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Opiate addiction Support for coping with Opiate addiction and Opiate addiction treatment.

 
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  #1  
Old 23-11-2013, 17:38
LostInSeattle LostInSeattle is offline
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Going to the ER for SUbutex withdrawals. What to expect?

I can't stand it anymore. Stopped 16 mb of buprenorphine on Monday and today I feel as if I'm freaking out. Chest pain, shaking, racing heart etc. my new doctor said 4 subutex are enough to taper, well that's not true since I have taken subutex for over 2 years. I got 90 roxycontin prescribed but they are almost gone since the subs are still pushing a light opiate out.
Has anybody gone to the hospital for subutex withdraws and what did they give you to help? Thanks

Last edited by Smeg; 29-11-2013 at 03:10. Reason: Correction of typo.
  #2  
Old 23-11-2013, 18:06
jazzyj9 jazzyj9 is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

They would likely do an intake and run tests to rule out other causes of chest pain and tachycardia (racing heart) to make sure you don't have an underlying illness. If they don't have an in patient program they may provide a referral. I don't know if an medical provider would give you meds to detox (opioids that is), each hospital may have different rules. They may give you meds (non opioids) to treat the symptoms and provide a referral. I am not familiar with opioid detox protocols however.
I do think they would check out the chest pain and tachycardia and it is very important to get that checked out. Chest pain can be a sign of a heart attack, even in young people. Tachycardia can also be potentially dangerous. Your blood pressure may also be elevated and it is very important to manage that as well. They would treat your present condition to stabilize you to make sure you aren't in a life threatening situation.

Last edited by jazzyj9; 23-11-2013 at 18:22.
  #3  
Old 23-11-2013, 19:33
Blue Skies Blue Skies is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

Actually I have and just recently, back in the summer. I switched from Subutex to Methadone and the conversion was too low. I was in full kicking withdrawals my daughter had to take me. they couldn't help me, there has to be a Dr on staff that can prescribe and deliver Suboxone or Subutex. If there is they may be able to help you. My hospital could not and they referred me to a Detox center. Luckily enough I called my pharmacy and I had 7 Suboxone strips I hadn't filled!! it held me until I could get to the Dr.

Call ahead of time and the best they probably could do is prescribe Oxycodone or their highest pain reliever they have. Good luck!!!

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  #4  
Old 23-11-2013, 19:39
halo99 halo99 is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

standard protocol for WD is to not give you opiates at all... you will be given and perhaps prescribed additional benzos and possibly an alpha/beta blocker to deal with the heart/BP issues... that's gonna be it...
  #5  
Old 24-11-2013, 00:01
LostInSeattle LostInSeattle is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

yes, I just came back with nothing. It's a nightmare. I do still have 5 subutex at home but why would zI take them and have suffered for nothing? All I wanted was more Percocet to help with my chronic pain (thats why I had them prescribed to me in the first place). Now Im very tempted to actually take a Subutex but then the whole cycle will start over. I'm so scared and lost.
  #6  
Old 24-11-2013, 04:22
greenilady greenilady is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

Have you talked to your new doctor about a better taper plan? Have you have been on Subutex for two years for chronic pain or for getting off opiates? You also mentioned you were prescribed Percocet as well.

I am a bit confused about the circumstances of the two years on Subutex and the Percocet taper plan the doctor put you on. If you have been opiates for a long time a slower taper or help with withdrawal with comfort drugs sounds like a better alternative

My new doctor is trying different alternative drugs along with a slow taper due to my chronic pain and an upcoming surgery I probably will end up needing.

My suggestion would be to talk to your new doctor about your extreme discomfort and health concerns.

