It is currently Sun Aug 20, 2017 11:45 pm



All times are UTC - 5 hours [ DST ]


Our Sponsors





Post new topic Reply to topic  [ 5 posts ] 
Author Message
 Post subject: Ceiling dose???
PostPosted: Wed Sep 21, 2016 10:11 am 
Offline
Power Poster
Power Poster
User avatar

Joined: Fri Feb 26, 2016 12:20 pm
Posts: 44
Location: Toledo, OH
Let me first say that the ceiling area is probably very personal and differs from patient to patient, But I just had my monthly suboxone group a couple days ago and we were told that it is being found recently that the ceiling dose is actually about 16mg..

Is there any truth to this??

I was always under the impression (by info on this site and others) it is much lower.. like around 6-8 mg.? I have been at 6mg for quite some time and always assumed I was above the ceiling (at least "my" ceiling) because cravings are still under control and I don't ever notice withdrawals between my sub doses..

I know everyones ceiling probably varies quite a bit because of many different factors, Just wanted some thoughts and opinions about this? I appreciate anyones input! :)

_________________
"Though no one can go back and make a brand new start, Anyone can start from now and make a brand new ending." -Unknown


Top
 Profile  
 
 Post subject: Re: Ceiling dose???
PostPosted: Wed Sep 21, 2016 1:24 pm 
Offline
Moderator
Moderator
User avatar

Joined: Sun Jan 02, 2011 12:35 am
Posts: 2802
Location: Southwest
Just going by what I've read here, the ceiling seems to be closer to 8 mg's. I think the reason they say 16 mg's is because that is what the company rep states. You're right, no two people are alike. You know what works for you and may not work for someone else at all.

I never had any cravings when I got down to a very low dose. But to me, 8 mg's is a lot of Bupe.

r

_________________
Don't take yourself so damn seriously


Top
 Profile  
 
 Post subject: Re: Ceiling dose???
PostPosted: Wed Sep 21, 2016 1:32 pm 
Offline
Super Poster
Super Poster

Joined: Fri Jul 24, 2009 10:45 pm
Posts: 132
I think that the ceiling dose is very different from person to person. If you are stable on your dose that is what matters. R.B., makers of the brand name, Suboxone suggests that most people can be stable on 4 mg after a year. I am on 1.5 to 2 mg a day and probably below the ceilingand I am stable. I do however, have bowel issues if I try to get down to 1 mg.


Top
 Profile  
 
Our Sponsors
 Post subject: Re: Ceiling dose???
PostPosted: Wed Sep 21, 2016 4:33 pm 
Offline
Moderator
Moderator
User avatar

Joined: Mon Sep 15, 2014 7:15 pm
Posts: 2307
Location: Tennessee
I feel exactly as the others, everyone's ceiling is a bit different. I don't however think it's 16mg. I think it's between 4 to 8mg. I believe 8 would be the highest I'd go to say the ceiling level. I think a lot of patients would agree that 4 to 8 sounds reasonable. Also most get adjusted to smaller doses like Jeanie said and do just fine and stabilize on that. But I definitely wouldn't agree that anything above 8mg being a ceiling level.

_________________
Jennifer


Top
 Profile  
 
 Post subject: Re: Ceiling dose???
PostPosted: Sun Sep 25, 2016 10:27 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Sat Aug 04, 2012 11:02 pm
Posts: 1002
There's the "ceiling" dose, then there's the "ceiling for the whole 24 hours" dose. The latter is the one that's most important - ie the dose that keeps you over the ceiling completely until you have your next dose of Sub. This means the peak levels of Sub in your blood 1-2 hours post-dose might actually be significantly over the ceiling and leave your receptors totally saturated, but due to the levels dropping gradually throughout the day, by the time you next dose they might be only a tiny bit over the ceiling. If your dose is too low, the level of bupe in the blood may actually drop below the ceiling level, leaving you open to cravings, or even mild withdrawal effects prior to your next dose.

So the key factor is rate of metabolism, and that depends a lot on peoples genes, medication regime, body type etc. Fast bupe metabolisers generally need higher doses to keep their receptors saturated until they have their next dose.

For me at the moment with my current medication regimen I can get by on 8mg once a day. Though I can survive on 4mg without using, I generally wake up in the morning feeling a bit ugh and have to take my Suboxone before I get out of bed or I'm just really slow to get going.


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 5 posts ] 

All times are UTC - 5 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 2 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Search for:
Jump to:  
Our Sponsors
Suboxone Forum latest topics RSS feed Subscribe to the entire forum
 

 

 
Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

Powered by phpBB® Forum Software © phpBB Group