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 Post subject: Taper Question.
PostPosted: Wed Jul 11, 2012 12:06 am 
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I have seen almost 100% success with NO w/d symptoms in everything that I have read on the internet about tapering off doses 12+ down to 2mg. That seems insane. Some just literally stopped taking 12mg and started taking 4mg or 2mg all of a sudden. Is this true? Has anyone ever tested this theory? Could it be possible or true? It just seems realllyyy prevalent on every website that talks about this topic. Chime in!!


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PostPosted: Wed Jul 11, 2012 4:16 am 
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I think when people say they tapered from 12mg to 2mg it means they went down gradually in some measure of time, not in one shot.

For example, I tapered fom 8mg to 1mg with no problem. It took 5 months.


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PostPosted: Sat Dec 08, 2012 12:48 pm 
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ive jumped down from 16 to 8 in one day. I didnt really feel it. That was back in july

10 days ago i wemt down to 6mgs a day. Im feeling fine. Less is more like they say but i had to want to do this.
coming up on two years clean. Now the fun part,geting below the ceiling.


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PostPosted: Sat Dec 08, 2012 4:33 pm 
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I think part of the reason people can taper fairly quickly, at least down to 4 mg, is that suboxone has a ceiling effect at about 4 mg. In other words, no matter how much sub you take, your opiate receptors are filled at 4 to 6 mg. Adding sub above that helps with cravings and other symptoms, but you won't feel terrible withdrawal symptoms until you are tapering below 4 mg. Does that make sense?

Dr. Junig, the creator of this forum, has an article on the ceiling effect of suboxone/buprenorphine. Here is a link to it:

http://www.suboxonetalkzone.com/ceilings/

I have been tapering for a few months. It was very easy to drop from 16 mg to 12 mg, and from 12 mg to 8mg. Now that I'm under 4 mg/day, however, I'm going very slowly.

I think that some of the people who have trouble tapering, even at a high level, have a psychological need for the medication, not just a physical need.

Does this answer any of your questions? I would definitely take a look at Dr. Junig's article. He explains technical things in understandable language.

Amy

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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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