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Thread: nightmare Methadone to suboxone transition for rapid detox, need opinions and advice

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    nightmare Methadone to suboxone transition for rapid detox, need opinions and advice 
    #1
    Greenlighter
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    Apr 2018
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    If anyone knows why this happened please tell me. I need to know for my own piece of mind. And please excuse any errors as my body feels as though its been to hell and back today and am still a little shaky.

    So today was the day Id be coming off Methadone by way of suboxone rapid detox. I had heard about it from some friends I know, and apparently it works withought too many nasty withdrawal symptoms, although I should have been suspect, because I didn’t know many people had tried it.

    So I brought it up to my prescriber and told her what I had heard, that it went something like: skip a day of methadone, day after: 2mg of suboxone, then 8, 10, 8, 6, 4, 2, then none and voila, cured. Im not that naive, but thats what I heard the gist of it to be. And so thats exactly what she prescribed.


    While my GP and pharmacist must treat many users, I don?t know whether they see much outside the norm. So Sunday I had my last dose in the morning which was 2.5 or 25 of methadone depending who you ask, and I had tapered down 2mg a fortnight prior as well. Yesterday, Monday I saw my doctor, got my new script, and was told to take the 2mg later in the day.


    Well last night came and I wasn?t experiencing any withdrawal sx, and because I had heard precipitated withdrawal was a bitch I held off. This morning I still felt well, but thought if I left it any longer, I may get in trouble, so I took the 2 mg suboxone at 10.00 and by 11.00 I was sweating uncontrollably, I had stomach cramps that match my labour pains and I knew I was withdrawing.


    I thought this method, using suboxone short term, was to save the pain of withdrawal. Home alone I rang the pharmacy to ask advice and after recounting my story she said to come in to have the 8mg. I could barely walk but made it there, was dosed and came home.


    Well 30 mins later, if I had a gun I would have used it. I was in the most excruciating pain. My fingers were icy cold and felt as though a million needles were stuck on the end of them, and although I was sweating profusely I was freezing cold, and I couldn?t lie or sit still. Id go from lying in a ball to falling on the floor having to stretch my legs, then the pain would get so severe I screamed out crying for it all to end.


    The only time I had experienced this before was over 2 years ago when I injected a targin not knowing what it was, and it kicked of 60 mg of methadone at once, I saw angels that day and remember that ice cold feeling over my body which made me think I was going to die. The ambulance was called but they didn?t believe me then either and being so agitated they thought I was on ice, well I won?t tell you the rest of the deplorable treatment I endured.


    This felt exactly like that, I could barely call my hubby who was at work but couldn?t be home for another hour so I called the pharmacist who said this was highly unusual and he?d never heard of it before, but he?d check back with me later, and my GP had finished for the day. So the only thing I could do was take some valium, which I need 20mg of to settle down to a stable self, but still quite effected by everything else.


    No-one knows what to do, but I for one am petrified to take suboxone again tmo. What happened to me? and what should I do?
    Last edited by Highbiatch; 03-07-2018 at 23:01. Reason: Felt it didn’t reach a response
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    #2
    Don't repost especially when you got plenty of replies already.

    http://www.bluelight.org/vb/threads/...ay-need-advice
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    #3
    Quote Originally Posted by Highbiatch View Post
    If anyone knows why this happened please tell me. I need to know for my own piece of mind. And please excuse any errors as my body feels as though its been to hell and back today and am still a little shaky.

    So today was the day Id be coming off Methadone by way of suboxone rapid detox. I had heard about it from some friends I know, and apparently it works withought too many nasty withdrawal symptoms, although I should have been suspect, because I didn’t know many people had tried it.

    So I brought it up to my prescriber and told her what I had heard, that it went something like: skip a day of methadone, day after: 2mg of suboxone, then 8, 10, 8, 6, 4, 2, then none and voila, cured. Im not that naive, but thats what I heard the gist of it to be. And so thats exactly what she prescribed.


