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 Post subject: Not jeffg
PostPosted: Fri Jan 26, 2018 12:49 am 
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Hi I've been a willing addict for about 40 years or so, predominately stimulants using heroin and other opiates for the comedown phase of the getting high part. I reluctantly gave up 2 years ago due to tbe unwanted side affects i started to experience. Anxiety, depression and approaching money issues.
Luckily/unluckily ( I'm still not sure 100% yet) i started suboxone got up to 32mg and over the last 6 months have been up, down, up a bit, down a bit more and am now on 1mg as of the last 5 days.
The plan is to get to between .8 and .5 over the next 2.5 weeks and at my next appointment maybe or maybe not get prescribed 2 or 3 weeks of fast acting opiates to hijack the mu opiod receptors back. Stop my sub dose and hold out till it hurts, take other for 2 or 3 weeks, stop hold out till it hurts, take very small sub dose over 4 days, suffer an amount of time and live happily ever after all drug free sub included.

Sorry for the subterfuge but i am locked out of my mikib account, i get asked to complete a captcha which is not there, been trying for days and gave up and opened this one a couple of days ago but no email with link until today, thankyou Doc for manually setting it up.


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 Post subject: Re: Not jeffg
PostPosted: Fri Jan 26, 2018 1:04 am 
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Yes, Dr. Junig is working on these issues and we are hoping to have the activation of accounts working much more smoothly soon.

I'm glad you're checking in, mikib (jeffg). You've been around here long enough to know that we don't advocate using short acting opioids to jump off of buprenorphine, but you're the one making the choice. I just hope that it doesn't come back to bite you.

Buprenorphine is really supposed to be more of a long term medication. Studies from the last few years have shown that addicts need to spend at least a year on the medication or they will go right back to abusing. I would hate to have that happen to you.

Stay slow and steady and try to keep an open mind about longer term MAT.

Amy

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 Post subject: Re: Not jeffg
PostPosted: Fri Jan 26, 2018 5:46 am 
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Hi Amy and thankyou for your reply.
I am going slowly but not fast enough for my liking and i guess thats the addict in all of us. I've been on subs for about 2 years now and feel its given me that breathing space to get my life in order. I wouldn't take drugs to get high if they were offered to me free and in fact they were last week and although i initially said yes, after a little serious reflection and real time accounting i declined. I'm too old to take such large steps backwards in my health and happiness.
I'm looking at the fast acting opiate issue in very simple terms, will it reduce my pain and make for a better outcome. I am being guided by my Doc who i have a lot of faith in and as he went out of his way to try something newish in treatment of a 35 year meth amphetamine addict with suboxone i feel he wouldn't let me down by prescribing fast acting opiates to help stop taking suboxone.
His comment at the end of our last appointment was, many of the breakthroughs with addiction medicine have been outside of the normal parameters.
I'm scared, I'm excited and if the science is correct then I'm right to go.
I will say dropping from 1.3mg to 1mg overnight is not the brightest thing to do but after a few days you get used to it as I'm now feeling pretty normal and that tight feeling in my stomach/ brain (hah) has abated.
I'll pop in and update as all goes well and downdate if all goes to hell.
Thanks again Amy.
Mikib aka jeffg or is it jeffg aka mikib


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 Post subject: Re: Not jeffg
PostPosted: Sun Jan 28, 2018 3:25 pm 
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Whichever name you stick with:

I AM SO PROUD OF YOU!!!

You were offered drugs to get high and you turned them down! I especially like the detail that you initially said yes, but thought about it and said no instead. I often think that part of our problem is that we are on autopilot and just let the addiction do our talking and thinking for us. And it takes being present and really thinking through consequences in order to keep ourselves safe from addictive thinking.

In any case, you did good! And I want to celebrate that!

Amy

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 Post subject: Re: Not jeffg
PostPosted: Mon Jan 29, 2018 5:22 am 
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Thanks Amy for your support i appreciate it and you are dead set right about the way we react in addiction and just do it without thinking.
Its incredibly empowering when you realize that you have choices or even better you dont have choices and you can only choose what is best for you. If that makes sense.


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 Post subject: Re: Not jeffg
PostPosted: Mon Jan 29, 2018 4:55 pm 
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Yes, that totally makes sense! Sometimes having choices just complicates recovery. If we get in the mindset that we have no choice other than what we are doing that is working, life becomes a lot more simple. Who would choose complicated?

Amy

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 Post subject: Re: Not jeffg
PostPosted: Sun Feb 04, 2018 7:51 am 
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I'm sorry I felt like I was reading a foreign language there...what does using fast acting opiods highjacking mu receptors mean?


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 Post subject: Re: Not jeffg
PostPosted: Wed Feb 14, 2018 5:42 am 
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Put simply, it means overriding the brains dependence on bupeprenorphine after suboxone therapy with theraputic dosing of full agonist opiate medication to alleviate and avoid the sometimes painfull and prolonged symptoms experienced when stopping suboxone. To simplify even further you basically become addicted to a full agonist medication over a 3-4 week period with no suboxone and then introduce a low needs be suboxone dose for a few days after stopping all other opiate meds and then live happily ever after drug free.
THE CAVEAT IS, ITS POTENTIONALLY DANGEROUS as it could lead back into opiate addiction.
I had dropped my dose down to .9mg and have had no subs for 3 days but have been on 10mg oxycodone 4 times a day and apart from waking early with nasty stomach vibes all is good and touch wood sleep is still my friend. I intend to drop dose to 30 mg daily after another 4 days as my suboxone levels should have dropped a lot.
I am doing this under my specialist addiction Docs guidance and do not recommend doing it alone for the obvious reasons. I am also aware that the piper must still be paid when i stop the oxycodone.
Amy you would have been proud of me again, when i got home with the oxycodone capsules a tiny little voice whispered in my ear that we could snort them and get a little buzz going but the newly found awareness laughed it off and said in your dreams buddy, its over.


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 Post subject: Re: Not jeffg
PostPosted: Wed Feb 14, 2018 2:45 pm 
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You are correct! I am very proud of you! It takes a lot of determination to keep to the plan.

Those of us who are addicts will always have the devil on our shoulder and the voice in our head. It's harder to hear, however, when you drown it out with positive actions, satisfaction with relationships, and a purpose for the future.

Happy Valentine's Day!

Amy

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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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