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PostPosted: Sun Dec 25, 2016 11:32 am 
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Just thought some other newcomers concerned with starting on a high dose in the beginning of maintenance treatment, might find this useful/encouraging. It's been about a month and I've had no trouble moving down from 32 mg the first 3 or 4 days down to 8 mg currently. The only proviso is that it's just been a couple days at 8, so there might be some surprises, perhaps in the form of the cravings monster. We'll see.

I also want to add that I'm not in any way making a judgment concerning higher doses. It's a personal decision, although I think somewhere in "Talk Zone" Dr. Junig says that in his opinion anything over 24 is likely not really needed. I think he also says that 16 mg once daily is probably the best insurance against cravings. If that happens to me ....a return of cravings....I'll have to reconsider. The best part of this whole buprenorphine thing is the gift of living free from "junk hunger" ...as William S. Burroughs might have put it.

Speaking of Burroughs, I believe he spent the last years of his life on methadone maintenance. I have to believe he was as grateful as most of us are for a way out. And for us buprenorphine people, what a luxury not to have to go to some cheerless methadone clinic every day. (Absolutely no offense meant to anyone doing that. I realize methadone is better for some.)

Much to be grateful for this Christmas morning.
Good wishes to all.

Godfrey


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PostPosted: Sun Dec 25, 2016 12:51 pm 
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Yes, I agree with most people not needing to stay on the higher doses unless they get cravings. 16 mg's will have a half life of about 4 days so the ceiling effect has already occurred in most cases.

We've had people here post that they were headed for jail for a week so we advised them to take a lot of their Suboxone to build up the half life so as to get them through the week w/o going into withdrawals. Over a week and you're in trouble. And even those who did it felt uncomfortable towards the end of their time served. But it's good information to know if you're headed to a place where it's impossible to dose.

Merry, Merry, Godfrey!

T

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PostPosted: Sun Dec 25, 2016 3:24 pm 
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To you and yours as well, rule ...
Amazing how these Christmas's just keep whizzing by, like mileage markers on a highway.

Nice to be sober.


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PostPosted: Mon Dec 26, 2016 10:20 am 
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Thanks Rule, that is good information to know and keep in your pocket. Godfrey, I agree, it is very very nice to be sober. This is the first Christmas in at least ten years, that I was sober-and it was the best!


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

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

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