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 Post subject: Start Suboxone tomorrow
PostPosted: Sun Jan 12, 2014 4:55 am 
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Hi every one,

Just 2 days ago I saw a substance abuse Doc and stated my prescription and OTC pill addiction which has gone on for way too long, like 9 years. I got into addictions with codeine mostly and all the toxic Aceto' and ibaprofen which goes with the territory. In recent times tramadol and soma highs have been added to the mix. I'm 42 and in my mid 20s early 30s I got used to the seritonin, dopamine highs that goes with ecstasy and oral speed.
I've weened off the meds before but my lower back (sacrum/tail bone) spasams return when I'm trying to sleep. That shits me to tears when pain interrupts my sleep, so of course I go back on the codeines and somas trams for pain relief and to get that silly warm fuzzy feeling.
So tomorrow my Doc starts me on about 3mg of Sub just to see how my body and mind responds. He's a really nice Doctor (Vietnamese background) specializing in addictions, he's so lovely it seems like he's doped up himself but I think not he just loves his work lol helping people.
The only drug I'm taking is effexor which helps my anxiety, no other AD work for me like venlafaxine does.
So what do you guys think. Will I get a buzz lol as it's my first time. As I have spondilolisthesis mild at l5s1 the Doc said that maybe I can stay on Subs longer term as I have chromic pain. I'm a fit gym goer but I just gotta get off the pills or they will f*+* me up eventually. God bless.


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PostPosted: Sun Jan 12, 2014 5:25 pm 
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Buprenorphine has a more potent opioid effect than codeine and certainly tramadol so you will likely feel an increased opioid effect if you take 3mg of buprenorphine, however tolerance develops to this within days (big part of the reason the medication works so effectively) and as you stabilize many individuals find that the 'ups and downs' associated with short-acting opioid use/dependence vanish and chronic pain is in cases managed more efficiently.

Be aware also that Soma is not an opioid and will have a separate withdrawal element, as will the tramadol effect on norepinephrine to a lesser extent; perhaps have these issues in mind to discuss with your prescriber at the time of induction.

Good luck tomorrow, keep us informed!

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PostPosted: Mon Jan 13, 2014 3:37 pm 
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Ben,

Congratulations on making the right decision to stop the abuse of your meds. Ditto what Twincities said about the Soma and anything else non opioid. I was taking about 8-12 Soma's daily with my Norco's but didn't have any adverse effects when I stopped them all and got on Suboxone. Same with the Tramadol. The Sub should help with that too. At least it did with me.

You and I have very similar histories. When I stopped, the meds were Norco, Tramadol, & Soma. In very high doses. Add in some Xanax once a day too, but not very much. Maybe 1 mg. And now I am on Effexor 75 mg's for my anxiety. So you see, we do have a lot in common.

Yes, you will feel a slight buzz upon induction. I remember it well. Coming home and telling my wife how weird I felt. At the time, I had absolutely no cravings for anything at all. It was as if my life were perfect although way too wobbly to drive or work. My doc gave me 24 mg's the first time so it was too much and I ended up throwing up and thinking it was like heroin. Within a month I was down to 8 or 16 mg's. Can't quite remember.

By now you've been induced so let us know how it went and how you feel. It will take a couple of weeks to stabilize so don't think the way you feel now is the way you'll feel later on. Your body will adjust and your life will get better.

Welcome to our forum!

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PostPosted: Tue Jan 14, 2014 4:14 am 
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Thank you Rule and Twincities for your support. So Monday (yesterday) was day 1 on the suboxone sublingual (6mg for the first 3 days from then on 12mg indefinitely subject to change with 3 take-homes per week). Yeah so being an anxiety sufferer I've had to take a few deep breaths post dose but more of the feeling good lol deep breaths just cause being a virgin subs user the 6mg was a nice pick me-up (which has been my problem lately no drive/motivation/sex/detached in general and the dreaded darn anxiety which I'm sure runs in my genes but all the codeine/trams and a guts of somas is just asking for trouble but the quick fixes always win until now-[sorry for rambling]). So took the 6mg at pharmacy and then walked upstairs to see my specialist Doc. He was cool and thought I was responding ok with no physical withdrawals and wants to take me to 12mg from day4. I walked out and went to the gym to lift weights and I tried not to make too much eye contact with people because of the wired evil eye look lol.
Today was same process but I went and did a yoga class, I'm finding yoga and Pilates are helping me with sacram/tail bone muscle spams which is how I started popping pills to treat night pain (sciatica) whilst trying to sleep. One thing I did notice is that I woke up feeling like a top-up as I have a fast metabolism. Previously on the Tramadol SR I found that I was craving more tram after 12 hours, the SR doesn't quite cut if for me perhaps because of a faster metabolism.

Q. What do you think about taking half the dose of Subs every 12hours instead of just once per day to keep a steady state? Or is that withdrawal/craving a part of dealing and fighting addiction.

But certainly it hasn't been easy the past 30 hours since first first dose of Subs, as I am a chronic codeine user avg 90mg in evenings for about the past 10 years almost constant. When not on codeine it's been Trams at about 300mg but I'd say 80-85% time it's been codeine and Somas thrown in the past 18 months or so here and there. This all started from chronic sciatica pain (only mild) but with anxiety of getting up for shift work and a detachment from everything that normally goes on at night time from tv to sex I just got into some silly habits..oh and did I mention a few Benzos here and there, plz be careful of Xanax it can be nasty.
So interesting we were doing many of the same pills, we both know that heightened feeling of bliss, but it's a trap lol. My Suboxone Doctor states that I'm doing my body a favour by getting off all of the Paracetamol and ibuprofen and taking a less toxic drug like Suboxone.

