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PostPosted: Tue Apr 26, 2011 6:41 pm 
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Hello all,

This is my intro and my need for answers. I've been to many sites and studied a lot about this so don't think I'm just asking without putting in my due time. I felt however, after reading everyone elses stories, I'd say mine as everyone's story is unique. Please forgive me if the message is long.

5 years ago, I was in a motorcycle accident where an elderly person t-boned me and then confused the pedals and t-boned my friend on his bike. The past 5 years are gone. I haven't worked, I'm 32 now and I was a personal trainer. I've gained a ton of weight, lost almost all of my friends, my 4 year relationship, my confidence and happiness.

For the past couple years, I've been steady at taking 80mg of Methadone and 80mg of Norco along with a few soma and klonopin here and there. I finally decided I wanted off after seeing another surgeon about a second surgery. He was confident surgery wouldn't help and further explained how people on long term pain killers can expierience pain that might not necessarily be from the accident site but the drug. I knew of this but chose this time despite my fears to go for it.

I went to an addiction medicine specialist who's treated me like a total addict. While I am dependent on the medication to save me from withdraw, I've never had an addictive mind. I don't miss the pills, I never abused them and I'm so happy to be off them. I'm in far less pain now then when I was taking all of the heavy opiates. The site of my injury hurts and I'm much more aware of it but still have zero desire to medicate. I just want to go through phys. ther. and lose my weight again.

The doctor put me on Suboxone about 1.5 weeks ago and told me to take between 8 and 16 mg a day SL depending on what I needed. Despite my high dosage of previous meds and 5 or 6 years of constant use, within 4 days, I was down to just 2mg a day for the past 5 days just 10 days into taking it. I'm going to start staggering now 1mg 1 day back to 2 mg the next. I want to get as low as possible as fast as possible.

The first week was horrible. I had every symptom possible and to the worst extent. The main one I'm dealing with now is stomach problems and anti-diarheals don't help. Insomnia still gets me and yawning but that's getting better every day.

This doctor is insistant on me going to a 30 day rehab center but after I read the long syllabus of the center, it was all about AA/NA meetings and preventing relapse cravings. I have none of those. I've never craved a pill since I quite. I didn't want them in the first place except I was forced to due to the extreme spine pain. Prior to that, I'd have root canals and refuse vicodin. I truly feel and I know this sounds cliche, that the 30 day rehab center would be a waste for me. I know I need some therapy to get over the feeling of loss of the past 5 years and rebuild my life and I'm 100% for that.

What I'd like to do is wean off Subox as fast as possible and if I can't do it soon, I'll consider the hospital root that I've heard takes a few days.

What is your inputs regarding what I've said and I'll happily answer any further questions. Thank you all and I'm sorry that so many people have to live with what I've had to live with. It's a horrible thing and not recognized enough by modern medicine and the community what we have to go through.

EDIT: More INFO:


Oh, let me add this information in case it may help.

I stopped taking the 80mg of Methadone/80mg/Norco/30 Soma monthly about 1 month ago, maybe 5 weeks ago.

The doctor put me on a short acting pain medicine to get me off the methadone. He let me keep my normal dosage of Norco of 8 per day (10mg/325) and gave me 3 30mg pills of Oxycodone (not Oxycontin). I spent a week or two on that.

That's when he stopped that altogether and now the only drug I'm taking for the past 2 weeks is Suboxone. The first few days I took 8-14 mgs as my back was on fire and I spent 2 days in bed in extreme pain. The first week was horrible. I didn't sleep for days, I felt like I was on one long term panic attack and had huge stomach problems. Things eased out after that. I'm probably right at the two week mark of JUST suboxone and taking far less than he expected as I average just 1/4 of a sublingual strip in the morning and that is all. As I said before, if I can handle it, tomorrow I will take 1/8, then back to 1/4 the next day then down again in a staggered formation. My goal is like all elses, get off suboxone quickly with the least amount of withdraws and avoid having to do it medically and have to pay for all of those expenses.

Thanks again.


