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PostPosted: Fri Sep 30, 2011 9:27 am 
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Hi! I have been on pain killers for 10 years! I have gotten so tired of how they rule my life! I have been in pain management for back pain and have gotten very dependent! I will take more of my my medication than what is prescribed and then start panicking and looking to buy from people I know to get me through till I go back to the Doctor. They had started doing drug testing and found that I was taking other meds than what was prescribed. So they will not prescribe for me anymore!
I think this is a God send, It is him helping me to get off of this stuff before I kill myself! (accidentally) Anyway I do have a couple of concerns 1) What if I am in a terrible accident or come down with a lifethreating disease and really need something for pain, will I be able to have that? 2) The withdrawl, I am so afraid of it, I know I have to do it to get the right dosage of suboxone. So if anyone can give me any advice on how to help myself while going through them would be greatly appreciated! And I could use alot of Prayer!
Thanks in Advance!
Darlene


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PostPosted: Fri Sep 30, 2011 12:37 pm 
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Hi trailchick and welcome to the forum. Congrats to you on deciding to stop the crazy-ass chaos of active addiction and starting suboxone. I was in much the same position as you were. Getting scripts every month - running out early - buying off the streets, getting sick over and over again......same old shit on and on and on. Damn, I'm glad that's over! Thank you, Suboxone! I hope very soon you'll be feeling the same way!

You'll only have to be in withdrawals for a short time. Check out this COWS scale (http://www.naabt.org/documents/COWS_ind ... _sheet.pdf). COWS stands for Clinical Opiate Withdrawal Scale. It helps you to ascertain when you're withdrawals are bad enough for you to start suboxone at the right time (to avoid precipitated withdrawals). Just remember, it's not HOW LONG you've been withdrawing, but rather, how BAD the withdrawals are. They should be somewhere between mild-to-moderate.

During that time just try to keep yourself busy, active, and distracted. If you take something or don't wait long enough, you could have precipitated withdrawals, and you do NOT want to have that happen. Before you know it, your appt will be here and your new life will begin!

Now, about what would happen if an emergent situation were to occur. Yes, we on suboxone would have trouble getting good pain relief. We would need to be given more pain meds than "normal" in order for them to try to "get past" the suboxone that's in our system. And that can be very difficult, depending on the dose the person is taking. I know that can be scary. For me, I just don't think about it. I need to be on suboxone and will be for a very long time. There's absolutely nothing I can do if I have an accident and need acute pain relief so I just choose not to worry about it. If it happens, then I'll deal with it when the time comes. But that's just me.

I hope this helps. Ask away if you have more questions. Again, welcome to the forum Let us know how your appt goes!

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PostPosted: Fri Sep 30, 2011 4:50 pm 
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welcome to the forum. You will be surprized how easy this may turn out to be. Read the induction thread here and tons of people have major surgery on suboxone. It is all doable.

Good Luck!! R


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PostPosted: Fri Sep 30, 2011 6:26 pm 
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I wanted to welcome and congratulate you too! I had never experienced withdrawl until I had to to get on sub. I was lucky enough to never be without, I also managed a way to find some when my script ran out and I was terrified of the fact that I had to be in withdrawl to start sub. Believe me it sucked but it was totally doable because you know when it will end. Within 20 min of taking my 1st sub dose I felt back to normal. The only advice I can give is hot epsom salt baths! I spent nearly the whole day in the tub, it really helps the creepy crawly feeling which luckily for me was the worst symptom I had.

As far as pain control, like Hat said in an emergency situation it can be hard. You will require much higher doses of pain meds than other people. However if you were to need a planned surgery there is a protocol here from Dr. J that will help you to get relief. Lowering your dose and stopping sub 3 days prior to the scheduled surgery. You will still require higher than normal pain meds but with lowering and then stopping the sub it is much more manageable. Like Hat said try not to dwell on the what ifs. Like you said without stopping your addiction and going on sub you could die. I would rather chance being in pain and having a hard time controlling it than accidentaly overdosing any day. That is a what if I would worry about.

I hope you stay in touch, this is a wonderful forum and has been a huge factor in my recovery. I encourage you to read thru the forum as there I a lot of information here. Please post any questions or if you just need to vent. We all support each other and are here to support you too!


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PostPosted: Sat Oct 01, 2011 8:08 am 
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Thank You all for your kind words! I am so glad that I found you! I am looking so forward to my life without worrying about my next pill and without the worry of overdosing! Thank you Hatmaker510 for sharing the link for the COWLS Scale, it was very helpful. I take my last pill this evening, and I have to go to the Dr. Tuesday to start my Suboxone treatment. My feeling on that long of a time is that I will be in Severe withdrawl. But I will make it I have too! Just ready to get this over with!
Again Thank You all for being so encouraging and so helpful!
Darlene


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PostPosted: Sat Oct 01, 2011 9:38 am 
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You are very welcome! I hope you stick around, This forum has been very beneficial to my recovery and I think it would be for you as well. I have learned a lot about addiction, Suboxone and recovery. It is a great source for support, questions or if you just need to blow off some steam. I look forward to chatting with you in the future and again congrats!


