Suboxone question & general question

[topcat]

Would someone on suboxone maintenance please advise what a "standard" maintenance dose for suboxone maintenance is?
How do you get the ok to enter the chat room.
Thanks

[MrJim]

The dose varies from person to person depending on the tolerance they have. Chat room is for gold members and above.

[rob42853]

Swim is on the bup program, swim has had does from 32mg witch is the most allowed here, and doeses down to 4mg. swim is currently on 6mg. Bup works real well at keeping morph use at bay, swim was hevely addicted to morph pills and bup probly saved my life. swim is sneaking it out and shooting it. Swim thinks bup is great and 8mg will cure hanging out for up to 48hours. Just sucks tho because swim carnt have a shot of morph anymore, i dont feel it. bup blocks the morph as well as fixing hangouts.

[Laudaphun]

is "hangout" or "hanging out" a slang term for withdrawl? I've never heard that term before, but given it's context I'm assuming that's what it means.

To answer the question originally posed in the thread, like MrJim said the appropriate dose varies from person to person and you need to work with your doctor to figure out what the magic number is for you. Buprenorphine really is a great thing for people who want to clean up their act, or just simply want to break free from the ball and chain.

[rob42853]

Yea 'hanging out' is what swi us say around here reffering to being in withdrawal. Like your clothes hanging out to dry.

swim agrees buprenorphine saved swim's life, and gave swim some of life back. Even a small dose like 8mg will help a great deal if swiy in withdrawal.

[solo5010]

Originally Posted by rob42853

swim is sneaking it out and shooting it.

I hope SWIY is on Subutex and not Suboxone, if that person where on Suboxone and booted it up that person would go into immediate WD's because Suboxone has Naloxone in it. Subutex doesnt.

[Laudaphun]

That depends... naloxone cannot knock buprenorphine off of a receptor. If you do some research you will find that a buprenorphine overdose is not easily treated like overdoses with other opiates in that it cannot be reversed with naloxone or naltrexone as such with other opiates. Basically the naloxone added to the suboxone was a failed attempt at preventing the pills from being abused. It probably has scared many away from attempting it, however there are definitely people out there who boot suboxone and are not affected by the naloxone. The buprenorphine is responsible for every precipitated withdrawl caused by suboxone/subutex rather than the naloxone in every case I've read about. In an opiate dependent person who is on a full agonist, the buprenorphine can have the same effect as a shot of straight naloxone or naltrexone in that it can cause a withdrawl. A person who regularly takes suboxone ahd has buprenorphine already binded to their receptors would not be effected by naloxone in an injection. Why anyone who takes buprenorphine everyday would want to try and inject a suboxone/subutex tablet is beyond me.

I suspect that SWIRob was refering to morphine and not suboxone anyways...

[painfully_lost]

sooooo, if swim has been good for a few days, been on suboxone for 10 days, 16-24mg/day, except today and yesterday, how much to shoot, swim was shooting 100-200mg morphine daily. How much suboxone before hitting the ceiling effect?

[upperdecker]

SWIM justl let a little bit of a 8mg Suboxone tab desolve under his tongue, he didn't know that you aren't supposed to swallow what dissolves until after he did it (dumbass). Did SWIM pretty much ruin any effects that might have happened?

[painfully_lost]

yes, its done. Try another. No harm, just waisted it.

[upperdecker]

Well SWIM had to break a little bit off a pill that his roommate had laying next to a drink to look like the drink dissolved some of the pill. There is two pills next to the drink and now one is like half gone. Should SWIM take the rest of the other pill or just leave it cause SWIM doesn't wanna get caught/accused of stealing.

[painfully_lost]

maybe grow up and don't steal.

[Laudaphun]

Originally Posted by painfully_lost

sooooo, if swim has been good for a few days, been on suboxone for 10 days, 16-24mg/day, except today and yesterday, how much to shoot, swim was shooting 100-200mg morphine daily. How much suboxone before hitting the ceiling effect?

Buprenorphine isn't going to give you a rush or anything like morphine did. Best to just stick with sublingual administration. People claim that insufflation of suboxone reduces the amount needed by half, however SWIM thinks that if this is true, it would only work if someone was on a small dose of suboxone. While I've never really heard anything bad resulting immediately from injection of suboxone, I've read where people have done a lot of damage to their veins and gotten abcesses from injecting it on a regular basis.