Best regards,

Peter


Last edited by porscheguy on Tue Apr 26, 2011 7:14 pm, edited 1 time in total.

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PostPosted: Tue Apr 26, 2011 7:13 pm 
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Hi Peter, and welcome to this forum. I think its a great place with lots of info. I know others will be on to welcome you too!

You sound like a smart guy with a good understanding of your situation. I am not sure why your doctor is pushing you into rehab....have you explained your reasons for not wanting to go like you have done here? It makes sense to me that counseling would be great for you but rehab may not be necessary. I don't think he can force you to go anyway though right? Is he going to stop your script for suboxone if you don't go? Or what would he do if you flat out said no? Can you find a new suboxone doctor? Maybe your best bet is to start some therapy and to show him you are taking some steps to improve your situation.....?(sorry, so many questions!!)

I am so sorry to hear that the accident has taken so much from you. Stick around here and you will get lots of support. I am looking forward to hearing more from you. Love, Orangedoll


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PostPosted: Tue Apr 26, 2011 7:13 pm 
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 Post subject: Re: Hi
PostPosted: Tue Apr 26, 2011 7:22 pm 
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Orange doll wrote:
Hi Peter, and welcome to this forum. I think its a great place with lots of info. I know others will be on to welcome you too!

You sound like a smart guy with a good understanding of your situation. I am not sure why your doctor is pushing you into rehab....have you explained your reasons for not wanting to go like you have done here? It makes sense to me that counseling would be great for you but rehab may not be necessary. I don't think he can force you to go anyway though right? Is he going to stop your script for suboxone if you don't go? Or what would he do if you flat out said no? Can you find a new suboxone doctor? Maybe your best bet is to start some therapy and to show him you are taking some steps to improve your situation.....?(sorry, so many questions!!)

I am so sorry to hear that the accident has taken so much from you. Stick around here and you will get lots of support. I am looking forward to hearing more from you. Love, Orangedoll


Hi there and thanks for the reply. This doctor is very smart and spends over an hour with his patients at least and in this way, I respect in greatly. However, he's been pushing me about anxiety as if I'm some giant anxiety person where I've just had a few anxiety issues when scared about my health or when my gf of 4 years broke up with me over my issues. I didn't see him this week but I will be seeing him this Friday and I'll explain my viewpoints then. If he doesn't agree, I'll find another doctor.

I'm also seeing the pain management specialist whom I respect greatly the day before. He's been treating me for 5 years and while not licensed for Suboxone, I trust his advice greatly. So I'll tell the doctor how I feel and if he strongly disagrees, that will be our last session. I'm not exactly looking forward to it.

I'm happier than ever to be off all of these meds. I never felt "fuzzy" in the brain as they said was caused my methadone etc, but now that I'm off it, I feel like I woke from a dream and put glasses on. I'm half as depressed as I used to be and far more my old self. I do suffer from heavy emotional swings. I really think I know what it's like to be a pregant or PMS'ing woman now! lol. I never cry and I started crying watching Harry Potter the other night and it clicked that something was very wrong there but I was able to laugh at it.

I'm not conscerned about finding a doctor who will prescribe suboxone, I already know a few. I'm more concerned that I've heard that longer you're on it, the harder it is to get off of it. Seeing as I've only been on it 10-14 days, I'd like to make this happen very quickly but I hear all kinds of opposing views regarding this.

As far as him not trusting me etc, I think it may be the police effect so to speak. When you're around criminals all day, you have a different and wrong impression of society as a whole. This doctor is around hardcore abusers and addicts all day long. Maybe he's just used to people that are not only chemically dependent, but mentally addicted. I know this is symantics but it's the best way I can describe it.

Thanks again for your comment.


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PostPosted: Tue Apr 26, 2011 10:53 pm 
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hey peter,
I am all for getting off subs. If you are this motivated right now go for it. It took me too long to get off (like a year) because I kept delaying the taper. If you can get through the withdrawal than just go for it. I am so much happier, motivated, emotional(in a good way) and also feel like I just woke up from a dream now that I am off. Its definitely worth all the sickness in my opinion. I was sick and tired every freakin day on that stuff. Now I wake up early morning excited to start the day.


