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Have you had airplane ears as side effect from opioids?
Yes 17%  17%  [ 1 ]
No 33%  33%  [ 2 ]
No and I have never heard of that side effect either 50%  50%  [ 3 ]
Total votes : 6
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PostPosted: Tue May 02, 2017 11:02 am 
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Hi all!
Long time lurker from Sweden checking in - first post. :)

Anyways. I've been on buprenorphine maintenance for 3 months. It's really working great. I really thought i'd never be able to quit using heroin and i was very ambivalent towards bupe.
But yeah 3 months later and i still have not used any drug. Really worked wonders for the cravings.

I had 3 annoying side effects that i'm trying to treat.
The constipation - managed by sterculia rubber. Some bulk kind of laxative.
Very low testosterone and zero sex drive - going to start either testo injections or a testo gel.

I am aware that some side effects may be to the high dose i'm on which is 16mg. I am going to drop down to eight soon, but i'd rather not play with the doses just yet since i feel comfortable on this dose. Even though i know its placebo. I'd just rather have placebo then relapse right now. But my goal is to find the lowest possible dose above the ceiling dose.

Now, i have another really odd side effect that i relate to opioids. I have never heard anyone else have the same problem.
Airplane ears, i think its called in english. Weird pressure in the inner ear.

Reason i'm so sure it's the bupe causing it is because i had the exact same thing while using heroin.
And every time i quit, it almost instantly went away. And when i picked up again, it came back quickly.

At first i thought it could be related to smoking, since i mainly smoked my dope.
Before i started on bupe i was clean for about 3 weeks and had no problems like this. Now i have had this for 3 months.
In the beginning it was insanely annoying, since i had to gasp and do weird movements with my jaw to try to correct the pressure. I even went to the doctor who was of no help. Gave me some nasal spray, and said "it's probably the buprenorphine" without barely knowing what it is, and airplane ears being a common opioid side effect.

Now i have had this for so long that i have gotten used to it, but it is still really annoying.

Has ANYONE has anything similar to this and found a solution that is not quitting bupe?
I'd rather be alive with ear pressure than dead without so to speak.

Thank you! :mrgreen:


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PostPosted: Tue May 02, 2017 5:49 pm 
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Hey Suboxalfred welcome!

I must say that I've never had opiate induced airport ears and haven't heard of anyone else having this either. I have had constipation though, it was way worse while taking full opiates than a partial opiate but I still do get that side effect once in a while. I've learned how to somewhat control the constipation with figuring out what to eat that helps me go and I also figured out that fleet suppositories help me almost immediately. But I love the last thing u said about rather dealing with a side effect than being dead..... that is exactly how I feel too! That's the best outlook to have because it's so true.

Hope u stick around Alfred and keep posting :) this is a great forum!

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PostPosted: Tue May 02, 2017 8:19 pm 
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If the ears are really troublesome you could ask an ENT surgeon to put in ventilation tubes.
Pretty common procedure here for young ones with frequent ear infections.
Even if it is from the Buprenorphine I don't think it would be dose dependent.


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PostPosted: Wed May 03, 2017 2:11 am 
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wow that sounds like an interesting solution. I didn't know that procedure existed! I'm going to see my doc and see if she can refer me to the ear nose throat specialists or whomever could help me with putting one of those in.

My jaw is getting REAL tired from all the pressure equalization :( And it looks like some sort of tics since im doing it like 1 time per second when it's at its worst.
In the morning, it's usually a bit better, and at night it's worse.

Did i say I have tried cortison nose spray and ear drops for like 2 months straight also without any improvement?


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PostPosted: Wed May 03, 2017 3:55 am 
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That's weird. But all drugs can have idiosyncratic side-effects so who am I to doubt.

Regarding the low T and low sex drive. Just note that opioid induced endocrinopathy / hypogonadism / low T IS reversible. For most people, lowering the dose of opioid or stopping it will make your T levels and libido bounce back. many people on this forum who have gone off Suboxone report their libido returning full force.

Taking exogenous testosterone on the other hand can cause long term suppression of natural T production, leading people to be reliant on hormone therapy. Natural testosterone production does bounce back when you stop hormone therapy to a degree, but how much depends a lot on the person.

