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Buprenorphine, Suboxone or Subutex – Which Do You Need?

Updated on July 13, 2008
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If you are addicted to opiates, do you need to take buprenorphine, Suboxone or Subutex – and what's the difference between these anyway?

Buprenorphine is an opiate, actually it's a partial opiate agonist (kind of like an opiate that doesn’t work that well) and it is the active "opiate" ingredient in both Suboxone and Subutex. Subutex and Suboxone are the only 2 FDA approved medications containing the opiate buprenorphine for use in the treatment of addiction.

Suboxone and Subutex – What's the Difference?

  • Both are pills that you take sublingually (let dissolve under the tongue).
  • Subutex is a pill that contains only one medicinal ingredient – buprenorphine
  • Suboxone is a pill that contains 2 medicinal ingredients – buprenorphine and Naloxone – in a 4-1 ratio.

Why are they different?

When you start taking buprenorphine, you will likely start with a couple of days of induction. A couple of days during which time your body is growing accustomed to the switch from your drug of abuse to the buprenorphine, and during which time your doctor will be adjusting the dosage to get optimal results.

During this induction phase, Subutex is often used. Some doctors prefer to use only Suboxone from the start.

After the induction phase you will be given Suboxone, which is a mixture of 2 drugs, buprenorphine and Naloxone, and you will stay on Suboxone until you decide to stop buprenorphine therapy entirely. Subutex is used only in the beginning (or in some cases for people with unique medical needs).

Why Does Suboxone Contain Naloxone?

One of the main reasons why people prefer Suboxone to methadone is that Suboxone can be prescribed in a take home dose of several weeks or a month, while methadone must be taken under supervision in a clinic each day.

One of the main reasons why Suboxone can be taken home is because it contains Naloxone, and that Naloxone makes it a lot tougher to abuse.

Naloxone is an opiate antagonist. If you were to take only Naloxone, you would not be able to feel the effects of any opiate type drugs. If you took a dose of Naloxone and then took heroin – you would not feel the heroin.

Suboxone is taken sublingually. When the pill is dissolved under the tongue – the buprenorphine in the pill is absorbed into the body, but the Naloxone is not. Naloxone just doesn't work very well sublingually.

If you take Suboxone as directed, sublingually, the Naloxone does not work, and you only get the effects of the opiate buprenorphine.

But

If you try to abuse Suboxone by injecting it, then the Naloxone is completely activated, and will block all of the effects of the buprenorphine. If you inject Suboxone, the Naloxone will fill the opiate receptors in the brain and not only will you not get high – you will go into an immediate and full state of opiate withdrawal.

So

The Naloxone in Suboxone makes it less likely abused, and since you probably won't abuse it, there is no reason why you can't take home a few weeks supply at a time.

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      BeckLeigh82 23 months ago

      Now I am more confused that when I googled this question!

      I'm 33. quick history:

      21 started meth (NEVER TOUCHED A DRUG IN MY LIFE)-complete stupidity I know!

      24 kicked the meth started Rx pain killers (any and everyone I could get my little hands on)

      30 realized I literally lost EVERYTHING to my addiction including my kids. Attempt #1 to get sober...

      31 realized cold turkey is NOT an option

      32 hello methadone (40-60 mg a day)

      33 *%#$@ METHADONE (if getting off ANYTHING was possible IT DAMN SURE ISNT METHADONE..

      So in the last 2 month I have COMPLETELY come clean to any and everyone who will listen (I have TONS of support..... WHO KNEW!??!)

      Now my question...

      A counselor suggested I try suboxone (in some form) bc of my HIGH RISK addiction habit. I'm literally addicted to everything I try. (Mental issue I'm sure)

      If I am 100% COMMITTED TO KICKING MY ADDICTION HABIT and I stay faithful to a sub program, would anyone who has "been there" recommend this? I'm at the end of my rope and so ready to quit. I want my life back (or start one lol) just somewhat confused about the possibility of subs only substituting one pill for another BUT IF IT MEANS BEING A NORMAL FUNCTIONING WIFE/MOTHER id GLADLY take one a day (in my opinion, it seems like if I'm GOING to have to take something everyday -drugs or otherwise- WHY NOT take something that makes u sane again!?) am I naive In my thinking??? Please help ☺️

    • profile image

      gerri 2 years ago

      All i know is i am an opiate addict who went from normal life to shooting heroin to behind walls. Since that day i have never been who i was before it all began. Yes you have a part of your brain that stops working because the drugs overload what that part used to do. So anti-depressants is most likely a must. Look it all up on internet before u make decisions. I been back and forth almost 20 ,long years now

    • profile image

      Earthson 5 years ago

      Thats semi-synthetic opiate there " pharmacy tech"

    • profile image

      MAXIMUS OC, CA 5 years ago

      pretty sure subutex wasnt taken off the markey cause i just got prescribed subutex the other day. i know more about most opiates and anti opiates whatever you wanna call them cause i worked as a pharmacy tech and used most of my inventory XD.

    • profile image

      Dave 5 years ago

      I started taking subutex to get off the h and it was going great. I never wanted to take suboxone because of the extra crop in it. Then all of the sudden the ct government changed the regulation and they no longer prescribe subutex only suboxone. So now I can only get suboxone and the withdraw feels like crap. I was down to about 1 mg of or less then all of the sudden I couldn't get it anymore. What gives? I could have been done by now instead I have to deal with feeling like crap from suboxone and have to pay more because of course there is no generic version. These people are right about it being short term as the best use. I was a heavy user and was able to feel fine after the short term taper. If you can get yourself at least 4 8mg subs on the street do that and save yourself the trouble. I have been trying to taper off for 2 years now don't put yourself through that. My doc makes $120 a visit from EACH patient. They really are in it for the money. Oh yeah and she just told me this month period are going to have to start coming every two weeks do that would be 240 a month for everyone on bupes and she's got a lot. It's all about money. Do the short term taper on your own of you can get sold of enough bupes

    • profile image

      Dave 5 years ago

      I started taking subutex to get off the h and it was going great. I never wanted to take suboxone because of the extra crop in it. Then all of the sudden the ct government changed the regulation and they no longer prescribe subutex only suboxone. So now I can only get suboxone and the withdraw feels like crap. I was down to about 1 mg of or less then all of the sudden I couldn't get it anymore. What gives? I could have been done by now instead I have to deal with feeling like crap from suboxone and have to pay more because of course there is no generic version. These people are right about it being short term as the best use. I was a heavy user and was able to feel fine after the short term taper. If you can get yourself at least 4 8mg subs on the street do that and save yourself the trouble. I have been trying to taper off for 2 years now don't put yourself through that. My doc makes $120 a visit from EACH patient. They really are in it for the money. Oh yeah and she just told me this month period are going to have to start coming every two weeks do that would be 240 a month for everyone on bupes and she's got a lot. It's all about money. Do the short term taper on your own of you can get sold of enough bupes

    • profile image

      My Truth Again 5 years ago

      If you are addicted to Opiates and you take these medications to get better in my opinion you are not giving up one drug for another! First of all you already have an addiction issue and will most likely continue using, so with these medications, Subutex ,my choice. Having that Blocker added to it simply helps you stop the longing for something new or trying to get your hands on anything to feel better or just good or feel great for that matter! If you are being responsible and seeing a Doctor who sees and tests you regularly you are doing the BEST thing for your life! This drug has changed my life and the lives of some other people I know ,so stick with the Doctors orders, be truthful and find the help you need! Please know my thoughts and prayers are with you all those who just want to be better . If you are truthfully living with chronic pain and not just using for fun this long term is the way to go! If you are using for fun perhaps you can handle using just long enough to get off with little to no pain! It doesn't mean those cravings won't come back though and pretty fast too! I think this is why I love my choice of getting off the mighty merry go round because I was on for pain, but I loved the feeling I got! Tons of energy and a huge personality:) But I really love the fact that these medications have given me the strength to turn other drugs away and never ever have a single thought for them again! Everything will be a distant memory and you will think wow I cant believe how much I needed those? Thank you Lord for sending them to me for my life as I am a mother of older children who must have thought what was up with mom? Never the less mom is back!! They have changed my life and I am so much better without that terrible daily habit! Again everyone is different, so I hope this will help someone?! Please don't forget to find the right Doctor and if you ever go to a Doctor who suggests Methadone as a treatment, get up and run right out the door those are the Doctors to avoid? Good Luck People May the Lord be with you all no matter what path you choose but stop running from all the pain and face your world :) Please get Help! xoxoxooxxoxoxxoxoxoxox Love n prayers from MY Truth

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      My Truth 5 years ago

      I started taking Subs about 3 years ago after a 5 year addiction for various pain for medications of all kinds and strengths! Some were prescribed some I just sought out and found easily as long as I had the cash and I always had the cash! Anyway I know most of the people on this sight are against these medications and I do agree that with lon term depression first taking them was rough! I felt better as far as a clear head for the first time in a long time but needed to take an antidepressant anyway! I am much, much better now and you could put a handful of any drug in my face and offer them to me for FREE and I would throw them right back at you! I think the invention of these medications has been a life savor for my life! I have not needed a dose change and have been on the same amour for 3 full years! The way my Dr put it to me is you either live with Cronic pain forever and stay on the roller coaster of pain pills or try staying on these and realize you just might need them for a long long time to come! I agree I may have been a little more excited and exciting to party with when using? But I am finally me again and they are truly a miracle! Stay away from ANY Methadone program without the Blocker it just doesn't make sense nor does it work or truly help Now that program is a nightmare!! It is also more addictive then anything! Good luck to all of you and stick with whatever works for you best everyone is different! For me I would most likely be dead without these pills! I just wish it were as easy to quite everything all together and live the perfect clean life, but for most it simply isn't the case, so be realistic have faith you will find what works for you:) Peace n Love

    • profile image

      Earthson 5 years ago

      The last 4 posts are one of the reasons the Feds' make

      manufacturers take a simple helpfull med' & make it into a

      poly based piece of shit that doesnt even dissolve in your digestive tract !

      Actually, the idiot that posted above me is just a human

      piece o shit, period.

      Also buprenorphine is not a DOC, it is a tool, you asswipe...

    • profile image

      MikeWhitey 5 years ago

      Hey All,

      Okay, I am just a white college guy looking to come help one another out! I got a car and a rx for subs, kpin and adderalls. I also have enough cash too.

      I need some raw or some pills but Im not bout to go cop downtown or some shit cuz well, I am what I am. But I am a straight up fucking dude and would never dick around.

      Hit me up and I'll COME TO YOU and that is AS SOON AS you're tryin to!!!!

      No jokes on my end people- just really hoping to help one another and I will make that easy as possible for you!

      First, email me then Ill give u my # and were off. Thanks dudes. Take care.

      Please EMAIL ME ASAP ----Mrenner86@gmail.com

    • profile image

      qlddanny 5 years ago

      ps... i get smashed on my subutex, not like on hammer but still pretty smashed... when injected the half life comes down to about 30 hours. at least this is my experience.. also none of the above mentioned drugs end up being short term . so if your foolish enough to try them you can expect to be involved for the rest of your life.. which in my experience wont be a great one for you or those around you...having said that i have known 2 people in 20 years who did manage to give up...finally methodone or prescription meds etc dont count as being clean(in my opinion) :)

    • profile image

      qlddanny 5 years ago

      sorry posted by accident,,,,,,,

      4. if you wanna do quick reductions, it may work(wont be fun) but statistically 90% of patients return to some form of opiate.

      I dont care about you haters id rather be shooting subutex for a few bucks a day than spend 100s on oxy/herion or mscontin. and would rather deal qith a chemist than a dealer..

      no a doctor cant tell if you had 2 tabs or 3....

    • profile image

      qlddanny 5 years ago

      ive been on subutex/suboxone for 9 years.methodone ,herion and ms contin for 10 years before that.... im not qualified but prob know more than most doctors about real world effects of injecting these substances...

      1st. the difference between subutex and suboxone is insignificant

      2nd. you can shoot them all including film

      3rd. you cant get precipitated withdrawel with out opiate dependance ,ie you can have occasional oxy or ms whilst on suby program

    • profile image

      fuck you stupid fucks! 5 years ago

      suboxone is hard to come off of period!unless only used for a few days!I have been in rehab and rehab and rehab trying to stop subs! suboxone is my new drug of choice!

    • profile image

      George DiAgosta 5 years ago

      This dude is retarded & knows Nothing about Suboxone whatsoever. Shooting subs does not send you into withdrawal, it actually gets you high as hell.also, the blocker myth is exactly just that.I used to shoot subs when I didn't have diesel but one day about 3 hours after shooting some sub,I got Dope & to date,that was the highest I've ever been.also, a guy I know was overdosing on Dope & his girl put a Sub under his tongue & revived him immediately. Stupid ass house nigga!