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PostPosted: Wed Apr 27, 2011 4:58 pm 
Hello Porscheguy and welcome! Glad you decided to post here. Well, I'm sorry for the accident you were in that got the ball rolling in a bad direction for you. Your story certainly isn't unique....many here started taking pain meds for terrible injuries and ended up in a bad place because of that event. So that really sucks! It's not like you went out looking to start drugs, to self-medicate, to get high or whatever. You just got dealt a bad hand and you're not alone.
I have a couple questions for you. Of course, you don't have to answer if you don't want to, and I bet you've thought about these things already. But, I think I'm hearing you say that you do not feel you are an addict, but that you just became dependent on the drugs. And that you just want to get off of them without going through pure hell to get there. Is that correct?
The reason I ask is that a lot of folks feel that way, but when they really stop and think about everything, they realize there was more going on. For instance.....Did you ever obtain medications from more than one doctor? Did you ever take more than what was actually prescribed for you? Did you ever go ahead and medicate even though you didn't truly feel like you were in that much pain? Did you ever obtain drugs from friends or off the street? Did you often run out of your meds early or make up a story to get an early refill? Did you find ways of taking your meds with other drugs or in ways other than prescribed in order to get more of a 'feeling' from them? If you can answer 'no' to all those questions, perhaps you are not truly addicted, just dependent. The reason that matters so much is that if you weren't/aren't addicted, this process of stopping everything and never going back is going to be much easier than if you're addict like me and others around here.
You had mentioned that you had lost so much because of the accident, even your long-term relationship. Did you lose all this purely because of the accident? Or was is because of the drugs sort of changing you? I know that's a hard question to answer, because if not for the accident, none of this would have happened. But it is an important question. I guess I just can't see why a loved one would leave you because you were hurt. But I can see them leaving if your moods/behaviors, etc were a problem, and being on pain meds can certainly do that! That's just something that occurred to me as I read your post. Please don't take it wrong. I mean no offense. It's just that it will be exceedingly important to know where you're at with your drug use, in order to try and be of help, which is all I want to do.
Whatever the case may be, getting off opiates is a bitch from Hell! We all know that! It sounds like you've gotten sound advice and guidance thus far. Your doctor was smart to get off the Methadone and onto all short-actings before starting you on Sub.....There are a lot of doctors out there that don't even know how important that is, believe or not! So you've been fortunate there. It's great that you have found you don't need a very high dose also. Bearing in mind, however that a lot of the symptoms you're having with your stomach and insomnia and yawning and anxiety could probably disappear if you were to increase your Sub dose. The fact that you have no cravings is awesome! And it does sound like you don't miss the pain meds or how you felt on them and that is so great! That being the case, I am leaning toward thinking that you are not an addict, but just terrible dependent. That is something that only you can truly know. And it is very important to be honest with yourself about it. If, in fact, you've not been addicted, you should be able to manage a relatively short taper off the Sub, go through a little bit of discomfort and anxiety and insomnia for a while and then be out of the woods, and probably never relapse. Those things, however, are highly unlikely for those of us who really got addicted!
I would think that your addiction specialist would be able to discern this for you. I agree with you that you don't need to go to rehab if you don't feel you were addicted and you have no cravings, etc. I do think you will benefit from counseling to help with the anxiety and the mood issues that will likely persist for many months after being off the Sub and everything. It takes a good while for the brain to 'heal.'
I hope I haven't questioned you too much! I don't mean to. I just want to help. And sometimes it helps us to help you to know as much of the 'story' as you're comfortable with sharing. You will get great support here......no judgment!
Again, I'm sorry for what you've been through. But good for you for deciding enough is enough and being willing to do what you need to do to get your life back!! You're on the right track!