Hope things work out for you. Keep us posted.
  #7  
Old 24-11-2013, 06:44
LostInSeattle LostInSeattle is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

It is quite confusing. My old doctor retired from one day to the other hence I had to find a new PCP, I just went with the first one I could find that was affiliated with my prior doctors hospital. However she did not want to prescripe any subutex beside 5 for tapering (which is as we all know impossible) and then prescribed me 90 Percocet's for pain. She doesn't know to much about subutex and speaking with the in house pharmacist was convinced I will be just fine after the 5 Subutex taper. I had taken my last dose Monday morning and was already sick,

K by night then took Percocet and felt ok until about 2 days ago. I just caved in a took about 1mg subutex and hope it will help.
Yes, my previous doctor per robed me Subutex for chronic pain NoT opiate addiction. It's a shame that so many doctors seem to be completely misinformed.

Last question why am I still feeling so sick since I stopped Monday morning? How long does a subutex withdrawal last. ? I hope I didn't make a mistake my taking a small crump starting everything over.

LostInSeattle added 4 Minutes and 56 Seconds later...

Sorry about my spelling am not in such a good shape, I think the 90 Percocet's where supposed to be my new pain med since the doctor thought I will be completely fine after a 5 day subutex taper. I also quit Xanax bc I was told I have to choose one benzo and since I have taken valium since years I shade with that, still have a whole script ion of Xanax at home but did not take any sim
Nice Monday maybe that made the subutex withdrawal worse, I'm just confused, thanks a lot for all the replies so far it keeps me going.

Last edited by Smeg; 29-11-2013 at 03:00. Reason: Removal of needless quote.
  #8  
Old 24-11-2013, 21:03
greenilady greenilady is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

What mgs of the percocets does your doctor have you on? I've never taken Subutex but 16mg sounds like a pretty high dosage amount to taper with just 4 that she said would be enough.

It sounds like you used up the percocets to detox from the Subutex which will leave you with nothing for your chronic pain. If you don't mind me asking what type of chronic pain do you suffer from?

In my journal thread I made the mistake of over medicating and came up negative on my urine test for the drug I'm precribed which is oxycodone. My doctor fired me for that. I was fortunate enough to find a understanding doctor who is willing to help me find the right combination of drugs to help with my chronic pain. We are trying Gabapentin (I'm allergic to Lryica) but not to this different nerve pain medication. We are also adding in Amitrptyline. If this combo works I will start tapering down my oxycodonr dosage which is 120mgs per day. I actually feel the doctor and PA at this facility are much more knowledgeble then my previous physician.

Are you on a pain management contract with your current doctor?

greenilady added 11 Minutes and 11 Seconds later...

If you are be as honest with her as you can. To truely be in pain and without any type of relief while going through withdrawals is a horrible combination.

My suggestion would be to make an appointment with your current doctor and let her know all your concerns.

I know how badly you feel like right now. I was feeling hopeless and depressed but I think what happened to me happened for a reason and I think in the long run I will be getting better medical care.

I believe things will work out well for you. I certainly wish you the best and find a solution to your current situation. Take care.

greenilady added 8 Minutes and 52 Seconds later...

Just reread it was 5 Subutex not 4. Sorry.

Last edited by greenilady; 24-11-2013 at 21:03. Reason: Automerged Doublepost
  #9  
Old 25-11-2013, 04:18
halo99 halo99 is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

subutex WD last 7-10 days but that's just the physical WD's.. the PAWS will last a few more weeks after that... 16mg is a high dosage; the doctor should have tapered you down over like a month...
  #10  
Old 28-11-2013, 20:46
LostInSeattle LostInSeattle is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

Hi, grenilady no I'm not on a pain management contract nor with my previous one ( however one time my non retired Dr wrote me a letter stating that I am fired bc I had gone to the ER for severe migraines and gotten Percocet). I told him that I never signed a contract and had no clue that I was supposed to call him ASAP if I had gone to the ER but it all worked out until he retired without my knowledge. I barely saw him, maybe one or twice a year and just called to get new prescriptions of alprazolam, diazepam, Fioronals and Subutex.

