Subutex To Methadone (Page 2)

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I go to the clinic and get methadone but missed a day, so i took a half a subutex. Within 15 min it sent me into immediate withdrawal. How long should i wait to take my methadone again? Is it going to send me into worse withdrawal?

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21

I've been taking opioids for 17 years, 5 on Subutex and you can go into Heavy withdrawal if you take as little as 2ml and Suboxone has the Naloxone but Subutex will also give major withdrawal if not used correctly, i cant endorse any Subutex abuse but will inform you of what i know for educational purposes only!! Before taking Subutex make sure that you are on about 20ml of methadone before switching and you have to be in withdrawal from the methadone to use Subutex otherwise you will be sick from withdrawal. The active ingredient is Buprenorphine derived from Thebaine. Do your research and be safe!!

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22

I made the same mistake today, missed a dose of methadone and took a subutex. I am wondering, were you ok when you took your next dose?

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23

you should be ok if u do the methadone AFTER the subs, but you might not feel the methadone much til all that sub is out of you. next time u miss your dose, dont do subs. u would be better off just waiting til u can get your dose the next day.

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24

So for future reference it would be wise for all to look at it this way: suboxone and subutex are the same damn thing. Sure one has poisonous naloxone and the other does not, but the naloxone does absolutly nothing due to the fact that the bupe is way stronger and doesn't even let it get off the bench and into the game! All the p.ws and blocking actions of both drugs are the same and is 100% caused by the bupe. The naloxone is only there to thwart generic competition due to how expensive it is. And it worked cuz look how long it took for generic suboxone to get here and how expensive it is. However some people who are sensitive or allergic to naloxone may have issues with it but other than that the naloxone gets "no time in the spotlight".

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25

Yes thank you. This verwon guy telling people that "as long as its just subutex your fine"....well he's just plain WRONG and i wish he would stop dispensing incorrect advice. ugh, this guy. I have been there PERSONALLY. Also the naloxone is in there so u cant abuse the subutex.

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26

No, subutex has NO naloxone. Suboxone has naloxone at a ratio of 4:1. Each can be abused equally. Naloxone makes no difference. The Bupe in both is what causes the horrible withdrawels but only if the receptor is active with a full opiod agonist. And these will occur even if taken sublingully.

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27

That was the worst response i've read in a long time. It's not the naloxone that causes precipitated withdrawals, it's the buprenorphine. Don't try to help someone when you don't know s*** about these drugs.

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28

I wanted to pass from the methadone program to subutex but i precipitated in withdrawal. Have been suffering for 3 days and now i am thinking to go back on the methadone program. I took subutex for only 3 days, i want to know if i will have withdrawals? Can anyone tell me?

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29

I was on and off of methadone for yrs...it has a 24-36 hr shelf life, so by missing one day there is no need to take something else. I know i personally made the HUGE mistake of being on Methadone and then taking a suboxone the next day and went into bad withdrawl in like 10 min...it scared me to death. Im happy to be off all of it now! I was clean an had a horrible brain injury but refused pain meds even though i needed them badle...Kratom works just as well for my pain and it is a plant. I have read lots of info on how people that had been on maintnence drugs for yrs and then started taking it to get off of all of it...not the over priced stuff that you get from a head shop, but the kind you order online...but if you try it do your research because there are lots of scam distributors online, also ive read it works best if your off Subs or Methadone to the point where your feeling it, to see how well it works for switching....just a thought, i just know i hated being on and off all of this for so many yrs...

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30

You are ABSOLUTELY right about that! Precipitated withdrawal symptoms are freaking horrible when you go from methadone to subtext in less than 48 hours. I thought I was going to die! I just thought being dope sick was bad. A doctor promised me that I wound not be sick if I took subtext instead of suboxone. He lied! I had to be put on 60mgs of morphine three times a day for 2 weeks Just to get 7 yes worth of methadone out of my system. Then I was prescribed 2 2mg subutex a day. I took 2 a day for 4 days, then 1 until all 28 were gone. Is been over a month since my last methadone dose and 5 days since my last subutex. I feel bad, my skin is burning, I have an anxious feeling in my chest constantly, I still can't sleep much, loss of appetite.

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31

yes its a damn shame that even some doctors dont realize this. i mean, if you cant trust the doctor.... and to everyone on here...PLEASE dont take any advice from VERWON on the subject of subutex and suboxone. this person states that its perfectly fine to take subutex after opiates. just like your doctor did. i am here to tell you that its NOT from very personal experience. like you said...i too thought i had experienced really bad withdrawals. that precipitated wd? o my holy hell. so ya, blow VERWON completely off. if you do "real" opiates and jump back onto that buprenorphine too soon? YIKES. subutex AND suboxone.

