It is currently Tue Aug 22, 2017 11:03 am



All times are UTC - 5 hours [ DST ]


Our Sponsors





Post new topic Reply to topic  [ 10 posts ] 
Author Message
 Post subject: how to dose??
PostPosted: Fri Apr 08, 2011 4:07 am 
Offline
Power Poster
Power Poster
User avatar

Joined: Fri Feb 12, 2010 2:38 am
Posts: 63
Hey everyone, I have one quick question on my dosing method. I am about to lower my dose from 10mg (which I take 6mg in the morning and 4mg in the evening) to 4mg/day. So my question is how do you think I should attempt this? Should I take all 4mg at once or should I split it into two doses. Any help or suggestions will be greatly appreciated! Thanks ~Joseph


Top
 Profile  
 
 Post subject:
PostPosted: Fri Apr 08, 2011 7:56 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Wed Apr 29, 2009 12:55 pm
Posts: 4933
Location: Leesburg, FL
Hi Joseph -

It almost sounds like you plan to go directly from 10 mg down to 4 mg in one large jump with no tapering in between, is that correct? If so, I would highly suggest you taper down to the 4 mg more slowly than that. I think you'll almost certainly feel such a drastic drop if you don't taper, so why not go down more slowly and less painfully?

Personally, I'd go down to 8 mg first, then 6, then down to the 4 mg objective. You might not feel those drops at all - or very little. But like I said, I think you'll probably feel it if you make one large drop from 10 to 4.

I know you may probably want to get down quicker, but why not save yourself some discomfort? Just my humble opinion. Good luck with your taper down.

_________________
-As I have grown older, I've learned that pleasing everyone is impossible, but pissing everyone off is a piece of cake.

-I'm only responsible for what I say, not for what you understand.


Top
 Profile  
 
 Post subject:
PostPosted: Fri Apr 08, 2011 10:04 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Thu Oct 21, 2010 10:39 am
Posts: 4028
Location: Sitting at my computer
Hi Joseph,

I too read your post as you were planning on going straight from 10mg to 4mg. You can certainly do that, but I'm also pretty darn sure that you are going to feel it.

IMO, anything above 4 or 6mg, you can drop 25% of your dose, stabilize and do another 25%, etc. Once you get around the 4 or 6mg, you should start dropping by 10%.

Do you HAVE to drop to 4mg in one shot? If so, I would say to take 2mg in the morning and 2mg in the early evening.

_________________
Be kind to yourself. Our character defects do NOT define who we are!


Top
 Profile  
 
Our Sponsors
 Post subject:
PostPosted: Fri Apr 08, 2011 3:26 pm 
Offline
Power Poster
Power Poster
User avatar

Joined: Fri Feb 12, 2010 2:38 am
Posts: 63
thanks guys its not that I want to drop my dose that quickly its just that the pharmacy I have used for 14months with no issues shorted me 20 pills and I didn't even notice until a week after I picked up my script. They gave me my script in a larger bottle and I didn't even check the amt. (stupid) I almost always double check. So when I brought it to there attention that they shorted me they made me look and fell like an idiot. There has to be something I can do? So anyway now I have to drastically lower my dose for a week to make it to my next Dr. appt.


Top
 Profile  
 
 Post subject:
PostPosted: Fri Apr 08, 2011 3:59 pm 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Wed Apr 29, 2009 12:55 pm
Posts: 4933
Location: Leesburg, FL
Oh man, does that ever suck!! Did you insist that the pharmacy do an inventory? That's what I would do. Not that it means they'll admit their mistake, but it might be worth a try.

Now that it appears you have to drop to 4 mg all at once, you might want to just try taking the 4mg all at once in the am and see if it lasts you through until the next morning. (That's what I would do.) It should, but everyone is different. If after 2-3 days you notice that that in the evening or before bed you're feeling some withdrawals, then you can always split your dose and take 2 mg in the am and 2 mg in the late afternoon. It's just hard to say which way will work better. 4 mg is right around the ceiling, so it'll be more of a trial and error thing. Good luck with it. I hope you don't feel it too terribly.

_________________
-As I have grown older, I've learned that pleasing everyone is impossible, but pissing everyone off is a piece of cake.

-I'm only responsible for what I say, not for what you understand.


Top
 Profile  
 
 Post subject:
PostPosted: Fri Apr 08, 2011 7:00 pm 
Offline
Power Poster
Power Poster
User avatar

Joined: Fri Apr 01, 2011 5:42 pm
Posts: 76
Joseph wrote:
thanks guys its not that I want to drop my dose that quickly its just that the pharmacy I have used for 14months with no issues shorted me 20 pills and I didn't even notice until a week after I picked up my script. They gave me my script in a larger bottle and I didn't even check the amt. (stupid) I almost always double check. So when I brought it to there attention that they shorted me they made me look and fell like an idiot. There has to be something I can do? So anyway now I have to drastically lower my dose for a week to make it to my next Dr. appt.


