Is there anything for tiredness w/bup?

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rob500
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Is there anything for tiredness w/bup?

Post by rob500 » Wed Dec 18, 2019 5:57 am

The side effect that is causing me problems is extreme tiredness.
I have increased dosage and get burst of energy for a few days but then I get used to higher dosage,tiredness returns and the higher dosage can make it worse.
Is there any medication that isn’t a form of amphetimine that can help with tiredness?

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Re: Is there anything for tiredness w/bup?

Post by suboxdoc » Wed Dec 18, 2019 11:04 am

By tiredness, are you referring to a lack of strength and stamina, or sleepiness? The BEST treatment for both would be exercise, which raises your metabolic rate even when you're not actively exercising. Most people have less sleepiness if they exercise at least every couple days.

Modafinil and its isomer, armodafinil, treat daytime sleepiness (Provigil and Nuvigil, respectively). They are controlled substances - schedule III I think -- but have less additive potential than amphetamines or methylphenidate. They work great when taken intermittently, for example by people who occasionally drive long distances and struggle to stay awake when driving. But when taken every day, people develop a partial tolerance to their effects. They are indicated for narcolepsy and for 'shift work sleep disorder', and for daytime sleepiness in people who are treated for sleep apnea (they are NOT a substitute for TREATING sleep apnea!).

They both used to be ridiculously expensive, but now with the goodRX coupon you can get 30 for less than $50 if you shop around.

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Re: Is there anything for tiredness w/bup?

Post by rule62 » Wed Dec 18, 2019 10:41 pm

It used to make me fairly tired until I reduced my dose down to 1-2 mg's per day. I still get a little drowsy but just working, keeping busy, and drinking a few cups of coffee help.

You probably don't want to reduce your dose but it's easier than you think. Most of it is mental. The body and mind get used to a low dose as long as you taper nice and slow.
Don't take yourself so damn seriously

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Re: Is there anything for tiredness w/bup?

Post by TeeJay » Thu Dec 19, 2019 12:41 am

Bath salts. :lol:

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Re: Is there anything for tiredness w/bup?

Post by BlueLight » Tue Dec 24, 2019 1:51 pm

rob500 wrote:
Wed Dec 18, 2019 5:57 am
The side effect that is causing me problems is extreme tiredness.
I have increased dosage and get burst of energy for a few days but then I get used to higher dosage,tiredness returns and the higher dosage can make it worse.
Is there any medication that isn’t a form of amphetimine that can help with tiredness?
Get your testosterone levels checked. The treatment facility I went to for extended IOP now asks / tests men regularly, especially if they are on Sublocade injections.

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wannaBdrugfree
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Re: Is there anything for tiredness w/bup?

Post by wannaBdrugfree » Sun Dec 29, 2019 5:26 pm

rule62 wrote:
Wed Dec 18, 2019 10:41 pm
It used to make me fairly tired until I reduced my dose down to 1-2 mg's per day. I still get a little drowsy but just working, keeping busy, and drinking a few cups of coffee help.

You probably don't want to reduce your dose but it's easier than you think. Most of it is mental. The body and mind get used to a low dose as long as you taper nice and slow.
I have the fatigue issue also. I have been putting off plans to reduce,but there is no time like the present.I also have tinnitus which I suspect is a side effect due to either the naloxone or buprenorphine and the length of time (10 years) on these medicines.I suspect quantity + length of time are part of the equation when it comes to side effects.My current dose is 6mg (4mg AM and 2mg PM). My target is 4mg. If I get down to 4mg and noticed an improvement on either or both the fatigue/tinnitus, it would bring joy! Once I get down to 4mg, I will post an update on whether or not threre is an improvement.

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Re: Is there anything for tiredness w/bup?

Post by BlueLight » Sun Dec 29, 2019 10:08 pm

wannaBdrugfree wrote:
Sun Dec 29, 2019 5:26 pm
rule62 wrote:
Wed Dec 18, 2019 10:41 pm
It used to make me fairly tired until I reduced my dose down to 1-2 mg's per day. I still get a little drowsy but just working, keeping busy, and drinking a few cups of coffee help.

