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How long to wait after heroin? How to treat precipitated withdrawal? What dose of Suboxone is best? Do I have to be in withdrawal?

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 Post subject: Finally, an answer to difficult inductions
PostPosted: Wed Apr 18, 2018 6:27 pm 
Please let me first express the incredible emotion that comes along with this post. I couldn’t get through an induction. I waited the prescribed hours. Followed the COWS assessment, and always became horribly ill when I took buprenorphine. I took it in every form that is available via Rx. My Dr said I was the <1% that was not a Buprenorphine candidate and I should consider methadone. I’ve only been wrapped up in this addiction ...

Read more : Finally, an answer to difficult inductions | Views : 141 | Replies : 10

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 Post subject: I’m scared. I induct Friday at 1030am
PostPosted: Wed Apr 11, 2018 3:23 pm 
Hi. I need help. Female taking very high doses Percocet and norco. Whatever I can get. I have been wanting to stop but can’t. Finally my supply has gone away. At least enough to keep me going so I know the time is now. This addiction I have hidden from my husband and family. Before I started I had seven years sober. The shame is really bad. I guess the good news is is that ...

Read more : I’m scared. I induct Friday at 1030am | Views : 270 | Replies : 26

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 Post subject: 1st timer needing guidance & advice
PostPosted: Tue Apr 10, 2018 11:45 am 
This is my first time posting in a forum like this but everybody seems very knowledgeable and non-judgmental so here goes.... I’m to the point where I’m not 100% physically dependent on tramadol but I feel the addiction taking over. When I don’t have the pills I feel horrible, sweaty, sick, and don’t want to get out of bed. Im looking to get on subs and I just took my last 2 trams this morning. ...

Read more : 1st timer needing guidance & advice | Views : 99 | Replies : 8

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 Post subject: Just looking for help
PostPosted: Tue Apr 03, 2018 6:33 pm 
I have been on Suboxone several times over the last 10 years and am having issues this time around.
I wanted to give it another go around as an alternative to going into long term inpatient treatment.
My doctor started me at 2-8mg films and even after 3 days I am still experiencing pretty bad withdrawal symptoms.
I have gone through precipitated withdrawal in the past and am 100% sure that's not the issue.

Read more : Just looking for help | Views : 218 | Replies : 13

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 Post subject: Home induction tougher than Detox Clinic induction
PostPosted: Mon Apr 02, 2018 12:19 pm 
I’m so thankful to have found this forum. Brief history. I’m a highly educated healthcare professional who has spinal surgery some years back. Maybe due to addiction in my family, and/or an abusive childhood, opiates found a place with me. Luckily I ever had access to them because I never was around a drug crowd. Fast forward some years and I have adjacent level disk disease. It comes from having spinal surgery, and causes other ...

Read more : Home induction tougher than Detox Clinic induction | Views : 356 | Replies : 21

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 Post subject: My journey here
PostPosted: Sun Apr 01, 2018 12:28 pm 
I have been on pain meds for 10 years due to a surgical error. This left me with a pancreas that is calsifing. So I have chronic pancreatitis. This is very painful, I also happen to crush two discs in my back.
I went on methadone and diladud (believe that’s Vicodin in the US) I started at 150 mgs of methadone plus 16 mgs of diladud for breakthrough. I was able to wean myself down ...

Read more : My journey here | Views : 195 | Replies : 7

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 Post subject: hydrocodone to buprenorphine-nalaxone
PostPosted: Mon Mar 26, 2018 7:05 pm 
I take 20 mgs of hydrocodone a day: 5mgs every 5:20 minutes.

My brother-in-law went from a substantial heroine habit to 4mgs buprenorphine twice a day with relative ease but my doc wants to induce me and then start me on 12-16 mgs a day? Is this too much?

Here's a copy of my last communication with my doc.

ME:
Quote:
I need to get my plan solidified as much as possible now so I can ...

Read more : hydrocodone to buprenorphine-nalaxone | Views : 306 | Replies : 14

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 Post subject: Induction and Tapering
PostPosted: Sat Mar 24, 2018 3:26 pm 
I just read a very interesting case study about a slightly different induction method. I would love to get comments, particularly from the Docs concerning the Bernese induction methodology. Thanks https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4959756/

Read more : Induction and Tapering | Views : 215 | Replies : 5

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 Post subject: How to overcome precipatated w/d once it's started?
PostPosted: Mon Mar 19, 2018 12:02 pm 
Hi guys. So I found out the (very) hard way that bupe CAN cause precip. w/d. But what can I do once it started? I'm planning on taking 2 mgs by hour 36 without opioids. I've done this, and I felt like I was going through precip. w/d. Was I? I recently read that the way to overcome or beat precip w/d is to take more bupe. Is this true? Any help is greatly appreciated. ...

Read more : How to overcome precipatated w/d once it's started? | Views : 289 | Replies : 11

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 Post subject: Switching from heroin to subs please help
PostPosted: Sun Feb 25, 2018 8:58 pm 
Hi everyone. I went to detox beginning of Jan and have been using about a month or a little more, IV about half a gram of heroin (5 bags) a day. Today I have only done 2 bags which I did about 4 hours ago. I have about 10 2 mg suboxone strips. I would like to do a short taper.

I get very scared if precipitated withdrawal and usually wait too long and end ...

Read more : Switching from heroin to subs please help | Views : 240 | Replies : 5

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 [ Total topics 1127 Go to page 1, 2, 3, 4, 5 ... 113


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Dr. Jeffrey Junig, M.D., Ph.D.

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