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Should I ask doctor to increase my dose?
Poll ended at Fri Jan 28, 2011 1:50 pm
Yes 100%  100%  [ 6 ]
No 0%  0%  [ 0 ]
Total votes : 6
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PostPosted: Thu Jan 27, 2011 9:24 pm 
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I don't think that showing my doc this site would be a good idea. I am a decent judge of personalities and I know that my doctor is one of the "do it my way" type of personality. I get along better with him if I act like he knows everything and I know nothing.

Don't get me wrong, he is a nice guy, but not the type of guy who will take correction or suggestion well. If I treat him with much respect we get along fine. That's partially why I was so worried about asking him for an higher dose. Anyway's, things worked out well and he assured me he will not try to force me off sub. So now that I am on 4mg I'm sure he will let me stay here.


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PostPosted: Sat Feb 19, 2011 10:52 am 
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Jobe:

Glad to hear that things worked out for you, although your doctor sounds like a bit of a twit. At least he raised your dose. It's kind of astonishing to me how little many of these doctors really know about suboxone and how it works. It's fairly common knowledge around here that anything under 4mg is below the ceiling and could cause some cravings, which could lead to relapse.

I had a similar problem last year when I was considering getting off suboxone and got down to 1mg per day. I did OK at 1mg for about 3 or 4 weeks, but the cravings and then worse: DEPRESSION started really getting to me. At first we considered getting me on some kind of antidepressant but eventually I just decided (after consulting with my doctors) that the best plan for me was to just get on a maintenance level dose and stay there. We went back up to 4mg, then eventually to 8mg, but I have since dialed it back to 6mg, where I think I am going to stay for the duration.

For me, there is no more relapse. I've got hepatitis C and the protocol for HepC addicts is if you are on some kind of ORT then you stay put. So, that's that.

But getting back to you, Jobe - you did the right thing. You stood up for yourself and your recovery. We have to advocate for ourselves or we're in big trouble.


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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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