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      blakbird4 5 years ago

      used lady h for 10 years, used methadone to get out of the lifestlye, 5 years, found out I have fibromalgia and hernated disks, few years ago, started suboxone, insurance wont pay so I'm playing the circle jerk with doctors and insurance to get back to suboxone until I can build up my bodies core , started yoga and working out, now I'm 30 , really gotta take care of my body, also have bipolar, so the suboxone works as a great antidepressent, only taking 8-16 mg. also I work 6 days a week as a cook. I'm honestly trying to do the best I can in this situation, been clean from herion for 6 years. pissed off with limits on help for us ex junkees. sorry for bad grammar.

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      kelkel 5 years ago

      Don't know how to start new hub with web address and not in frame of mind to figure out. Hope ok to post here. Anyone who did not PLAN to try HEROIN but did b/c ran out of prescribed opiate meds?Main question is if wasn't doing much and for 2mos on and off, say 3-4bags a day how to not go through witdhrawl or do you if you have your opiates to fall back on. Plan is to get off this ride and get a good life back. Embarrassed even posting this!

    • profile image

      EarthSon 5 years ago

      Subutex is not going make you feel any different than Suboxone if you are taking it sublingualy

      You are going to go through w/d's when you come off of Bupe' the smaller the amount, the less you'll experience for a shorter amount of time..(.25mg) every other day for a week to 10 days is ideal.

    • profile image

      mickey.d 5 years ago

      Can anyone/someone tell me where I can get plain SUBUTEX

      in New Hampshire. Suboxone depresses the heck out of me, and I have no insurance. Need some help here, will I'm willing to travel up to 50 miles, 75 if necessary.

    • profile image

      JamesAnthony 5 years ago

      Hey my names is Anthony. i was hoping someone on this forum could help me with my Subutex problem. i was doing about 500 mg of roxicodone a day, for a little past 6 years.And I quit :) but was put on subutex, I've been on subutex for 20 days today. cutting down over that time ( started taking 8mg witch wasn't even enough but toughed it out) now i'm down to 1-2 mg, usually 1mg if i can do it once a day. but i'm still getting sick when i try to stop: bad body pains, RLS, the works. I guess i wanted to know should i stop taking subutex tomorrow and fight it out or is there a chance i need to be on a longer regiment. someone told me that i was just using a lot of opiates and withdrawals could last months.and someone else told me i should have switched to suboxone. Don't know what to believe lol. I really appreciate any help you can give me. I wanna be done with this stuff and off subutex .

      Thanks Everyone

      Anthony

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      subutexter 5 years ago

      Accidently hit submit but I needed to post what I had written anyway. I am not and I refuse to give all of these M.D.s on this board, the satisfaction of an argument from whom they deem an addict. BTW, my father is on a plethora of heart meds that he takes every single day..... I guess he is a beta-blocker addict. Lol....people general amaze and amuse me. Anyway, please stop making posts which you are not qualified to make, educationally and experience-wise. One last thought....to the little GIRL who threw her husband away because of a sickness, kudos to you, you managed to one up your ex-husband and did something much more serious than "replacing one addiction for another"....bravo, way to go! You successfully broke your marriage vows by throwing stones. I hope I get to hear your judgment one day, and take a quarter of an 8mg sub to continue my weening, even if it continues until I reach heaven and my Father!

    • profile image

      cylis 5 years ago

      All the posts here inspired me to start a journal/blog about me starting to take suboxone. Check it out:

      http://www.blogaboutsuboxone.com

      Please leave comments and check back every day or so... thanks!

    • profile image

      Truth 5 years ago

      @ R (5 weeks ago): You didn't read what I wrote in the proper context. I myself an not on the Buprenorphine/Naloxone combo called Suboxone. I WAS, however, my doctor put me on the single Buprenorphine form called Subutex.

      Flat out, I am TELLING YOU based on my experience as an ex heroin/oxycodone/oxymorphone addict whom hasn't used in two years and has since been on methadone, and then switched to suboxone, and switched to and currently on subutex... Tapering while on Suboxone (Bupe/Nalox) was very difficult. I was initially on 24 mg daily (three 8s) and once stabilized, I began titrating down -- or tried to. I couldn't go more than a milligram or two at a time without feeling less-than-comfortable. When I lost my health insurance, my doctor put me on Subutex (Bupe) and I noticed a couple of things. 1) I didn't feel space-brained anymore and 2) after about a week, I didn't need to take it every morning anymore. On Suboxone, I would feel crappy and couldn't start my day before taking my dose. But on Subutex, I can go a good 36 to 48 hours between doses. This helped me to titrate down quite easily. I am currently at 6 to 8 milligrams daily, and I got down this low in a couple of months. On Suboxone, I feel like such a decrease would have taken a year!

      This is my own personal account. A couple of other folks I know share similar experiences with me in regard to their Suboxone/Subutex taper. I don't know. Maybe it's just us. But I've read similar stuff on other forums over at bluelight and opiophile so I highly doubt it.

      One last thing: Your tone, saying you'd not believe some opiate addict over the accepted medical documentation... Your bias and stereotype shows through quite clearly. You really should not underestimate the education level and career types of us downtrodden, naive, pathetic opiate addicts that you're apparently so much better than. I am a degree holding business/IT professional, a homeowner, have my own family, and happened to get hooked on opiates thanks to an overzealous doctor that told me my high dose was for my quality of life given my several disc herniations. I'm not some kid that decided to get stoned one day. I ended up using heroin because I was too ashamed and afraid to tell my family & doctor about how bad my addiction had become, and I was running out of money trying to keep myself out of withdrawal so that I could go to work and be the breadwinner for those depending on me; heroin was cheaper, but ultimately, disastrous and after a month I finally looked into getting help. I did everything on my own, and I've not relapsed once. What's your story, hot shot?!

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      dawnalla 5 years ago

      Roberta, I also wanted to add, don't beat yourself up too much, at least you are off the Herion and Oxy's, not running around every day looking for stuff. If you could get your suboxone down to a lower level for each day it would be worth it to even take 1/2 a pill a day if it would keep you clean, out of jail and safe. Don't think about getting completely off of suboxone, just think of cutting down for right now. If you set realistic goals for yourself you will not fail.

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      Dawnalla 5 years ago

      Roberta there is a taper schedule with Suboxone that SEVERAL people have used to successfully get off of suboxone. It is from Robert_325. You start by slowly tapering off from your 12 mg a day. You would need to drop the dose by 25% or 1/4 every four days or so. That is if you will reduce by 25% of the total daily dose and maintain that dose for a period of four full days while experiencing no w/d symptoms it’s safe to reduce again by another 25% and expect the same results. If you experience any w/d symptoms during the four day period you can take .5mg sliver and the w/d symptoms usually dissipate immediately. If you require slivers to remain stable at any level you should start over the next day trying to put four days together again. He has another method for when you are at a very low level but that would not apply to you at this time. Hope this helps.

    • profile image

      roberta 5 years ago

      roberta ive been take suboxone subutex for 6 years on and off with my use and bing clean im back on it and ive had mager issuse in jail 30 days i was so sick thirty days i ate sub soon as i got home how the fuck can i get off it i take about 12 millis a day should i get back on oxy and taper wit that or taper done wit the subs but its to hard every time i feela lil sick ill take more but i cant afford this docter and sub habit i got tryen to get off hard core herion and oxy roxi u name it any ideas wit the best way to become opiate free

    • profile image

      zach 5 years ago

      This dude is all wrong weather dissolved under your tongue or injected the naloxone work fine, and if you decide to inject it you WILL NOT go into withdrawl. Only if you are on other opiates and consume nalaxone will you go into precipitated withdrawl syndrom, which is horrid. Be sure that you don't take subs while you have any other opiates in your system....people who don't knoa what they are talking about should speak and direct people in the wrong way. I do however agree with tony if you need the help get it. Subs have saved my life, if not for them I would be a homeless junkie on the street stealing anything I could to get my daily fix until my inevitable death. Thanks to subs I'm no longer a statistic.

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      Tony 5 years ago

      I think some of the people on here should be thrown in prison. It is bullshit that you are detouring people from getting help. I have been on subs for 5 years and have not abused it at all or felt depressed in any way. I am taking less than recommended but still it works for me. I choose to be on it long term because I feel that if I do get off them I will be tempted to go back to heroin witch I was on since the early 90's. GET THE HELP YOU NEED TAKE SUB'S and get your life back. You only feel the way that the first guy said if you are already have a chemical imbalance. I am on two 8 mg strips a day and am only taking 1/2 a 8 mg strip a day now and I feel better than I have in YEARS! Do what is right for you and take the advise of your doctor because that is what they went to school for. A wise man once told me that "It was my best efforts at practicing medicine that got me into this situation" and it is a philosophy I live by now.

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      Gina 5 years ago

      My bf is one ex heroine addict

      Is taking Sub in the last year ...

      I m afraid he will go back to heroine ...

      Want him to stop with all ...

      He can't have anything in control I feel

      He is so restless

      Sex suck

      Complaining that I to hot in the room we sleep

      He lie I feel

      What can I do ?

      Thanks

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      James Anthony 5 years ago

      I'm not disagreeing with any of you. Everyone is different depending on what you were doing and how much. But i was on Almost 500mg of Roxicodone a day. Withdrawls were too Crazy.Decided after 7 years i needed to quit. The worst Part was at first and I had to bare 26 hours of Withdrawals then took 12mg of Subutex and every 4 days cut down a little, Till i was at 2mg of Subutex After 24 days i just stopped taking it. One to two days later i felt very minor Withdrawals for 1 day and after that felt great not 100% but 90% to 95%. Way better then before.

      If you listen to your doctor and also make sure he knows his s*it you'll be fine. This is just my story But i hope it helps

      -JamesAnthony

    • profile image

      Earthson 5 years ago

      Yeah...be a sheep & believe a fictional book about a 3000 year old david copperfield, that will really help

      Baaahhhh Thats probably wht yer' a drug addict You Think your a christian. Baaaaahhh.

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      pat 5 years ago

      suboxone/subutex works well if you need it. I have been taking it for a while i tried every other way to get off and stay off d's and oxy. The only thing that worked was subs. Everyone is different and some people can get off pain med easier than others. If you can get off then without suboxone maintence then by all means do it. It will save you alot of money and make your life easier, but some simply need something to help them. Suboxone does not get you high like full blown opiets, you can feel it but is a mild buzz it is designed to take cravings away and prevent withdrawls. It is expensive, but it has been the only thing that i have tried that has let me get my life back together, and that is the whole reason of suboxone. Most sub doctors do not know enough about the medicine and does not know the correct way to taper you. When tapered CORRECTLY withdrawls will not be bad just a little energy loss for a few weeks should be the worst withdrawl symptom you should have, another thing that has helped me more than anything is Jesus Christ. PRAY,READ THE BIBLE, AND GO TO CHURCH, AND BELIEVE. THAT WILL HELP YOU MORE THAN ANYTHING.

    • profile image

      tara 5 years ago

      need take drug test got cleam pee person only took quater, is it in his system?

    • profile image

      Earthson 5 years ago

      I agree with most of your post (Kristen) & you are very edjucated on this subject with the exception of the Dr.'s that are allowed to prescribe sub' I believe half are quacks & just in it for the money. When I was first prescribed subutex 5 years ago-I percieved my dr. as smart at his profession. He told me there are 0 withdrawl symptons when your ready to quit & I could take 3- 8mg. tabs' a day, if we thought it would work better-I figured out in less than 6 months that 4 mgs' is more than enough, (I use 2-4 mg.'s in conjunction w/ other med' for chronic pain) he just started telling me in the last year how less is much better & I think thats just because he has 300 patients to observe & thats the only way he learned how the drug works. Hah, when I told him 4 years ago that I thought 4mg's might even be too much he laughed & said "how could that be if its the opposite with most pain meds"? Well I feel he is finally qualified to prescribe it & I do respect him, but there was a couple times in the past I thought about telling him to learn more about this drug other than just using his patients as guinea pigs. I know more than half of Dr.'s that prescribe sub' care less how it affects their patients.

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      Kristen the RN 5 years ago

      Hello everyone!

      I have to comment. I just don't agree with what is being posted.

      Not only am I a recovered opiate addict (I abused prescription pills such as Oxycodone and Hydrocodone, never used Heroin), but I am also a Registered Nurse. I have four years of training and schooling and multiple years of experience. I have not touched prescription pills in years. I took Suboxone medication as prescribed along with counseling and alternating my lifestyle to recover.