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PostPosted: Sat Oct 01, 2011 10:28 am 
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trailchick wrote:
I take my last pill this evening, and I have to go to the Dr. Tuesday to start my Suboxone treatment.


So the doctor has you stopping tonight (a Saturday) and not doing your induction until Tuesday morning? I'm no doctor or even a suboxone specialist of any kind, but waiting from Saturday night all the way until Tuesday morning seems a bit long to me. What have you been using (I'm sorry I don't recall)? Just a short-acting opiate like hydrocodone or oxycodone? Or is it a long-acting opiate?

I'm glad you found the COWS helpful. Keep us posted. And while you're miserable and in withdrawals you can hang out here and post as often as you need to help get you through that time. We're here to help you, remember that.

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


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PostPosted: Sat Oct 01, 2011 11:10 am 
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Yeah I didn't even catch that but it does seem like a long time if you are using something like hydro or oxy. I was taking oxycontin and I took my last pill Wed at 2pm and was induced at 7:00pm on Thur. Like Hat said I am not a Dr. but unless you are on a long acting opiate like methadone I have never heard of having to abstain for that long. If you have been on hydro or oxy you will be at peak withdrawl by Tues. Is it possible you misunderstood? Maybe you should call and verify with your Dr. I hate to give advise against a Dr. but in my opinion (unless it's methadone) you will be suffering withdrawl for a really long time when it is not necesary. Like Hat said it is not so much a time thing but being in mild to moderate withdrawl and that usually occurs around the 24 hour mark. I really hope it was just a misunderstanding.


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PostPosted: Sat Oct 01, 2011 12:39 pm 
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To Hatmaker and Breezy_ Anne:
The Doctors have been prescribing Ms Contin 30mg 2x a day and Hydrocodone 5mg 2x a day for 5 years. Before that I was on Percocet for about 4 or 5 years. I take my last Ms Contin this evening and my last Hydrocodone on Sunday morning. Which I think is putting me in w/d for to long. I know I am going to be in a mess. I do have enough of hydrocodone to last until Monday. Do you think that it would be ok for me to take that until Monday morning? Thanks for your concern! I am pretty concerned about that too!
Thanks, Darlene


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 Post subject: Welcome :o)
PostPosted: Sat Oct 01, 2011 12:47 pm 
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Hi, trailchick:

I know that I am late in doing this, but I just wanted to chime in,
and welcome you to this spectacular forum!

I'm sorry, but I do not have a good answer for your question;
however, I am sure that one of the other members will be able to answer it.

-ex-

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PostPosted: Sat Oct 01, 2011 1:14 pm 
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I wouldn't push it to Monday morning, but maybe stop all opiates Sunday night would be enough time. You don't want to risk stopping TOO LATE and risking P/W. But from Sunday night through until Tuesday morning, to me, would be a bit better. Again, though, I can't stress enough, I'm NOT a doctor. Are you able to call your doc and clarify whether he wants you withdrawing for a full 48 hours before induction? I do not want to give you my unprofessional opinion on this and have it put you in a worse position, so this is just my general advice. Please understand that.

Why don't you take a look at some of the other threads under the "INDUCTIONS" section and see how long some of those people waited. That way YOU will have a better idea what the norm is from reading many other experiences. That why you'll have more information with which to make your own decision.

And I'm sure others will continue to weigh in with their opinions as well. Good luck to you and keep us updated on how you're feeling.

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


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PostPosted: Sat Oct 01, 2011 1:27 pm 
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I must give you the I am not a Dr. disclaimer as well. I can only tell you what I did. My Dr. wanted to me to stop 48 hours prior to induction but from research I knew that wasn't necesary. I was on oxycontin which is supposed to last 12 hours and oxycodone which is 4-6 hours. I took my last dose of 60mg oxycontin at 3pm on Wed. and my appointment was at 6pm on Thursday, after paperwork, getting the med and so on it was about 7:30pm when I took the sub and I was fine and had no withdrawls. I asked my Dr. why he wanted me to wait so long and he said he had found a lot of people were not listening to him so extended the time so that if patients were waiting longer to take there last dose they would still be in the clear. So that was my experience, In my opinion with the meds tou are one 24-30 hours before induction should be fine but everyone is different and that is why the cows scale is more important than time. Again I am not advising you to go against your Dr. but I just wanted to share my experience. Best Wishes!