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PostPosted: Wed Apr 27, 2011 5:42 pm 
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Thank you so much for taking such time to reply, I need a lot of advice here and I truly appreciate it. I found it may be easier to insert my answers and responses in BOLD so I could make sure I answered all of your questions properly.

setmefree wrote:
Hello Porscheguy and welcome! Glad you decided to post here. Well, I'm sorry for the accident you were in that got the ball rolling in a bad direction for you. Your story certainly isn't unique....many here started taking pain meds for terrible injuries and ended up in a bad place because of that event. So that really sucks! It's not like you went out looking to start drugs, to self-medicate, to get high or whatever. You just got dealt a bad hand and you're not alone.
I have a couple questions for you. Of course, you don't have to answer if you don't want to, and I bet you've thought about these things already. But, I think I'm hearing you say that you do not feel you are an addict, but that you just became dependent on the drugs. And that you just want to get off of them without going through pure hell to get there. Is that correct?
The reason I ask is that a lot of folks feel that way, but when they really stop and think about everything, they realize there was more going on. [u]I fully understand whaty you're getting at and I've actually done a lot of introspection about this to make sure I don't have a mental addiction as well.

[b] I feel I don't as I've never been addicted to anything, I never sought any painkillers prior, when I got off all of my meds, I was and still am ecstatic and have had zero cravings since I stopped over a month ago. I'd say the only addiction I've ever had is for chocolate.

For instance.....Did you ever obtain medications from more than one doctor? - No I did not. I had one pain management specialist for the entire 5 years.

Did you ever take more than what was actually prescribed for you? I did take more on occassions when my pain was unbearable and you get to the point that you want to tear your hair out.

On a few occassions I took them just to try to go numb for being so depressed but that was no more than a small amount over a 5 year period.

Did you ever go ahead and medicate even though you didn't truly feel like you were in that much pain?

As per the previous answer, maybe a handful of times over the 5 years.

Did you ever obtain drugs from friends or off the street? No, never.

Did you often run out of your meds early or make up a story to get an early refill?

The first year I started, when I was still just taking Vicodin, I ran out early a couple times that year. A lot had to do with lack of education by the doctor. No one told me about tolerance shooting up. I was younger and under the impression that the medications were to get rid of the pain completely so I sometimes took an extra pill. This caused my tolerance to go up and hence then Norco and eventually Methadone. I didn't learn proper management and to deal with certain amounts of pain and take more until I spoke with my ex-gf's father who'd been on methadone for years. I'd only wished a doctor would have explained the process better to me. After that, in 5 years, I've ran out a few days early maybe twice. Once when I had 2 root canals and a tooth extraction and had far more pain, second when I flew to South East Asia and the plain rides were killing me as well as 8 hours on my feet aday. So in 5 years, I ran out early maybe 3 times. The doctor trusted me after a while to the point where he only had me come in once every 3 months for prescription refills as I was stable. I even was the one to insist on lowering my medications so I could hopefully lower my tolerance. It was always my choice to lower and I did.

Did you find ways of taking your meds with other drugs or in ways other than prescribed in order to get more of a 'feeling' from them?

No. Never. except perhaps the first month if I was in a lot of pain, I'd add a glass of wine or take it on an empty stomach but not after that month did I drink with it. At least for a stronger buzz.

If you can answer 'no' to all those questions, perhaps you are not truly addicted, just dependent. The reason that matters so much is that if you weren't/aren't addicted, this process of stopping everything and never going back is going to be much easier than if you're addict like me and others around here.

I'll be honest, the first few months taking Vicodin, I did enjoy the high but it didn't take long for me to not attain that high and while I did miss it, I didn't seek out new forms. I had plenty of oppurtunities and offers for other medications from my GP. I took soma as prescribed for a few years and that was the only one that consistently got me high but when I realized all it did was make me out of it and didn't help the pain, I told the doctor I no longer wanted it. It wasn't easy, so maybe I do have a bit of an addiction in a small sense but I'm confident my self-control and desire for a normal life outweighed that quickly as I don't miss Soma at all. I have plenty of friends that could get me any drug I want and I've never purchased anything. On the other hand, while I was never a drinker except socially, I started drinking recently not out of cravings or even enjoying the buzz all that much but I have been so so bored without a job or friends anymore, that when buzzed, the time went by faster. I don't believe I've been drinking long enough to be addicted yet and I've already had 4 days off and don't intend to continue and I'm finding new friends and looking for a job soon again. So yes, that one is an indicator but I don't like drinking for the buzz, I just like that it makes the boring day go by. I'm working hard on that one though, working out twice a day, reading at coffee shops etc and I plan on taking 6 months off of drinking before even drinking socially to be safe.