      I talk with you, as I look from both sides of looking glass. On one side, I am a recovered addict and on the other I am a medical professional.

      From the recovering addict side, I can understand your frustration about wanting to get clean and better your life. Your doctor excited you about a solution, known as Suboxone/Subutex, that would help you on your way to recovery. This is no miracle drug as many of you claim your doctor said it was. If you are trying to recover, you have obviously realized by now, that taking a substance (another drug) to help ease the withdrawal of a substance (your drug of choice) is not the answer to your problems and will certainly not solve them. (This includes Suboxone/Subutex. It is helpful, but not the answer). The purpose of Suboxone is to help ease withdrawal symptoms while you seek counseling, therapy and adjust the behaviors in your life that have contributed to the development of your addiction. Suboxone puts the physical pain on hold, while the mental issues surface and are resolved within time.

      If for one moment you think it was supposed to be as easy as "I'll quit heroin/oxys and take Suboxone, skip the bad parts, and be on with my life" you are incredibly mistaken. Suboxone is only to be of aid for your recovery, not your solution. Six months is reasonable for the amount of time it make take one to reach a point where they are confident in their recovery, where they feel they can stay off the bad stuff. Everyone is different. Of course less time on medication if preferred, some make take longer to feel confident. Either way, it should be carefully documented and monitored by a professional doctor and the dose should steadily be tapered down to as low as .25mg every day, every other and every third day. If you do this, with the help of counseling, positive influences in your life, work, school and staying busy, while COMPLETELY following a scheduled regiment, you will feel very little to no withdrawal symptoms whatsoever.

      From a medical stand point: No. Your doctors are not lying to you when they say this drug is beneficial. No. You are not ingesting Naloxone by taking Suboxone like you are supposed to. Transorally, sublingually- aka under your tongue. If you are ingesting Suboxone by other methods, the kind of methods you would use if you were trying to get high by your drug of choice (which is so contradictory to the entire purpose of using the drug), then the Naloxone can be absorbed. Your conspiracy theories have no place in the world of medicine as it is science. Although it isn't always, this pharmaceutical science regarding Naloxone, is exact.

      I read all these stories of self-declared

      "recovering addicts" talking about how the snort their (or someone else's) Suboxone and Subutex and when they start to detox, they use Ambien and Xanax and all these other PILLS to help "manage" their withdrawal (many of which as probably someone else's prescription, too). This upsets me to no end. You are not in recovery if you are using an abundance other prescription medications to help you recover! It is absurd! You will never stay clean this way.

      Speaking of science, does it ever occur to people how these other drugs could be affecting their withdrawal symptoms and recovery? Xanax has a tendency to leave a "hangover effect" to put it in terms people can understand. Yes, you take it to help you fall asleep, but then you complain that for 14 days of detox and taking Xanax and Ambien ever night, that you woke up feeling tired. Well, no kidding! You took Xanax 12 hours ago!

      Furthermore, I get extremely frustrated seeing people blame this all on Suboxone and the doctors that prescribed it to them. It is not a doctor's fault that you became addicted to Oxy or Heroin. Even if the doctor prescribed you the meds, it is your responsibility as a patient to be an advocate for your own health. You need to ask questions and be aware. People love doctors that write prescriptions that make them feel better, but hate them when the patient realizes they have become dependent and experience withdrawal. How absurd! If we told you, while you are complaining of incredible insatiable pain, that we refuse to write you a prescription for pain killers which would alleviate your symptoms because of the addictive tendencies, you would hate us then too!

      If you are trying to get clean, get back to basics. Eat right, exercise and motivate yourself. No, it isn't as easy as "Just Quit" and I have been through this myself, so you can't tell me that I don't know what it's like. I most certainly do. I have been there. I have lived it and I have succeeded. I am now a professional with a wonderful family and career. Suboxone helped me. It is not the devil. Nor are the nurses and doctors you are theorizing about.

      Doctors and Nurses go into this profession to serve people, to serve all of you! We do tremendous things for society. We help you! We ensure your health and take care of you when you are not. We take a vow to always respect the patient and only proceed with what we believe is in the patient's best interest. Of course, every doctor isn't perfect, but I can promise you, we are not encouraging you to become addicted to something that will destroy your life. You tells us your symptoms, we evaluate and we treat.

      Stop complaining. Stop theorizing. This problem is your own to deal with, but medical professionals are here to help. There is no miracle drug, no miracle fix. Stop abusing alternate prescription medications when you are trying to get clean! In what world does that make sense? I know the human condition is awful at times and we are constantly looking for things that will make us feel better, but your addiction is not that simple. You are only doing yourself harm abusing other meds to help speed your "recovery" whether it be from Suboxone, Heroin, or Hydrocodone.

      If you are okay with abusing other drugs to "get clean" from another drug, then you are not and will not recover. All the other pills you put into your body have side effects. Some will make you tired, depressed, give you headaches, etc. At that point, there is much more going on than withdrawal from opiates and again, if you are being monitored by a doctor with suboxone, if you be an advocate for your own health and ask questions, make a schedule and follow it as well as seek counseling/ NA Meetings and make changes in your lifestyle, I can assure you, you have a good chance of finally recovering.

      Living Proof!

      ---Kristen, R.N.

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      Manny 5 years ago

      I posted before I was finished sorry,,,9 hours after my last roxy I took a suboxone film and boy I felt like shit it was so bad I was thinking of getting money anyway to buy roxy to stop this feeling, I felt so bad I laid in bed with cold sweats and body aching not aches like working out aches like your blood is boiling ,, 2 days ago I saw a doctor to get off roxys

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      Manny 5 years ago

      Recently I stopped taking roxy's I've been getting high off them for 4 or 5 months since I got off probation 6 months ago. Usually I use my last roxy at night so I can wait about 12 hours to take the suboxone because I knew I wouldn't be getting the Roxy's the next morning due to no money ,, I took the suboxone after about 9 hours after my last roxy

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      tough world 5 years ago

      Yea Im Currently on Subutex and have been for 2 years under a doctors care.And it is a long term thing i started out with like 24 subutex a week and now im down to 9 i take about 1 a day so i usally have extra,And im getting ready to move to another state next month and im getting concerned about coming off this the right way in a short amount of time with out getting sick.I have a child and i cannot be in withdrawls atleast not bad ones.But to be honest i think this medicine has screwed me over big time because i use to get it from the streets and i wasnt on a whole lot at all just every now and then and then when i started going to the doctor it was for the wrong reasons but then again this medicine has me thinking so much differnt about my life and all the things i want to do.When we had our daughter thats when everything changed Me and my husband has came along way he is currently in the army our life is going good but the medicine is the only thing that stands in our way. I feel trapped and cannot go with out it. In the whole 2 years ive been in treatment i have never one day went without it.So im very afraid that ill end up messing my dose up and not tamper down the right way,My doctor is a quack and i dont think he takes me or anyone for that matter serious,Anyways i would suggest if you are or planning on being on this program i would make sure the doctor knows that you want it short term or you will end up screwing yourself in ways.This can change your whole life if you really want it to change but if your not serious about it then you will never be clean and sober....Its just another way for the goverment to once again make loads of money off all of us!!!

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      JHB 5 years ago

      I am a heroin addict and im currently in a clinic. have been clean now for two days and being using mathadone. I have just been given two 2mg tablets of Subutex, I put the one under my tounge and broke the other in half. I snorted 1mg and smoked the other mg. Dont feel different yet. will let you all know how i feel in about an hour.

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      dawnalla 5 years ago

      Mama2Two

      I do not believe that a doctor would notice a difference between you taking 2 or 3 suboxones. My doctor does a urine test and also a mouth swab test to make sure I am taking the suboxone and nothing else. I don't know why you took 3 but with suboxone it is almost like less is more....if you take a smaller amount you can feel it more, but if you take a larger amount it is just going to fill up your receptors more.

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      Mama2Two 5 years ago

      Hello! Hopefully someone can help me out and answer my question...I was wondering if Doctors have a way of testing to see if you are taking your medicine as prescribed? Or if you're taking too many? Yesterday and today I took 3 suboxones, but he's prescribing me 2/day. And I have to see him tomorrow. Can he tell???

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      5 years ago

      Naloxone can does precipitate withdrawal, this is why narcan is given for full agonist overdose and even buprenorphine overdose. it just does precipitate withdrawal for long because as the 1 hour half life hits the opioid agonist begins to reattach to the receptors and people have been known to "reoverdose" because they have such a high amount of the full agonist. This is why bolus doses of narcan(naloxone) are given to patients who overdosed.

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      5 years ago

      And I noI amnot goingto believe some opiate addict over the accepted medical literature on the subject of naloxone and buprenorphine.

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      5 years ago

      While most of what "truth" said is correct, naloxone is only know to enhance analgesic effects of buprenorphine when naloxone is used at ULTRA LOWDOSE.once the dose goes over ultra low doses(~.1mg and below) the analgesic pontentiation dissapears. A dose of 2mgs will not enhance buprenorphine at all and is not likely even active if the drug is used properly. I highly doubt that suboxone makes it harder to taper. The longer the time you are on it the harder it is to taper. Nalxone only has a 1 hour half life. It is not an addictive substance.

      It is known that 4mg doeses of naloxone are given for buprenorphine overdose.

      You are addicted to suboxone not to naloxone. Subxone is ust as addictive as subutex because like I said, it is converted to a ful agonist called norbuprenorphine, not in entirely converted but some of it is. The reason people say less is more withsuboxone and buprenorphine is because at higher dose more buprenorphine saturates the receptors while at lower dose there ismore room for nor bupe.

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      5 years ago

      Please research partial agonists before you make an article like this. This article is full of blatant errors.

      Suboxone is a scare tactic to keep you from trying to abuse it(which mind you is stupid) and it was just made in that formulation to get it through approval faster. Subutex or suboxone both will cause precipitated withdrawal. They both will kick full agonists out of the receptor and block them from reattaching and if the user is dependent on mu opioid agonists this will result in a near instant acute withdrawal syndrome that can last hours or days. Buprenorphine ITSELF IS THE "OPIOID BLOCKER". A partial agonist means it has antagonistic qualities and also agonistic qualities.

      The agonistic qualities come from the active metabolite of buprenorphine called norbuprenorphine while buprenorphine itself is a partial agonist-antagonist.

      If and I mean IF the naloxone has a higher affintiy which it very well may not then it will compete with the bupe and lose in exactly 1 hour.

      Naloxone only has a 1 hour half life. Buprenorphine has a 24-72 hour half life and a higher affinity for the mu opioid receptors than naloxone.

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      Truth 5 years ago

      This article is BS and so are most of the posters replies here. I know you mean well, but you're not properly informeed. Buprenorphine is a partial opiate agonist. Naloxone is a full opiate ANtagonist. The naloxone-buprenorphine combo used by Reckitt-Benckiser for Suboxone brand name medication has NOTHING to do with it being available as a take-home med. You can get methadone as a take home med from any internal medicine specialist/PCP, so long as it is prescribed for PAIN. If it's for addiction, Federal law forces you to go to a clinic so that a state-sanctioned operation can take your money upwards of 500 per month, instead of the drug dealer down the street.

      Naloxone does NOT make suboxone non-injectible. 8mg of buprenorphine overpowers 2mg of naloxone. So if you inject suboxone, it'd be just like injecting buprenorphine by itself. The only way you will experience any precipitated withdrawal is if you actually have full opiod agonists, such as oxycodone, in your system already.

      Here's the real deep doo-doo. What they don't tell you is that Naloxone, even though it's an opioid antagonsist, is addictive too. And more, it makes suboxone more addictive that buprenorphine by itself. That is THE ONLY reason that they put naloxone in that stuff. This is true for myself and others that I know personally: It's harder to taper off of Suboxone than it is to taper off of buprenorphine by itself. Much harder.

      Cheers Reckitt-Benckiser! You have been exposed. You're not in the business of helping people. You're making people more addicted to your own brand.

      BTW, you can ask your doctors about this, but they won't know. Why? Because they never have used the stuff. They don't know any more than the pamphlet that they're given. My own sub doc put me on straight bup. when i lost my insurance because it's 50% cheaper than Suboxone. He always says how I'm going back to Suboxone as soon as I get insurance again because you can abusse straight buprenorphine, you can inject and snort it and blah blah blah. If HE properly understood the chemicals he's prescribing, he would know that Suboxone too is both snortable and injectable. Naloxone does NOT block opiates (it only has a 60 minute half life!!! that means after an hour, it's just about done. at two hours, done) nor does is cause the precipitated withdrawal. ONLY buprenorphine blocks other opiates, because it has a higher bonding affinity for your mu-opiod receptors, thereby "blocking" other opiates. As well, ONLY buprenorphine causes precipitated withdrawal, but ONLY if you already have something like morphine or oxycodone in your system, and again, because buprenorphine has that highter bonding affinity... so it will immediately "knock off" any regular opiates "clining" to your mu-opioid receptors, making you feel sick. The buprenorphine, as it is only a partial agonist, has then bonded to the receptors, but takes a while to activate since its only a partial agonist. So after 15 to 60 minutes, the sickness is gone, but you're not high either. That's the whole point of this stuff though... to not be sick.

