I just botched a 175 mg daily methadone dose transfer to subs, cold turkey. Waited 79 hours and did the first sub. OMG. I'm on the 8th day and starting to feel normal. I even got to the point I was throwing up from too much subs, but still half sick. To top it off, I was offered the job of a lifetime and HAD to interview and start. Thank God I got my legs back the day before I started. After this past week, I'm certain I could make it through Seal training and hell week. No problem, lol.
You got some balls damn. I am on methadone 80ml and on friday my clinic is gonna transfer me to suboxone and eventually to buvidal. Theyre gonna start it by giving me 0.2mg subo and 80mh methadone on the 1st day. Second day 0.4mg subox and 80mg methadone. They gonna take the suboxone up little by little like that daily until its 12mg and then stop giving me methadone. Idk how its gonna be but am scared shitless already. Been almost 10yrs on methadone.
@@aliciaguebara first day was awful. After that it was way less bad than I expected. Now I've been on 32mg/5days +8mg boost injection if necessary for 5weeks and it's been relatively easy going. I am happy with the switch so far. Eager to see how the monthly injections gonna work, they should start within the next two weeks.
@Toko hey, what happened? I'm so curious. That sounds leik the opposite of what you should do... taking a full agonist TOGETHER with suboxone? I'd be so scared. I've gone thru precipitated withdrawal twice and dear God there's nothing worse.
Actually what stops the precipitated withdrawals when you take subs is actually to take more. I know this sounds crazy but if you take enough subs that it fully attached to your opioid receptors then your fine.
@Joy Chirigotis go up every 2 hours until you’re up to 26-30 mgs brotha I know it sounds crazy but you’re doing it wrong. You go up kind of fast, I honestly cold Turkey I don’t wanna be on any opioids and precipitated withdrawals kind of helps you go over that hump. You’re already the sickest you’re going to get at that point the rest is smooth sailing.
@@joshanthony5078definitely not a lie. Called macro dosing and it’s the only thing that will finally get you out of precipitating withdrawal. Suboxone was created before the fentanyl epidemic. Weren’t prepared for the kind of withdrawal fentanyl creates
I agree with you on this! I was on fetanyl and suboxone only worked for me when i made myself suffer to the point i couldnt take it anymore and had no choice but to do it! Well said and you can tell from listening to you that you are well educated or have 1st hand experience! Start small so the withdrawal isnt so intense! If u can handle it, the only way is up! Gooluck to everyone reading this!
Thanks for your feedback, Mike! In addition to his clinical experience with patients, Dr Swainey is in recovery from opioid use, so he does have some personal experience to draw from when discussing withdrawal symptoms.
Hello I am calling clinics to see if I can find a doctor that can subscribe me this I'm on fentanyl as well I've grown tired of it and want desperately to get off so if I find one I'm just curious how long is within your first week of taking it until you start to feel normal
@Dale Gribble hi dale, congrats on taking the first steps. Im proud of you man! You can do this! I was told to stop taking for as long as i could. I lasted a measly 15 hours the 1st time. I couldnt handle it cause i wasnt mentally ready. Then the next time i went 20 hours and fell asleep somehow. It was a total of 25 hours then i said ok im gonna try a little piece. So i did! Within 30 minutes my withdrawal got better! So i felt like hell yes i can do this. Everyone is different. It also depends how much you were on and how frequently you took it. I am a small timer! I only did about 1 gram every other day. I can tell u its a learning curve. You really have to go as long as u possibly can before you take suboxone or it will make it so bad for you! Do as much research as u can and ask questions! Noone has ever treated me like a drug addict. Just the opposite. I was cheered on by everyone. Goodluck to you my friend! You are worth it! Just remember, it only works if YOU are ready!
@@thecolemaninstituteforaddi6234 I don't believe that "Dr. Swainey" is an addictive person, and I know the opioids are NOT addictive? You need to leave this chemical-biology $hit alone, and let the government use sociopathic inmates to figure out just what happens when you simultaneously activate and deactivate pleasure regions in the brain. You are creating the Manchurian Candidates of the future, and are totally unaware of it.