You had mentioned that you had lost so much because of the accident, even your long-term relationship. Did you lose all this purely because of the accident? Or was is because of the drugs sort of changing you?

I had no idea how much the drugs had changed me until I got off the methadone, soma and norco and onto the suboxone. In just 3 days, I felt like my old self. Everyone, everyday started commenting on how different I am. I've been very happy during the day and far more active and depressed at night now that I realize what it did to a future wife, my 5 years lost in my late 20's and several friends. The realization has been a blessing and a horrible revelation at the same time that has me crying almost every night.

I know that's a hard question to answer, because if not for the accident, none of this would have happened. But it is an important question.

Before the accident, my life was the best it had ever been. I was in amazing shape, had a great place, great girlfriends, tons of friends, healthy, business was going great and I'd just traveled all over Asia. (traveling was after the accident but the pain didn't set in until about 6 weeks after the accident.)


I guess I just can't see why a loved one would leave you because you were hurt.

She claimed that since she'd never had any kind of injury, she couldn't relate. She also only dated me for a month before hand so maybe she didn't realize it was the medications. She was so irritated with my inability to work or do stuff that she became mean. I'm actually now having to sue her for a lot of money she stole breaking agreements we made. I thought she was the most honorable, stand-up person I'd ever met but I learned I was very, very wrong. It's been one of the worst experiences of my life regarding her. She just saw me as lazy. Period. That was the problem. She just thought I was whining about my back all the time and I was too lazy to follow through with anything. She convinced me even.


But I can see them leaving if your moods/behaviors, etc were a problem, and being on pain meds can certainly do that! That's just something that occurred to me as I read your post. Please don't take it wrong. I mean no offense. It's just that it will be exceedingly important to know where you're at with your drug use, in order to try and be of help, which is all I want to do.

Whatever the case may be, getting off opiates is a bitch from Hell! We all know that! It sounds like you've gotten sound advice and guidance thus far. Your doctor was smart to get off the Methadone and onto all short-actings before starting you on Sub.....There are a lot of doctors out there that don't even know how important that is, believe or not! So you've been fortunate there. It's great that you have found you don't need a very high dose also. Bearing in mind, however that a lot of the symptoms you're having with your stomach and insomnia and yawning and anxiety could probably disappear if you were to increase your Sub dose. The fact that you have no cravings is awesome! And it does sound like you don't miss the pain meds or how you felt on them and that is so great! That being the case, I am leaning toward thinking that you are not an addict, but just terrible dependent. That is something that only you can truly know. And it is very important to be honest with yourself about it. If, in fact, you've not been addicted, you should be able to manage a relatively short taper off the Sub, go through a little bit of discomfort and anxiety and insomnia for a while and then be out of the woods, and probably never relapse. Those things, however, are highly unlikely for those of us who really got addicted!
I would think that your addiction specialist would be able to discern this for you. I agree with you that you don't need to go to rehab if you don't feel you were addicted and you have no cravings, etc. I do think you will benefit from counseling to help with the anxiety and the mood issues that will likely persist for many months after being off the Sub and everything. It takes a good while for the brain to 'heal.'
I hope I haven't questioned you too much! I don't mean to.

Not at all, I've been an open book all my life and the only way I can get good answers is if the replyer is well informed so thank you. I guess my biggest concern is how to wean off quickly while at the same time, minimizing withdraw. Otherwise, I'll have to go to the hospital to do it but I don't want to spend the money or that much time in the hospital.