      There's the truth. There's gonna be many who will dispute what I've said based upon their own misunderstandings. I speak the truth FROM EXPERIENCE. Who are you going to believe? A marketing team from a pharmaceutical company, or an ex-oxy/heroin user that was on methadone for a year, then was on Suboxone for 6 months, and has been on straight buprenorphine for the last 9 months?????

      These people should be fined for distrubition of LIES!!! Naloxone blocking opiates is the most laughable thing I've ever heard in my life. Only the medically undereducated would believe such rubbish!

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      Earthson 6 years ago

      To Ed:

      My pain specialist prescribes 15 mg's of oxycodone along w/ 4 mg's of subutex - It works because you dont get "buzzed" from the oxycodone, it just helps with the pain, so you're not on that chaseing the high, merry-go-round. I wish more Dr's were more educated on the way that Buprenorphen affects pain, especially Temgsic & the way Bupe' works in combination of a full agonist pain med' w/o ruining your life by chaseing an opiate high.

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      Matt jones 6 years ago

      Been takin subs for about 10 days. Bout 1mg-2mg a day. Used oxy and perc for about 5 years and want to stop. Should I try to taper? I usually take a piece at night once I know I cant sleep and it does the trick. Dont want that to be a nightly ritual. Help. Thanks.

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      Ed 6 years ago

      I have been on suboxone for about 4 years now.4mg in the morning everyday,no more,no less. I have severe bulged discs,arthritis,stenosis,you name it,from L1 to L5/S1,with congenital narrowing of the spinal canal.They want to cut me,but surgery is out of the question and two orthos told m not to do it,that i'd end up with fusions,rods and a wheelchair. I was sick of the whole painkiller merrygoround,I was taking them to kill the pain,not to get high.I dealt with that bullshit with alcohol.I wont lie,in the beginning the pks made me feel like superman,but eventually,they weren't even really helping eith the pain,they were just there to keep me from getting dope sick.I own my own business and taking time off was out of the question,I HAVE to work,heavy,manual labor in the csr business..My back was so bad sometimes I would vomit inovluntarily if I got in the wrong postion.My foot has been numb for 6 years and the other one's starting. 4mgs a morning really helps me function.I don't know if it's psychological or the drug actually killing the pain,or both,but it works. Add the fact that I excersise,recently starting a pilate reformer class twice a week that has brought some feeling into my outer foot.I could kick,but why?So I can hurt and say I'm clean and sober if somebody asks? F that.I've suffered enough in my life.Add the fact that I'm allergic to all NSAIDs,every single one,try taking Tylenol sometime for back pain that makes you lay down in a parking lot.I'm a full grown man,I can take pain,I've broken bones,been stabbed,had an absessed rear molar pulled out by an Army dentist with a pair of channel locks and no novacaine,but why should I?I'm sick of trying to live up to expectations that don't apply to my happiness.It's all gonna fucking kill you,all of it.At least try to enjoy the ride without being untrue to yourself.That's what it all boils down to,the truth that matters to you and only you

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      Earthson 6 years ago

      To Hope: Please be very carefull switching from methadone to subutex/suboxone. I was prescribed methadone for a 3 month period when I didnt have insurance, (could not afford subutex) I tapered from 30 mg's of methadone down to 5 mg's over a 3 week period, then waited 36 hours then switched back to opprox' 3 mg's of subutex. It put me into precipitated withdrawls.

      It was extremley uncomfortable. If you suffer from chronic pain ask your doctor if you can take something like vicoden or percocet for a month before you transition to subs' It will be alot less painfull...

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      Earthson 6 years ago

      My pain specialist prescribes a small amount of subutex in conjunction w/ a full agonist pain med' to prevent the 4 hour up and down rebound effects, and it works.

      Dont be so quick to demonize a drug that has been used in pain relief for decades. It was originally administered as Temgesic (0.25 mg.) intravenously. The tablets are getting bad press because it is absolutley

      misunderstood, & naive abusers use 10 times too much and end up in the E.R. & addicts use it in everyway possible

      to try to achieve a oxycontin or heroin etc. "type" of high. Between that & doctors prescribing 32 mg's a day to somebody trying to kick heroin, it will eventually be manipulated into an extended release tablet made out of carbide, & morphed into something that no longer works for chronic pain... Same ol' song & dance.

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      disgusted 6 years ago

      I was put on suboxone for pain, I chose it b/c the doctor who got me on oxy's got in trouble and that was it. Methadone was horrible and suboxone was suppose to be easy to come off. Well 2yrs down the road, I had started hives and the taste made me sick. I was suppose to take 4 8mgs a day. I didn't have to sometimes to be prepared for the worst. Well I changed to subutex b/c of the side effects were so bad. Subutex helped wonderful, but the doc said no this isn't for pain take this...roxy. he wouldn't listen so I took the script left and came back saying no I want subutex I'm not taking that and they turned me down for treament I had been there for 3yrs by then and to come off that amount....after he tried changing and I said no I don't want those... so think of where I am now, allergic to suboxone and can't find subutex when I had 4 8's a day...never failed a dt and never had a single problem the whole 3yrs..take when your at your worst, stay low dosage and don't go over a month...

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      disgusted 6 years ago

      I was put on suboxone for pain, I chose it b/c the doctor who got me on oxy's got in trouble and that was it. Methadone was horrible and suboxone was suppose to be easy to come off. Well 2yrs down the road, I had started hives and the taste made me sick. I was suppose to take 4 8mgs a day. I didn't have to sometimes to be prepared for the worst. Well I changed to subutex b/c of the side effects were so bad. Subutex helped wonderful, but the doc said no this isn't for pain take this...roxy. he wouldn't listen so I took the script left and came back saying no I want subutex I'm not taking that and they turned me down for treament I had been there for 3yrs by then and to come off that amount....after he tried changing and I said no I don't want those... so think of where I am now, allergic to suboxone and can't find subutex when I had 4 8's a day...never failed a dt and never had a single problem the whole 3yrs..take when your at your worst, stay low dosage and don't go over a month...

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      dawnalla 6 years ago

      Hope, I know you wanted John to respond but I thought I could give you some information as well. I got this chart from some literature on Suboxone. Of course, it is always better to seek the advice of your doctor.

      The waiting times will vary depending on the drug of abuse. As a rough guideline, you can expect to have to abstain from:

      • Heroin – 12- 24 hours

      • Percocet, Vicodin, or Oxycodone – 12-24 hours

      • Crushed Oxycontin – 12 – 24 hours

      • Oxycontin 24 hours +

      • Methadone (must be at low dose) 36 hours (at least)

      I personally was taking Vicodin and Oxycontin. I told my doctor at my first suboxone appointment that I did an oxy on the way to the appointment. He told me that I could start taking the Suboxone later that night or in the morning. I was fine and I have been taking the suboxone ever since. I wish you alot of luck in whatever you decide.

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      i dont beleive sean at the top 6 years ago

      i had a 100 pill a day habit years ago. and coming off was easy. you say you were spending 500 a month on suboxine? Lol dude i had a terrible habit and all the suboxine i needed was like a 1/8th of a peice and a strip is 5 bucks. it would literaly last me a week or two. and tapering off was easy as well. i didnt feel like death. quitting cold turkey .yea thats death.Lol i know youre not lieing. but i dont understand your story what so ever

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      Hope 6 years ago

      John,

      I truly hope you still come here...wish I had you email. Your comments sound of course too good to be true, but I believe that this worked for you.

      Please, please respond, If you're still around, I have a few questions I would really love to ask you....I'm DESPERATE to get of Methadone. But not to just go to another addictive drug. One of my questions is regarding this part of your comment:

      "Oh and don't listen to the idiots that say you have to be in full with drawl before taken Subs, that is 100% false. 10 to 12 hours after last Oxy Contin fix and or Heroin fix is fine."

      Is it the same for coming from Methadone? Does this whole plan only apply to getting off Oxy's, and such, or did you ever try getting off Methadone this way too?? This would be quite different, I think -hope not -cuz I WILL TRY IT!

      I truly hope you get this....2 YEARS LATER!! I can try!

      Most Sincerely,

      Wish I could WISH it away!

      (If you post, I'll figure out how to give you my email.....too many EYES in my little world, if you know what I mean.

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      Jdharv2@gmail.com 6 years ago

      Gringo- you and your family are in my prayers.. It worked for him and am so happy. Be strong

    • profile image

      Test Banks by JoJo 6 years ago

      Pharmacology:

      Adams: Pharmacology - Connections to Nursing Practice

      Adams: Pharmacology for Nurses - A Pathophysiologic Approach 2nd & 3rd Edition

      Aschenbrenner: Drug Therapy in Nursing 3rd Edition

      Broyles: Pharmacological Aspects of Nursing Care 7th Edition

      Clayton: Basic Pharmacology for Nurses 14th & 15th Edition

      Edmunds: Introduction to Clinical Pharmacology 6th Edition

      Karch: Focus on Pharmacology 4th Edition

      Kee: Pharmacology: A Nursing Process Approach 6th & 7th Edition

      Lehne: Pharmacology for Nursing Care 6th & 7th Edition

      Lilley / Harrington / Snyder: Pharmacology and the Nursing Process 5th & 6th Edition

      McKenry: Mosby’s Pharmacology in Nursing 22nd Edition

      Roach's Introductory Clinical Pharmacology 9th Edition

      Calculations:

      Curren: Dimensional Analysis for Meds 4th Edition

      Curren: Math for Meds: Dosages and Solutions 10th Edition

      Giangrasso / Shrimpton: Ratio & Proportion Dosage Calculations

      Gray Morris: Calculate with Confidence 4th Edition

      Olsen: Medical Dosage Calculations 9th & 10th Edition

      Pickar: Dosage Calculations 8th Edition

      Microbiology:

      Cowan: Microbiology - A Systems Approach 2nd Edition

      Tortora / Funke / Case: Microbiology: An Introduction 9th & 10th Edition

      Anatomy and Physiology:

      Marieb / Hoehn: Human Anatomy and Physiology 8th Edition

      Martini / Nath: Fundamentals of Anatomy and Physiology 8th & 9th Edition

      Patton / Thibodeau: Anatomy & Physiology 7th Edition

      Scanlon / Sanders: Essentials of Anatomy & Physiology 5th Edition

      Seeley’s Anatomy & Physiology 9th Edition

      Shier / Butler / Lewis: Hole's Human Anatomy & Physiology 12th Edition

      Tortora / Derrickson: Introduction to the Human Body 8th Edition

      Tortora: Principles of Anatomy and Physiology 12th Edition

      Pathophysiology:

      Copstead / Banasik: Pathophysiology 4th Edition

      Gould: Pathophysiology for the Health Professions 4th Edition

      Huether / McCance: Understanding Pathophysiology 4th Edition

      McCance & Huether: Pathophysiology: The Biologic Basis for Disease in Adults and Children 5th Edition

      Porth: Essentials of Pathophysiology 2nd & 3rd Edition

      Porth: Pathophysiology - Concepts of Altered Health States 6th edition

      Physical Examination and Health Assessment:

      Bates’ Guide to Physical Examination and History Taking 10th Edition

      D’Amico: Health and Physical Assessment in Nursing 1st & 2nd Edition

      Estes: Health Assessment and Physical Examination 4th Edition

      Jarvis: Physical Examination and Health Assessment 5th & 6th Edition

      Seidel: Mosby's Guide to Physical Examination 7th Edition

      Weber: Health Assessment in Nursing 3rd Edition

      Wilson & Giddens: Health Assessment for Nursing Practice 4th Edition

      Fundamentals:

