What Not To Say During Suboxone Appt (Page 10)
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My boyfriend has battled with heroin addiction for at least 2 years now. He was prescribed to before, but couldn't afford the maintenance program and ended up banging heroin again. He went back to his doctor to get a script for suboxone again last week, and the doctor wouldn't prescribe it to him. I found another dr who can prescribe suboxone nearby, and want to make sure he gets a script because he will die if he doesn't quit using. Does anyone know any reasons why a dr wouldn't prescribe suboxone? Thanks.

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It's rare they won't write it after you pay, tell them your drug history and tell them you have tried suboxone and it is the only thing that helps and keeps you off the other drugs (obviously if your an addict they already know you use illegal drugs so you won't get in trouble for off the street suboxone). They will do an intial drug test to see if you are really are in need and do have a problem) If you are serious about getting on the road to recovery let them know that.

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he will probably be able to get them relatively easy, there are some doctors that will prescribe to whoever walks in the door and says they need them. Suboxone does have an addictive component. If he has used them for a while then he is probably physically dependent and will suffer very uncomfortable withdrawal if he stops. The good thing about suboxone is that he can slowly taper down off them and if done that way the physical withdrawal is tolerable. the aspect they don't really talk about is mental dependence and withdrawal which can be just as powerful. Most people start doing drugs to escape, and without resolving the underlying causes you don't get very far. Also, to stop suboxone is very scary mentally and he needs a support system in place ie therapy, family, ect. Anxiety and mental stress of being totally sober can be harder than physical withdrawal for some people. I take suboxone but have also lived with a drug addict and know how angry you can get when they put the drug over everything else. My experience taught me a few things, 1 he has to want to stop, and has to do it himself no amount of help or pressuring will do it 2. stick to your guns whatever boundaries you have about this, don't let them be crossed without the known consequences 3. No one wants or sets out to be an addict, withdrawal sucks, and a substance controlling your life is one of the worst forms of slavery

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Thanks, Subl1ngual. I have always been very pro-Suboxone, especially when it saves lives like it does. People who rage against this medicine are usually part of the N.A crowd, they only focus on one method of sobriety, and aren't interested in people who are literally minutes from death..as long as they don't "swap one drug for another"....as they so eloquently put it...by using Suboxone. I have to wonder whats more important to them, how people stop using, or if people live through their ordeal or not.

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JM-
Thank you for your intelligent, well-thought-out, and informative posts.
Maybe some day i will post about my story; but i will say for now
that i am a Suboxone patient.
Appreciate your posts.
=)

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You are most likely the most close-minded person I have EVER heard of in my life!! INSANE!! Have you done the "been there and done that" thing with addiction?? It sure don't sound like it!!

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This is for alice,,& its ben awhile since you posted your story, but I had to at least write & mayb hopefully you will see it. I come on alot, and have never responded,to any posts, but had to with you. You do have a habit, but I can see that your head, mind, and heart are in the right place. I absolutely have no doubt that your lit girl is being well taken care of regardless of ur issue. There are parents that aren't on drugs that dont care that much. Its just the mother guilt that kills us the most & you have the right attitude on wut u need to do. And it is def a vicious cycle and sometimes alot harder to do. As far as the insurance thing, its not something your doctor sees & cps does not get contacted, and esp cuz u are gettn help. Many many parents go to methadone clinics with babies and all, even pregnant. I know from experience that cps will NOT take your child, and won't even be contacted unless needed for some major issue/concern. I will pray for you, and since you have posted this, I do hope things have worked out. But it sometimes takes a few trys. But don't give up, your a good mom & your kids need u. And sorry for your past, pay backs a b**** & he will get his... You will be in my thoughts, and don't EVER GIVE UP!! And I also know that u r one that can take care of your girl, you do deserve to have her.

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Wow thats about all i can say. I feel sp sorry for u but if u want to quit suboxone will help but as with any thing u half to want to quit, good luck

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Walgreens did the same s*** to me about my suboxone. She said come pick it up she wasnt filling it n to go to cvs across the street.

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I went to a doc n they wouldnt give it to me because I had told themI had went to pain mmanagement. Doc told me I need to be on my pain meds n not on suboxone so do not tell them if uve been in pain management.