I just want to help. And sometimes it helps us to help you to know as much of the 'story' as you're comfortable with sharing. You will get great support here......no judgment!
Again, I'm sorry for what you've been through. But good for you for deciding enough is enough and being willing to do what you need to do to get your life back!! You're on the right track!


Thank you again so much for the time you took to write back. I truly appreciate it and wish you the best of luck as well.

Peter


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PostPosted: Wed Apr 27, 2011 5:58 pm 
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Hey Peter,

It really sounds like you were just dependent on the meds, not addicted. I have not tapered off sub yet, I am on 8mg a day and plan to stay here for a while. I was truly addicted and subs are helping me get my life back. Many people on here have done slow tapers with minimal symptoms getting off. Others have jumped from high doses. Have you read the "Liquid taper method" that Diary of a Quitter wrote? That may give you some ideas.

Everyone is different though....but most on here who have stoped sub say it is way easier than stoping their drug of choice.

Good luck! Orangedoll


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PostPosted: Wed Apr 27, 2011 6:31 pm 
Wow Peter! Thanks for being so willing and open to answering all that I asked you. That says a lot about your character to me. It tells me that you are willing to be honest and open and put it all on the table....to do whatever you need to do to get your life back in order. And that is awesome! It gives you nice headstart in your recovery actually. When one is closedminded, defensive and in denial, unwilling to listen and learn from others who have been there, they're gonna have real hard time getting any progress!
So it sounds to me like while for the most part you've got a heavy dependence on opiates, there may be a little tendency to lean into addiction at times. I say that because it sounds like you have on occassion used the drugs or lately, alcohol as a bit of a coping mechanism and that is quite dangerous. I think you know that. In my opinion, if you really are serious about flushing all this crap and living the best life you can....it all has to go....the drugs, the alcohol, the pot, whatever substance that can be used to alter your mindset needs to go! We have to learn how to live life without that stuff....to cope with whatever crap life throws at us without throwing drugs or alcohol on it, right? Some of us find that we just are unable to do that right away after deciding to be done with the drugs. We find it just too unbearably uncomfortable and the symptoms that persist after the acute painful part of withdrawal is over are just too much to carry on with. When that is the case, many of us find that staying on Suboxone for a while gives us the time to gather our senses, get our lives in better order, work on our issues and then try to stop the Sub. While others have such a long history of addiction and repeated relapses they decide to just stay on Sub indefinitely. It's a very individual thing. So, for you, it's a judgment call on your part as to which way you wish to go. Just remember that if you try to come off the Sub pretty quick here and you run into problems with which you cannot cope, you can always change your mind and go back on the Suboxone for a while longer. I guess I'm just saying to keep your mind open to whatever it takes to get your life back to a good quality again.
As for what I think might be the best route for you. I am happy to give you my opinion....but that's all it is. I am no expert, not a doctor or anything like that, just someone who has been through this stuff like you have and who has tried to learn as much as I can about this stuff. So here goes......You're down to 2mg/day right now and have been for 5 days, I think you said. Perhaps go ahead another couple days at the 2mg/day since you're still not feeling too awesome on that dose. Then you might think about dropping to alternating days with 2mg one day and 1mg the next and do that for at least a week. Then if you're doing okay, go to just 1mg/day for a whole week and see how you're doing. If you're handling things okay, I'd suggest you go to alternating 1mg and 0.5mg every other day for a week. If still okay, go to 0.5mg every day for week. And then I would try skipping days at the 0.5mg for a week or so and if you're still okay, go ahead and try to jump off. Now this is a prettty radically fast taper, believe or not. Most people who have successfully and relatively easily gotten off Sub take several months very gradually reducing their doses by tiny amounts as they go along. But most who have done it that way have been on Subs a long time (like a year or more.)
You can certainly try something different and reduce your dose faster and try to quit faster. You might be just fine with that. On ther other hand, it may be quite difficult. Here's the thing though.....withdrawing from opiates will not kill you. You don't have to be in the hospital to do it. It doesn't have to medically supervised. There is no danger with opiate w/d like there is with benzo w/d or alcohol w/d. You can do it by yourself. It will be rough.....very rough and you may feel like you need to be in the hospital but most people don't have to go inpatient to detox from opiates. I'm actually rather hopeful that if you do a little taper like I wrote above or something like that....you might get through it without it being pure Hell. Again, not easy, but not Hell either. What can help when you get off the Sub is if you can get access to Clonadine (an old blood pressure med which is well known to help with opiate w/d), a small script of Xanax or Valium or Klonopin to take for anxiety and sleep, and a script for Ambien or another sleep med. Those meds seem to be of the most benefit for acute withdrawal.
I just can't emphasize enough to you though......The acutes can be really, really horrible. But it's what happens after that which causes a great number of us to relapse. The time after the acutes is referred to as PAWS and brings with it sometimes a pretty deep depression, anxiety, insomnia, and a lack of motivation which can hang on for months. You will likely need something to help you push through that stuff. That is the time when your brain is trying to get back to normal functioning and it takes a lot of strength and good planning to get through that without turning back to drugs. So please follow through with your plans to see a therapist to help you work out the pain you're going through and the losses you've suffered and the drug dependence issues and all that. You definitely will benefit greatly from getting back into shape as you had mentioned. That is something almost everyone who has been successful with recovery reports.....lots of vigorous exercise helps you heal! So really go for it in that regard!
That's about all I've got for now I think. Keep posting here and you'll get lots of support with whatever route you decide to take. And please don't take some of what I've said and let it scare you. That's not my intention. It's just that when I started to trying to get better.....I had no friggin idea what I was in for! I wish to God someone would have told me what I was about to experience! I think it would've helped me not be so scared. I would have know that it was normal and that it would get better. That's the thing.....Whatever you decide to do, if you'll stick with it and stay away from the drugs and reach out for help when you need it.....you can and will get better! There is definitely HOPE!!