That really does suck! I am sorry that happend. It's unfortunate the the pharmacy made you feel like you had done something wrong. I can tell you that my doctor has on one occassion allowed me to get my script a few days earlier then the prior month. It's not a lot of days, but it may give you and extra day or two if needed. You may do fine on the 4mgs, and I hope that you are, I just wanted to offer that as a suggestion should you really start to feel sick with w/d. You could also just be honest with the dr and tell him what happend and he may just give you your script earlier. If you have insurance then you'll still have to wait for the time frame to refill, but if you don't then they should allow you to fill what the dr has given you. I went on vacation once when it was 2 weeks prior to filling my script and I would have been out 2 days of subs had I not been able to fill it before I left, and they allowed me to do that. Just throwing that out there for you.

Best of luck to you! I agree with Hatmaker in that you might benefit from taking the dose once daily, and just give it a try and see how you feel by doing it that way. Hopefully you will not feel to bad during the week you have to wait.

_________________
We must be willing to get rid of the life we've planned,
so as to have the life that is waiting for us.
The old skin has to be shed before the new one can come.
- Joseph Campbell


Top
 Profile  
 
 Post subject:
PostPosted: Fri Apr 08, 2011 7:17 pm 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Wed Jun 17, 2009 9:59 pm
Posts: 993
Location: Carson City, Nevada
Wow, that royally sucks!!! That's a big amount to be shorted. I agree with Hat that you should have them do an inventory count. I have been shorted twice, but both times it was when I was paying out of pocket for Subutex and it was SO expensive. It was really weird, because in my life, I've never been shorted except for those two times. And one of the times, it was 1.5 pills short or something. It was so weird. Like, how do they leave out a half a pill? I complained big time and put it on my account that I wanted my meds double counted and signed off on.

I've filled my script early with no trouble. A person cannot always fill it on the precise day. My insurance would bend a little. I think they would cover it after 28 days or something. My doc didn't mind, but sometimes I also filled it late, so maybe that's why. If you tell your doc what happened, he may write you a script for a higher dose, and that way you can get it filled earlier. Hopefully, he'll believe you. If not, then this is going to be a bit of a rough drop for you. I would absolutely dose twice, especially since you already are doing that. First, I'd try to figure out how to get around having to do such a crazy drop. Your doc should at least know what you are having to go through. And in the future, if you can, try to stock up a little extra because stuff happens and it's good to have some extras just in case.

laddertipper

_________________
First you take a drink, then the drink takes a drink, then the drink takes you. ~F. Scott Fitzgerald


Top
 Profile  
 
 Post subject:
PostPosted: Fri Apr 08, 2011 9:44 pm 
Offline
Power Poster
Power Poster
User avatar

Joined: Fri Feb 12, 2010 2:38 am
Posts: 63
Thank you all for the support! I definitely asked them to check there stock, I called them on the phone and we went back and forth for about 20-30 min. without coming to a conclusion so I showed up in person (acting cool, but still frustrated) and they told me that they get there pills from the manufacture in bottles of 30 pills and from the looks of it they don't have any open bottles so it must not have been them (not there exact words). So I don't know if the manufacture miss counted a bottle or someone working in the pharmacy has heavy pockets, but all I know is that this sucks!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Well anyway it has been or this is day two and I am about to take my second dose of 2mg for the day and I dont feel that bad? I know I still have to get through another 2-3 days to be for sure, but so far so good! Thanks again everyone for all of you help and support.


Top
 Profile  
 
 Post subject:
PostPosted: Sun Apr 10, 2011 7:46 pm 
Offline
Power Poster
Power Poster
User avatar

Joined: Fri Feb 12, 2010 2:38 am
Posts: 63
Just wanted to update on lowering my dose from 10mg to 4mg. Well it has been a little over 3 days now and I feel fine. I have been taking 2mg twice a day and surprisingly I feel great! Actually I think I feel better at this dose. I'm sure I still have a couple days to go to make sure I'm in the clear, but we will see. I will let everyone know how I feel in a couple more days and if there is no issues I will be staying at this dose.


Top
 Profile  
 
   
 Post subject:
PostPosted: Mon Apr 11, 2011 7:18 am 
Offline
Super-Duper Poster
Super-Duper Poster
User avatar

Joined: Mon Mar 21, 2011 3:58 pm
Posts: 342
Everyone here gave great advice! Glad you are doing good...if you do start to feel anything, you don't have to tough it out....take a little more and feel better. I can't stress enough the importance of not dropping too fast :)

Hmmmm....you know, last year...I thought I was shorted once or twice on my Sub. And we wonder how it's making it to the streets?!!!!!


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 10 posts ] 

All times are UTC - 5 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 1 guest


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