So yeah, like all things in western medicine, it comes at a cost that you need to weigh up.


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PostPosted: Wed May 03, 2017 8:49 am 
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Hi Suboxalfred, I can relate to constipation it is hell. Making changes to diet might do the trick


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PostPosted: Wed May 03, 2017 12:25 pm 
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Teejay.
Damn, now you made scared to go on testo treatment....


Thing is. Like it is now, i could 100% Not have a relationship with a woman. I could barely have a one night stand. Like i get to the point where i take things in to my own hands so to say like once per month.

Normally, if i dont "do anything" that will occur like 2-3 times per week... I could go 2 months without touching my self. That is just messed up.

I am 22 years old. I will probably be on bupe for at least 2 years, maybe my whole life.
And if my T levels are low when (if) i quit, i guess i could keep taking testo supplements. I don't really know what side effects that in it self would have though... Need to do some research.

about the airplane ears - still as bad as usual today. Constantly moving my jaw around to equalize pressure. It's tiresome.

Btw, the constipation is a 0 issue with the extra fibre bulk medication im taking. I can really recommend it.
Not sure what the medication is called in the US. Here it's called Inolaxol, and contains only "sterculia gum" as active ingredient. Works for both hard'n'loose shits. Non addictive


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PostPosted: Wed May 03, 2017 9:12 pm 
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I'm no endocrinologist . There's a dearth of information for people who stop taking exogenous T online. I'm going partly by the common knowledge among bodybuilders who stop taking anabolic steroids, though that's a bit different because their T levels skyrocket to extreme levels during a steroid cycle.

Have you considered a dose reduction of Sub? A lot of people (me included) find a dose around 8mg to be enough to maintain a decent libido while still curbing the cravings.

I'm on 16mg atm and I have zero libido, but am actually okay with it. That being said in a month or two I plan on reducing down to a level that doesn't hit the libido.

Make sure you ask your endocrinologist some questions. Do they intend for you to stay on T therapy for life? What will happen once you stop T therapy? Will my T levels bounce back? that kinda thing.

If they respond with the belief that your low-T is life-long and unrecoverable without indefinite treatment, they don't know what they're talking about. Opioid induced androgen deficiency is very much reversible once opioids are reduced or ceased.


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PostPosted: Thu May 04, 2017 8:25 pm 
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My ears got SO much worse today :( Cant barely hear.

And my nose is clogged. I was going to pull in some water into the nostril, and then blow it out to clean my nose. But it was so clogged that when i pushed, i pressure equalized and it felt like i broke my ear drum. And the airplane ear effect is like 10 times worse.

I know a cold could give airplane ears. And now i'm sure i've got some kind of cold, and that probably makes it a lot worse i guess. It SUCKS!


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PostPosted: Sun May 07, 2017 8:12 pm 
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Sounds like sinus or ear infection they can last months subs and other opiates at least for me always blocked most ilness symptoms so weird things like that were just because i was sick and subs didnt drown out that particular symptom. Even when i tested positive for the flu i felt good enough to do anything right after my dose.


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PostPosted: Mon May 08, 2017 1:05 pm 
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coloradoclean wrote:
Sounds like sinus or ear infection they can last months subs and other opiates at least for me always blocked most ilness symptoms so weird things like that were just because i was sick and subs didnt drown out that particular symptom. Even when i tested positive for the flu i felt good enough to do anything right after my dose.



Yeah but this particular symptom is only present when i'm ON an opiate or bupe. Like when i was on heroin i was dealing with this shit 24/7 but didn't give a crap about it. When i detoxed, it would disappear in a matter of days. And when i started using again, it would come back.

Now that i'm on bupe, it's really annoying since there is no high to mask the feeling. But it's been like this since the day i started bupe.

I have got a referral to an ear / nose specialist now so i hope they can help me. :)


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PostPosted: Mon May 08, 2017 7:09 pm 
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Yeah that is weird good luck! Maybe you have a minor allergy or intolerance to opiates? Hope ypu get answers.


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