@mike sthilaire hey how are things going? Do u mind how were u doing the fet? & did you say you stopped using for as long as you could then you took a little piece of sub? / I have seen people in the comment section saying to use some kratom to help you get through the W/d then to maybe start taking the sub idk I'm just trying to ask people that has been through things to get some of the best info
I liked, subscribed, and am commenting. I have abused opiates in the past. Then fentanyl came to my town and when I was used my last dose of fentanyl, I waited about 18 hours to wait before I took the 16MG bupronorphine and within an hour I was experiencing hell worse than regular withdrawal. Sweating, heart was pounding out of my chest and I wanted everything the end. I didn't know of microdosing and pretty much just sat out suffered in absolute hellish silence. This video needs to be seen and hear far and wide! I'll spread your channel Doc!
@@CherokeeChief. By the time I had learned of microdosing I had already stopped using for a week. It is something I will keep in mind though if I ever slip up. Best believe I will try not to tho haha
@@MrAkaprimetime Things are still going good thanks for asking. Still on subs, but I'm thinking it's time to ditch them because I just want to move on with my life. Again thanks for checking in hope you are well random internet denizen!
I know that I always make sure to attempt to pinpoint as much as possible the patient's last time of use as a starting point before giving Suboxone. I agree that microdosing is effective. It's unfortunate that many patients are neglecting this therapy because they were previously started incorrectly or tapered incorrectly, which led them through a terrible withdrawal. I'm an addiction RN (CARN) and just found this video. Nice explanation.
That kind of withdraw sucks!!! I ran out of methadone one time and I had two days before going back to the clinic so being the genius I was decided to take half of strip of subutex. How smart was I? I knew what could happen but through all my years of getting high I always beat the system till this time. I started off feeling great. Better than when I took methadone. Then my feet started freezing, then my whole body started freezing, then I was beyond sick. Total withdraw, but it felt worse than regular withdrawal. The next morning I got some pills and I felt better but I had to take 20 10s. Finally I got to go back to the methadone clinic a day later. I couldn't get there fast enough. Anyway Jesus got me through it but thought me a good lesson. I won't ever do that again. Just take your methadone like you suppose to take it.
7 year oral morphine user. Very dependent but then I quit completely by using Kratom to treat WDs. I had to play around with the dose but once I figured it out I tapered down over a 6 week period. Kratom removed all the wds.
@@theblowupdollsmusic I spent about a month gradually decreasing Morphine from a max of 100mg per day down too about half that. Then when I got Kratom I quit Morphine completely. So I guess I was trading one opiate for another. Kratom took away the worst of the WDs. I started using 14 g/day and at the end of 6 weeks I was down to 1 gram 4 times a day. Then I quit Kratom completely. I had 4 sleepless nights and some heebieJeebies but after that I'm ok.
I was on 210-240mg of methadone for almost 10 years. I switched to sub a few years ago and my life is infinitely better. However, I decided to shoot a subutex and I was only on 48ish hours of methadone withdrawal. First time I ever experienced precipitated withdrawal. I was yelling uncontrollably and flipping like a fish. Worst feeling ever. But it zapped the methadone right out of my system. I was in precipitated withdrawal for the entire day
I experienced it twice.. both cases in heroin to xuboxone induction.. 😢. I flipped like a fish out of water too .. I pressed my naked back against the cold wall.. to get some milliseconds relief.. and again it rises high.. but it went on for 4 or 5 hrs.. later sibxone got mixed .. and I could sleep at night..
Why so much methadone? The highest they will give you in the UK is 100ml per day. I’ve never need more than 60ml a day even at the worst of my habit. It makes no sense. I feel bad for you having to go through that because I’ve experienced precipitated withdrawal it’s biblical kind of torture.
@@mackcarlo because I was young and wasn’t done with my addict behaviors, and I metabolized it super fast which didn’t help. I don’t know how many ML per MG, the highest I went I think was 220mg, split to twice a day
I got off of a pretty bad fent addiction by using the Bernese Method, essentially a micro dose suboxone plan but while also continuing to take fent then each day upping the subs and reducing the fent. It works and has very little discomfort when done correctly. Before that I tried the normal way of transitioning and went into PWD and it was terrible. Had to rail a massive line of fent to get out of it and then started over the next day with the Bernese Method
Can you do this method with the 8mg sublingual pills? Not the strips but the pills? I can break it down to quarters pretty easyily which is 2mg but idk about breaking it down more than that? I guess I could... how much did you start with on day 1 and go up to each day?