My pain issues are chronic neck pain, chronic migraines and back pain. Valium was prescribed to help with the migraine, alprazolam for GAD and, Subutex for chronic pain and Fioronal for breakthrough pain ( migraines).
I was honest with my new doctor and said that I went to the ER since I can't taper with just a few pills and a low dose of oxycodone and that nobody tapers from 16 mg that fast. I was asked if I was the doctor and answered no but I had tried tapering before and it was quite bad.

At my first visit I was offered methadone but refuse since I had taken it in the past for pain and ended up being on 140 mob daily and felt terrible. I ended up detoxing from methadone and alprazolam and it was he'll, hence I said I will never take this stuff for pain.

To make a long story short I called the dr told that I took much more than 15 mg of oxycodone a day have only a few pills left. At this point I just want to feel semi normal and was open to any suggestions from the new doc.

Now I am on 40 mg methadone daily, withdrawals are very mild, pain is gone and I feel almost ok again BUT I don't want to get addicted to that stuff again.

How long will it take to get addicted to methadone especially since I had taken it for almost 8 years prior ?

I know all of this sounds a bit nuts but I would love to see how my body will do without any opiates and how bad my pain level is ( obviously my pain was tenfold during the subutex withdrawals but I hope that this stuff will be out of my system soon).
I read that subutex is a miracle drug when it comes to override withdrawal symptoms but I am opposed to it for long term use!, I was very tired toward the end and had no motivation.

Everything does happen for a reason maybe it was time to switch to a new medication regimen sans subutex.

If I take methadone for a max of 2 weeks and then a few subutex maybe I can be opiate free?

I'm seeing a pain specialist next week and will tell him exactly what has been happening. My tolerance is insane after years on subutex and I dearly hope that I can be drug AND pain free someday ( maybe Botox injections in the neck? ) . However I tried almost every possible pill out there to address chronic neck and back pain as well as migraines and anxiety. Anyhow thanks for all your help and if somebody has some input about how long I can take methadone without getting addicted again that'd be great.
Happy Thanksgiving everyone.

LostInSeattle added 1 Minutes and 5 Seconds later...

Again sorry for the spelling mistakes seems I am not able to edit my posts at this point.

Last edited by Smeg; 29-11-2013 at 03:04. Reason: Removal of needless quote with relevant member's name inserted.
  #11  
Old 29-11-2013, 02:34
greenilady greenilady is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

I have no expedience with methadone so I can't help you with your question about how long it will take to get addicted to it. There are a lot of people here on the forum with experience and hopefully someone will be able to help you with that question.

It's good you are seeing a pain management specialist. Maybe they can help you with a more comprehensive taper plan better suited to your high level of opiate use. It sounds like your current doctor is not very knowledgeble on the proper way to detox.

I hope your appointment goes well. Please keep us posted. Take care.

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For all of your highly relevant and pertinent posts in this thread to the OP.
  #12  
Old 29-11-2013, 08:26
pinksox pinksox is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

An opiate is an opiate is an opiate in regards to opiate addiction. It doesn't really matter if it's fentanyl, morphine, hydro, or methadone so long as they're equivalent doses. Personally, methadone was the easiest opiate I ever came off of (Vicoden was the worst)-- but the methadone was also a long, slow taper as opposed to cold turkey (which is probably more relevant). If you take methadone as prescribed and drop 5mg biweekly or monthly you can probably get down to next to nothing fairly easily. I got down to 5mg (2.5mg twice daily) without too much difficulty this way. I was sick for a few days when I stopped, but nothing unmanageable... and no PAWS to speak of that time around either. If I had to do it all over, Id probably see if I could taper the last 5mg using a liquid for a month rather than just stop.
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Old 29-11-2013, 20:05
LostInSeattle LostInSeattle is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

I do agree an opiate is an opiate, however, you did hit the nail on the head speaking about tapering vs cold turkey. My body is still messed up from all the medication change, subutex to oxycodone to methadone plus getting of alprazolam.
The reason I do not want to be on methadone is that I am vividly remember the withdrawals from quitting methadone cold turkey. It was a really painful ( emotionally and physically) road. It took at least 6 months to feel semi normal and I don't want to be in that situation again.
Subutex is just as bad if stopped cold turkey, hence I much rather would be sick for a week than to deal with PAWS for month on end.
At this point I have no idea what to do and hope the pain specialist can figure it out. My tolerance is insanely high, guess il see.

