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PostPosted: Tue Apr 10, 2012 5:54 pm 
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I have had a recent setback in trying to wean myself off Tramadol (with help of my husband). I findally admitted to myself that I need Suboxone therapy. I have an appt on Thurs at 3pm, how long before my appt do I need to stop taking the Tramadol? I heard if you don't wait long enough that withdrawal symptoms come on suddenly and strong, but I don't know how long I can go without anything! The doctor recomended 24 hrs, but is that enough?
Thanks!


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PostPosted: Tue Apr 10, 2012 9:08 pm 
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You need to be in full w/d otherwise your neurotransmitters (I think its called) will be out of wack and yes you could possibly go into a bad w/d. Suck it up and once your at the appointment most docs from what I hear will give you a dose right away.

Most people feel the effects of sub within 10 minutes of dosing but in some cases it takes up to 20. After that time you will not be feeling any effects of w/d. Its worth the wait and short period of pain. Good luck on your recovery.


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PostPosted: Tue Apr 10, 2012 10:48 pm 
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I just posted the answer to this on REDVELVETS thread.. please read it BC there is no set number of hours and you shouldnt have to suffer for no reason. Good Luck.

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PostPosted: Tue Apr 10, 2012 11:28 pm 
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Going by the COWS (clinical opiate wd scale) is the safest way to avoid precipitated wd. Sodone (Amanda) is right, it's not really about how long you've been off of pain meds, it's how bad your wd is and you do NOT have to be barfing your guts out and crappin' all over yourself before you start Suboxone. Mild to moderate wd is all that's required.

Here's a link to the COWS scale, the second page explains precipitated wd and how it happens, the first page allows you to "score" the severity of your wd and your score will let you know if you're ready to start Suboxone.

http://www.naabt.org/documents/cows_ind ... _sheet.pdf

BTW, I'd say that 90% of us were nervous as hell before we started Suboxone, I know I was, it's completely normal to be nervous.

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