Over on the East Coast most treatment centers won’t let you try micro-induction unless you sign a waiver and score higher than 15 on your COWS score. I live outside Philly and 90% of Fetanyl is cut with Xzalazine, or “Tranq.” The issue is docotor’s aren’t properly taking into account that Tranq mimics the effects of opiates, and for a prolonged timeframe (7-14 days dependent on the person). Not only does it cause necrosis, infections, drastically worsened withdrawal, (I’ve seen people take 64mg’s of Phenobarbital and it hardly have a sedative effect on them) etc. It also is killing people left and right as it induces the effects of opiates and causes severe respiratory depression. This may not have effected your patients, but please take into consideration there aren’t standard drug tests for xzalazine (horse tranquilizer) and it is a nasty drug to kick. Stay safe out there people.
I came back to say I did the Bernese method for 8 days then hopped off for 24 hours no medicine only 1 mg of subutex. Then I took like 4mg and I was in light precipitated withdrawal. It’s nothing like true fully on precipitated withdrawal. Yes it’s been another 7 days and Iv slept really none at all but i made it and I’m only taking subutex. It’s not easy of course but it’s possible. I’m starting to feel better slowly and feel more like myself again. You can do this. Bernese method is the only way to get off of fent on your own terms. The longer you do the method the better chances you have. Best of luck guys you all can do this. I needed someone to tell me they did it before I started. And that’s why I came back. THIS SAVED ME.
@rtdmna pretty much introducing subs in micro doses while continuing to do ur regular opioid, and then stopping ur opioid when uve reached a sufficient dose of the subs.
I had an experience with precipitated withdrawal a few days while I was transitioning from methadone to subutex. I can tell from my own experience that it scared the hell out of me and thought I was going to die. I've been on subutex for about 5 days now and am doing much better with it.
Same here dude, I was coming off Fentanyl and decided to take 4mg's of Subutex and it was terrifyingly miserable, thinking I needed to go to the ER, but managed to get through the fish out of water, climbing the walls with agony. I just wanted them to put me under anesthesia for a few days untilmit was over. Glad to hear you made it through and are on the Subs, although the withdrawals from them are just as nasty and long lasting as Methadone, most unfortunately, unless you only take it for a short period of time and taper off..
@@patrick3176question here ❓.. If I try to control heroin withdrawal with methadone.. will it cause precipitation withdrawal?? . And if I take methdone for 2 or 3 days . And then decide to induct on suboxone on 4th day .. will it help? Or will I face precipitate withdrawal even then.
@@patrick3176 commenting a little late but just wanted to tell you my story of what happened i was doing the dirty 30s i had been on them for about a year and i had ended up picking up a script of suboxone. And i had smoked about two percs the night before and took the sub very next thing in the morning. Because i had work. So i shit my fucking pants going down the highway to work and had to pull over because i felt like i was dying and having a panic attack. Sweating absolutely profusely. Anyways. I been clean for a year now and shit is looking up. Wish you guys luck on your sobriety
Feeling like im doomed because of precip. Can put people in space but can’t find a medication to get around precip. Can’t do methadone clinic so and those are the only two options. Feel like my life is over straight up.
Have you tried the vitamin c method? This girl has a channel called MaliMalz she has a video on taking natural supplements that will help like 70 to 80% of withdrawals less painful make sure you read the comments as well cause people share how they did it & what worked for them I hope the info can help you out someway goodluck & God bless
Xanax. I don't understand one more positions don't prescribe small amounts of Xanax or Valium just to get you through the first 24 hours. I had the same problems then xanax saved my life
I'm coming off 30 mg methadone cold turkey and using Kratom or I'd be dead. I stopped using the first time and wound up in the emergency room after 3 days. I took the methadone again in the hospital for 3 days and then didn't have access to anymore and wound up in the E.R. again after 3 days. I got one dose of methadone the next day and then wasn't able to get anymore help so had to go cold turkey again for the 3rd time. Today is the 13th day. It's been a horrible nightmare for sure and I was only on the methadone for 7 weeks. I never could have imagined how hard it is on your mind especially! So scary 😳! I'm taking between 12 and 15 grams of Kratom a day but sometimes it doesn't feel like enough. The anxiety is through the roof!!! My heart pounds almost to explosion 💥 I think At times maybe dying would be better but I keep keeping on. Every minute feels like a day. Every day feels like a week. I don't have a great support system in place. That's a big problem in this situation. If I had an accident and soiled the carpet lets say "Well these clean mean people would do heaven only knows what! I can't afford to lose control of myself so I don't very much; but man I feel like I'm going insane all the time! Methadone is excruciatingly WICKED!!!! I'd never have taken it if they'd explained this feeling to me in depth. I hope you made it!