If one is able to taper maybe methadone is 0K. Vicodin was a walk in the park compared to methadone or subutex, you know that you'll be fine within a week. This is just a vicious cycle and dealing with doctors that have no knowledge regarding the pharmacology of buprenorhine has been scary.

Last edited by Smeg; 01-12-2013 at 04:53. Reason: Removal of needless quote.
  #14  
Old 29-11-2013, 20:45
Mr Bumble Mr Bumble is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

Quote:
Originally Posted by LostInSeattle View Post



Now I am on 40 mg methadone daily, withdrawals are very mild, pain is gone and I feel almost ok again BUT I don't want to get addicted to that stuff again.

How long will it take to get addicted to methadone especially since I had taken it for almost 8 years prior ?

I know all of this sounds a bit nuts but I would love to see how my body will do without any opiates and how bad my pain level is ( obviously my pain was tenfold during the subutex withdrawals but I hope that this stuff will be out of my system soon).
I read that subutex is a miracle drug when it comes to override withdrawal symptoms but I am opposed to it for long term use!, I was very tired toward the end and had no motivation.

Everything does happen for a reason maybe it was time to switch to a new medication regimen sans subutex.

If I take methadone for a max of 2 weeks and then a few subutex maybe I can be opiate free?
Your addicted to opiates, and it doesnt matter which one you take, there's no point switching from subs to meth to percs, it's all sounds crazy. you need to to one opiate and slowly tapper with that. the shorter the half life of the drug the shorter the withdrawels. meth is the worse, i hear subs are bad if you stop on a high dose, you need to drop really low before you stop. I dont know but you seem confused about opaite addiction, think you need to do some study. keep posting and reading
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Old 01-12-2013, 04:45
LostInSeattle LostInSeattle is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

Thank you for your input, I do appreciate it. I am aware that I am addicted to opiates. it doesn't really matter if one became addicted because of a prescription or through other means. Once I was put on methadone and quit dealing with withdrawals I knew that I was addicted.
in a perfect world I would love to be pain medication free and see how it could possibly work, however, until I'm ready I will have to deal with opiate addiction. BUT if I have to be addicted to an opiate it rather be a short acting one and not methadone or subutex since the half life is just to high and I cant afford to deal with PAWS for months on end waiting for my brain to function properly again. Thanks again for your answer and I am aware that my plan sounds crazy (switching one medication for another) if my doctor would still be around none if this stuff would be happening.

Last edited by Smeg; 01-12-2013 at 04:55. Reason: Removal of needless quote.
  #16  
Old 01-12-2013, 16:51
greenilady greenilady is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

I'm so sorry you are going through all this. It sounds like your old doctor left you in a lurch and your new doctor is trying to treat the acute withdrawals with methadone.

Keeping that a appointment with the pain specialist sounds like a excellent idea. He/she should be more educated in the differences between long and short acting opiates and hopefully put you on a better taper plan.

Please let us know how your appointment goes. Hopefully you will be feeling better after talking with the new doctor.

Take care.
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Old 01-12-2013, 17:42
LostInSeattle LostInSeattle is offline
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Re: Going to the ER for SUbutex withdrawals. What to expect?

Quote:
Originally Posted by greenilady View Post
I'm so sorry you are going through all this. It sounds like your old doctor left you in a lurch and your new doctor is trying to treat the acute withdrawals with methadone.

Keeping that a appointment with the pain specialist sounds like a excellent idea. He/she should be more educated in the differences between long and short acting opiates and hopefully put you on a better taper plan.

Please let us know how your appointment goes. Hopefully you will be feeling better after talking with the new doctor.

Take care.
THANK YOU Greenlady, it means a lot to me knowing that somebody out there cares !!!!

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