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 Post subject: 1st day of treatment
PostPosted: Fri Aug 27, 2010 9:41 pm 
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I have dabbled in pain pills for over 10 years. It started with loratabs for back pain and to get through tough days roofing. Then it developed into a 150 to 250 mg a day of roxi. I have only been on the roxi for about 3 months of everyday hardcore use. I did some socially for about a year before I really got hooked. I realized it was getting out of control a week or so ago and finally confessed to my wife today and called and set up with an addiction specialist. He set me up on a 10 week program. The total cost is 3500.00 payable over the ten week period plus scripts. There is counciling and blood work and they do seem dedicated to your sobriety. It starts with 2- 8mg subutex for 2 days then on to the suboxone same dose. It helps with the WD symptoms amazingly. You do feel wierd a little but not much. The first dose I was in full DT and i did feel sort of high but very short lived and I did not exsperience this feeling with the 2nd dose for today that I just took 30 min ago. But I do feel better and I feel like I will sleep tonight. The last few have been tough. Has any one else done a 10 week program were you are supposed to be off the sub. by the end of the 10th week. They said it could take longer it all just depends. I was only on hardcore for 3 months, will this make the detox easier? Thanks for reading my babble.


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PostPosted: Fri Aug 27, 2010 11:14 pm 
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Hi rmills,

Welcome to the forum. Thanks for sharing your story. The subject of how long to be on suboxone is a complicated one. You've only been "hardcore" hooked for three months, so that may work in your favor. However, you spent 10 years - a long time - using drugs. Personally I feel it takes more than 10 weeks to change one's habits, coping skills, and to develop a healthy recovery plan. Don't get me wrong - I truly hope you succeed. It's absolutely possible that you'll to great on short-term treatment. I hope you don't mind me asking - What other things will you be doing in those 10 weeks? Group therapy, addiction counseling, individual therapy? Meetings? These things can be so helpful to setting up a life in healthy recovery/remission. Suboxone isn't a cure, but it puts us on remission, thus allowing us time to get our life back together.
Oh and you said you feel a little "weird"...that will likely pass in a few days once you get stabilized.

I hope I didn't sound too pessimistic, I really didn't intend that. Please do keep us posted on how you're doing. Other people who have done short-term treatment and came to this forum unfortunately didn't stay to let us know how it went. So it will be terrific to hear about your entire experience, that is if you don't mind sticking around?

Congratulations on starting sub. It's a big and important step - you're changing your life for the better! Again, welcome.

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PostPosted: Fri Aug 27, 2010 11:45 pm 
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I agree 10 weeks does not seem long enough to be cured for good. This was the first program or doctor that I came across that treated for roxy. I wasn't having to much luck getting calls back. This place was quick and they seem to care. But they also seem kinda pricey. The program so far involved about 2 hours with the Doctor and Nurse evaluating and paper work. They wrote my scripts and set me up to see the therapist next tuesday and another Doctor appointment next week also.
I don't really think there is much involved other than Councilor once a week and Doctor once a week to monitor my dosage.
It seems that I should be able to see the right type of doctor and get the script. And then see an Addiction councilor and get lined up with some meetings or something. This has all kinda happened so fast I havn't had time to explore other options. The other places still havn't called back. Is there a way my family doctor can give me a referal to the right doctor. Still kinda overwhelmed with all this but I definetly won't go back to street drugs. Any advice will help.


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PostPosted: Sat Aug 28, 2010 12:05 am 
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Absolutely ask your family doctor if s/he knows anyone they can refer you to. Also try psychiatrists. Have you tried the online doctor locators? There's 4 of them: naabt.org, suboxone-directory.com, suboxone.com, and samhsa.gov. I found my doctor through NAABT. He turned out to be a family doctor who takes my insurance, so that worked out well.

I think you're really smart to take some time to figure things out and to be open-minded about changing programs/doctors, if you decide that's what you want. It's great that the program you're in has you seeing a counselor. I'd say make the most of that, especially as it relates to learning new coping skills. That can go a long way for a recovering addict.

Best of luck. Take care.

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-I'm only responsible for what I say, not for what you understand.