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And you apparently don't look into the damn facts that were posted, like the sentencing guidelines being changed by ERIC HOLDER...you know, he's not a doctor or member of "big pharma", right? Try checking out the White House staff...he's there. So, you're "disease you can go to jail for" crock won't hold water much longer, because that's changing too. Keep on telling people who have been through it what you think of their addiction with your education...and zero experience in it at all. I like it when people tell me what I should feel or how I should act when they've never felt what I feel. And it's nice to see that there's always that one who doesn't understand, and refuses to change their ignorant minds about the facts regarding this. So keep spouting your crap....there's plenty of people who never had an addiction, just like you, who know more about addiction than the addicts who've spent years in it, and know what it's like.
It's good to know that someone out there knows more about what I've been through than I do...And I hope you get some kind of glorious recognition for coming here and posting your little belief system...instead of worrying about the thousands that die from addiction, you're worried about what the hell it's called. Way to be focused on the issues...
Maybe you'll get an award for being a narcissistic know-it-all, I bet you're proud of yourself. Does your arm hurt much from patting yourself on the back, seeing as how you're doing such good deeds by telling people how wrong they are, with your years of addiction medicine experience and your bought education - which lets you better tell people what they are feeling because, according to you, everyone else is too stupid to know what's going on. It's gotta be pretty lonely at the top of that pedastal you've placed yourself on. I was thinking you deserved a good spot in a much lower, much, much hotter place, but now I've stooped to personal attacks instead of the facts (which are purposely ignored to push your agenda on everyone).
What a waste this has been...you never clicked any of the links because "you already know"...why did I even bother responding to your ridiculous comment to begin with. I'm all ears for the next chapter of "I know it all and can tell you how you feel better than you can tell me"...so post away.

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You fly thousands of miles to see your doctor?!

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I am not passing judgement and I know all about the AMA. The AMA are at odds with the psychiatric community because the psychiatric community lists it as a dependency in the DSM not a disease. It cannot and never will be proven it is a disease. How can anyone say that addiction is a disease when the first time you took a drug you made a choice? There is no disease that makes you smoke, inject, snort or swallow a drug. I am only stating the facts and not pass judgement. Addiction is a choice and a behavioral problem and not a disease. Keep going to those 12 step programs. The only thing they do is try to re-program your mind. You need to start thinking for yourself and not take people's word for something without researching the problem on your own. And yes, big pharma has their hands in this too. They love it to be called a disease so they can sell their drugs. Hey if you want to be brainwashed into believing what your counselor and doctor says go right ahead but you know to call this a disease removes all responsibility for your actions. This is the only disease you can go to jail for. I don't see people robbing people for a bottle of insulin.

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i got into a bad car accident in 2000 i suffered lasting injuries that caused daily pain, and became quite addicted to fentenal . due to constant nagging from family i felt looked down on and week . i admit the addiction caused even more depression which caused anxiety and insomnia . i have been unable to work, lost interest in hobbies and social interaction , basically feeling hopeless and worthless. its been a nightmare of a rollercoaster ride. when i attempt to stop using opiates i crave other street drugs badly. Its a guaranteed failed attempt every time. I'm headed to go down the H road next. I've tried it 3 or 4 times and liked it a lot , to much. It scares the crap out of me how fast i could fall into that. I need serious help now before i can't ask for help any longer. A lot of my using is obvious, i know, however i wear myself out hiding so much of it too. the physical withdraws are off the hook and i can not make it through them, they don't EVER taper off. I live in a small town and we have plenty of dr's who prescribe pain meds but NONE who prescribe suboxin . I don't understand this. I make a two hour drive and find a Dr who will prescribe suboxin but i want it prescribed that day. I can't handle having to wait another three weeks for a second appt to get it. I have kicked the coke habit in the 90s to hitting the meth and alcohol extremely hard resulting in the car accident which landed me in the hospital then rehab. I had a few years clean but struggled with pain and it wore me down. I eventually gave in to opiates and it and now if i dont have those its so easy to score dope its not funny, and i just recently dabbled in H. My drug use is X 3 now, it really should be easier to be prescribed a med that will help me stay off the sh*t , instead of the sh*t being easier for me to selfdestruct with. I guess my question is are there dr's who will give me suboxin the day of my first visit? I need some help physically to be able to begin to help myself mentally.

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You know, it's annoying as h*ll to read what you've written, and know what's going on in the medical community. Apparently you DON'T know, so I'll give you some information: What did Eric Holder say about non-violent and low-level drug offenses, JUST LAST WEEK? Well, here - read it yourself:
theblaze.com/stories/2013/08/12/eric-holder-announces-major-shift-in-federal-drug-sentencing-policies
"If Holder's policies are implemented aggressively, they could mark one of the most significant changes in the way the federal criminal justice system handles drug cases since the government declared a war on drugs in the 1980s"
Wow..looks like that just shows how much space you wasted typing most of your normal "addiction is a choice" rhetoric that people like to spew.

