Aa
Aa
A
A
A
Close
Avatar universal

suboxone

I need to ask what I should do or if I should do it.  I have been on Suboxone now for a year and have had great sucees with it and not using other drugs. But as with any drug your tolerence increases so does your dose need to. Well when I see him I am afraid to tell him that for the past three months I've run out a week in advance and make up reasons as to come see him early which is not being honest with him. I dont feel Im abusing it , its just my current dose is 1.5 8mg. Strips a day. I am currently out again and getting sick and really want to explain that I believe that two a day would solve this as Im not a junkie and do not want to lose my current treatment as I have not relasped since being on these. Could someone please help me in how I should go about this so that I can have honest conversations with my Doctor again without the fear if being cut off or kicked out of the treament Im currently in. Thank You
3 Responses
Sort by: Helpful Oldest Newest
Avatar universal
I believe it is better to saturate your receptors then starve them. Your recovery is paramount and only you know your mind and body. The fact that you've been scripted for a year without using speaks volumes. Honesty is the best policy in your recovery. Don't let your mind trick you back into old behaviour. Be honest, keep safe and stay strong
Helpful - 0
Avatar universal
Be honest mate. You've done brilliantly up till now. I was taking 32mg of subutex for just over three years. Going up on your medication is not a sign of  trying to get a buzz it's an honest request to keep you safe. If your on 12mg that is only just on the cusp of acting as a blocker. You need to be on 12 or over continuously for its full blocking capacity. It would be senseless to go back to old ways (deceit,using etc) for the sake of another 4mg. Any healthcare professional worth their salt should not hesitate in taking you up to a suitable dosage. Be honest with your worker and I'm certain they will increase your dose. Keep up the good work
Helpful - 0
1684282 tn?1614701284
MEDICAL PROFESSIONAL
  Suboxone is an opiate and is extremely addictive. People find it just as difficult to taper and quit. One of the patients in our clinic, who we had to detox from Suboxone, was so addicted, that no matter how far down she titrated this drug she could not get off. At one point she was literally just licking the 1 mg strip, but she could not give it up. I find that most have the same problem with both of these drugs.
In case you are curious, it takes us about three to four days to get a patient off of any opiate including Suboxone, and feeling well.
In your question it is unclear to me as to whether you are ready to quit taking Suboxone or want advise on how to get you doctor to give you more. Suboxone was approved as a substitution treatment for opioid addiction specifically because the patient was not suppose to develop a tolerance to it and need a higher dose. Obviously, this fails to be the case in many instances. The way it is "suppose to be" used is to switch to Suboxone and than gradually but aggressively titrate the patient off of the drug. You can certainly talk to your doctor and tell him about your experience and your concern. Tell him that Suboxone is failing you as a treatment drug and you want to be titrated (weaned) off of it. Below are some suggestion as to the medications that can be useful with the withdrawal symptoms you will experience.
See if your doctor can write you a prescription for some Requip for restlessness, Neurontin for anxiety and malaise, some Flexeril or Soma for a few weeks for muscle spasms and maybe some Seroquel low dose, for sleep and Klonopin which will be helpful for sleeplessness and anxiety. It will make your withdrawals easier.  Valerian and Magnesium is sometimes helpful remedies over the counter.
The residual symptoms of insomnia and depression can last another few months. Thus, it is not easy, but it gets better and better over time and you can look forward to a drug free healthy energetic you in the future. When you take opiates for a long time like you have, your body's physiology has been altered. Your central nervous system has created a multitude of opioid receptors that all are screaming for endorphins (opiates) to fill them, but your body has now forgotten how to make them by itself.  It will take time - two to four weeks at least, for your receptors to downregulate (for the brain begin to heal) and to start making its own endorphins. Brain heals pretty slowly, so it may take you as long as a couple of months to get rid of feelings of sluggishness, restlessness and depression. The best thing you can do is take good care of yourself, eat healthy food, stay hydrated, keep active and busy. Stay away from sugar, soda, and simple carbs. Do not consume caffeine at least 6 hours prior to bedtime.
Take a look at my blogs about options for detox and recovery. You may also take a look at my clinic website where I also have my blogs and a lot of other info about drug addiction and recovery. Look especially into the blog and the info on Naltrexone therapy after getting clean. It really improves your chances of staying clean for good by cutting down your physical cravings. Look into my clinic website as well. All this can be done by clicking on my name in blue.
Helpful - 0

You are reading content posted in the Addiction Forum

Popular Resources
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.