How Can I Get Subutex Not Suboxone? (Page 9)

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I don't know how to go about this as I am shaking and can barely focus, I need help! Please. I fear that my life is going to end from my abuse of opiates. I am currently taking 250 mgs of oxycontin per day. I have a loving fiance and a stepdaughter that I want to be here for. I sit here with cold sweats, and fear going out just because I may make the fearful turn to the meds. Any and all info on how to obtain Subutex would be much appreciated. This wasn't what I wanted my life to be, and I can not let it end this way..Please help me. I am not a religious man but I pray for help as I am at my wits end with this drug.

390 Replies (20 Pages)

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161

"Addiction Medicine" is not even a recognized medical specialty. No Boards to pass; minimal Continuing Ed requirements. You still haven't been stabilized on a dose?? Not the kind of docs I would hire or call in to consult. I don't suppose any f these medical geniuses suggested DETOXING and QUITTING back when you were 15. I have patients that age who are clean by the next year. If you have other issues, let a competent psychiatrist treat them, not somebody as illl-qualified as an "Addiction Specialist." My patients, in general, like me — I"m a nice guy — but my Diu Tx patients especially resonate with me because I've been there done that with half the pills in the PDR.

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162

my doctor was the addiction specialist for the denver nuggets basketball team, speaks regularly in front of the legislature, and is now a consultant who speaks about opioids all around the country. (he retired from his practice after 30 years) i will go ahead and trust him and my current physician/addiction specialist instead of some narcissist on a chat. the reason i am just now stabilized is 100% my fault, not his. too much to get into here. and you know how they say you cant get clean unless you WANT to? at 15 i didnt WANT to be clean. so all that "if you were MY patient, it would have all been rosy, blah blah blah..." ? save it. i was addressing your rude comment about people "just wanting to feel high". you certainly dont SOUND like a "nice guy" by any means. like i said, if i wanted to feel HIGH, i would just buy dope. anyone with an ACTUAL opiate tolerance/addiction? too much methadone just makes you sleep and too much subutex doesnt do ****. so maybe your little 15 year old addicts that pretend they want to be clean to get their parents off their backs? maybe they can feel high on methadone. but anyone with a REAL habit? nope. reply if you want, dont reply, i dont really care. i doubt i will respond or even read it for that matter. because any "doctor" (which i still doubt you are) who says the things you have said here should probably be avoided anyway.

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163

Personally I see subutex better than methadone they aren't as bad cause I been out sub's for about a year and I remember taking methadone and its a lot stronger and I bet its the pink liquid but I guess whatever works for u

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164

Didn't mean he was Board-certified in a field that doesn't yet exist. I have a PhD in Pharmacology. A doctor's job is to do what's best for the patient, not what's most convenient for all concerned. As for me, I'm certified a licensed and Board-certified Psychiatrist with five or six specialty sub-certifications, such as Child and Adolescent; Forensic Psychiatry; Psychosomatic Psychiatry, etc. Look at your post. That was written by a spoiled 15-year old throwing a tantrum because she didn't con another doctor'; it is not the prose of a reasonable adult. Q.E.D.

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165

".....con another doctor"? wow, you make a lot of assumptions. I've never had to "con a doctor" in my life. I am an addict. I certainly dont need a doctor to feel high. nice try on the insults and assumptions tho. i should have stuck to what i said and just deleted your ridiculous responses. now you feel you have to prove yourself and your credentials to someone you accuse of being a 15 year old con artist. you CLAIM to have this credential and that credential (still suspect) and yet you have to stroke your own ego by insulting an addict on a chat room? um....ok.

boy, am i glad i came across dr. steven wright instead of the likes of you when i looked up "suboxone doctors"! he literally saved my life. but you? wow. what a "bedside manner"! if you really are a doctor (doubtful) i feel bad for your patients, i really do. get some therapy. you clearly need it. maybe putting down an addict on a forum is therapeutic for you. i mean, you do seem like a "has to have the last word" kind of guy. so go for it, its all yours. i promise i wont reply because at this point you are just BORING.

