Just for cravings?

What dose of Suboxone do you take? Does your buprenorphine wear off? Do you have opioid withdrawal symptoms?
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mshaff2
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Just for cravings?

Post by mshaff2 » Mon Oct 21, 2019 8:35 am

Hello!
I've been a struggling addict for roughly 12 years. I've gotten clean and relapsed on my own more times than I can count. I recently started using Oxy's again but didn't fall as far down the addiction rabbit hole as I have in the past. I was using maybe 3 times a week, 100MG's each time. Before I slipped even further, I decided to talk to my psychiatrist.

He put me on Suboxone 8/2 twice a day to fight off my cravings. From what I read though, it seems that the majority of people are in pretty good withdrawals before they start on Suboxone. I didn't have any withdrawals because I was only using a few days a week, not every single day. This is definitely helping me from craving Oxy's and putting myself in sketchy situations to get the drugs, but is Suboxone really good to just help with cravings or should you really have a physical addiction as well?

Thanks in advance for your support and guidance!

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rule62
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Re: Just for cravings?

Post by rule62 » Mon Oct 21, 2019 12:47 pm

That decision is entirely up to you. Yes, it removes the physical craving when a person is addicted. But we are also addicted more so with our mind. We've seen numerous members here go back onto Suboxone sometimes a year or two later just to deal with the mental cravings. Meaning, they were clean the whole time.

Some may say you shouldn't have been put on it because you didn't have a physical addiction. You know yourself better than anyone. If you think it helps with the mental cravings then so be it. Good health going forward.
Don't take yourself so damn seriously

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Re: Just for cravings?

Post by mshaff2 » Mon Oct 21, 2019 12:53 pm

Thank you so much for your reply! The mental cravings have been my pitfall this go around and I really think that this is the right decision for me and I think I can see a future of no relapses because I have taken this step. I have my 2nd appointment on Wednesday and I'm going to discuss Subutex with my doctor. I've been having some really gnarly aches and pains all over my body and headaches from the Suboxone. I've been reading some older posts that Subutex seemed to help some people. I'm also not using my insurance for doctors' visits or my prescriptions and that is a cheaper option. I'm so happy I have found this wonderful forum. You all seem great and I look forward to having a community to chat with about our recovery.

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Re: Just for cravings?

Post by suboxdoc » Mon Oct 21, 2019 12:57 pm

I agree. I am always hesitant to raise someone's tolerance, for example someone taking only hydrocodone... but if you are taking 100 mg of oxycodone and surviving, you probably have a tolerance similar to what you get from a full daily dose of buprenorphine. And that's a dangerous amount of oxycodone to use intermittently - especially if you ever use other respiratory depressants like benzos.

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Amy-Work In Progress
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Re: Just for cravings?

Post by Amy-Work In Progress » Sat Oct 26, 2019 12:43 pm

Hi Mshaff2 and welcome to the forum!

Opioid Use Disorder tends to be insidiously persistent and progressive. Buprenorphine is useful in putting OUD into remission. It shuts up the part of the brain that drives us to use opioids. People tend to think that because they're not experiencing cravings they are cured, even getting to the point that they resent the medication. Yet, if they went off the medication they would, again, have the same cravings to use as before.

In order to go off buprenorphine and be able to handle the cravings, a person MUST work on their recovery! OUD requires an attention to several things. First, any pain or trauma that was numbed by using needs to be brought out into the light and processed. In my own case, I had to process the grief from my mother's sudden death and the anger I had toward my father. It took time with a therapist to help me process that pain. But I knew I would never heal without dealing with those issues.

Another crucial component to recovery is learning coping skills and relapse prevention skills to deal with cravings and negative emotions. In my work I see many who are unable to sit with difficult emotions and absolutely feel like jumping out of their skin to avoid them. It takes practice to feel the feelings we often have bottled up.

We also need to develop a support network of people who don't use. Already have one? Great! But make sure they know that you're in recovery so they can help keep you accountable. Recovery meetings can be a great source of support. I like SMART Recovery. SMART stands for Self-Management and Recovery Training. It doesn't have a spiritual component and relies on Cognitive Behavioral skills that help you make good decisions.

My recommendation is that you stay on buprenorphine for a couple of years before you attempt to taper off, using that time to work on your recovery. Then you can look at tapering off if you want.

I hope this post has been helpful to you and answered some questions.

Amy
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Re: Just for cravings?

Post by mshaff2 » Sat Oct 26, 2019 1:24 pm

Good Afternooon and thank you all for the helpful responses! I'm very happy to be apart of this group!! Today is my 8th day on Buprenorphine and I'm feeling great. I have had no cravings, no bad side effects, and actually feel like I can see a strong future being clean.