    While my GP and pharmacist must treat many users, I don?t know whether they see much outside the norm. So Sunday I had my last dose in the morning which was 2.5 or 25 of methadone depending who you ask, and I had tapered down 2mg a fortnight prior as well. Yesterday, Monday I saw my doctor, got my new script, and was told to take the 2mg later in the day.


    Well last night came and I wasn?t experiencing any withdrawal sx, and because I had heard precipitated withdrawal was a bitch I held off. This morning I still felt well, but thought if I left it any longer, I may get in trouble, so I took the 2 mg suboxone at 10.00 and by 11.00 I was sweating uncontrollably, I had stomach cramps that match my labour pains and I knew I was withdrawing.


    I thought this method, using suboxone short term, was to save the pain of withdrawal. Home alone I rang the pharmacy to ask advice and after recounting my story she said to come in to have the 8mg. I could barely walk but made it there, was dosed and came home.


    Well 30 mins later, if I had a gun I would have used it. I was in the most excruciating pain. My fingers were icy cold and felt as though a million needles were stuck on the end of them, and although I was sweating profusely I was freezing cold, and I couldn?t lie or sit still. Id go from lying in a ball to falling on the floor having to stretch my legs, then the pain would get so severe I screamed out crying for it all to end.


    The only time I had experienced this before was over 2 years ago when I injected a targin not knowing what it was, and it kicked of 60 mg of methadone at once, I saw angels that day and remember that ice cold feeling over my body which made me think I was going to die. The ambulance was called but they didn?t believe me then either and being so agitated they thought I was on ice, well I won?t tell you the rest of the deplorable treatment I endured.


    This felt exactly like that, I could barely call my hubby who was at work but couldn?t be home for another hour so I called the pharmacist who said this was highly unusual and he?d never heard of it before, but he?d check back with me later, and my GP had finished for the day. So the only thing I could do was take some valium, which I need 20mg of to settle down to a stable self, but still quite effected by everything else.


    No-one knows what to do, but I for one am petrified to take suboxone again tmo. What happened to me? and what should I do?
    That sounds like my experience when I switched from methadone to bupe, fucked me right up for a week or so.
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    #4
    Damn cuzzo you got fed a line of bullshit with the timelines no matter which way you cut it you have to wait the appropriate amount of time to take suboxone. Waiting 48 hours sometimes is pushing it even for rapid agonists not even talking about methadone, I've got up to 72 hours without my methadone before and still all I felt was some anxiety and lack of sleep the third day. Also for most if your not under at most 50 mg methadone for at least a few weeks its gonna be rough. Bupes agonist activity is really not that much when i went from subs to methadone the second day i was given 40 and was high as a kite that was after being on 16mg subs with a 48 hour washout before starting the done. It's possible but there will be a little suffering but just ask yourself how worth it is it to you? I already get 3 takehones a week time flies by before you know it you only gotta go once a week then once every 2 weeks then once a month it's really not as stringent as people make it out to be as long as you do the right thing......that's just my take on it anyways i think the structure in the beginning has been good for me ya know but I endorse both suboxone and methadone honestly I endorse anything that works for whoever it works for as long as it doesn't belittle other routes of recovery like how some abstinant based organizations belittle maintenance therapy due to ignorance and self righteous pride.
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    #5
    The timelines were horribly wrong, and even if you had waited long enough, that taper is way too quick.

    You need to be in moderate withdrawal before dosing bupe. If you were feeling normal when you started it bad shit was going to happen.

    Also, while the Government websites talk about a 7-ish day Sub taper for the sub detox (as opposed to sub maintenance), I'd encourage you to do it over a month instead.

    The above aside, chances of successful abstinence off maintenance meds aren't stellar. You should give it a bloody good go, but stay in touch with your doctor in case you need to get back on quickly.
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    #6
    i just spent ten mins typing out a response, pressed submit reply and it didnt get posted !
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    #7
    i might have had an interupted network connection, as am on a phone.
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