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 Post subject: Suboxone Abuse
PostPosted: Tue Oct 18, 2011 9:04 pm 
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I have been on Suboxone for a little over 2 months and am taking 8mg/2mg strip a day. Recently I have been abusing it and taking more than I'm suppose to. For instance maybe like 12mg instead of my 8 and I don't do it all at once. I will take my 8mg and then through out the day if I'm having a bad day I will creep in and take a few more milligrams. I'm aware that this will only hurt myself by not leaving me enough till my next refill. I don't start out that way it's my addiction creeping in and saying I need more. Any advice on this bull? I go to meetings daily, pray, but still haven't gotten a grip. How bad is this going to effect me? I'm not doing this everyday but it's becoming more frequent and I see the abuse and old patterns creeping back in.


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PostPosted: Tue Oct 18, 2011 9:20 pm 
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Hi Sam, I wish I had a magic answer for you. It's difficult to change a behavior that you've had for so long. You are only 2 months in and I think this is something a lot of us go thru in the early stages of recovery. If you are still having cravings at 8mg and 12mg seems to hold you then you should talk to your Dr about a dose increase. I think it was in my 2nd month when I needed a dose increase. In the beginning I just felt so great getting out of withdrawl and active addiction but as soon as that honeymoon period ended I was still having cravings. I was on12mg and started taking 16mg and I felt much better. So I called my Dr went in early and told him I was having cravings and tried 16mg for a few days and I felt much better. So he increased my dose and I have been at 16mg ever since. I think you should talk to your Dr because the whole point of sub is to have your cravings addressed and if 12mgs does so then that's what you need to be on.


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PostPosted: Tue Oct 18, 2011 9:40 pm 
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Hi sam and welcome. You certainly aren't the first person who's still fairly new to suboxone and is over-taking it. It's old habits still in play, in my opinion. You said it yourself, "then through out the day if I'm having a bad day I will creep in and take a few more". It's a matter of breaking those habits. When you feel like you "need" something later in the day, DISTRACT, DISTRACT, DISTRACT. Chances are, it will pass. And in the meantime, see if you can cut, say, 2 mg off your dose every other day or so in case you run out early this month. Maybe you can avoid that (assuming you don't have a back stock built up).

I know you said you go to meetings and you pray, but have you ever seen an addiction specialist? If you can't do that, I'd even just suggest going to the bookstore or even library for a workbook on addiction/recovery. They're great for helping to identify your triggers and cravings and more importantly, helping you to set up a way to deal with them when they occur. Just a suggestion that shouldn't break the bank.

Oh, and none of this is meant to say that Breezy_Ann is wrong. That's another very reasonable scenario.

Good luck and keep us posted.

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PostPosted: Tue Oct 18, 2011 10:02 pm 
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Thank you both for your reply. It felt so good to ask someone about it without feeling so bad. I read up on Suboxone and didn't realize it was suppose to reduce cravings. I do have a psychartrist who insequentially is my Sub doc. I see her every 2 weeks. I figured asking for a stronger dose would be like asking for an early refill on painkillers. I am feeling bad because of it but maybe I'm not suppose to. I was in treatment for a month and I sincerely enjoy sobriety and like you said, "the honeymoon is over!" I felt strong and driven and that has faded. I know there's more mentally I need to work on and your right~DISTRACT DISTRACT. I don't feel any withdrawl symptoms taking 8mg I just have cravings. I will ask her about it. The only room I have in my life now is honesty so I better stick with it. I'm glad I found this forum so I can have all my concerns addressed, thank you.


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PostPosted: Tue Oct 18, 2011 10:09 pm 
Ask yourself if you REALLY need a dose increase, or if you are taking extra out of habit.

Do you actually feel better after you take more?

I would try splitting the dose, 4mg in the morning and 4 at night, and see how you felt, before deciding on a dose increase.


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PostPosted: Tue Oct 18, 2011 10:32 pm 
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My Doc wants me to take it all at once. I have divided it up before and sometimes i feel okay and other times I don't. All together I'd say there's only been a handful of days I've been a rockstar and no cravings were to be had. But, yes I have asked myself that question and it's hard to decipher. I have no cravings after I take more but I don't know if that's because I gave myself what I wanted or it's actually my body working with the suboxone.


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PostPosted: Tue Oct 18, 2011 10:42 pm 
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If infact suboxone is to reduce your cravings for opiates, 8mg has not done that for me. Since I'm not vomitting on the floor at 8mg then that's what I figured I was only to have. I didn't realize it was not only to help withdrawal symptoms but to take the craving away. I guess I should ask, " do you increase your dose if you have mental cravings? Or is it just withdrawal cravings i.e puking, shakes.... I figured if I don't have the symptoms of WD physically is increasing the dose help mentally?


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PostPosted: Tue Oct 18, 2011 10:45 pm 
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So, BreezyA

Did you up your dose in your 2nd month cause it helped mentally? I suspect you weren't going through WD's?


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PostPosted: Wed Oct 19, 2011 1:57 am 
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Hey sam,

I'm not quite sure by reading your posts if you're aware that Suboxone is an opiate, and a powerful one too. It's called a partial agonist, whereas your regular pain meds are called full agonist. A partial agonist means that Suboxone isn't normally gonna get you high, it's only partially activating your opiate receptors in your brain, but Suboxone binds very tightly to that opiate receptor. A full agonist (pain meds) is gonna fully activate that opiate receptor in your brain, aka, gets you high.

So, Suboxone will eliminate your wd symptoms from other opiates because it's an opiate too!! Suboxone will also keep your cravings at bay because it's an opiate. As long as you're taking enough Suboxone a day, it will keep all of your opiate receptors in your brain saturated. Your opiate recepetors are happy little dudes if they're all filled with Suboxone, because it's an opiate.

Most people on Suboxone take enough to not only eliminate all wd symptoms, but also to keep their cravings at bay. You may have to play around with your dose to find one that works for you.

BTW, if you ever want to get off of Suboxone, you will have to taper down to a VERY low dose to minimize your chances of experiencing wd from it. If you jump off of a high dose of Suboxone, you will experience wd.

I hope this helps you in understanding Suboxone a bit better.

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PostPosted: Wed Oct 19, 2011 5:47 am 
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Sam -

If you are indeed still having cravings, and it sounds to me like you are, then it's my personal, non-medical/professional opinion, that you need a dose increase. That said, I do agree that it's tough to ascertain if you're having real cravings or just a habit of taking something. But again, I believe, based on what you've said in this thread, that you do need a dose increase.

If someone is on suboxone maintenance and is still having cravings, that places them at risk of relapse and it completely and utterly defeats the purpose of being on suboxone. If I were you I would speak to my doctor about the cravings, fears of relapse, and a dose increase.

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-I'm only responsible for what I say, not for what you understand.


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