jennjenn wrote: How much is sublocade suppose to deliver on a daily basis ? I didn't even know it existed until I saw this thread.
When I asked about Sublocade my suboxone nurse said it isn't a good option for me since I am under 8mg/day it would be like raising my dose. So I assume that means the lowest would give you equivalent to 8mg/day of the films?
I think it is more for people who are on "higher" doses? Like 8mg, 12mg, 16mg, etc. But I have no idea about different "strengths" and how much buprenorphine you would absorb daily. Does anyone know more about that?
Would be nice if smaller mg films were created, like 1mg & 0.5mg, for people tapering, because it gets ridiculous how small the pieces are! and Im not too confident that the films have the medication evenly distributed throughout each film. especially when you get down to the point of having to cut your film into 10+ pieces! LOL
Jess1208 wrote: Just a little worried because I already wake up in withdrawals every single day on my dose and I have heard and talked to a lot of people who had bad experiences with different generics.
You mentioned your a chronic pain patient as well, but having withdrawal symptoms in the morning. Are you only taking your Suboxone once per day, or are you splitting your daily dosage into 3 or 4 times per day?
I do take 2mg in the morning around 8am, and 2mg around 10am (I have to split the 4mg films because I have an extremely TINY tongue)... I tried the routine of dosing smaller amounts, more often, but it does not seem to make a difference for me
and if I take any of it in the afternoon or evening (even if it a small amount like .5mg), I am up ALL night, even with my Trazodone, I wont get any sleep. So I have discovered over the years that I can't really dose after like 2pm. Which sucks because of how I feel in the mornings, It would probably help my crappy morning-feelings if I took 2mg, 12 hours apart, But for some reason I would not be able to sleep at all, no matter how tired I am.
Its always been like that, even on "higher" doses, in the beginning of treatment being on 16mg to 20mg, back down to 16mg, and working my way down slowly, I have been at this dosage for a couple years now since I started lowering my dose within my first year I believe I was down to 8mg since I would always forget to take the second film and the extra half-film I figured I did not actually need that much per day... (almost 5 years total on MAT), and I have NEVER had pain relief of any kind from it.
I am so jealous of those who say they do get pain relief!!!! It honestly amazes me, because suboxone does not help my pain AT ALL. If it did, I would most likely be on a higher dose to benefit from that effect, but there is really no point for me to do that... Besides the feelings I get in the morning, truly feeling dope sick. I haven't mentioned it, because I know they will say there is no possible way I am experiencing or feeling withdrawal on 4mg/day. Many people here even deny me feeling this way. But I know there are others like me who do experience withdrawal feelings around that 24-hour mark.
I dont remember feeling that way on 8mg and higher. I just feel like I would be taking a step backward, ya know? Since my ultimate goal IS to get off someday. I am not in any rush though, as my health comes first. Pain was the reason I started using in the first place. So I do not want to risk relapsing until I have a treatment plan that is actually helping me. I feel like I am a slave to my body. I have no control over my life. Pain does.
I had to take a long break in my effort to successfully taper, since my chronic migraines have gotten much worse over the years, and once again consumed every aspect of my life, and I do not want to get off MAT until I have a treatment that is actually somewhat reliable.... It has been almost 20 years of this for me though (I am 27), I am not holding my breath for something that may actually help me, through all the trial and error, I have accepted that I will NEVER be migraine-free... but I won't give up trying to find something that can help me.
Maybe it WOULD be worth raising my dose just for now... To not feel like shit every single morning AND be in pain.. But I'm just not sure how much I would need to have it raised in order to take away that withdrawal-feeling and I don't really want to feel like I'm reversing all the work I had done to get down to 4mg. It does really suck. And I dont feel not-sick until around noon every single day. I take my first 2mg around 8am. Sometimes taking 1mg at a time, then another 1mg right after the first has completely dissolved, since I have a very small tongue and any larger pieces would not even fit properly under my tongue.
I just worry MAT will be completely taken away somehow, maybe not methadone, but these buprenorphine films.. and I would rather taper off before that possibly happens. Maybe I just need to suck up my pride and ask for a dose raise. I just feel the nurse and doctor wouldn't agree or allow it. But I have never given my clinic a reason not to trust me. My suboxone nurse knows about my migraines and I have always had clean UA's. I guess that is just an option I really need to think about. Anything that can make my life a little less-miserable is worth a thought.
Sorry for blabbering. I know this is really off topic but I wanted to respond to those questions that were asked.
Love you all