      Berman / Snyder / Jackson: Skills in Clinical Nursing 6th Edition

      Christensen / Kockrow: Foundations of Nursing 5th Edition

      Christensen: Foundations of Nursing 6th Edition

      Craven: Fundamentals of Nursing 6th Edition

      Daniels / Grendell / Wilkins: Nursing Fundamentals 2nd Edition

      DeLaune / Ladner: Fundamentals of Nursing 4th Edition

      deWit: Fundamental Concepts & Skills for Nursing 3rd Edition

      Elkin / Perry / Potter: Nursing Interventions & Clinical Skills 4th Edition

      Kozier / Erb: Fundamentals of Nursing 8th & 9th Edition

      Potter / Perry: Basic Nursing 7th Edition

      Potter / Perry: Fundamentals of Nursing 7th Edition

      Potter / Perry: Clinical Nursing Skills & Techniques 6th & 7th Edition

      Rosdahl: Textbook of Basic Nursing 9th Edition

      Taylor: Fundamentals of Nursing 6th & 7th Edition

      White / Duncan / Baumle: Foundations of Nursing 3rd Edition

      Wilkinson / Leuven: Fundamentals of Nursing 1st Edition

      Medical-Surgical:

      Black / Hawks: Medical-Surgical Nursing 7th & 8th Edition

      Brunner / Suddarth: Medical-Surgical Nursing 9th, 10th, 11th & 12th Edition

      Burke / LeMone / Mohn-Brown: Medical-Surgical Nursing Care 2nd & 3rd Edition

      Christensen / Kockrow: Adult Health Nursing 6th Edition

      Christensen / Kockrow: Foundations of Nursing & Adult Health Nursing 5th Edition

      Daniels: Contemporary Medical Surgical Nursing 2nd Edition

      deWit: Medical-Surgical Nursing

      Ignatavicius / Workman: Medical-Surgical Nursing 5th & 6th Edition

      LeMone / Burke: Medical-Surgical Nursing 4th & 5th Edition

      Lewis: Medical-Surgical Nursing 6th, 7th & 8th Edition

      Linton: Introduction to Medical-Surgical Nursing 4th Edition

      Osborn: Medical Surgical Nursing: Preparation for Practice

      Phipps: Medical-Surgical Nursing 6th & 8th Edition

      Timby / Smith: Introductory Medical-Surgical Nursing 9th Edition

      Williams / Hopper: Understanding Medical-Surgical Nursing 3rd & 4th Edition

      Psychiatric:

      Boyd: Psychiatric Nursing: Contemporary Practice 4th Edition

      Fontaine: Mental Health Nursing 6th Edition

      Fortinash: Psychiatric Mental Health Nursing 4th edition

      Frisch: Psychiatric Mental Health Nursing 4th Edition

      Keltner: Psychiatric Nursing 5th & 6th Edition

      Kneisl: Contemporary Psychiatric-Mental Health Nursing 2nd Edition

      Mohr: Psychiatric Mental Health Nursing 6th Edition

      Morrison-Valfre: Foundations of Mental Health Care 4th Edition

      Shives: Basic Concepts of Psychiatric-Mental Health Nursing, 7th edition

      Stuart: Principles and Practice of Psychiatric Nursing 8th & 9th Edition

      Townsend: Psychiatric/Mental Health Nursing: Concepts of Care in Evidence-Based Practice 6th Edition

      Townsend: Essentials of Psychiatric Mental Health Nursing 5th Edition

      Varcarolis: Essentials of Psychiatric Mental Health Nursing

      Varcarolis: Foundations of Psychiatric Mental Health Nursing 5th & 6th Edition

      Videbeck: Psychiatric Mental Health Nursing 4th & 5th Edition

      Maternal / Newborn:

      Chapman / Durham: Maternal-Newborn Nursing

      Davidson: Olds’ Maternal-Newborn Nursing & Women's Health Across the Lifespan 8th & 9th Edition

      Klossner: Introductory Maternity & Pediatric Nursing

      Ladewig / London / Davidson: Contemporary Maternal-Newborn Nursing Care 7th Edition

      Leifer: Introduction to Maternity and Pediatric Nursing 5th & 6th Edition

      Leifer: Maternity Nursing 10th Edition

      Littleton / Engebretson: Maternity Nursing Care 1st Edition

      London / Ladewig / Ball / Bindler: Maternal & Child Nursing Care 2nd Edition

      London / Ladewig / Ball / Bindler / Cowen: Maternal & Child Nursing Care 3rd Edition

      Lowdermilk / Perry: Maternity & Women's Health Care 9th & 10th Edition

      Lowdermilk / Perry: Maternity Nursing 7th & 8th Edition

      McKinney / James / Murray / Ashwill: Maternal-Child Nursing 3rd Edition

      Murray / McKinney: Foundations of Maternal-Newborn Nursing 4th Edition

      Murray / McKinney: Foundations of Maternal-Newborn and Women’s Health Nursing 5th Edition

      Orshan: Maternity, Newborn, and Women's Health Nursing

      Perry: Maternal Child Nursing Care 4th Edition

      Pillitteri: Maternal and Child Health Nursing 5th Edition

      Ricci: Essentials of Maternity, Newborn, and Women's Health Nursing 2nd Edition

      Ricci / Kyle: Maternity and Pediatric Nursing 1st Edition

      Towle / Adams: Maternal-Child Nursing Care

      Ward / Hisley: Maternal-Child Nursing Care - Optimizing Outcomes for Mothers, Children & Families

      Wong et al.: Maternal Child Nursing 2nd & 3rd Edition

      Pediatrics:

      Adams / Towle: Pediatric Nursing Care

      Ball / Bindler / Cowen: Child Health Nursing: Partnering with Children and Families 2nd Edition

      Ball / Bindler: Pediatric Nursing: Caring for Children 4th Edition

      Ball / Bindler/ Cowen: Principles of Pediatric Nursing: Caring for Children 5th Edition

      Hockenberry: Wong's Essential of Pediatric Nursing 7th & 8th Edition

      Hockenberry /Wilson: Wong's Nursing Care of Infants and Children 8th & 9th Edition

      James / Ashwill: Nursing Care of Children 3rd Edition

      Kyle: Essentials of Pediatric Nursing

      Potts / Mandleco: Pediatric Nursing - Caring for Children & their Families 2nd Edition

      Management:

      Blais: Professional Nursing Practice Concepts and Perspectives 6th Edition

      Catalano: Nursing Now 5th Edition

      Cherry / Jacob: Contemporary Nursing Issues, Trends and Management 4th Edition

      Chitty: Professional Nursing 5th & 6th Edition

      Ellis / Hartley: Managing and Coordinating Nursing Care 3rd & 4th Edition

      Finkelman: Leadership and Management in Nursing 1st & 2nd Edition

      Grohar-Murray / DiCroce / Langan: Leadership and Management in Nursing 4

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      Poobear 6 years ago

      Gringo, I will pray for you please pray me as well, I study medication and want to be a pharmacy tec or the main one.. I have studied to many books on meds its not even funny. Point on suboxen.. I do think you get some of the narcan/naloxone not matter what... is it true if you spit it out after it will work better.. seems to be a great idea..I am on OPANA oymorphone HCL for chronic pain . well of course i ran out early and was given a sub strip never tried it before, well i was scared i did not want to go into w/d my last dose of anything was 4 yesterday with soma, so i feel okay i don't feel sick... I just hope i can taper with the 12 mg.. And i know for a fact i can cause bup has a half life up to 40 this means you can skip 2 day's depending on the person. I have had about 4mg now and think that will be it for today... if you all have any questions about medications e mail me at poobearonly4u@aol.com

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      Gringo 6 years ago

      I am a heroin adict who relapsed around five months ago when my mother passed away and I was at the end of a very nasty divorce. I am starting suboxone tomorrow and I am hoping to detox myself before ten days. I don't want to trade one habbit for another. I know that detox is merely the first step of a long process. I am.planning on attending na meetings and wwhatever else I can do to maintain a healthy sober life from here on out. I love my children too much to live this way and they deserve better from me. Im too ashamed to even see them and I refuse to live this way anymore. Please have me and my family in your prayers to help me have the streangth to make it through the withdrawls without folding. Thank you to all that read this and have my children in their prayers and that they.will soon have their daddy back. God bless

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      Otherhalf 6 years ago

      Hello, my husband was addicted to vicodin and any other pain pill he could get his hands on. He would take between 20-35 vicodin a day and then 6-10 somas/ambiens to sleep. When he finally put his mind to quiting he started with a 8mg suboxon then 8mg next day, 4mg next day and 2nd next day and now he is feeling great. So suboxon worked wonders for him and I am so grateful for it.

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      EyahAnn 6 years ago

      I am a prior Oxycontin addict and have been on Suboxone for almost 2 years. I also suffer from major depression and have been treated for that with antidepressants for the past 8 years. I recently found out that I am pregnant and so my addictions Dr. switched me from Suboxone to Subutex even though they are both class C rated medications, because Subutex has one less medication I have to take (no naloxone). I have been resistant to take any meds when I found out I was pregnant but then I learned that the baby faces a bigger percentage of risks compared to me stopping my medication. (So that narrow minded bitch above who posted the worst response to the previous pregnant woman, can suck it. She shouldn't be commenting on this blog if she doesn't understand addiction.) Anyways, for the past month, I have been severly depressed. I don't want to wake up, I have no motivation to go to work or even get in the damn shower. I had never heard of the naloxone in Suboxone causing depression before I read this blog and now I find myself wondering if that is what I am going through. This is my first pregnancy and I am excited of the thought of being a mom and having a reason to live (yes, this is how I think from dealing with my depression), I want to be excited now. I want to be able to prepare and get my priorities straight but this depression just cost me my job, relationships with friends and family, and my emotion, my soul. Being a depressed addict, I always took drugs to numb my pain and cheer me up and motivate me. Anyways, the Subutex doesn't seem to help like Suboxone did but that could be because I'm on a lower dose, but I don't want to possibly harm the baby by increasing it. Does anyone have any recommendations regarding this possible naloxone withdrawl symptom, depression? I was on Serzone which worked great but then the hospital switched me to Zoloft which I've been on for the past month, but it hasn't helped. The only thing that seems to help me is a higher dose of my Subutex. I can't even bring myself to see my Dr. He is a psychiatrist not an OBGYN so I don't know what to do.

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      Eddie 6 years ago

      I used to be a heroin addict close to 25 years ago and last year I had reconstructive ankle surgery, had complications and required another surgery and now I have been diagnosed with RSD I was on oxy's for a year, 80mg 4 times a day in addition to 6 15mg of oxycodones on top of that. I finally realized that I was back to where I was 25 yrs ago and I said enoughs enough and I went 2 weeks ago to a doctor for suboxone treatment and although I'm thankful for his help he wanted to keep me on it for a while. When I saw him last week and I asked him if I felt good could I stop and he said no well 6 days ago I stopped and it has been up and down but not unbearable. So I agree you should not stay on this too long. In closing I also believe in the power of God that helped me through and my prayer is that everyone that wants to stop will be able to do so. God bless!

      Big Ed

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      Egrand88 6 years ago

      I need some advice I've been on 30 mgs of percocet for the last 2 years about 8 months ago I started shooting it my tolerance got higher so I started shooting more at a time it cost a lot to shoot 4 30 mgs of percocet a day so I switched to heroin now I'm shooting heroin everyday and if I don't have I go through hell so a buddy gave me suboxone so I'm taking suboxone and shooting heroin is this safe and I'll take a qtr of a sobo in the morning then at night shoot a half gram of dope now I feel like I'm addicted to both I just want off the dope but it seems like the suboxone isn't enough whenever I pop one I still want to stick a needle in my arm should I just take more suboxone and I shot suboxone while I was high don't ever do that extreme wds for about an hour I just don't know what to do

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      dawnalla 6 years ago

      I stumbled on this article and I could not stop reading. Maybe someone here can help me. I have been on the suboxone for about a year. I am taking 2 8mg tablets a day. Sometimes under the tongue, sometimes snorting it throughout the day. Does anyone have any ideas on how I can get off of this stuff without the painful withdrawls? It does help me with pain but I would like to be at the point where I am only taking it on as as needed basis for pain. I miss a lot of pleasures in life I used to have. I am also scared that if I go off the suboxone I will be back on the street in a few days looking for pills. I used to take vicodin for 12 years, when that didn't work anymore I moved on to Oxycontin taking as many as 5 80 mg pills a day before I went on the suboxone. I did not have to go through any withdrawl I simply took the suboxone about 8 hours after my last oxy. Sometime I wonder if there is any hope for me. I am wondering if I will be in my 70's chopping up a line of suboxone to snort while the grandkids are waiting for me to play with them. I do like John's idea about weaning off of this over 5 days bue what happens on the 6th day. Don't you start to get cravings for opiates? Has anyone been on suboxone this long and gotten off of it? If so, what was it like and what happened? ANY info ANYONE has for me would help. :)