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166

I have the licenses but I only approve Subutex scripts my Residents write. I've never prescribed it myself. Do you think jumping fro maintenance medication to maintenance medication is anything like recovery/ I do have an MD (Yale) and a PhD in Pharmacology (Columbia U.). Whether you accept these or not is irrelevant to me. You'e an addict and you've never conned a doc? That's a lie right there. Patients with Affective Disorders often need ongoing meds, regardless of their addiction Hx. (Good example is Bipolar I Disorder; Panic Attack Disorder w/Agoraphobia or Major Depressive Episode). I certainly prescribe for them. I wouldn't accept you as a pt and you wouldn't like me. My decisions are based on what is in the best interest of my patient. not always what he/she wants.YOUR story is boring; I've only heard it a thousand times in many different versions but the theme is the same "Doc, you're going to give me what I WANT, even if I have to hold my breath until I turn blue." That's never worked with me, but I am considered very much patient oriented.

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167

I have to agree I am a recovering alcoholic and I myself am always looking for the quick fix. I have always switched addictions whether it be drugs, food, men, etc.....that has just been my experience. Until I could be okay in my own skin and be able to look at my own reflection in the mirror. And believe me it has taken me every bit of 26 or 27 years. And it is journey not a destination. I won't get it right until I meet the Big guy.

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168

hey i know what you are saying....looking for that "quick fix", being sneaky; its the nature of the beast with addiction. my point was that my doctors dont have anything i want or need to feel "high". so i have no need to "con" my doctors out of anything. absolutely no need. i dont have any fake back injuries that im trying to "medicate", nor do i "doctor shop", nor do i have 5 different drs. giving me different pills. theres half a bottle of vicodin in our medicine chest from when my hubbs broke his shoulder. been there for months and ive never even touched it, its not my thing. my dr. gives methadone, and i am on the proper dose. i am not craving constantly, im not in withdrawal, but im not getting loaded off of it either. people with opiate tolerances dont really get "loaded" off of too much methadone, they just get sleepy. been there, not my thing. so again, i have no reason to "con my doctor". that so-called doctor that commented below? sorry, but his one-size-fits-all, cookie cutter style of treatment doesnt always work. life isnt black and white like that, its many, many shades of grey. my dr. even stopped giving me UAs because if i use, i just tell him! so some narcissist telling me im a liar just because "all addicts do this" and "all addicts say that"...it really doesnt matter to me. and he keeps saying whether i think he is a doctor or not is irrelevant to him, yet he puts all his specialties and credentials, trying to prove it to me. so which is it? if he can help people get clean, thats all that matters. but him saying he "wouldnt have me as a patient"? well that works for me b.c. i wouldnt have him for a dr. i am an individual, not a "typical junkie" popped out of a mold. and all the narcissim, condescention, insults etc? its not only unnecessary, its kinda pathetic. arguing with and trying to prove himself to an addict. i mean, he's supposedly a doctor; what does he care what some junkie thinks? i think about my drs., and they would NEVER get into some argument with an addict on a drug forum, listing their credentials, trying to prove themselves. i mean, really? but in the end, if he is helping even one addict stay off junk, then thats a good thing.

good luck in your quest to stay healthy. i know how you feel and how you struggle, believe me.

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169

There are generalizations that fit all addicts - GENERALLY. A big problem with these pseudo-certified "Addiction Medial Specialists" (that specialty does exist according to National Association of Medical Specialists); the "Certification means nothing) is that they tend to look at drugs users as addicts through the same narrow lens. ONE SIZE DOES NOT FIT ALL in treating folks with drug problems. Although I"m busy as Hell, I treat my patents as individuals — and when I absolutely have to be away, I can post date WRITTEN SCRIPTS or have my Admin. Asst., an NP with the Prescriptive Privilege. If I have to be away. I offer a N/C phone session. Many Internists and FPs I work with (we have pts in common) will pinch hit for me PRN. We have good outcomes in our Drug Treatment Program, too and I"m not the boss (we wrk together)

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170

Subutex is way cheaper then suboxone!!!!

