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 Post subject: First appt Tuesday
PostPosted: Sat Aug 02, 2014 9:47 pm 
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Hi, I have my first appointment Tuesday for suboxone treatment. I feel like this is my last hope? I've been an opiate addict on and off for over 10 years. Detox hospital twice, cold turkey numerous times..I always relapse within 30 days. I feel like my brain will never be "normal" without opiates. I've damaged it too much? I was wondering if you could explain what happens during the first appt.? I'm worried I won't get the medication on the first visit and this dr is only in the office once a week....I want to stop this life so bad. It's taken so much from me. I've spent so much money it makes me physically I'll. I'm seriously feeling desperate and depressed.
If I stop using tomorrow night, will the drugs still show up in a drug screen? The dr said I do a drug screen when I come in. Thank you.


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 Post subject: Re: First appt Tuesday
PostPosted: Sun Aug 03, 2014 11:43 am 
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Hey Still,
If I were you, id call the dr s office and ask these same questions.
Yes, we all get drug tested the first day. I was anyway. They need to see if you have opiates in your system.its not a bad thing if you do..
Still, you are making the right move here.This med will change the game for you.It is very important to work a recovery type program though.
Have you ever taken Suboxone before?
Sub all alone really doesnt solve all the problems. It is a huge part of recovery off opiates though.
For me, it was over nite. One day I was taking handfuls of pills, next I was on sub and ive never looked back.
This can happen for you my friend. Life will change for the better.
Whatever we did to our brains is done.Its now up to us to change ourselves. Its possible. .
So...hope this helps alittle. So call your dr s tomorrow and ask how they want you to come in. Sub therapy cant begin till withdraw is present. Did they tell you this?..
See the thing is, not all drs work there program the same. So it seems.

You will be fine, beleive this.
And the more information you have the better. If you havnt gone over to the talkzone and read some of Dr Junigs post, I suggest to do..

Please keep posting and asking questions, this is the best place to find help.

Best of luck.....razor56...


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 Post subject: Re: First appt Tuesday
PostPosted: Sun Aug 03, 2014 4:10 pm 
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Welcome!

It makes it so much easier when Razor comes along and explains everything! I only have to say "ditto!"

I know this is a scary time. My first appt. with the doctor was not when I was inducted on sub. There is usually and intro appt. and then an induction appointment. The doctor should be able to guide you on when to stop taking other opiates in preparation for your suboxone induction.

I have not heard of one suboxone doctor who expects a clean urine the first time you come in. He knows you're addicted. I am fairly sure you will have to wait the one week to induce, so don't be in withdrawal when you show up for the appt.

Amy

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 Post subject: Re: First appt Tuesday
PostPosted: Mon Aug 04, 2014 8:13 pm 
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Thank you both for the reply. I spoke to the dr which is an addiction specialist/psychiatrist and she said as long as I have no medical issues etc. I'll be sent home with a script to have filled so I can start right away. I start experiencing withdrawels pretty quickly, usually within 6 hours? I have a huge tolerance and take up to 300 mg of oxycodone daily. How long should I wait normally? I've been reading conflicting information...some say 12 hours, 24 hours but I feel really really sick after 12 hours! Bathroom runs , runny nose, yawning, legs feel like someone took a hammer, vomiting, gagging, everything smells bad etc. I just don't want to take it too soon. Do you think 12,hours is ok?

Thank you very much for any help, I'm nervous but also excited. This is my last hope. I'm praying it works cause I can't live like this anymore.


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 Post subject: Re: First appt Tuesday
PostPosted: Wed Aug 06, 2014 7:17 pm 
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Hi there. I started subs about 7 months ago. Subs are a great tool if you use them correctlyo. I'm not going to scare you with my past, but let's just say it took me a minute to get there.

My dr did not drug screen on the first appt, you were to show up in wd. But I know lots do. They want to make sure you are taking opiates and not trying to get subs to sell them or get high from them.

You should google the COWS sheet. That's what drs and nurses use to decide when to induct. You should score over a 20, I'd say. The longer you wait, the easier the transition will be, so wait til you can't stand it anymore. Then start dosing 2 mg at a time, wait an hour between each dose to assess how you feel and to be sure you are not going into precipitated wds. PWDs are hell, wd x10 but shorter, and come from the buprenorphine pushing your oxy or whatever else off the receptors. You want to wait til there's nothing on the receptors. You want to wait 12-24 hrs with oxy. I usually induct around 18 and am fine, with a habit of up to 500 mg a day or a few grams of dope.

After you're stable, subs buy you time away from active addiction to straighten your life out. Get the money straight, the lifestyle straight , learn how to deal with cravings. On a proper dose of sub, you won't be able to get high unless you stop taking it for awhile, so it gives you time to think decisions through instead of calling the dealer or whatever in one moment of weakness.

Stay on the subs as long as you need. Don't feel like you're not really clean, you are clean on subs, just using a medication to handle your addiction like anyone else use meds to handle health issues.

I was a chronic relapsed too. I've kicked CT about a hundred times. Always relapse after the acute wds. I have chronic pain (fibromyalgia) that triggers my use. I also have depression and anxiety, and subs help with these issues. I may be a lifer.

Can't wait to hear back.


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

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