How about what the ASAM summit said back in June 2013 at the summit they had?
Would you like to educate yourself, or just keep on believing that you're right and everyone else is wrong because you say so?

Why don't you watch these two vids and then come back and make some comments.
First:
youtu.be/X9nmv5r4PHc
Second:
youtu.be/aOIL5dI-nbc
Third:
youtu.be/AmqiU_AvG5Y

Now, instead of continuing along the path of ignorance, and spewing terms that make you try to sound intelligent (without posting ANY PROOF), go read proof of the changes being made to laws and the summit on addiction medicine that just happened less than 8 weeks ago. Empower yourself with the current happenings instead of just saying the same thing that everyone else loves to say about addicts...and quit trying to make it sound like an addict is someone who's a lower class or deserves to serve time because you don't know the difference difference in drug dependence and drug addiction. I may come off with an attitude, but this is the kind of verbal diarrhea that people just LOVE to say...and it's just that - VERBAL DIARRHEA. Go ahead and educate yourself...read something recent on the Federal shift in drug policy and sentencing guidelines. If you wanna read something that Obamacare may actually help -- and it's actually the only good thing that I've seen that's coming from Obamacare (at all)...then read what Obamacare is changing for addiction medicine and access to treatment.

Or, just keep on believing what you just know is factual in your own mind. It's a small world you must live in to have not already heard about the Fed changing sentencing guidelines....because they've been discussing it on national news outlets for the past 3-4 weeks...I know our local media has mentioned it and so has the other media outlets...more than just once or twice too. So quit hiding under a rock and ignoring the data that's been presented and the AMA's changes that are being made in regards to your so-called "choice" that people seem to make.

Maybe you could even take a little bit and learn about dopamine, the way that painkillers/opiates, heroin and other drugs affect dopamine and what happens after a while when dopamine levels are extremely high in the brain..and how the mu-opioid receptors will shut down, and cause a person to not feel high, but with the same intake of high amounts of drugs, they just feel normal. And they have to take more, and more, and more to just keep feeling normal. Maybe you could try and be open-minded to learning what goes on instead of just believing what everyone tells you...and teach yourself something you can use as factual...instead of typing a half-page essay and saying it's fact just because it's over 1000 words long. Simply because you're repeating some counselor's beliefs doesn't make it fact...nor have I ever seen what college-taught counselors could relate to addiction, other than being able to say "well, I read this and took a test or two in college"...that's ZERO real-life experience and gives way to this stigma that I despise so much about addiction and it's treatment.

Thanks for sharing your "version" of what you think is truth...do some googling and research on your own and find out for yourself instead of taking what you're told and running with it. It only makes you sound foolish when everything you said is disproven by just the stuff I listed above (and I mean the links to videos and the laws Eric Holder is trying to change, plus the sentencing guidelines being changed).

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You say it's a disease and not a choice. I sincerely disagree. Here's the thing, a person makes a choice the first time to get high. After that if you enjoy the high you keep getting high. Soon after your body becomes dependent on that drug. You see the first time a person used, that person had a choice. Now my counselor at my tratment facility believes like you that it is not a choice. She used an example. She said if it was a choice than how come some people can drink alcohol and not become an alcoholic while someone else can drink and become an alcoholic. Well, I have an explaination. The person that became an alcoholic, we don't know what was going on in that person's life. Maybe the person's spouse just left them, or maybe the person's spouse died, or something else unpleasant going on in that person's life and when they drank they noticed it numbed their pain and they kept on drinking until their body became dependent on alcohol. You know it's funny. Some people say it's a disease. Well, it's the only disease you can go to jail for having. I don't know any diabetics stealing for a shot of insulin. To say addiction is a disease, and you believe it than anything you do to get that drug removes your responsibility because you can say, "Oh that wasn't me. That was my disease!" The NA book even says you are powerless against your disease. Well, if you believe that you are screwed before you even get out of the gate. How can you fight to recover when you are being told you are powerless? Then they tell you well, the AMA states it is a disease. Really? Then how come there are so many doctors that tell you it is not a disease? Also, the AMA are at odds with the psychiatric community because psychiatrists says it is a dependence. Even the DSM desribes it as a dependence not a disease. Then you hear things like they did brain scans and there's a difference in the brains of addicts. You know you can manipulate data anyway you want. If you line up 10 brains and you find one that is different and then find out that brain belongs to an addict they say see! Their brains are different! But how many of the other brains belonged to an addict that didn't show a difference? We don't know. Also, how do we know that after so long using a drug, the drug didn't alter the brain? No, it's a choice. The first time, it's a choice. Sure keep using your body will become dependent on it. There is no disease that makes you stick a needle in your arm or snort a drug or drink an alcoholic beverage. Some addicts might not like to hear that it's not a disease because then the responsibility falls on them.

