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PostPosted: Wed Nov 20, 2013 10:10 pm 
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Long story short, I'm 24, an addict of opiates for 6 years who has been chewing Fentanyl patches for the past year or so and am sick and tired of being sick and tired... I made an appointment with an addiction specialist who prescribes Suboxone. I was on Methadone for 2 years, got up to 175mg, and had the worst w/d's of my life from that crap- therefore I am excited to start Suboxone (SHORT TERM) and be able to go to live life without worrying if I will be sick or not.

My question is, do you usually start Suboxone the day of the first appointment or have to make a follow up? I am paying cash, b/c I have no insurance, and can't afford to come in the next day and pay another $100. I took my last of opiates (only 70mg of hydrocodone) at 7am today and the appointment is for 3:30pm tomorrow... I took off work so I wouldn't be sick before the appointment, but have to be back on Friday and I don't know what I'll do if they make me wait to start the treatment. Just looking for some input- thanks!

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PostPosted: Wed Nov 20, 2013 11:22 pm 
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Hi and first let me say congratulations. I got sick and tired of being sick and tired a few months ago and went on Suboxone. The suboxone doctor that I see had me come in for my first appointment for drug test, blood work and paperwork. I had to come back first thing the very next morning to pick up my script. I didn't have to pay another visit pay ( I don't have insurance either) because they said that it is all considered part of the initial appointment but that they couldn't write it the first day because they had to wait on lab work to come back to verify that I was no longer taking any Benzo's. You may be able to look online and see if your doctors office has a website with information for their Suboxone patients. Good luck and hope this helps


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PostPosted: Thu Nov 21, 2013 11:02 pm 
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Well, I went to the appointment and I have the Induction first thing in the morning. Thank the gods my boss is cool and is letting me come in late...

I am not sure what medicine they will be giving me because he said something about taking a medication that starts with an 'S' or a 'Z' that was not Suboxone or Subutex because it would be cheaper... I am scared that it wont be Buprenorphine, but I don't see why they would need an to do an Induction if that was the case. I should have asked but I was sick and just wanting to feel better.

Hoping everything goes well... Took Melatonin, Gabepentin, and Benedryal to at least try to get a few hours of sleep so tomorrow will be here. Wish me luck!

And thank you LovinLifeFinally for your response. I am SO excited to get away from Opiates and start living again!

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PostPosted: Fri Nov 22, 2013 12:50 am 
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It could be Zubsolv, which is a new generic version of suboxone (I think). It definitely has buprenorphine in it. There are several new generics made by different drug companies. So far the suboxone films are still under patent, so there is only one brand of the film and they are still rather expensive. The price of the generics is still relatively high as well, but they should go down quickly within the next year.

Congratulations on your decision to get help and get on suboxone (or an equivalent)! You will now be able to get your life back together and make better choices. You have an opportunity to work on your recovery, become more financially stable, repair relationships, etc.

Good luck on your induction!! Tell us how it went!

Amy

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PostPosted: Fri Nov 22, 2013 9:38 am 
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Thank you! I only slept from 10-3:30 so I am UBER tired and just hoping everything goes well. I am pretty sure that is what he said, and I did some research and I will be happy with it. It's got less Bupe then regular Suboxone, 5.7mg, and that seems like the perfect amount to me.

I will update on how everything went and whatnot when I get home from work!

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PostPosted: Fri Nov 22, 2013 12:34 pm 
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The medication you're getting is called Zubsolv, the 5.7mg dose is equivalent to an 8mg dose of Suboxone. Zubsolv has the same active ingredients as Suboxone, it just absorbs quicker and better.

Looking forward to your update.

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PostPosted: Fri Nov 22, 2013 11:59 pm 
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Well everything went great! I started Zubsolv, and while it's weaker then the normal 8mg dose of Suboxone, I prefer this! I am prescribed the 5.7/1.4 three times a day, and I love the menthol taste rather then the gross orange... I was SOOO nauseous, I was scared I wouldn't be able to hold it under my tongue without getting sick. Dissolved super fast, and worked pretty good. I am still feeling a tiny iffy, but I'm 90% better overall. I don't want to feel great great, because it will just make getting off of it all the harder.

My doctor, while not only being SUPER cute, was just the most amazing medical professional I have ever met! He gave me this card that allowed me to get my whole prescription (5 days) of 15 pills FOR FREE! And not only that, but I have to go back Tuesday for a follow up and while I'm supposed to pay $80, he told me he was going to do something he does extremely rarely for me and that was I don't have to pay ANYTHING for the appointment! I couldn't believe how lucky I got... We talked for almost 2 hours (before he started his appointments and between patients) and I told him my whole life story. He said I was one of the most diverse young men he's seen come in because of how "polite, courteous, and level headed of a gentlemen" I was even though I was going through a horrible addiction and even worse withdrawals. He was also praising me while I was reading my Terry Goodkind 'Blood of the Fold' book that is about 800 pages, and assumed I was intelligent because according to him, most people can't read like that while going through withdrawals. However I don't agree with that, because I don't believe intelligence has anything to do with reading, I just LOVE to read... so that may be another reason why I fancy him so much, lol. Not used to getting too many compliments from someone after telling them all of the heinous things I have done to get drugs, ie. sleeping with older men for dope/money, so I was beyond shocked at how great he treats his patients.

THANK YOU all for the help in this! I am beyond blessed with this guy.

And Romeo- The medication is 5.7 Buprenorphine, which is weaker then the 8mg Suboxone- not the equivalent of. But like I said above, I would much rather be on this then that!

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PostPosted: Sat Nov 23, 2013 12:15 am 
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I'm SO glad everything went well for you at induction! Your doctor sounds like he's in this business for the right reasons. And so kind to do the next appointment for free!

I don't want to get all nit-picky, but Romeo is correct when he says that the 8mg in suboxone is equivalent to 5.7mg in Zubsolv. There is only a certain amount of the buprenorphine that is absorbed sub-lingually from the suboxone. This is because of bio-availability, the degree to which a substance is absorbed. The bio-availability of Zubsolv is higher because of its formulation, so only 5.7mg of buprenorphine is needed to attain the same result. I'm pulling a quote from drugs.com about the two medications:

"The difference in bioavailability of ZUBSOLV compared to SUBOXONE tablet requires a different tablet strength to be given to the patient. One ZUBSOLV 5.7/1.4 mg sublingual tablet provides equivalent buprenorphine exposure to one SUBOXONE 8/2 mg sublingual tablet."

You've taken a wonderful step toward recovery, so congratulations!!

Amy

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