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well, I decided for another opinion to see the PM specialist that's been treating me for 5 years and that I have the utmost respect for. The only reasons I want to another was because my fav. PM moved 30 miles away and I was told by his staff that he doesn't treat with Suboxone but found that wasn't true.

We established basically as 6 to 8 week program to get me all off even though he said he wasn't too concerned if I stayed on it for as long as I felt comfortable. However, the side effects of the Suboxone make me want off of it asap. Primarily the insomnia and stomach issues.

I've read many different ways of how to ween off of it. like 2 parts 1 day, 1 part next, 2 parts next, 1 part, so on for a week then down more.

His suggestions and what's worked for his patients is what I will try as he's the best doctor I've had.

As I was originally on 8-16mg the first 3 days, then down to 4mg the next few days and I've been on just 2mg or 1/4 a sublingual strip per day for the past 6 days, he told me to stay on that amount another week or 2 depending on my comfort level but never to increase the amount even for pain as the other doc said I could. That's irrelivent anyway as it's never done anything for pain. After the next week or two staying on 1/4, I'll then do 1/4 every other day for another 2 weeks and then cut down to 1/8 or stop if I can handle it. I'm pretty confident but I know for sure almost that I'lll be completely off within 3 months.

I have to say, the only reason I want to stay on it is my supressed appetite. Before my accident, I was a personal trainer making 6 figures. I gained 50 lbs. Losing all this weight sure is helping me get back to work fast. But I'm not going to do it that way. My ultimate goal stays the same. At one point, including asthma medications, pain meds, anxiety, blood pressure, depression etc, I had 14 prescriptions, not all monthly but still. If I lose the weight and get my life back on track, there goes the blood pressure and anti-depressents. The anxiety is already gone and the asthma stuff never worked since it was anxiety based and I've gotten better over the years.

My end goal is to have my only prescription to be an inhaler monthly. I'm halfway there now. Just gotta lose the weight and I'm sure as soon as I start working again, the depression will go away too.

Thanks for all of the advice. You've all been a true help and I can't express my real gratitude for the time and length of your messages from the two of you in particular that gave me so much information and help.

Best luck to you two as well.

-Peter

P.S. I'll update my progress in a month.


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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

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