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PostPosted: Tue Oct 15, 2013 11:02 pm 
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I had a five year opiate problem that had gotten up to fentanyl. Three weeks ago I went thru a home detox and one week ago started an intensive outpatient program. After two week of being clean I realized that the physical withdrawals were nothing when compared to the mental addiction. So last week I realized that I was having cravings and didn't trust myself that I wouldn't relapse. Now my cravings aren't all the time like last week it was really only one day that if I was alone I would have indulged. My doctor has said he thinks I should be on suboxone and usually people r on it for a year. Well at this stage of not having any physical addiction only mental is there a way to only take the suboxone in those extreme cases where I know I'm gonna fail that way over the next two months I am in the program I can learn other tools and grow stronger and not become physically addicted to another medication. I'm sure many people r gonna comment saying they think I shouldn't take it and believe me that is definetly on the table but I would really like this question answered because after extensive searching here and elsewhere I haven't found anything talking about this type of maintenance .


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PostPosted: Wed Oct 16, 2013 11:00 am 
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Hi Samwise,

Welcome to the forum!!

You could certainly go on Suboxone for maintenance and maybe keep your dose very low. That way your dependence on Suboxone would be minimized.

You could also look into Naltrexone. Naltrexone will occupy your opiate receptors without stimulating them at all. If you were to slip up and use while on Naltrexone, you wouldn't get any sort of buzz at all because the Naltrexone would block the other opiate from getting to the receptor. Also, Naltrexone seems to squash cravings in some addicts. We had a member on here just a week or so ago telling of how his Naltrexone treatment kills his cravings.

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PostPosted: Wed Oct 16, 2013 12:31 pm 
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Thankyou for ur reply, I thought of that its just people in my group that r on it have said that it does nothing for the cravings.


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PostPosted: Wed Oct 16, 2013 2:45 pm 
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Hey Samwise and welcome here,

So if I read your post correctly, you're asking if you can take Suboxone on a "as needed" basis? I don't believe that subject has come up before or I just don't remember. (must be the Sub!)

I don't see anything wrong with that approach but IMO it's doubtful you will be able to use it only once in awhile. Instead of craving an opiate, you may start craving for Suboxone. Just guessing here but I know I couldn't pull that one off.

There is one member here who only takes 1 mg or less whenever he/she feels w/d coming on. Sometimes they can go two days w/o any, but most days they take the med at different times of the day depending on how they feel. I may try that approach one day in the future. Kind of like the sound of it.

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