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What have I done ??? Please Help !!!

Hey Yall,
I don't even know where to start. After waiting  50  hours since my last dose of methadone. I took 4mg of SUBUTEX
I Waited an hour and 30 min and didnt feel any better, so I took another 4mg of Subutex.  30 minutes later I was in the worst withdrawl I have ever experianced.  It was pure hell.  I couldnt sleep at all, At 11:00  am this morning i was feeling a little better but still in mild withdrawls.  I took 4mg of Subutex at 11:30am  it is now 12:30 and I don't feel any different still in mild withdrawls but nothing compared to last night. I'm just so confused. I'm so scared to take anymore because of what happened last night.  I can't get in touch with my doc because it's the weekend.
Can anyone tell me what to do  ???   Can you be sent into precipatated withdrawls more than once  ??
God Bless You All
4 Responses
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Avatar universal
Have to say cleanon your wrong about subutex not putting people into withdrawal, it binds to the receptors more than herion and methodone eg knocks them off and replaces them with bup. I transfered over from herion to subutex and my first 2mg dose put me straight into withdrawal, this can be common. In england they give you 2mg first day, and slowly increase the dose 4mg, 6mg, 8mg. To stop people going into withdrawal. But even the 2mg was to much. So i slowly transfered over by starting on 0.5mg on the first day plus herion and gradualy increased the sub dose and decreased the herion. I found this to be the most gentle method.
Downout its hard to transfer over from meth to subs, you have to be on low than 30mg, but i would recommend getting lower than that. And slowly transfer like i did. If you get on subs, its best do a quick taper before your body get used to them. I have done a meth and sub detox, if your on subs for a long time you can have months of paws, so subs is no silver bullet.
good luck bob
Helpful - 0
Avatar universal
I believe its the Naloxone combined with the bupe that sends you into prec with..this is why Subutex is often prescibed in the beginning to eliminate that possibility.
Helpful - 0
1109246 tn?1268192801
It is the Buprenorphine that causes precipitated withdrawal.  Naloxone is not absorbed well under the tongue and is used to keep addicts from injecting sub.  

This is from wiki....

http://en.wikipedia.org/wiki/Buprenorphine  

Buprenorphine itself is mixed agonist/antagonist, and, as such, buprenorphine blocks the activity of other opiates and induces withdrawal in opiate dependent individuals who are currently physically dependent on another opiate. This is why users must wait until they are in withdrawal before beginning treatment with buprenorphine.

Hope this helps some.

WannaBeFree
Helpful - 0
1202033 tn?1273771354
If you are sure this is subutex you are not taking and not suboxone than it cant throw you into precipitated wds at all because it does not have naloxone in it like suboxone. I told you this yesterday. Maybe mixing the methadone and subutex so close together could have caused you to feel like that, but im not sure. Either way it sounds like from your post yesterday and today that you were expecting the worst and thats what happened. Sometimes its a mind over matter thing so try to have a positive attitude about it. And you may want to check with the prescribing doctor about it as well, in case you have had an adverse reaction. Better safe than sorry. Best of luck to you.
Jacky
Helpful - 0
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