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PostPosted: Sat Aug 28, 2010 10:33 am 
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Congratulations on your recovery! Welcome to this site. There are other options and you should know that. I haven't heard of a whole lot of people being successful long term with a 10 week program and that would have been too short for me. I would have stressed out with that. HOWEVER, everyone is different and I was pretty hardcore for a couple of years. If it was me, I would explore all of my options. Hatmaker is right to check for other doctors in your area. Be persistent. I had the same problem with people not calling me back. Unfortunately, this treatment, as with most others, you have to take charge of in terms of finding the right doctor to match your needs. When you start feeling well because of the suboxone, it is easy to delay that, but you want to make sure either your current doctor or some other doctor will be willing to keep prescribing after 10 weeks if you decide that is what you need. If the doctor you currently have is adamant that treatment stops at 10 weeks, you don't want to realize at 8 weeks you need a different doctor because it takes a long time to set appointments up with some of them. So don't delay on setting up a backup plan and don't be afraid to really ask your current doctor what to do should this situation arises.


That is my advice. You didn't really ask so I apologize for that. Take care.

Cherie

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PostPosted: Sat Aug 28, 2010 12:43 pm 
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Please dont apologize, I need all the advice I can get. Today is day 2 of the treatment. The Nurse Just called and checked on me. I feel good today. I slept great last night. The Medicine is really working. The program is exspensive and short. So I will talk with him to see about the follow up treatment, or if he is set on it being over at 10 weeks. A few comments from the nurse made it seems that they keep you on what you need. The nurse is recovering also so she knows what were going through. I'm definetly going to keep seeking help other places hopefully someplace a little cheaper. The program is 3500 over 10 weeks. plus the meds. It averages out to a little over 500.00 a week. Thats over half of my pay check, I can still get by but it will be tight. It beats being on the Roxy though.


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PostPosted: Sat Aug 28, 2010 4:13 pm 
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I forgot to add that THIS PROGRAM IS MUCH MUCH MUCH TOO EXPENSIVE!!!!!!!!!!!!!!!!!! You should never have to pay that much. Really. I am paying $150 per month for doctor appointments (no insurance accepted there so cash) and then I pay $35 for my script every month. What you are paying is highway robbery and should be illegal. GEEEZ! If for no other reason, search for someone cheaper. This just seems to be taking advantage of people with a medical problem. It pisses me off when people say it is less expensive than the drug habit itself which is true, but a hug part of quitting that habit is because it is too expensive. I mean it is quite obnoxious to take such advantage of addicts just because you know they have no other option.

I don't like your doctor. Sorry. The nurses calling and everything is nice and all, but it just sounds like an excuse to charge more. Grrrrrr.

Cherie

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Criticism may not be agreeable, but it is necessary. It fulfills the same function as pain in the human body. It calls attention to an unhealthy state of things.

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PostPosted: Sat Aug 28, 2010 8:16 pm 
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Yeah the more I research the more I feel like I'm being taken advantage of. There is a once a week individual councilor and some blood work included and you see the Doc. once a week, but I'm not sure all that is necessarily worth 3500 plus 200 in meds. a week. I feel like I should have to enroll in a drug council program and see a Doc. once a month after I'm all stabilized on the correct dose. In Reality I won't be able to keep up with 500.00 per a week for that long any way. I will be supporting my family off 250.00 a week. Luckily I don't have many bills. I have to find another option its just a matter of searching through them all and waiting on that call back. I will have to stick with this until then. It is almost 8 pm on the second day of my treatment. I took a nap around 4, I woke up a few hours later and was feeling kinda weird almost like I was starting to W/D I waited it out till about 7 and took my dose. I felt kinda weird earlier to. I guess this is all pretty normal though. I'm feeling better now that the medicine has taken effect. Yeah the doc made the comment that its cheaper than roxy. I told him sure if you pay full street price but alot of us buy scripts from people who go to these pill mills and it really isn't that expensive maybe 500.00 a month. Definitely not 500.00 per a week Doc. But soon the pill mills will be shut down. I live in florida and they are everywhere here and they are starting to close down everywhere also.
Thanks for all the info and support everyone.