I guess my initial worry prior to starting Buprenorphine was that I was not in active withdrawals. While I have been physically dependent on Oxy in my past, I had not gotten to that point yet with my most recent relapse. In order to keep me from getting there, I spoke to my psych about Buprenorphine and here I am today :D

I have no intention of tapering any time soon and am going to immerse myself in a program to coincide with the Buprenorphine as you mentioned, Amy.

Wishing you all a wonderful Saturday and looking forward to chatting more!

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Re: Just for cravings?

Post by TeeJay » Fri Nov 29, 2019 11:35 pm

suboxdoc wrote:
Mon Oct 21, 2019 12:57 pm
I agree. I am always hesitant to raise someone's tolerance, for example someone taking only hydrocodone...
This reminds me of the couple of times I witnessed people with minor codeine addictions, end up on large doses of methadone, often due to a combination of an inexperienced addiction specialist, coupled with a patient who is seeking euphoria over sustainable treatment.

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Re: Just for cravings?

Post by jennjenn » Sun Dec 01, 2019 11:06 am

Amy is one thousand percent right, dealing with emotions that were numbed for so long is something that can take some ppl by surprise. I have seen it so much and some of them think that they have to keep taking something too like benzo's or marijuana in order to cope. They do not realize that part of working on your recovery is more than just taking the medication. Counseling, learning certain coping skills and just working through some trauma is key to recovery. Like myself, I had to work on the feelings of not having a relationship with my daughter. I have not been able to have a good relationship with her since she was 7 and she is now 18. I could not even speak her name when I entered recovery. The more and more I worked through it and talked about it, I am able to accept these issues. Not forget or forgive or even be forgiven, but to accept it.

Most of us have something that will require us to really work on it and learn to cope with it, some trauma. I know someone that was just recently discharged and it broke my heart because she just would not stop using because of the feelings she was having over losing a child to death and the other 4 were adopted out and she could not accept the pain unless she was taking benzo's. She just could not or would not accept that she could work through this or that & one day it would get easier.Now she is back on the street without treatment and I am heartbroken for her. This is so much more than physical addiction. The mental part of recovery can be massive. Just because you were not having physical withdrawals doesn't mean you should not take this medication. That is just my opinion but please take this time to really work on yourself because chances are you will have something that needs attention :)
Jennifer

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Re: Just for cravings?

Post by Swoops40 » Sat Mar 07, 2020 7:01 pm

TeeJay wrote:
Fri Nov 29, 2019 11:35 pm
suboxdoc wrote:
Mon Oct 21, 2019 12:57 pm
I agree. I am always hesitant to raise someone's tolerance, for example someone taking only hydrocodone...
This reminds me of the couple of times I witnessed people with minor codeine addictions, end up on large doses of methadone, often due to a combination of an inexperienced addiction specialist, coupled with a patient who is seeking euphoria over sustainable treatment.
Man this was me. I was taking 30-40mg Norcos a day for waaaaay longer than I needed to (started with a real injury). When my doc got busted by the DEA I had 2 weeks to get something off the streets (that’s what the first doc I called told me to do) but the second doc I called said ‘you need Suboxone!’ Now two years later I’m trying to work my way off the Subs. I haven’t craved or thought about opiates in 2 years, and I’d like to be done with the Subs once and for all. Wish I knew back then that this was overkill for my issue.

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Re: Just for cravings?

Post by docm2 » Sun Mar 08, 2020 9:40 am

There are times when MAT is started when a person has zero tolerance or low tolerances like Mshaff - glad you posted and hope you continue.
We are working with corrections to get people started on Suboxone prior to their release. They will be on Buprenorphine for 3-4 weeks and see me their first week out.
For those who historically had high tolerances, history of OD, hepatitis, heart valve damage Etc. and are fearful of relapse upon release.
I'll (re)start Buprenorphine if a person has tapered off Bup or DOC, struggling to stay clean and are fearful of using.
I agree with Amy and Jenn, more goes into treatment than medication.

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Re: Just for cravings?

Post by Lillyval » Tue Mar 24, 2020 3:23 pm

Docm2 - I was working with inmates prior to release for a while. Of course the DOC was trying to get everyone on Vivitrol, but I was one of the few people that supported inmates who wanted to resume their methadone or Suboxone after release. I remember telling people that they will probably start on 1/4 of a 2mg film and then maybe work up to 2-4mg/day. So one of my clients got released and I had a Suboxone appointment set up for him the same day. The doctor gave him 4mg to start and the client ended up vomiting violently for the rest of the day. It’s so frustrating! He said he’ll never take Suboxone again. So now he’s at unnecessary risk.

To the OP ( I just realized this is an old thread). I too spent more of my adult life as an active addict than not. I’m one of the people who went back on Suboxone without relapsing. I was very stressed, had treatment resistant depression and was presented with the opportunity to dabble in some Percs for a couple days. I knew the writing was on the wall, so I went back on with the support of my psychiatrist.

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