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PostPosted: Sat Oct 01, 2011 3:36 pm 
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I have read some in the of the post in the inductions thread and that is what was making me think that I was going to have to be in w/d for a lot longer than most people are. I do think I will take my last hydrocodone on Sunday night. I am so Thankful to have found this site. You all have been very helpful and I really appreciate the kind words, and support that you have offered thus far! I do realize that you are not doctors and you are just trying to help me with the exp. that you have been through. Again Thank you for offering me your support and kind words!
Darlene


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PostPosted: Sat Oct 01, 2011 5:11 pm 
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Hi trailchick,
My name is Queenie. Welcome to the forum. I have had a lot of surgeries & situations where I needed pain relief since I have been on Suboxone. Recently I had a heart attack and had a procedure done where I had to have Morphine & Percocet afterwards for a few days. I have had an amputation of the right leg while on Suboxone. If it's an emergency, you have to have a lot more medication than normal. Most doctors don't know much about Subs but there is some lnformation you can keep with you in case of an accident. Hatmaker can give you the link & you should copy it. If you have a planned surgery, slowly cut down on the subs about 5 or 6 days prior and also show the doctor the information on suboxone because you will need more medication than usual. I can tell you this. Don't be afraid because you will get relief. You have to keep telling the doctors that you are on subs and MAKE them read the information. I wish I could be of more help but I can say don't worry about it for now. Just start your subs & start to get better. Keep posting here. We are here for you. Don't give up the fight. Stay strong. Love, Queenie


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PostPosted: Sun Oct 02, 2011 12:14 am 
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Hi trailchick,

I think your Doctor is trying to err on the side of caution by having you be in wd for so long, but it's really not necessary to be in wd that long, in my opinion.

Besides, if he does your induction in his office, he would be starting you out on a low dose of Suboxone to minimize any precipitated withdrawal that may occur.

From the meds you've listed, MS Contin and Hydrocodone, you don't have to be in wd for 48 hours?

Have you ever run out of your meds before?? Do you start to feel wd symptoms fairly quickly if you have run out before?? If you've felt wd symptoms fairly quickly after running out of your meds before, then I'm gonna say a 24 hour waiting period would be plenty. I waited 24 hours before I started Suboxone and it was plenty of time.

Like the others have said, I am NOT A DOCTOR. Everything I wrote is just my personal experience and my advice to you.

Good luck to you and if you think it'll help, post like a madman (woman!!) leading up to your wd, during your wd or even once you get on Suboxone. Do whatever it is that you think will help you!!

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 Post subject: Queenie
PostPosted: Sun Oct 02, 2011 8:18 am 
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Thank You for all the info that you gave! That is Great to know! I am so sorry that you have had such bad health problems!
I am going to hang in here, I have to! Thank you for your kind words and support!!! Hopefully Hatmaker will post that link for me!


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 Post subject: Romeo
PostPosted: Sun Oct 02, 2011 8:26 am 
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Hi Romeo, I took my last ms contin sat. night and I have enough hydrocodone to get me through today! But yes If I don't immediately take my pain meds first thing in the morning I will start feeling w/d pretty bad. I appreciate you giving me your opinion about having to be in withdrawls that long! I sure wasn't looking forward to that. I think I can handle 1 day better than 2 days. You all will probably be hearing a lot from me before all of this is over! Thanks for being there for me!
Darlene


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PostPosted: Sun Oct 02, 2011 11:17 am 
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OK, I'm glad you stopped the MS Contin. That's good. You're only taking Hydrocodone now and that's good too.

I'm also glad to hear that you experience wd by the next morning if you don't get those pain meds in you. You sound pretty typical in how fast you start to feel wd symptoms.

I'm much more comfortable in believing 24 hours should be plenty for you. Here's a link to the COWS scale if you want to check it out, but I'm pretty sure you're gonna be in full blown wd after your 24 hours are up.

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

Remember, you have to put up with wd for a short time to basically get a shot at ending the cycle of active addiction, it realy is a small price to pay.

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PostPosted: Sun Oct 02, 2011 3:31 pm 
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Good you stopped the MS Contin, long acting. Check out the COWS link that Romeo gave you and the INDUCTION thread.

I was on 50mg of OxyContin and was inducted with 8mg of suboxone at 16 hours without a single problem. I was prescribed narcotics for 6 years. Everyone is different and I was scared to death, because I am alone here. You will do fine. Stop the hydros, at least Sunday early if your appointment is on Monday.

Hang in there, the Suboxone will help break this dependance.

Good luck, keep us posted, we have all been here. READ those threads today OK? xoxo

R


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PostPosted: Mon Oct 03, 2011 11:08 am 
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[font=Georgia] [/font] I have been without anything for 15 hours! Starting to feel pretty bad! Does anyone have any suggestions on what I can do to help with the withdrawls? I still have 22 hours to go until I go to the Dr.


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