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32

Im pretty sure Verwon researches and finds the most common answer and assumes that the most common must be the correct one. Unfortunately there is much misinformation out there especially about suboxone/subutex. To here are the FACTS: Buprenorphine has a higher affinity for the opiate receptor vs almost all other opiods. When taken by someone under the influence of opiods, the bupe rips the other opiods off from the receptors, causing the brain to "have a tantrum". Picture a three year old with a lollipop in his mouth happy and smiling and enjoying himself. Now suddenly without warning rip that lollipop out of his mouth and what happens? Instant chaos. Naloxone is totally clinically useless. Through any Roa, bupe beats the naloxone. The original innovators put it in the mix to make the FDA feel safer allowing for it to be prescribed a month at a time to addicts. Also, it is expensive to make with naloxone making generic competition less likely.

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33

Don't wanna argue but from personal experience I've taken my 8mg subutex and few hrs later did 5 30mg roxys and was not sick I felt awesome! Just sayin! Idk about methadone though I assume the same.... keyword assume... also was admitted to hospital they know I take the subtex and had serious blood infection from a hemoraging cyst and they put me on morphine and diliud iv and wasn't sick at all... but everyone is different and I DO NOT suggest to follow what I've done in past I have a crazy tolerance with things I've done I'm lucky to be alive! I just wanted y'all to know my experience. Like I said we're all different physically and mentally! Thank you and I hope I don't upset anyone! I apologize if I do... this was my past and it was generic subs aka bupernorphine... I say listen to the ppl telling you to wait! My friend had opposite feeling I did so like I said we're all different! I worked for my old sub Dr so I've seen some be sick as he'll others just fine and some that did H while on it which we'd kick out after 3 strikes...

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34

No that is fine. Just dont try taking the subutex too soon after the opiates.it will put you into immediate precipitated withdrawal. The worst that will happen if you take other opiates too soon after
subs is that they will be blocked and relief will be minimal.

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35

Well I don't think its so much that "we are all different", which of course is true. i think in your case, its more that the OPIATES are all different. Keep in mind, most opiate pills are prescribed to be taken 3 or 4 times a day. Whereas methadone is VERY long acting. liquid methadone at a clinic is taken once daily, holding you for 24 hours+. thats why the suboxone docs make you wait at least 48 hours before switching you to the subs after methadone. So it makes perfect sense that you would be fine going from roxys to subs in 8 hours. When the precipitated wd's happened to me, i had taken a really good long acting opiate (and PLENTY of it) and took the subutex at 8 hours. mistake.

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36

I have been taking 8 mg Dilauda for a few years now I normally take 3-4 a day but I only had 4 mg around noon yesterday I want to start taking
Subutex and I am already in a stage of withdrawal.. does anyone kno how long the recommended time before taking Subutex after opiates..

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37

WAIT AS LONG AS POSSIBLE!!! i cannot stress this enough. i dont know exactly how long dilaudid takes to get out of your system, but with methadone its 48 hours minimum to be safe, before taking subs. And please dont listen to anyone on here who tries to tell you that since its SUBUTEX rather than SUBOXONE, you can take it right away. YOU CANT. i was always on subutex, NOT suboxone, and i took it 8-10 hours after opiates. BIG MISTAKE. i have never been in such horrible withdrawals. my husband started feeding me trazadone til i finally passed out. i was climbing the walls and begging him to knock me out or smother me with a pillow. it was AWFUL.

now if you are already in withdrawal, then you might be ok. sounds like its been at least 24 hours now for you. the key is being in withdrawal. i mean REAL withdrawal. you have to be getting pretty dang sick before you start the subs. i would wait as long as possible, but if you are getting really sick and think you are in full-on withdrawal, then you are probably ok to start. how much are you planning to take? do you have the 2mg pills or the 8 mg? i would start with a 2mg pill if you have those, and wait to see how you feel in about 45 min to an hour. if you start feeling worse, DO NOT TAKE ANY MORE. if you are ok, or even feeling a little better, take another 2mg. let me know how it goes.

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38

You absolutely cannot mix methadone and subutex together period. It will send you into almost immediate withdrawal. You have to be withdrawing pretty bad for it not to hurt you. Trust me! I go to the clinic and was on methadone and was switched to subutex like they told me. Ended up 2 days without for the switch and still ended up in immediate withdrawals. Good luck! Mixing these are never recommended!

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39

Exactly. You must wait until ALL those opiates are out of you or those subs will WRECK you, and depending on how much methadone you are on, 48 hours may not be enough, as u said. Methadone is so long-acting, it takes a while for it to all leave. Hell, with methadone, unlike with other opioids, you really aren't even full-on SICK for a day or two.

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40

I'm needing help with info on which will be the best one for me Subutex or Suboxone. I've been on hydocodone 10 pain meds for about 10 years now and I'm wanting my life back because it's all I think about especially if I get to running low. I take about 15-18 a day now about 4 every 3-4 hours and this terrible addition is taking every single dime I get, so I really don't know which would be the best for me? I'm just scared of going through the withdrawal. They say you have to be 24 hours free of any pain meds before you go for treatment. Help. Any info would be greatly appreciated.

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