In case you do decide to experiment with this route of administration you should know that buprenorphine comes in 0.3mg ampules. Even from reports that I've read from people who did not have a high tolerance to opiates and obtained these ampules, reported similar effects from an injection as most people do from sublingual use.

[painfully_lost]

thanks alot, SWIM is going back to morphine...

[Laudaphun]

The suboxone(buprenorphine/naloxone) is meant to be taken everyday and if you take 2 or 3 days off from taking it, cravings for your former drug of choice will likely return. From one of your above posts, assuming you didn't take any suboxone today, you said that you have not taken any suboxone for the past 3 days as of today which puts you at a very dangerous place if you decide to go back to morphine.

The reason for this is that buprenorphine will block morphine from having any effect for up to 72 hours as stated by literature. However after 3 days it will still exhibit "some" blocking effect, meaning you'll probably be able to get high but the remaining blocking effect will make it seem that your tolerance is very high. The problem is that the buprenorphine is rapidly losing its blocking effect at this point and if you keep taking more and more morphine in accordance with how high your tolerance "seems" at the 72 hour mark, once more and more buprenorphine leaves your body, freeing up receptors, the effects of the opiate you took can increase dramatically in strength. This is one way that buprenorphine can cause an overdose in an unsuspecting person who goes off of it and back to their old agonists. Basically, in a situation like this a person might take a large dose of an agonist in order to get the desired effect, and they are fine at the moment. But then as buprenorphine leaves the receptors, more and more of the agonist that was previously being blocked can now bind to these receptors which were formerly occupied when the dose or doses were originally taken. This means that a large dose taken at the right time will instead of wearing off as time goes on, will actually get stronger and stronger possibly leading to overdose. Please be careful if you are at this point.

SWIM was an I.V. oxycodone, then morphine, and finally herion for several years and suboxone completely changed the course of his life. After 6 months of being on it, SWIM was back in good academic standing and enrolled as a full time student at his university. After 1.5 years of being on suboxone, Swim had nearly doubled his GPA in college from what was originally 1.5 to almost 3.0 It really can work for you if you give it a chance, although the higher your dose of your favorite agonist you are on, the harder it will be to make the transition from full agonists to suboxone.

BTW to answer one of your questions that I'd overlooked, the ceiling effect for suboxone is 32mgs sublingual in most instances. If you are on 16-24mg of it and still have a desire to go back to and shoot morphine, then maybe you could talk to your dr. about raising your dose up to the max of 32mg. It's important when beginning suboxone treatment that you are able to find a dose where you feel comfortable.

[painfully_lost]

Thank you for your genuine concern and knowledge.

[upperdecker]

Ok, so SWIM puts the tab under his tongue, it disolves but its still just under his tongue. It doesn't go newhere so it has to be swallowed. SWIM doesn't get it.

[painfully_lost]

swim is scripted 32mg, thanks, swim's been thru it all fent patches, the works.

upperdeck, it gets absorbed in your glands under your tongue, I think.
Sit tight, some genius will tell us.

[upperdecker]

k, it just pisses off SWIM cause he always swallows some cause there's just so much saliva.

[painfully_lost]

it some times takes SWIM 10 minutes, sometimes 45, again, someone smarter should reply why that is very soon.

[rob42853]

The nurses that dose swim daily crush the tabs up, so swim carnt dirvert it. But swim has a trick to get it out for injection later, swim pushes it into a ball inside my mouth and move it with my tounge to the bottom of the frount of swims frount teeth- always filtered through a .22 syringe filter later. It doesnt give swim a big rush but it instantly gives swim relief from cravings. Swim has been injecting sub for over a year with no health worries.

[painfully_lost]

what mg suboxone tabs are they giving swim, how much does swim end up with. This swim had a small bump on each inj. site. going away, but not worth it, time to see a specialitst in Mexico.

[rob42853]

Just dont miss and swiy should not get a bump, swim gets bumps when swim misses witch doesnt happen very oftern, swiy can tell if your missing if it stings. Also swiy might have injected to fast? swim gets 12mg ED at the moment.

[painfully_lost]

wasn't a miss, it was to fast... cool thanks rob