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Why would someone vote this post down? It isn't an opinion. I know plenty of parents and spouses that don't want to admit that their loved one is an addict but the truth is that if you are physically dependent on any opiate (codeine, morphine, oxycontin, oxycodone, HEROIN...etc.etc.) The drugs don't care if you came from a good family or if you have a good education and career.
If my first wife had told me go to rehab instead of telling me to go..., (you know what), we would probably still be married. Neither of realized the nature of addiction. It is a disease and was deemed so by the A.M.A. in the 1950's. I am sorry if I sound irritated but it is so frustrating to watch people making the same mistakes over and over again and passing judgment when they should be praying for compassion for themselves and for the ones that suffer. I have been on suboxone for two years and am in the middle of getting off of it and it is no fun. I can't sleep, I am very depressed and I have no energy

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i want suboxzone soooo bad..... i been buying off the street and getting low..... i have never been prescribed pain meds but been doing oxy heroin methadone off the street since i was sixtteen..... i dont even feel subs no more but i need them so i dont do meth or any other drugs..... im just scared they wont write me a script after i pay all that money? what do i do......

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Addiction is a terrible disease...and I wouldn't accuse him of trying to manipulate you, it's hard to tell someone who doesn't have an addiction exactly how bad the addiction is. Most people think that addiction is a choice...in their mind, they say "you're doing this to yourself, you're making a choice to be an addict"...but actually the physical and psychological effects won't let someone even consider not being an addict...you have to understand that it's not an option when you become dependent on something like opiates...going into withdrawals is not an option, because you know you'll not be a normal person until you get that opiate again.

Could he get a doctor to prescribe it now? Yes, most likely..because he's dependent on it. You need to support him in trying to legally become prescribed the meds instead of buying it illegally. The repercussions of buying and getting caught on the street are TERRIBLE and not something you want to face.

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Well my husband was @ the wrong place @ the wrong time. My husband was never a haroien addiction but was given this pill at first to get high. Now his body needs them so that he wont withdrawal he gets them off the street.Now he's trying to manipulate me by saying that he needs them to feel normal and that he wants to try to get them pracribe. I told him that he's not a haroin addiction why would he want to spend his life on that.so my qouestion is
Could he really get those things legally now or will it be hard for him.I'm praying that it will be. Tiered of this crap.

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Here is the skinny on withdrawal and migration from opiates to Suboxone, a mixture of burenorphine and naloxone. (note; suboxone is a trade name subutex is buprenorphine, an opiate based compound. Nalexone is an opiate antagonist used to block opiate receptors and to reverse narcotic overdose.) If you have a doctor or some access to Subutex it is much easier to switch from Heroin or methadone, morphine, etc., by using a strong dose of subutex for two weeks and then switching to suboxone. It is not advised to switch straight to suboxone as it does precipitate withdrawal. I know this from personal experience. After being on methadone for years I switched to suboxone through a study in San Francisco and it was terrible! I was awake and kicking for ten days straight with no hope of relief by using opiates because of the antagonist. I had been on 90 mg.s of methadone and tapered to 30 mg. over over several months.
Many methadone clinics and even some doctors will require you to go through this horrifying experience and it just isn't neccessary. Find a doctor that will titrate you properly. Also, recently after being on suboxone for two years I went to my doctor and was told that he had been audited by the FDA and had to take his long term patients off of suboxone as it is meant for helping withdrawal, not maintenance. This is not how the drug was introduced nor is it how it was described to me in any of my previous experiences with the drug. Frankly this drug has been an object of contention for quite some time now and I am not surprised that this happened but I wish it hadn't. I really advise anyone switching to suboxone to use it only to get off of opiates and then get off it ASAP because it IS an opiate and you will go thraough withdrawal PERIOD.

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