Precipitated withdrawal

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Took 4mg subutex and went into full blown rattle so scared of this and changing to methadone tomorrow as i cannot take withdrawals is this the right thing to do

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8 Replies

  • Posted

    Good call. PW is no joke. Hopefully you are doing so under the supervision of an addiction medicine specialist who should have his or her licence revoked for providing you with Subutex too soon after your last opiate use.

    I just got off suboxone after four years without any issues so text me if you need support.

    Good luck and I am sorry you are struggling.

    As a side note your message may clear up a big misconception for many other readers about the need for nalaxone ( in suboxone) to be present to create PW.

    Precipitated withdrawal can occur when an antagonist (or partial antagonist, such as buprenorphine) is administered to a patient dependent on full agonist opioids. ... It is a common misconception that the Naloxone in Suboxone initiates precipitated withdrawal. This is false.

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  • Posted

    It sounds like you have gone into precipitated withdrawals been given the subutex too soon switching to methadone may be the right decision I have never been on methadone I am on subutex on the 5th June I am having a community detox off the subutex this will be my 3rd attempt as struggled with paws the last 2 times and sadly relapsed. This time I am determined to make it work. Good luck and let me know how ur doing.
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    • Posted

      Hey Tex, I got off subs after fours years without any WD whatsoever and no paws. LMK if you want the taper schedule I used. It was very slow and drove my doctor crazy. He wanted me to jump off at 2mg and I gave him the finger.

      I finally let go at ZERO.125mg every third day for two months.

      It took me a year to get  there from 2mg but was totally worth it.

      Don't believe the horror stories...the key is the taper.

      Don't let your doc tell you to jump too soon or ...well you already know first hand what happens right.   god luck

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    • Posted

      Hi reg so pleased you managed to get off the subs congratulations this time round I'm doing a community detox getting prescribed lofexidine for the withdrawal beginning on 5th June unfortunately after my previous detox I did suffer quite bad with postacute withdrawal lasting 6months till I could take no more and relapsed but this time round i am determined to come out the other side however bad it gets I'm still shocked I was prescribed subutex for a 32 day nurofen plus addiction I had no idea i would still be battling 10 years later I just need the strength to get through this Thanks for taking the time to reply

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  • Posted

    Dear Louise,

    I'm sorry it took so long getting back to you.I don't check my E-mails every day like I probably should.

    Are you talking about getting into a Methadone maintenance program and using Methadone instead of subutex for opiate withdrawals? 

    Let me know and if you do mean getting into a program then we'll go from there.

                                                                          God bless

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  • Posted

    It took a while getting back to you.Sorry about that.I take it you are doing a lot better on Methadone treatment than the subutex.Take it slow Louise with a long term plan in mind of eventually titrating would be my advice.I'm 66 years old and have been on Methadone treatment going on 5 years now.But I'm slowly titrating.I'm down to 47 mils. now.And depending what's going on I may stay at 47 for 3 weeks or more or not.I'm not going to rush and I sincerely thank God that I don't have to on methadone maintenance.Only God and I really know what struggles I've had with addiction during my lifetime.

    Keep all of us informed about how you're doing OK? You hang in there.God bless. 

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