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171

really?? i had no idea. when i was on buprenorphine, i was on subutex rather than suboxone, and yes it was fairly inexpensive. (i could not tolerate the naloxone and was switched to subutex after about 10 days) so its the naloxone that must be pricy, since my subutex was less than 20 dollars a month with insurance. thats a shame. what is the price difference if i may ask?

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172

Most posters are correct....if you want OFF the merry-go-round take the Suboxone and stick with a program. I was taking 300-350mg hydrocodone a day at my double digit year peak of addiction and went to rehab. Detoxed painlessly on Suboxone in 5 days and got out 30 days clean and was back on pills within the week....after that found DR to detox me who had no problem treating my ongoing pain from pancreatitis with the Suboxone....so I settled on lowest amount that managed it (8-12mg day) and 3 years later have not looked back. The Naloxone keeps me honest and how awesome is it to take one pill under tongue each morning and go off with no worries....no pill counting, no manic depressive behavior, no fear and best....no monthly WD nightmares. Subutex desire is sign you are not ready to give up the ride IMHO. Until you are, it will control you and not the other way around. With Suboxone, for a surgery all I had to do was stop 36 hours before and was able to take opiates for pain as RX....BUT....because buprenorphine has such a long half life and binds to mu receptors first, blocking full agonist opiates....there was no high and any relief took 2-3X normal dosages....my guess is all you stand to gain from Subutex is bouncing back and forth until caught in violation of a drug treatment agreement and back on the street.

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173

The only reason i had subutex instead of suboxone is because i have liver disease and chronic nausea, and the naloxone made me sick. And the only reason naloxone is in suboxone is to keep people from IV'ing it. Now, if one has a legitimate opiate tolerance, buprenorphine doesnt make you feel high anyway. So how is being on subutex any more "abusive" or whatever, than being on suboxone?

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174

I live in Tallahassee and the Tallahassee Memorial Behavioral director said my son, who has medicare/Medicaid is a good candidate for their Suboxone program. So, he was living in the woods in Kentucky where he was receiving his Suboxone, but, said he could come to Tallahassee and he'd be hooked up. Well, they would not accept him and nobody else is either. He was on Suboxone for eight years. He is in so much pain that he will take sometimes 60-90 Neutrons at one time and will still be hurting. He of course blames me, because I believed that director. He is also dually diagnosed. I feel so heartbroken.

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175

Hello? the naloxone didnt "keep you honest"...all it does is keep you from administering the bupe. intravenously. so again, i ask you, how does taking subutex rather than suboxone keep a person from wanting to get clean? you make no sense.

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176

you need to contact every buprenorphine doctor, every mental health professional, every addiction specialist you can and MAKE THEM HELP YOU! have you gone online to look up the buprenorphine doctors in your area? called every single one of them? you are just going to have to be the squeakiest wheel you can be until someone listens. being in the south may be tough with this...i am dealing with this in california and colorado, where the attitude re: addiction is a bit more liberal. even tho florida is passing out opiate meda like m&ms. good luck to you and dont give up! go on the bupe dr. registry online and call every friggin doc on there is you have to!

btw, what is a "neuron"? forgive me, i have not heard of that one.

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177

The whole reason they give you suboxone rather than subutex is so you dont take the subutex intravenously. YOU CAN NOT TAKE SUBUTEX SIMULTANEOUSLY WITH OTHER OPIATES OR YOU WILL GO INTO PRECIPITATED WITHDRAWALS! gawd, i wish you would figure that out already.

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178

Subtext got me off of OxyContin after 9 years of use. So I know it works. You need to talk to your doctor and you must be honest with him. A pain management doctor would be best. I have been on sub for the last nine years because I am still having chronic pain due to 4 hip replacement surgeries. If you have a history of chronic pain getting the Rx from the doc should not be a problem. Good luck

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179

And patients don't know this? Amazing!

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180

are you talking to me dr. joey? cuz, ya theres a poster on here named verwon thats going to send someone into a bad rattle telling people that its ok to take subutex with opiates. not cool. now i see theres a poster on another thread named susan saying the same thing. UGH.

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