. And if you want out of where you are you will do this.
I believe you can, it's up to you to decide which path you want to take.
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