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PostPosted: Sat Aug 28, 2010 11:49 pm 
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Yikes, that program is crazy expensive! If you haven't already tried it, I recommend the doctor-patient matching service at NAABT.org. I found my doctor through them and so did my best friend. My sub doc took medicaid/state health insurance plans and her doctor got her set up on Reckitt's patient-assistance program so she got her meds for free AND he only charged her 50 bucks per visit because she had no insurance - and after the first month she only had to come in once a month.

You might have to call around quite a bit, but it's worth the effort. There is no reason why you should have to pay that doctor so much for your treatment, that's nuts.

For what it's worth, our opiate use/abuse history is pretty similar. I used them off and on for many years with no issues, then started using them more and more over about a year with a final 4 month dilaudid binge that brought me to my knees and to my senses. Ten weeks would not have been enough for me. I needed time to figure some things out. Mostly:

1 - What triggered my use: pain, stress, depression, the need to keep working despite being in pain, etc.
2 - What could I do to resolve those issues: alternative pain treatment, exercise, diet, healthy living skills, meditation, therapy

Then I needed time to practice all of those new skills and get them to the point that they were habitual. Once I had achieved that, I needed time to taper off slowly and incrementally so as not to mess up my newfound stability.

Alltogether, I was on Suboxone for 22 months. I finished my taper just over a year ago, and I'm still opiate-free and doing really well. I think the fact that my doctor was flexible and supportive was a huge positive in my recovery.

So, your mileage may vary, but I thought I'd share my perspective with you. I wish you luck in finding a better, less expensive Sub doc.

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PostPosted: Sun Aug 29, 2010 10:28 am 
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WOW thats a lot of cash I pay 165.00 per month and 15 for script but I don't get no phone calls and all the other stuff but 3500.00 WOW you do what ever is best for you but I would try to look at more docs thre out there you may have to drive but its worth it. If your not a IV drug user ask about Subutex same thing just no Nalaxon and there is a genaric brand cost me half the price and if you don't have insurance it will help you out another thing try the meeting out I like AA but there is NA and other meeting out there to give a try Suboxon is only one part of your recovery. It sounds like your doctor knows that so thats one good thing about spending that amount of cash. But I wish I did not have to use subs avery day bbut it keeps me from the other drugs and at this point I don't have any plains to come off of it. I am happy for you and the best of luck to you and let us know what happing with your recovery. One other thing I have been clean for a little over a year and on subs the hole time could not of done it with out it and my meetings. it's people like you writing on this sight that help me and other stay clean thanks best of luck.

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PostPosted: Sun Aug 29, 2010 11:48 am 
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Day3 of treatment.
I have about 25 phone numbers to start calling on monday hoping to find a new Doctor. I got them off the suboxone Web site. and they are all with in 25 miles of me, Thats about how far I had to go friday to see this Doctor. I guess I can tell them that I just can't afford the program that I am in, hopefully this won't be an issue.
I feel pretty good today. The edgyness has started to were of. I don't feel as anxious as I did yesterday. Everyday seems a little easier.Thanks again for all the input and keep it comig.


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PostPosted: Sun Aug 29, 2010 9:53 pm 
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3rd night of treatment
Today went pretty well, I have Identified the urges that I have and the actual WD. The sub. has pretty much eliminated the WD. The urges dont happen very often but the do set off my anxiety, it gets pretty bad. I have been being treated for anxiety by my family doctor for about 3 years. I have been on Paxil 20 mg for the entire time and xanex as needed. Over the years my anxiety level goes up and down and so does my xanex usage. I go for months at a time without having to take them and then other times I get really stressed out and have to take them. When I was on the roxy I didn't have to take them hardly ever. Now the Sub. Doc. took me off the xanex and put me on klonopin that works well but now I find my anxiety attacks occur a couple times a day at least,I think the anxiety is flaring back up because of the urges, I wait them out and some of them pass but some times they get so bad I have to take a klonopin. I have had anxiety like this before but it has been a while. I used to see a stress therapist once a week for about 6 months and it helped to the point I didn't have to take a xanex for about 6 months. Then the anxiety came back but not as bad so my family doc put me back on Xanex as need.
So Does any body else exsperience this? Is this something that will go away after a while. These anxiety attacks I have get really bad sometimes. Any input appreciated.