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      50yrs 6 years ago

      That's right 50yrs. I called myself a garbage head at first because during the drug years 60's I'd shoot anything. Heroin was my lover though, got 45 yr affair with that bitch. Been on everything, methadone, suboxone, subutex and find that subutex for me is the one workin the best. Its cheaper, I think a bit stronger than suboxne and if I feel like a buzz I can because the blocking effect isn't like subonone. I mostly stay clean. Using crumbs now, can't seem to get away. Physchological ya kno. Like needle-itis. Methadone was the worse kicking, sent to jail on 130mgs. For 3 weeks I hurt down to the bone. My cellmate was pissed because I was always shitting, puking and flushing. Good thing I wrapped him up second day and he never bitched again. What I'm trying to say here is for most of us it's going to be a lifetime of some commitment, small doses once a week, maybe twice. Meetings NA/AA forever so try not to let the fact that you have a crutch KILL you. Face it, kick it if you can but if you can't don't let it beat you to the point your constantly obsessed. Deal with it. Bring your addictions to the lowest toleralable point and and admit that's the furthest you can go. Hey meetings won't kill you, and lets face it a crumb twice a week of sub-whatever sure beat $1000 a day needle loving habit. Sooner or later something will change and you'll no longer need a crumb and time between meetings somehow becomes longer and longer. So minimize your demons since you can't shake them. They just as you will get tired and just disappear, or maybe not. However you'll be in control not the beast. By the way I don't use heroin but want to. My only vice is klonapin because I'm so anxious to take drugs. Don't drag yourself down futher, each step toward taking lesser than before is a milestone and you should congratulate yourself. Watch that subutex it's highly addictive but used correctly works wonders. Luck to you all - Michael

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      amyjhorne 6 years ago

      I had a bad opiate addiation for about 10 years. I went into treatment March 19th of this year. My doctor gave me subutex for the first 2 days and then switched me to suboxone. I didn't do a long term treatment because I have a husband and two kids at home. But when I left treatment my doctor still has me on suboxone, an outpatient program and I attend AA/NA meetings(as of today I have 6 1/2 months clean and sober). I am prescribed to take my suboxone 3 times a day. I took it that way for the first few weeks, but then I started taking it less and less on my own. I do have back and neck issues and that is one of the reasons why my outpatient doctor wants me to have them. And I understand he reasoning. He would much rather me take suboxone for my pain than to relapse because of it. And so would I. But instead of taking it everyday, I just keep them on hand and take one when I need it. Which maybe once a week. Look, suboxone is like anyother drug, it can help you if you use it correctly, or it can hook you if you abuse it! All I can tell you is, it did for me what I couldn't do for myself. It helped me get off of oc's, roxi's, lortab's and opana's. I went from doing 20 to 25 pills a day to now doing 1 sometime 2 suboxone a week! Taking suboxone alone isn't the answer for addition. I'm not trying to preach, but just try working a 12 Step program and going to a few meetings. You just might be surprised how much it works. Believe me if I CAN do it, so can you! GOOD LUCK TO ALL!!!!

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      krautdog 6 years ago

      Hi Everyone - I have been reading this thread (when I feel able to even read) for a few days and finally feel compelled to tell my experience, if only to occupy myself for a while and kill a few minutes of misery.

      BACKGROUND-43yo man, always suffered depression, seen docs for depression, and have had a history of mostly hydrocodone pill abuse. Sports injury surgeries years ago gave me my first taste of narcotic euphoria and I loved it because I was always so depressed. But I had gotten myself "mostly" clean for a good while...to explain that, I was only slipping up once every few weeks by popping LITERALLY only a couple Lortabs. This made my shrink decide to repeatedly suggest I go on Suboxone, just because I would beat myself up a bit for slipping up just that little infrequently. I am now convinced I WAS NOT a proper candidate for Suboxone!! I actually even did a bit of research first but must have only read what I wanted to hear. So I finally listen to that retarded shrink and call a Sub doc. Now get THIS crap...he tells me I have to be in a state of w/d first, so I say "You mean I have to go buy some illegal drugs (Lortabs off the street), eat them for a couple days, then quit and get sick and then come to see you?" He says yes that's right. WTF?? What happened to "first do no harm"? I realize it took some major stupidity on my part, but I am used to trusting and listening to my doctors, and I was always so depressed I just wanted to do anything to change things. Well he had me on Subs for 2 yrs. I felt majorly trapped as much as any addict. I went from being a 5'8" 190lb lean muscle specimen to a couch potato piece of shit in no time. Wouldn't talk to my (wonderful) family, lost all my friends and social life, my faith in God almost, any interest in anything except my next sub dose. I feel like I was effed in the ass by the conspiring of 2 quacks plus the evil Danish drug company.

      CURRENTLY-been out on disability for severe depression since even before I decided I had to get off Sub...I just couldn't even function anymore. So I figured while I'm off work is a good time to make the break. I never was on a huge dose, the last year was 6mg/day (2mg 3 times a day). At the end my taper was going down to 4mg for a week, then a couple more weeks to taper down to zero. My doctor pretty much left it all up to me(!) Well maybe that wasn't nearly long enough to taper but I was feeling the pressure that I would have to go back to work "someday". Well let me tell you, this is day 21 off Suboxone and it is still a living hell. Yes I am better than I was a couple weeks ago when I wanted to die every second, went to the emergency room for anything that would help. My mom and sis are angels who nursed me 24/7. But it seems like this hell goes on forever. My Sub doc has very limited hours, takes 2 days to return my frantic phone calls, then call in 5mg of Vallium twice a day, which is next to nothing as many of you know. The ER wrote me some Clonidine and Xanax, both very small doses which do little to help with the symptoms and just make you even weaker til you can't move but are still dying of anxiety/panic/depression/craving suicide/etc...I still have enough Christian faith to believe I'll go to hell if I end it myself, so this nightmare seems neverending.

      Everything I said is the absolute truth, and I don't want to be a crybaby because I know I was stupid to agree to it all, but does anyone else besides me and my family think I was mistreated?

      Many thanks for your understanding - and please don't bash me for this post...I'm at the end of my tether and couldn't bear it...thekrautdog@gmail.com

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      jwenz 6 years ago

      i'm really in a tough spot right now. i became addicted to opiates as a result of being on prescribed pain killers (percoset, vicodin, oxy's, etc), off and on, for about a year. i went through 4 surgeries last year - shoulder, bicep, and two laminotimy (back surgery) procedures, and literally couldn't function without some sort of strong pain killer. i completed all of my physical therapy, but when i stopped taking the roxycodone, i began experiencing withdrawal symptoms. i find that i'm able to make it a few days, and then cave after being fed up with the insomnia and depression. i've also done H a few times as it's actually a bit cheaper than prescription drugs (when you get them on the street). i know i can't go on like this...i'm constantly in a catatonic state...even when i'm "high" (which i don't feel at all anymore), i'm still not all the way happy. and, when i'm not on any sort of opiate, it's hell. i'm getting ready to move, and will be with a friend who knows my struggle and is going to help me through this. i start a new job in about a month. my question is, and this is directed to anyone who might be able to give me a little advice, should i consider suboxone? i've read countless horror stories about the detox from suboxone. if i have a full month before starting my new job, should i just tough it out and endure the w/drawls from my opiate addiction? the last thing i want to do is get addicted to something else. i hate feeling like my well being, and quality of life depends on a pill. it's pathetic. any advice is much appreciated!!

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      Ironic 6 years ago

      @Relaxer

      Don't tell lies. AA/NA is just nonsense faith healing, and besides, they don't want us there anyway.

      Just because your sponsor told you being on Suboxone was OK doesn't mean that the NA World Service agrees.

      WORLD SERVICE BOARD OF TRUSTEES BULLETIN #29

      Regarding Methadone and Other

      Drug Replacement Programs

      This bulletin was written by the World Service Board of Trustees in 1996. It represents the views of the board at the time of writing.

      Not all of us come to our first NA meeting drug free. Some of us were uncertain about whether recovery was possible for us and initially came to meetings while still using.

      Others came to their first meetings on drug replacement programs such as methadone and found it frightening to consider becoming abstinent.

      One of the first things we heard was that NA is a program of complete abstinence and "The only requirement for membership is the desire to stop using." Some of us, upon hearing these statements, may have felt that we were not welcome at NA meetings until we were clean. But NA members reassured us that this was not the case and we were encouraged to "keep coming back." We were told that through listening to the experience, strength, and hope of other recovering addicts that we too could find freedom from active addiction if we did what they did.

      Many of our members, however, have expressed concern about individuals on drug replacement programs. Questions come up regarding such individuals' membership status, ability to share at meetings, lead meetings, or become trusted servants on any level. "Are these members clean?" they ask. "Can one really be a 'member' and still be using?"

      Perhaps by answering the most important question first—the issue of membership—we can establish a context by which to approach this issue. Tradition Three says that the only requirement for NA membership is a desire to stop using. There are no exceptions to this. Desire itself establishes membership; nothing else matters, not even abstinence. It is up to the individual, no one else, to determine membership. Therefore, someone who is using and who has a desire to stop using, can be a member of NA.

      Members on drug replacement programs such as methadone are encouraged to attend NA meetings. But, this raises the question: "Does NA have the right to limit members participation in meetings?" We believe so. While some groups choose to allow such members to share, it is also a common practice for NA groups to encourage these members (or any other addict who is still using), to participate only by listening and by talking with members after the meeting or during the break. This is not meant to alienate or embarrass; this is meant only to preserve an atmosphere of recovery in our meetings.

      Our Fifth Tradition defines our groups' purpose: to carry the message that any addict can stop using and find a new way to live. We carry that message at our recovery meetings, where those who have some experience with NA recovery can share about it, and those who need to hear about NA recovery can listen. When an individual under the influence of a drug attempts to speak on recovery in Narcotics Anonymous, it is our experience that a mixed, or confused message may be given to a newcomer (or any member, for that matter) For this reason, many groups believe it is inappropriate for these members to share at meetings of Narcotics Anonymous.

      It may be argued that a group's autonomy, as described in our Fourth Tradition, allows them to decide who may share at their meetings. However, while this is true, we believe that group autonomy does not justify allowing someone who is using to lead a meeting, be a speaker, or serve as a trusted servant. Group autonomy stands only until it affects other groups or NA as a whole. We believe it affects other groups and NA as a whole when we allow members who are not clean to be a speaker, chair a meeting, or be a trusted servant for NA.

      Many groups have developed guidelines to ensure that an atmosphere of recovery is

      maintained in their meetings. The following points are usually included:

      Suggesting that those who have used any drug within the last twenty-four hours refrain from sharing, but encouraging them to get together with members during the break or after the meeting.

      Abiding by our fellowship's suggested clean time requirements for service positions.

      Seeking meeting leaders, chairpersons, or speakers who help further our primary purpose of carrying the message to the addict who still suffers.

      We make a distinction between drugs used by drug replacement programs and other prescribed drugs because such drugs are prescribed specifically as addiction treatment. Our program approaches recovery from addiction through abstinence, cautioning against the substitution of one drug for another. That's our program; it's what we offer the addict who still suffers. However, we have absolutely no opinion on methadone maintenance or any other program aimed at treating addiction. Our only purpose in addressing drug replacement and its use by our members is to define abstinence for ourselves.

      Our fellowship must be mindful of what kind of message we are carrying if a still-using addict leads a meeting, or becomes a trusted servant. We believe that under these circumstances we would not be carrying the Narcotics Anonymous message of recovery. Permissiveness in this area is not consistent with our traditions. We believe our position on this issue reinforces our recovery, protects our meetings, and supports addicts in striving for total abstinence.

      Note: This bulletin addresses the use of methadone maintenance as a drug replacement strategy. It is not addressing the medicinal use of methadone as a pain killer. We encourage those who have concerns about the use of methadone in pain management to refer to Narcotics Anonymous pamphlet, In Times of Illness.

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      AB 6 years ago

      Hey John. I've tried to send you an email to s-roberts27@live.com For some reason it's not going throw. I wanted to make sure that was still you email address. I had some questions i wanted to ask you.