Q. Does suboxone mess up the neural pathways like other opiates or will it heal my mind? I sometimes worry that I might be getting addicted to a stronger opiate (Suboxone). We all agree that it's stronger or around the strength of morphine but perhaps with a 32mg ceiling of effect, but are Subs a 'cleaner' medication with less chance of brain neural damage. My Doc reckons that alcohol is the worst and most toxic drug, I agree with him at a social, physical, emotional/mental and even maybe criminal level. What do you guys think of being on prescribed Subs long term to treat my chronic sciatica I've had for over 20 years (given that I am strong fit and good health) and also to treat my longer term opiate addiction, which they say opiate addiction is a chronic disease.

Sorry for big read today, now you know me a little bit and my addiction. Will hopefully keep it shorter next time. Thanks for your concentration and thoughts. Later.


Last edited by Ben100 on Tue Jan 14, 2014 7:22 pm, edited 1 time in total.

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PostPosted: Tue Jan 14, 2014 4:41 am 
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How are you doing now???

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Here is the solution to the American drug problem suggested a couple years back by the wife of our President: Just say no.―Kurt Vonnegut
No! Ex addict, been to a Rehabilitation Center in Detroit. 12 years clean now :)


Last edited by brassknuckle on Fri Jan 17, 2014 3:08 am, edited 3 times in total.

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PostPosted: Tue Jan 14, 2014 6:17 am 
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"Just say no". Yeah that works. It could also be re-worded for a chronic pain suffer or an addict with sleep problems that may use Benzos.
"Don't buy or keep pills anywhere-period; house/car/friends/families home". Then you don't even have to say no. Sometimes we also must say goodbye to friends that are bad influences. I've lost a few friendships for the better.
I'm doin okay thanks, just a fast metabolizer, perhaps need a higher dose of Subs which will be 12mg in 2 days time.
By the way, regarding above I did finish codeine about 36 hours before my 1st dose of suboxone on Monday, but I still have tramadol and somas in my house but being on the Subs I have no desire for them, so that's a good thing!


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PostPosted: Thu Jan 16, 2014 10:50 pm 
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Day 5 on Suboxone and on 12mg now daily. I've got a feeling I will tell my Dr to stay at 12mg as it seems the right ceiling dose for me. I'm feeling happy and balanced, so long since I've felt this feeling from an earlier time in my life. I'm also tapering down off the effexor as the Subuxone seems to trump all else for me and highlights just how messed up my minds opiate receptors are. Anxiety/depressed/upset feelings no longer whilst on Subuxone:) Oh and it's helping with chronic pain and spasms at my sacrum.


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PostPosted: Fri Jan 17, 2014 4:17 pm 
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Hi,
It sounds to me that you have made a very good decision to get on suboxone. You seem to be getting many benefits from this medication, which, by the way, its intended to work that way. I like that you are able to not crave some of the other drugs you were taking, this will be very helpful if you decide to totally ween yourself off at some point. I am using the suboxone not only for dealing with my opiate addiction but also for its pain control properties. Suboxone is prescribed in EUROPE(Not sure which countries) for pain control, but usually in small doses( 4mg or less). For myself, I take a morning dose and a late afternoon dose because it does help with my foot, back and knee pain. I have noticed if I dose just once a day I do not get the "most of the day pain relief" that I want. I am only taking 1.5mg a day, 1 mg in the am and .5mg in the afternoon so for you maybe 6mg in the am and 6mg in the afternoon. I know that taking just once a day is recommended because it helps break the habit of when we were taking pills multiple times a day for that "feeling". Anyway, try to do whats best for you, take care.


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PostPosted: Sat Jan 18, 2014 5:54 pm 
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Thanks for sharing and for understanding where I'm at. You make a lot sense. You know I'm proud for how far I've come in just 1 week on subuxone; no more self medicating(and no desire to), increased motivation in the things I normally do and starting to find some pleasure in the little things that we do every day.

About dosing, I've read over this article from Dr Junig (http://www.suboxonetalkzone.com/how-the ... addiction/) who argues a one day only dosing. Have a look but most people have already seen it I'd say. For me 12mg per day seems about right at the moment. I know that if I take 12mg all at once I feel a bit smaky sort of cutting in and out. I'm not saying that's a bad feeling as the peeking effect is how (I think) we get addicted?.warm, flushed, relaxed etc. As for the sciatica pain I get whilst sleeping at night the Sub definitely helps however I do seem to be getting positive benefit from yoga and Pilates which is offsetting some of the inflammation I get from weight training. But I do acknowledge what you say about weening down to a small Sub dose and maybe taking a second and third dose during the night for when the sleeping spasams flare up. I shall discuss all of this with my addictions specialist doc. Take care.


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PostPosted: Sat Jan 18, 2014 9:47 pm 
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Ben,
I cant give you any advise on Suboxone as I started my recovery on the the same day you did. I noticed we are the same age and seem to have a long history of addiction. I to messed with the opiate / soma dangers and have been using these types of substances for 9 years. Its tough to think of life sober after 20+ years but we don't even know what life is because we lost ourselves many many years ago. We could feel and be the best of the best on the other side of addiction. Good luck on your sobriety you seem positive. I will follow your story and wish you the best.


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PostPosted: Sun Jan 19, 2014 4:40 am 
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Hey Bo' yeah total sobriety one-day I would like. For me now it's just the Subs and I will wean off the effexor AD which I only commenced 2 weeks ago following a bad day of anxiety. What I like about Subuxone is that I'm not self medicating, it's just the subs alone. I've even had some nice tripy dreams where I've delved back in my life to remember certain events which could've contributed to my recreational drug usage back 15 years ago.
All the best to you friend.


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