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PostPosted: Sun Aug 29, 2010 10:05 pm 
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PostPosted: Sun Aug 29, 2010 10:36 pm 
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Your system is definately going to be a little screwed up for a few months. Like you, I am on paxil for anxiety and depression (used to be on Valium but stopped after I got sober). After abusing opiates for so long it took some time to get my paxil dosage at the proper level and so to adjust to the suboxone. I was very up and down with my anxiety and depression for about 2 or 3 months. Once I got on the right amount of meds and learned some techniques for dealing with life without getting high I felt pretty good. We all talk about the physical and emotional aspect of coming off of abusing opiates but those of us with other mental issues have to get all those things back in order. All the years I spent abusing heroin and pills I never forgot to take my daily dose of paxil but who knows if it was even doing anything. Give it a little time and try to be patient with the anxiety issues, they will get better.

I am not going to comment on what you are paying your doctor, I think enough people have convinced you that your paying too much. More importantly I would be concerned about your doctor philosophy on the duration of your suboxone treatment. 10 weeks is a very short time IMO. I was still a mess at 10 weeks sober. I didn't even scratch the surface in learning to live a happy sober life. I know we are all different but I havn't seen too many successful outcomes with short term suboxone. I have seen a few but just not too many. Best of luck and congradulations. If you put in some effort your life will be better than you could have ever imagined.

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PostPosted: Mon Aug 30, 2010 8:29 am 
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rmills- Have you considered trying meditation for your anxiety? I used to be on shitloads of xanax, which I had to stop when I started suboxone. So I had to learn to meditate. At first I thought it was a bunch of hooey - yea, like I could do anything to manage my anxiety without a pill! But much to my surprise it works! I can even use it to lower my blood pressure when necessary. I did a post a short while back about self-hypnosis/meditation/guided imagery in the chronic pain section. Maybe you can check it out and give it a try. It really is worth the effort to learn how to do it. I wish you the best.

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-I'm only responsible for what I say, not for what you understand.


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PostPosted: Mon Aug 30, 2010 5:55 pm 
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Yes I will definetly try that. I have thought about it before but that was about as far as it went.
Today is day 4 of treatment. I felt great this morning slept great then around mid morning I got a little bothered but it passed pretty quick. I work as a roofer so my days are easy to get through because I'm so busy. I didn't have to take a klonopin till around 5 so I think I will be able to cut back to 1 mg a day on that. I'm supposed to see my councilor for the first time tomorrow after work and see the Doc. at lunch. They said they would push tomorrows payment to the end or what ever. My wife found a doctor today that can see me for 200.00 - 250.00 per a month. First visit was a little more. So I will Go tomorrow and see the doc and get what I can out of the councilor and then get setup with the new doctor that I can actually afford. Hopefully he will write the subutex so I can get a generic and really get this affordable. I have never used I.V. so hopefully he will. Thanks for all the help everyone.


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PostPosted: Mon Aug 30, 2010 8:03 pm 
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I would not got to your first appointment and ask for subutex. IV user or not some doctors will not be very receptive hearing that from someone newly sober. Mention your financial situation and your concerns for being able to afford suboxone. Let him be the one to mention subutex. I have found that even the best doctors out there are a little naive to addiction and might mistake your mentioning subutex for drug seeking. Just a thought. Good luck.

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 Post subject: Keep looking around...
PostPosted: Tue Aug 31, 2010 6:31 am 
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10 weeks is way to short, your going to suffer way to much.. I found a pdoc ( shrink ) and have paid him 65.00 per month... Sounds like this doc is for the rich and famous... This guy has his hands in your front and back pockets... I wish you the best of luck, Mike 1mg


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 Post subject: NEW
PostPosted: Tue Aug 31, 2010 7:30 am 
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Hello, my name is Dianne and in new, can i join please


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PostPosted: Tue Aug 31, 2010 7:36 am 
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Hi Dianne and welcome! Consider yourself joined! :D When you have time and are comfortable doing so, maybe you can post a thread under introductions and tell us more about yourself. I hope you find as much support here for your recovery as I have. This forum is full of really great people! We're glad you found us. WELCOME!

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-I'm only responsible for what I say, not for what you understand.


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