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      Sad 6 years ago

      It might sound stuoid to a lot of u becuse u probably are more bad off then me. i'vebeen on pills since 15 years old. now im 25. it wasn't bad wheni was younger. i was having a good time, i quit both times when i was pregnant, so it's been off and on. i was pregnant in 2005 with my first son andhad a life of sobriety up until my second son was about 6 months old. my bf had easy access to lortabs. so i started taking them not more then 2 a day. started college that's when i really was dependant on them. so that went on just about eveyday for 2 years, i sstarted taking subutex for about 6 months. 1 pill can last me up to a week, use to last 2 weeks, i would let crumbs dissolve under my tongue, i really wasn't strung out i should have quit. i really fucked up when one of my friends suggsested that i snort it. that's when it got bad. when im running low i start freaking out. its controlling my whole life, i hate it.m y life revovs around it. im waitressing right now so i cant detox at work. im about to get my license in massage therapy. i feel so guity about it.i feel like a horrible mom even though my kid arent doing without i feel like im taking from them. please someone help me, ive lways been depressed. my mom and dad got bad off on drugs when i was about 13, u think i would have learned from it. my mom died from a drug overdose when i was 18. i think about it late at night it drives me crazy. i don't want my kid to go through what i went through. i feel lke ive been robbed. im just grateful i know i have a problem before it gets wors, i need to stop snorting them. i will. this website has opened my eyes so much. i knew it was bad, but not this bad. my boyfriend see's me suffer everyday. he wants me to stop and i want to. i just don't know how i can stop and take care of my kids at the same time. please someone give me advise before i get worse

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      Jay D 6 years ago

      I am a little confused! I hurt my back 10 years ago and for the last 5 of those years I was on 3 80's 6 40's and 12 15mg for breackthru pain. I was moving to the south to moniuter and my pain doctor knew i wouldn't be getting any thing like that here, so he made me come, with a girlfriend to his office to start Suboxene to moniter how I reacted1 I was fine. Had a 2 month prescribtion, but from day 1 no sickness no nothing. Just felt weird for like a week. Not only did I quit all the oxy,I quit smoking and eating my nightly pint of Ice Cream! Smokking? Yep was smnoking 3 packs a day for likr 30 years. Something in it i guess cuts your urge for any bad habit u might have. Its like a wonder drug, and when they can get the opiates out of it, I bet they will use it to stop smoking smoking and excessisve eating. I told doctor about and he said lots of his patients who

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      Smart Dude 6 years ago

      Anyone who takes Subs for the short term will go right back to their old drug of choice within days.

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      Relaxer 6 years ago

      Some of the comments here are really so far off the mark it's sad. First, it takes a real effort to find clinicians that are well versed in effective opioid treatment. Second, not all doctors are evil. Third, it's typical addict behavior to want to do things all on your own, substitute one drug for another, and look for the "easy" way to deal with addiction.

      Want to take back your life? Go to NA, get a sponsor, do the steps, and work with a Suboxone doc. To do anything less will result in constant failure. And lastly...the definition of Insanity is doing the same thing over and over and expecting a different result.

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      jdog 6 years ago

      i was just prescribed 8/2mg dose of suboxone film and i got high off it today and still am.

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      Renee 6 years ago

      Just wanted to say I am thinking of and praying for you all here. Have had my own addiction issues through out life, and the cost is always very high. You will make it, I know. God love ya all.

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      Tierd 6 years ago

      I'm through with opiates

      Free at last

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      Kacy 6 years ago

      FYI: Subutex is cheaper than Suboxone and if you have a Sam's Club card you can buy it at their pharmacy at 40% off. 90 pills, 8mg. each cost me approximately $250. per month, and my doctor visits are only $75. per month/ Good luck to everyone and if anyone is in need of help I am also a licensed drug and alcohol therapist.

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      Kacy 6 years ago

      FREEMAN : Iam a mental health therapist and URGE you to SEEK TREATMENT IMMEDIATELY + PLEASE!!!!!!! I hear your cry for help and am urging you to find help through a therapist, and AA or NA meeting, a friend, or you could find help through a public mental health facility that would base your fee upon your income if you do not have the money. I too was a heroin addict for twenty years but I was able to get clean and have been for fifteen years. PLEASE _ your life is too precious to let it go - and remember, it is the ones who are left behind that suffer. You may be out of your misery but they will remain in hell for the rest of theirs. There is always an alternative to suicide - please get help!!! Kacy H., MS, LPC

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      jaymama 6 years ago

      when a man snorts heroin does its affect the woman in anyway when they are having sex ?

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      Kacy Horton 6 years ago

      Buprenorhine (suboxone without the Naloxone in it) is cheaper and just as effective, if not more so. It also saved my life. I was a heroin addict, then a pill addict,and suffered from terrible chronic back pain. I have now been on Buprenorphine for 3 years and am pain free and heroin free - thanks be to God!!!!!!!!!!!

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      HEATHER D. 6 years ago

      NOW NOT TO BLOW THIS PAGE UP BUT I FORGOT ONE THING.. THEY RECENTLY HAVE CAME OUT WITH A SUBOXONE 'FILM', I WAS SWITCHED FROM THE SUBOXONE TABLET TO THE FILM, I VERY VERY VERY HIGHLY RECOMMEND THE FILM, BC YOU CAN GET ADDICTED TO PUTTING THAT TABLET IN YOUR MOUTH ALL THE TIME, WHERE WITH THE FILM YOU DON'T GET ADDICTED TO IT BC IT DISSOVLED VERY FAST AND YOU DON'T FEEL ANYTHING IN YOUR MOUTH.. BUT THAT'S JUST ME.. I WAS ADDICTED TO PUTTING THAT PILL UNDER MY TOUNGE 4 TIMES A DAY AND WAS COUNTING DOWN THE HOURS UNTIL I COULD PUT THE NEXT PILL UNDER MY TOUNGE.. SO I RECOMMEND THE FILM!

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      HEATHER D. 6 years ago

      & AS FOR THE QUESTION ABOUT THE DIFFERENCE BETWEEN SUBOXONE AND SUBUTEX AND WHICH IS BETTER. THE DIFFERENT IS NOTHING EXCEPT THAT WITH SUBUTEX YOU WILL GET HIGH IF YOU USE AND WITH SUBOXONE YOU WILL GET SICK IF YOU MESS UP AND USE. && SUBUTEX IS PROVING TO NOT WORK AS BEST AS SUBOXONE OR AS MY DOCTOR SAYS " ITS MILDER " IF I WAS YOU I WOULD TAKE SUBOXONE THAT AWAY, YOUR GETTING THE FULL EFFECTS OF IT AND AS LONG AS YOU TAKE IT THE RIGHT WAY AS THE DIRECTIONS PROVIDE, YOU SHOULD BE ALL GOOD. AND WHEN TAKING SUBOXONE YOU DON'T HAVE TO WORRY ABOUT WANTING TO USE BECAUSE IN THE BACK OF YOUR HEAD YOU WILL BE THINKING, IF YOU USE YOU WILL GET DEATHLY SICK!!! ANY OTHER QUESTIONS JUST POST AND I WILL ANSWER! - SOURCE IS... I HAVE BEEN TAKING SUBOXONE AND HAVE TOOKEN SUBUTEX FOR 4 MONTHS WHILE PREGNANT AND IVE BEEN CLEAN 3 1/2 YRS, THAT SHOULD TELL YOU.. I KNOW WHAT IM TALKING ABOUT!

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      HEATHER D. 6 years ago

      I HAVE TO SAY, I DO AGREE WITH SOME OF THESE COMMENTS BUT I DON'T AGREE WITH MOST.NUMBER 1- SUBOXONE OR SUBUTEX IS NOT FOR THOSE PEOPLE WHO JUST WANT WITHDRAWL RELIEF ONLY TO USE DRUGS THE NEXT TIME THEY GET THEIR HANDS ON THEM. SUBOXONE AND SUBUTEX IS USED FOR RELIEF FROM WITHDRAWLS AND CRAVINGS FOR THOSE WHO WANT TO GET OFF DRUGS, COMPLETELY!!!! I HAVE BEEN ON SUBOXONE FOR 3 1/2 YRS AND I HAVE TO SAY ITS A MIRICLE DRUG FOR ME AND I AM CURRENTLY TAKING 10 MG A DAY, 1/2 IN THE MORNING, 1/4 AT LUNCH, 1/4 AT DINNER AND 1/4 AT BEDTIME. NOW MY DOCTORS HAVE BEEN TAKING ME DOSE DOWN OVER THE LAST 6 MONTHS AT -1/4 PILL EVERY 3 MONTHS. I WAS TAKING 2 PILLS A DAY FOR A LONG TIME. I HAVE BEEN CLEAN OF HERION AND ALL OTHER DRUGS EXCEPT A FEW BEER OR A GLASS OF WINE EVERY BLUE MOON FOR 3 1/2 YRS. SUBOXONE SAVED MY LIFE... IT WORKS IF YOU WORK IT!! THE RIGHT WAY, THAT IS!!! NOW SUBOXONE DOES DO THINGS TO YOU LIKE MAKE IT HARD TO GET OFF OF, BUT YOU HAVE TO WANT TO GET OFF OF IT FOR IT TO BE EASY FOR YOU.. AND YOU DO GET ADDICTED TO IT AND GET WITHDRAWLS FROM IT WHEN YOU DON'T TAKE IT OR MILD WITHDRAWLS LIKE IRRITABILY WHILE BEING TAKEN DOWN ON YOUR DOSE BUT LIKE I SAID, YOU HAVE TO WANT IT FOR IT TO WORK... AND WHEN I WAKE UP IN THE MORNING I FEEL LIKE DEATH BUT AS SOON AS I TAKE MY DOSE, 30 MINS LATER, IM LIKE A NEW WOMEN FEELING LIKE A MILLION BUCKS AND THAT'S THE PROBLEM BECAUSE NO ONE WANTS TO GET OFF OF THEM BECAUSE THEY WORK SO WELL AND SOLVE ALL THE PROBLEMS.. I HAVEN'T HAD ANY PROBLEMS WITH DEPRESSION AT ALL WHILE BEING ON IT, NOW WHEN I GET TAKING OFF, FULLY, I PROBALLY WILL, LOL (LAUGH OUT LOUD)! NOT REALLY FUNNY THOUGH!!! ALL I KNOW IS IM THANKFUL FOR SUBOXONE BECAUSE IT WORKS FOR ME. BETTER THAN BEING OUT ON THE STREET WONDERING HOW YOUR GONNA GET YOUR NEXT FIX WHILE YOUR STOMACH IS IN NOTS AND YOUR THROWING UP EVERY MORNING ALL DAY LONG, THEN WHEN YOU FINALLY GET YOUR FIX, ONLY TO WAKE UP IN THE MORNING TO DO THE SAME THING ALL OVER AGAIN.. MISERY!!!! NOW ONCE I GET OFF THE SUBOXONE ILL BE ABLE TO TELL YOU MORE, BUT FOR RIGHT NOW I HAVEN'T EXPERIENCED ANYTHING TO DO WITH THE OTHER COMMENTS ABOVE EXCEPT FOR THE $100 DOCTOR VISITS AND THE $348 MED COST EVERY MONTH (THAT'S ALMOST MY HOUSE PAYMENT)!!! NOW THE COST IS REDICIOUS BUT IF IT HELPS YOU THEN ITS WORTH IT. IF IT HELPS YOU BE A BETTER PERSON THEN ITS WELL-WORTH IT!!! BUT LIKE I ALREADY SAID, ITS NOT FOR A QUICK CURE UNTIL YOU GET YOUR NEXT HIGH, ITS FOR THOSE WHO WANT TO GET OFF AND STAY OFF DRUGS AND BETTER THEMSELVES AND THEIR LIVES! BUT EVERYONES DIFFERENT, I JUST THOUGHT I WOULD UPDATE THIS THING BEING SOMEONE WHOS GOING THROUGH IT, BEEN THROUGH IT AND IS DOING GREAT CURRENTLY! I WISH YOU ALL THE BEST (THOSE WHO ARE TAKING THIS MEDICATION FOR THE RIGHT REASONS) AND GOOD LUCK!

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      HEATHER 6 years ago

      GDGD

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      dunnowhattodo 6 years ago

      i am a former heroin addict and went on subutex to detox and have not been able to completely quit subs.... i have been shooting 2-4mg subutex IV once or twice a day and want to stop sooo bad but get extremely sick, although my use is in such small quantities.... any advice on how to go about it? subutex taper regimin advice?

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      kazo 6 years ago

      IVE BEEN ON IBOGAINE dickhead..... not a permanent solution.

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      yassman28 6 years ago

      hi,

      i'm 28 i suffer from chron's disease am not opiod dependent but i have taken/injected suboxone and subutex (not at the same time of course)on and off for the last 6-9 months and as i am writing this post it has now been 5 weeks since i have had any i only use it to control the pain i find it last longer is less addictive for me and therefore i have less only problem i have is i can't actually get it prescribed for me cos i aint a junkie/druggo ya know now wtf is up with that?

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      freeman 6 years ago

      i am just going to put a gun to my head and end it all opiats destroyed me and my life ,see you all on the other side

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      newby 6 years ago

      2nd day of suboxone, any advice? I am very confused about my choice. Help!

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      gwat 6 years ago

      I have been on suboxone for 2 years and my doc finally put me on subutex. Will I have withdrawals from not having the naloxone anymore.

