How long to wait after heroin? How to treat precipitated withdrawal? What dose of Suboxone is best? Do I have to be in withdrawal?
Tue Apr 19, 2016 2:18 pm
This is tricky, and hoping someone can shed some light. I'm doing this for someone else, because they're in no condition to even stand up. This person has been on pain medication for many years, due to her back pain, and foot pain. She was first on just oxycodone. Then she was prescribed some methadone. Now for a few years she's been on both oxycodone and methadone.
I'll get this out of the way now, both me and her know all about the tricky induction from methadone to suboxone. But to cut to the chase, she completely messed it up. Not only did she take it too soon, she took an entire 8mg strip. She didn't feel better so she did the dumbest thing she could have done and took another 8mg strip.
So here's what I need help with. First of all, this is precipitated withdrawal, right? I mean, it's been hours now since the last time she took suboxone. I've read that it only is supposed to last a few hours, but she's got no sign of getting better. And let me tell you right now, she's in bad condition. Her worse symptoms are intense nausea, and her stomach hurting a lot, I'm guessing from diarrhea. But every time she starts dry heaving, she doesn't actually puke anything up. And she's tried using the bathroom to get some of this diarrhea out, but she claims she can't actually go. So I guess the first thing I want to know is, did she prolong the precipitated withdrawal by taking more suboxone?
The second thing I need to know, is what do I do from here to help her? My main concern is, hours from now (since it's already been 11 hours since she took suboxone) should I give her a tiny bit more suboxone? Or will the suboxone she's ALREADY taken eventually start to grab onto her receptors and begin to work? I'm starting to feel completely powerless in helping her. Pepto bismol isn't helping her stomach, and zzquil isn't helping her sleep.
Thank you so much for any help anyone can offer us.