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PostPosted: Sun Dec 01, 2013 10:29 am 
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Hi guys, so I have been on sub for a little over two years now to treat opiate addiction. I started at 24mg and have now successfully tapered down to 6mg within those two years. What I have found is that the lower I go in my dose, the more I nod.

I started to notice this at around 12mg, where I would nod a couple times a week. Then at 10mg I would nod about once a day. At 8mg I was nodding everyday multiple times. Now that I am at 6mg, I can barely sit down at work or at home without nodding.

I can not watch movies with my girlfriend, I can not play video games at my computer, I can not analyze data at work. If I sit, I nod... plain and simple. I just go in and out, in and out, no matter how hard I try to focus.

This is very discouraging to me. I had planned on dropping to 4mg next month, but at this rate I can't take much more nodding. I feel like I am literally nodding my life away. It honestly makes me want to increase my dose, but I know that will only be a step in the wrong direction. Can anyone offer me any hope, suggestions, or causes? Can anyone relate?

Thanks for reading.


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PostPosted: Sun Dec 01, 2013 3:19 pm 
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Hi tuckc, and welcome here!

My guess is your body is telling you that your dose is still too high. You will find that in low doses, Suboxone is a very powerful drug.

With me, I too started at 24 mg's. The difference was that I started tapering right away and by the end of the first year I was down to 1 mg. And even that felt strong! My plan was to get off of it within the next month or so but I had to have surgery and that threw my plan out the window. BTW, I was able to make large drops until I got down below 4 mg's.

If you're at 6, try going to 4 mg's and see what happens. I bet you don't feel a thing. Then go to 3, 2, 1½, and then 1 mg. After that you can read some threads of others who've tapered lower than one milligram. Just don't go from 2 to 1 or you might regret it. I did. A 50% drop was not smart. Ask your Dr. for the 2 mg films to make it easy to cut down accurately.

Also, try to keep more active. I drink more coffee now, and when possible I take a short nap in the afternoon. Vitamin B12 also helps at times.

What is your overall plan? Do you want off, or to just find the correct dose w/o feeling sleepy? It always makes me sleepy unless I keep busy.

Good luck dude,

rule

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PostPosted: Sun Dec 01, 2013 3:21 pm 
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Welcome to the forum!

That is very odd your nodding as the dose gets lower. Most report it the other way around.....the lower the dose the symptoms usually improve. Hard to figure sometimes.

I see you are now at 6mg, and wanting to reduce to 4mg next month That's great! Best wishes on that reduction. There is one thing you just might give a try and see if it helps......

You didn't mention if your taking that 6mg in 1 dose or perhaps 2 or more? If you take just 1 dose per day you might try splitting that dose and that may make a difference. Try taking 3mg in the am when you get up for the day, and another 3mg in the afternoon, about 8 hours after the first dose. Your still getting the same 6mg each day, you just wouldn't be getting it all at once. Something to consider. May not help at all, but nothing to lose by trying and no harm done. All I can think of right now.

You could even try taking 2mg - 3 times a day just to see if that makes a difference. Maybe 2mg as you get up, 2mg around noon, and another 2mg between 3-5pm or so. Whatever times work best for you. That's another possibility worth trying in my opinion.

Rule62 also has a great suggestion!

Hope this helps and again welcome to you tuckc.

Karen xoxo


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PostPosted: Sun Dec 01, 2013 4:52 pm 
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Thanks for the replies guys.

Yeah I have gone from 24mg to 6mg without any adverse symptoms besides the nodding. When I was at 16-24mg, I hardly noticed any nodding at all. The biggest symptom I am worried about at this point with my next drop is the nodding itself. I sit at a desk most of my day at work and it is becoming almost impossible.

I take my dose twice a day. I have been doing 4mg in the am, 2mg in the pm. Should I try splitting it up into two even doses, trying one dose, or trying 3 doses? Which would make the most sense?

Thanks again!


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PostPosted: Tue Dec 03, 2013 6:38 pm 
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The best effective way to take Suboxone is once daily. Preferably in the mid morning, like say 9 or 10 AM. Unless it's for pain, try taking it just once a day. I really don't think you'll feel more sleepy taking it all at once.

BTW, sitting behind a computer all day made me extremely tired too. I had to get up and find some excuse to go take a walk as often as I could. Ya gotta get that blood flowin'! The more active you are, the less tired you will be.

Sounds like you don't have much of a choice in the matter. Sorry.

r

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PostPosted: Thu Feb 06, 2014 1:53 pm 
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Rule62, I'm new to Suboxone. I started about 45 days ago. Could you elaborate on your comment, "The best effective way to take Suboxone is once daily. Preferably in the mid morning, like say 9 or 10 AM. Unless it's for pain, try taking it just once a day."?
I have been seeing a pain management specialist to treat spinal cord issues since 2000. We tried different formulations of morphine and as is normal, tolerance became quite high and it just wasn't helping very much.
Learning about Suboxone for treatment of pain seems to be overshadowed by it's main use treating addiction. Hence my interest in your comment about using it for pain.
I was using Fentanyl patch 50mcg. My Dr. suggested starting with two 8mg films. I found that to be too strong with side effects like nodding off and feeling pretty loopy. I never had that effect with morphine up to 125mg. I'm at 1 1/4 films now.
There just doesn't seem to be much information regarding the pain relief aspect of Suboxone. I did just find this forum so I'll be searching. Thank you in advance for any insight.


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PostPosted: Wed Feb 12, 2014 2:04 pm 
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This is actually a well-known phenomena regarding Suboxone. In certain circumstances, if you lower your dose, you will feel a greater effect. I can't recall the psychopharmacology of this off the top of my head, but you can probably find it on Google.

I've noticed it myself where I was on a really high dose, about 24mg, and it started not working, then when I took 4mg I actually got HIGH.


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PostPosted: Thu Oct 13, 2016 11:13 pm 
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The reason this is happening is because buphinepherine metabolizes to Norbuphinepherine within the body, which is a much stronger opiate. At higher doses the buphinepherine blocks the receptors before the metabolozation, at lower doses there are more free receptors. Usually this happens under 2mg, but because you were at such a high dose, your brain actually created more receptors, which is one of the reason withdrawal is felt (the brain can only create so much natural opiates, when taking opiates the brain creates more receptors to account for the amount, when coming off the receptors are empty which is felt as pain.) The problem is not that ur taking to much, unless any is to much. You could try Kratom, it is a life saver, the dea is looking into illegalizing it soon. One can not od on it, and is all natural, but can cause addiction but not at the level of opiates.


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PostPosted: Fri Oct 14, 2016 10:03 am 
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Nobe this post was from 2014 so it's an old post.

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PostPosted: Tue Oct 18, 2016 1:17 am 
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I noticed after I replied, still people will read it even if the original post writer doesnt need the info anymore


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PostPosted: Sat Oct 22, 2016 9:33 am 
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I want whatever sub you're getting matey. Hook up a brother.


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PostPosted: Sat Oct 22, 2016 6:55 pm 
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Hey Nobe,

Yep, an oldie but a goodie. Reading it again, I realized that there was a question to me that never got answered. The one about taking it once per day unless you're a pain patient.

Pain patients take very small doses throughout the day. There, an answer.

And forget the Kratom please. The substance will never get approval because it is just too dangerous. We don't need another psychedelic drug on the market.

r

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