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      vanessa 6 years ago

      Please e-mail me if you still keep up with this site and you receive this message, I came across your letter, snd now I feel very confused! i thought i finally found something that answered my prayers. i do not abuse suboxen, I take it as needed, and even less then needed. I was told it was atleast a 3 year program, and oneday I would just forget to take one, now i know tht is not true because that has not happened to me yet. I don't believe methadine, or oxy's are better this drug! I only started using this drug, because of a vicoden issue, maybe 2 vicodens aday, but the problem was I thought i had to have these vicodens everyday, and would seek them out as long as i had my two aday! i said enough is enough went to an addiction service doctor, and well you know the rest, but i never heard that you were suppose to just take this med until the withdrawl symptoms go away! Now what i have been on these for atleast 3 years, I have tapered down from when i first started using them, and when i am ready the Doc, said he has a regimen of tapering you off them completley! So are you saying this is BS. Please get back to me! If i don't hear from you i will assume that you no longer keep up with this site. My e-mail adress is vmm32@comcast.net.

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      Phil abc 6 years ago

      Subutex, Suboxone, any bupe generics, all the same...

      Btw, the naloxone in subutex doesn't last very long so any reverse-opiate effects it has are pretty irrelevant as bupeprenorphine is very long acting (24-48 hours++). Even more relevant than this is that buprenorphine is a stronger binder to opiate receptors than naloxone, so once again, the nalaxone is pointless (and doesn't work to reverse buprenorphine overdose).

      IMHO it should only be used for detox, like 10 days max.

      As a long term maintenance drug it sux bad and for most, the vast majority of people, withdrawal will be awful.

      Phil.

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      tammie 6 years ago

      EVERYONE PLEASE READ THIS IF YOU ARE NOT ADDICTED TO METHEDONE, SUBOXONE, SUBUTEX OR ANY OTHER DEVIL DRUG. DO NOT EVER PUT ONE IN YOUR MOUTH, GO BUY SOME ADVIL AND SUCK IT UP!!! NOW FOR ALL YOU PEOPLE IN DENIAL THAT ARE GONNA BLAST ME WITH EXCUSES READ THIS.. I AM 41 AND I HAVE NEVER USED ILLEGAL DRUGS TO THIS DAY, 6 YEARS AGO AFTER I HADE MY 4TH CHILD SOMEONE GAVE ME SOME METHEDONE AND SAID PUT THESE UP AND IF U GET TIRED AND NEED ENERGY TAKE ONE.. I SAID OK, SO AS THE MONTHS PASSED I WOULD TAKE ONE ABOUT 1 TIME A WEEK AND CLEAN HOUSE AND THEN DO THE SAME THE NEXT WEEK, AS TIME WENT ON I DECIDED I LIKED HAVING THE CONSTANT ENERGY SO I STARTED TAKING THEM EVERY DAY, WELL ONE DAY I GOT AHOLD OF A SUBOXONE WHICH HAS NALAXONE(NARCAN) ITS AN OPIATE REVERSAL DRUG IT TAKE ALL THE OPIATES OUT OF YOUR BODY FOR PEOPLE WHO OVER DOSE AND NEED IT TO SAVE THEIR LIFE.. WELL IN 30 MINUTES I WAS IN HARD WITHDRAW HAD MY BABYGIRL WITH ME SHE WAS 3 IN THE TUB BUT I COULD NOT GET UP TO HELP HER IF SHE WOULD HAVE SAID MOMMY I NEED U I WOULD HAVE TO HAVE HER COME TO ME, SHE WAS IN THE BATHTUB AT THE TIME AND I HAD TO CALL MY SIS TO COME GET HER I COULD NOT EVEN LIFT MY HEAD OUT OF BED, MY MOM CAME OVER AND GAVE ME AROUND 60 MG OF METHEDONE TO GET MY LEVEL BACK UP AND IN 30 MINUTES AND HAVING TO FARM MY KIDS TO ANYONE WOULD COULD KEEP THEM I COULD NOT, WELL IT TOOK 2 DAYS DEFORE I COULD FINALLY GET UP AND PLAY MOM, I HAD NO IDEA WHAT I WAS MESSING WITH, METHEDONE IS THE DEVILS DRUG(HE PUT IT HERE TO DESTROY FAMILIES) MY BABY BOY IS 7 SO I HAVE BEEN ON THESE HORRIBLE THINGS FOR 5 YEARS MY POOR BABY DOESN'T KNOW HOW IT FEELS TO HAVE A NORMAL MOMMY, LISTEN GOOD NOW, THESE TYPES OF DRUGS ESPECIALLY METHEDONE IS A DRUG THAT PUTS YOUR MIND IN AUTO PILOT, I LOVE MY BABBIES THAT IS THE ONLY, THE ONLY REASON I AM ALIVE I HAD MY BROTHER IN LAW COME TAKE MY SONS GUNS TO HIS HOUSE BECAUSE OF THE FACT THAT METHEDONE MAKES YOU FEEL WORTHLESS AND LIKE A PIECE OF TRASH, IT MAKES YOU NOT CARE WHAT'S GOING ON I HAVE NO INTEREST IN ANYTHING, I DON'T EVEN WANT TO HAVE MY CHILDREN GET NEAR ME. I WAS NOT THAT KIND OF MOMMY BEFORE THESE PILLS, I CANT WORK NOW AND MY KIDS HAVE SUFFERED SO MUCH BECAUSE OF MY DEPRESSION THEY HAVE MISSED THEIR OWN BIRTHDAY, MY 12 YEAR OLD HAD TO DECORATE THE HOUSE WITH LIGHTS AND HE HAD TO PUT THE TREE UP AND CLEAN THE HOUSE HE WAS SO EXCITED TO SHOW ME WHAT HE HAD DONE HE SAID MOMMA I WANT YOU TO COME SEE WHAT I DID TO SURPRISE YOUI AND MOM IT IS GONNA MAKE YOU FEEL BETTER AND THEN YOU CAM GET OUT OF BED AND COME WATCH TV WITH US, HE SAID IM SO EXCITED MOMMA, I CANT WAIT WE ARE GONNA HAVE SO MUCH FUN, I KISSED HIM TOLD HI THE CAR WAS AWESOME AND WENT BACK AND LAID DOWN, THIS IS GONNA BE YOUR LIFE IF YOU DON'T STOP YOUR SELF FROM GETTING IN THI RUTT, MY KIDS LOVE ME SO MUCH AND ALWAYS SAY MOMMA EVERTHING IS GONNA BE OK, HE WAS COMPFORTING ME WHEN I KNOW HE WAS HURTING INSIDE, METHEDONE TOOK AWAY MY LIFE AND I HAVE MISSED OUT ON EVERYTHING IN LIFE FOR 5 YEARS NOW,,, THIS CAN BE YOU DON'T EVER SAY NOT ME, THAT'S EXACTUALLY WHAT IS ALWAYS SAID FOR YEARS I HAD NO COMPASION FOR DRUG ADDICTS AND NOW THAT'S WHAT'S I AM,,, SO PLEASE BEFORE YOU EVEN PUT ONE PILL IN YOUR MOUTH THINK ABOUT WHAT I JUST TOLD YOU IT IS TRUE... GOD BLESS YOU AND THANK GOD FOR THE ONES WHO HAVE GOTTEN HELP AND I AM PRAYING FOR THE INNOCENT ONES WHO I HOPE NEVER DO THIS..

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      Miss Addiction Nurse 6 years ago

      The problem with these drugs is not the drug itself but the doctors who prescribe them There is no need to be on these drugs over 1.5 weeks. The treatment center I work for has a taper for this medication and we have seen great results from it. The shortest taper I have seen is 3 days and the longest is 10 days.

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      The DOOD 6 years ago

      I just wanted to point out, the author of this entire article is completely wrong about almost everything written. Subutex is NO different than Suboxone in it's effects and it it definitely meant just for people with certain medical needs. The Naloxone in it does nothing at all, it simply exists To extend RB's patent and monopoly over the market, that's all. Because of course they don't want you spending 30% of the cost of their special pills on a generic that does absolutely the same thing. Believe me, read any internet message board about drugs and you will see a sickly amount of people that inject suboxone daily(HORRIBLE for you and very stupid, not advocating it, just proving that you're wrong) and they obviously aren't "rendered inneffective" or they wouldn't do it.

      Obviously this is just asking to die and I would never take my subs other than SL the way i'm supposed to, but it's screwed up to see just how much of an influence one Pharmaceutical Company can influence an entire market by lies and BS. "Oh you can't take that! That medication only costs a fraction of ours!..err...I mean...you will get deathly ill and die a bloody death, even though it's the exact same formulation, juts a generic that doesn't have a pointless chemical added for shock and aww and pure show to keep people paying for our overpriced meds!"

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      Lisa 6 years ago

      I've abused pain killers (mainly rocy 30's) for over 2 years. I was put on Suboxone, didn't like it much, and am not on subutex. Of course, neither gets an opiod tolerant person "high," and feels nowhere near as pleasant as railing an oxy. I can just no longer support the habit, & neither can my boyfriend's patience. I want to be able to still do my pill of choise a max or 2-3 days a week, then go back to subutex for the remaining time. I don't need any responses stating how stupid or counterproductive this is, I'm not an idiot and it's not meant to be producutive. I cannot stand being sober 24/7. If I didn't still have my benzo's I'd probably have jumped off my roof my now. I want to have my cake and eat it too; feally fresh, delish cake that really gets my endorphine's going a few select days of my choice, and then settle for the slate unsatisfying pieces for the remainder of days my bank account cannot support. I know you have to wait X # of hours, or days, between switching from one to the next... anyone that semi-understands what I'm attempting to accomplish w/any insight from personal experience is welcome to respond. All other you're an idiot why don't you love jesus preachers please save it for someone else, I'm not religious and you're not going to make me have some grand revelation. Life is short, mine is far from great, and I want to be high when I can, simple as that. For others going throught the same BS.. it sucks, but I feel your pain. Twenty four looong hours a day. Adios

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      JMC 6 years ago

      My experience with subutex has been very positive. I started abusing lortabs about 9 yrs ago and about 3 yrs later it progressed into a lortab, roxy, and oxy addiction that was ruining not only my life, but my boyfriend's (we were both addicts), and my children's. About 4 yrs ago we self-medicated using methadone off of the street to save money and life got better for about a year. Then they stopped making the 40mg methadone wafers and prices went sky high for the little 10mg pills! Now life started sucking again and we lived paycheck to paycheck, stuck in hell. I finally broke down and asked both of our parents for help. We began going to a suboxone dr. and since we were on methadone (about 50 mg/day each), we had to wait at least 48 hrs after our last dose before seeing the dr. We actually took our last 40mg each on a Sun. morning and had our dr. appt. on Tues. morning. He wrote us a script for two 8mg subutex since the naloxone in the suboxone can put you into precipitated withdrawals. We took our first pill at noon that same day and we felt a little better. We took our 2nd later that evening and could not sleep. We decided to read everything we could about subutex on the internet and we discovered that less was better! So the next day we only took 1/2 pill three times a day and we finally got some rest that night. Then the next day 1/2 pill twice a day. We stayed on that dose for a couple of months and now we take 6mg/day (1/4 pill 3x's/day). It has been 11 months and we are still at the same dose, but life is great and we have finally saved up quite a bit of money. We were honest with our dr. about not taking 2 8mg pills/day because we did not want to spend the extra $ for pills we did not want to take or sell. I actually had to be put on prozac 3 months ago because my hormones during my period made me crazy, but now that is under control. Anyway we are planning on tapering over the summer so that we are only on subutex for a total of 15-18 months and reading the positive stories have given me hope that it will be OK. I would say the most important thing is to have someone you love there to support you no matter what method you choose to get sober. The difference in life now is wonderful, no more dope-sickness, dope-chasing, and no more withdrawals. I think that is a life that every addict strives for and it can be done. If money is an issue, call around your area and find every dr. you can that is licensed in sub therapy. My dr. charged $250 for the first visit (20 8mg subutex pills prescribed costing us about $75), $125 ten days later , and $125 for our monthly visits. FYI, the dr.'s that administer doses in the office are way more expensive. My e-mail is jcastella@localnet.com if anyone wants to talk or just ask me a question. I wish everyone good luck on your road to sobriety!

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      Matt C 6 years ago

      Subutex/Suboxone/Buprenorphine is absolute hell to come off. I've been using Heroin/Methadone and subutex for 6 years. Subutex has proven hell to get off. I'm still on 4mg and don't know how I can ever get off it. The withdrawals just go on and on for weeks-then the PAWS for months. Depression, no sleep, bones aching etc. Please avoid and just taper off your drug of choice