You probably don't want to reduce your dose but it's easier than you think. Most of it is mental. The body and mind get used to a low dose as long as you taper nice and slow.
I have the fatigue issue also. I have been putting off plans to reduce,but there is no time like the present.I also have tinnitus which I suspect is a side effect due to either the naloxone or buprenorphine and the length of time (10 years) on these medicines.I suspect quantity + length of time are part of the equation when it comes to side effects.My current dose is 6mg (4mg AM and 2mg PM). My target is 4mg. If I get down to 4mg and noticed an improvement on either or both the fatigue/tinnitus, it would bring joy! Once I get down to 4mg, I will post an update on whether or not threre is an improvement.
This is something I’ve seen a lot here and Reddit. Recovering addicts on Suboxone for 5, 10, or 15 years start having some health issues and they always want to blame the Suboxone for some odd reason. You mentioned in another post about hot flashes. Have you had a full hormone and thyroid function work up/labs? It’s quite common to have tinnitus if you have hypothyroidism. It could be other things as well. As we age normal stuff starts happening that have no bearing on whether we are on Suboxone or not.

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wannaBdrugfree
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Re: Is there anything for tiredness w/bup?

Post by wannaBdrugfree » Mon Dec 30, 2019 11:13 am

BlueLight wrote:
Sun Dec 29, 2019 10:08 pm
wannaBdrugfree wrote:
Sun Dec 29, 2019 5:26 pm
rule62 wrote:
Wed Dec 18, 2019 10:41 pm
It used to make me fairly tired until I reduced my dose down to 1-2 mg's per day. I still get a little drowsy but just working, keeping busy, and drinking a few cups of coffee help.

You probably don't want to reduce your dose but it's easier than you think. Most of it is mental. The body and mind get used to a low dose as long as you taper nice and slow.
I have the fatigue issue also. I have been putting off plans to reduce,but there is no time like the present.I also have tinnitus which I suspect is a side effect due to either the naloxone or buprenorphine and the length of time (10 years) on these medicines.I suspect quantity + length of time are part of the equation when it comes to side effects.My current dose is 6mg (4mg AM and 2mg PM). My target is 4mg. If I get down to 4mg and noticed an improvement on either or both the fatigue/tinnitus, it would bring joy! Once I get down to 4mg, I will post an update on whether or not threre is an improvement.
This is something I’ve seen a lot here and Reddit. Recovering addicts on Suboxone for 5, 10, or 15 years start having some health issues and they always want to blame the Suboxone for some odd reason. You mentioned in another post about hot flashes. Have you had a full hormone and thyroid function work up/labs? It’s quite common to have tinnitus if you have hypothyroidism. It could be other things as well. As we age normal stuff starts happening that have no bearing on whether we are on Suboxone or not.
Along with the tinnitus at times my ears are completely plugged but usually only partially. I know that aspirin gives me tinnitus for sure. That is why I seldom take it. Suboxone is the only medication in my system.if the suboxone is not causing the tinnitus & plugged ears, we could look at several other possibilities.Allergies,wax build up,age etc.. One approach is to reduce as I said from 6mg to 4mg and report back. Either way,with Suboxone and whether or not it is causing these issues, the risks outweigh the rewards and I am not abandoning Suboxone. It works!

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Re: Is there anything for tiredness w/bup?

Post by LSD » Fri Jun 05, 2020 5:10 am

I would also recommended getting your testosterone levels checked. Suboxone can cause it to drop to unacceptable levels.
Apart from that the best way to stop feeling tired is exercise. It might take awhile to build up a routine but you will feel a lot better afterwards.
I am on 24mg a day and I don't feel tired at all, in fact I feel suboxone is the reason I am able to get so much done in a day, I don't even drink coffee.
I do Brazilian Jiu-jitsu 5x a week, yoga 5x a week and exercise (burpees, running etc) 5x a week. I also love to read books.

I might be an anomaly but I still think exercise is the solution.

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rule62
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Re: Is there anything for tiredness w/bup?

Post by rule62 » Fri Jun 05, 2020 10:48 pm

Long before I started taking Suboxone I had tinnitus. It didn't seem to make it worse or anything else regarding my hearing. Mine is so loud it sounds like I'm standing at Niagara Falls. Over time I've learned to just ignore it and that works. Mine was due to very loud music and concerts in my youth. Wish I knew then what I know now. The hissing, popping, rushing water sounds are just a normal day. Some times I can't hear what people are saying because it's so loud. One just learns to live with it.

My suggestion of getting down to 1 or 2 mg's still stands. It is easier than one thinks. We addicts fear w/d's so bad we won't even try unless there is no other way. What I told myself was that I could always go back up in dose and that helped my taper. To each their own.
Don't take yourself so damn seriously

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