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 Post subject: Dosing before 10 a.m?
PostPosted: Mon Dec 05, 2011 7:56 pm 
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I've noticed that if I take my 1st dose at 10 a.m. Or later that I feel a hell of alot better come evening time. I was taking my 1st dose around 7 a.m. On my way to work and come 7-8 o'clock at night I'm pretty misrable but if I wait till 10 or later in the morning I feel better through out the day. This is with taking 2mg three times daily. Anyone else feel the same?


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PostPosted: Mon Dec 05, 2011 11:01 pm 
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It depend on what exactly you are talking about. My sub dr. told me that if you are using suboxone for pain management as well as addiction, or just for pain, the pain releiveing effects last only about 4-6 hours. So he suggested I break my strips in half and take them 4 times a day. This helps me so much..I really do notice a big difference in the amount of pain I am in. Especially when I compare it to how bad i feel in the morning after having gone 7-10 hours with out a dose. I don't understand why this is, but it is.


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PostPosted: Tue Dec 06, 2011 1:13 am 
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Yes I do believe there is a better relief for pain taking your dose thruout the day.
Im on 24mg. I work construction full time, and I used to just take it all once a day, but could barely walk by the time I got home from work. So now I take 8mg three times a day, and it's great.
When Im off on the weekends I usually miss my first dose, and only take 16mg. I usually have extra at the end of the month.
thats my two cents.
I do have pain and addiction issues. shocker I know........lol
suprisingly though, since being on suboxone I actually feel less pain than I ever did on all the other crap. I think alot of it has to do with our brain playing tricks on us.

Okay done rambling.......gotta find some sweets!!!!!!


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PostPosted: Tue Dec 06, 2011 9:37 am 
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Are you dosing for pain, too? Or just for addiction? If you're not dosing for pain, then you might consider dosing once per day. That might hold you better for at least 24 hours. Or you can just continue dosing as you are, after 10 am. Whatever works. BUT... I will say this. If you're not dosing for pain, it is recommended to dose once per day. This is to extinguish the habit of dosing throughout the day whenever we "feel" we need to take...something. It reinforces the stimulus-reward pathways in the brain and that's what we need to stop.

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PostPosted: Tue Dec 06, 2011 7:54 pm 
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I'm prescribed for addiction not pain. That's not the first time I've heard that I shouldn't be doing 3 times a day but my dr always tells me to do whatever. Im gonna try to switch to once a day........I just hope it's not to hard of an adjustment!!!


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PostPosted: Tue Dec 06, 2011 10:43 pm 
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Suboxone has an average half life of 37 hours, so there's no need to take any more than one dose per day for addiction purposes. The only adjustment could be psychologically. If you're accustomed to being able to pop a pill when things get shitty, then yes, you might have to break that habit. But you were going to have to get out of that habit anyway. Now's as good a time as any. If you need to, you could cut out one dose first, then the second one so it's not a huge change right away.

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 Post subject: Ditto
PostPosted: Wed Dec 07, 2011 2:19 pm 
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Hat pretty much said it all. My doctor instructed me to take my full dose once a day at 10am. It's worked just fine ever since.

And just to repeat what Hat said, we addicts are used to taking pills or using several times a day. By only taking it once, you break that habit of looking forward to the time of day you get relief. There have been days I forgot to take my Sub but didn't worry about it because of it's long half life. What a great drug.

I am surprised some doctors leave the dosing up to the patient. Mine was very strict and wanted complete control which worked quite well for me.

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PostPosted: Mon Dec 12, 2011 5:27 pm 
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I was originally taking 4mg around 8am 4 around 3pm then another 4mg at 10pm. I since have cut that back to 2mg in the am and 2mg a couple hours before bed eliminating the mid day dose. Thi seems to have helped me but i do think that waiting a little later in the morning is better so that it kind of peaks during my work shift...seems to have worked


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PostPosted: Fri Dec 23, 2011 4:47 am 
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Just reading through this forum on dosing makes you realize quickly how misinformed the perscribing physicians across the nation are. Of course, patients sometimes hear what they want to hear.


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PostPosted: Mon Dec 26, 2011 3:11 pm 
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Lindy wrote:
Just reading through this forum on dosing makes you realize quickly how misinformed the perscribing physicians across the nation are. Of course, patients sometimes hear what they want to hear.


Yea I couldn't agree more with the doctors. It doesn't help that it only takes them being a regular physician that goes to a singly day 8 hour course and are then "Licensed Suboxone Addiction Specialists"....

So many doctors have the intent of helping people switch to suboxone, but many of those same doctors are a bit ignorant to the actual world of addicts, opiates, and just everything that comes with the territory. I just love when my doctor says "you shouldn't have any problem going from 4mg to 1mg a day". Hah... I've been on suboxone for 5 years now (it won't end.. ahhh), and while i've gotten down to 2mg (from 24mg), I do know you must take your time (especially when you get down to around the 2-4mg marks, and dropping from 2mg to 1.5mg is actually a more drastic change on your brain than going from 24mg to 8mg (just look at the pet scans and the ceiling effect... almost little need to be on more than 8-12mg daily, as it occupies basically 90%+ of your receptors).

But that's what the forums and internet are for I guess; to get the advice we need that the doctors can't seem to understand. They just do what they are told and think tapering off suboxone is like tapering off advil......

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PostPosted: Mon Dec 26, 2011 3:19 pm 
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By the way, I might have to try waiting till 10am or 11am to take my dose. Been tapering down, and once I got to 2mg daily (I take it in the morning around 7am) it seems that by 7pm I start to get kind of tired and slightly depressed.

I know the mean half-life is 36 hours, and I've been on 2mg a day for like 2 months now, but I wake up in pretty mild withdrawls (mostly the cold sweats/chills/back pain) every morning I wake up. It was never like that when I was on 4mg or more a day. I thought it would just be this way because I had just tapered from 4mg to 2mg a day and would take about 3-4 weeks to stabilize, but now after about 10 weeks I am still feeling the same way each morning.... it's really annoying to start out every morning feeling sick.

Off Topic: I was thinking about just stopping the sub and going through withdrawls, there's minor withdrawls no matter what for the most part. I know it lasts a long time because of it's half life, so I have a question.:

Is it possible to take naltraxone (or whatever opiate antagonist) and will it wipe out all the buprenorphine in your system? Or does that stuff only work on the full opiate agonists like oxycodone/morphine/etc ??? I'd love to know.

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I have hit a block; long taper, got to 1mg daily and depression/anxiety kicked in. Back to 2-3mg a day, I feel like I relapsed... wtf!

One Love...


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 Post subject:
PostPosted: Mon Dec 26, 2011 3:45 pm 
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Hi Josh,

Once you get below 4mg the half life starts decreasing and sub acts more like a full agonist. When getting low in your taper and your dose isn't holding you 24 hours, Dr. J recommends dosing twice per day. You could try 1mg am and 1mg pm or if you think you need more in the morning you could do 1.5 and .5. Of course the old I'm not a Dr applies, I'm just relaying what I've read.

As for naltrexone, yes it will rip the bupe off your receptors but I wouldn't advise taking it. I have never tried naltrexone but from what I've read it will put you into the worst withdrawls you could imagine. We have some members with experience on the subject and I'm sure they'll drop by and tell you about their experiences.


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