Is the microdosing method done over the period of several days? How do you find a doctor that does this? My daughter used the Bernese method successfully back in 2020 after several failed attempts at suboxone induction. I did some research and found an article in a medical journal about the increase of fent in the supply, and that it sits in the fat stores. Suboxone releases it and causes precipitated withdrawal. I wish more videos would cover this.
I'm addicted because I had an intrathecal morphine pump for 17 yrs. Following that (couldn't sustain the private pay), in 2015 l found kratom. Been using orally at heavy doses for 2 solid years. Took a lower,weaker dose, also took gabapentin, for 5 days. I have no idea how sick to be before taking the EIGHT MG tablet sublingually. 17 hrs w/o kratom, 5 hrs w/o gabapentin. My counselor just used vague terminology and warned of "the worst withdrawal of your life" if I took pure burprenorphine too soon. 7-8 out of 10, huh? Oh, geez.
You're better off waiting AS LONG AS possible to be safe - kratom should be okay even with heavy use after 4 days or so, it's water soluble so it comes out fairly well. Fentanyl, on the other hand, is fat soluble (like marijuana) and takes fucking forever to get out of your system. To give an example - Last Tuesday I did my last dose of fent and waited five days to take just the CORNER of a strip - INSTANT PRECIPITATED WITHDRAWAL FOR 7 HOURS. Waited another day and tried about 2x as much (hoping the previous dose kicked enough receptors clear) - NOPE!! Same shit, went to the hospital. It took me until today (8 days) just to finally get to the point where I can safely take it. It's fucking hell if you hit it, so if you think you're not feeling good, imagine adding hardcore leg cramps, fluid out both ends, puddles of sweat, and THEN decide if you're to the point or not.
@@MrAkaprimetime things are going great man, thank you for asking! on the 1st it'll be 2 months clean and goin strong! it definitely helped that for the entire last year of my usage I wanted to be done with it so damn bad, I just couldn't make it through the withdrawal...now that I have, though, I've been in the mindset to be done for quite awhile and I have to say, I sincerely have zero interest in going back to it! I rarely think about it and if I do, it's almost always in a case like this where I'm explaining my situation, but not thinking about it as in wanting to use it anymore.
So buprenorphine is actually has a stronger affinity for opiate receptors than naloxone which is why it fails to prevent abuse even when taken through IV. I think the naloxone was added simply to gìve the appearance of an abuse deterrent
For people who wants to taper off any meds .. Try to decrease the dose .. lower to lower .. amd dont make the period long.. try to complete the therapy within 2 or 3 months max.. in my case id do it within 2 weeks.. Yea it'll make me withdraw.. but a guy who faced high severe withdrawal van take on mild ones .. And the greatest help would be from cannabis.. I dont wanna encourage anyone.. but while trying ot taper off meds . Weed is the best .. try to smoke it after the withdrawal begins.. Yes it won't work if your does was high.. Thats why tapering is necessary.. on the period when your dose is really low to 0.5 to 1mg .. u can conteol it with weed.. yes.. ive tried it.. But the early days withdrawal cannot be controlled that way. U gotta go through it no matter what . . But withdrawal is the cost of using the drugs.. right? ..
For me personally weed is the worst thing to take when in withdrawal... Couple of diazapan 5mls in intervals and anti diarrhoea take daily for three days then 4th day 1 diazapan as and when also if can get potassium for leg cramps (deep muscle) a pair of headphones music can get very emotional during detox so choose accordingly
Doc. I was on fentanyl for 8 years, daily user. Got prescribed suboxone, but I didnt want to wait th 48 hours, and still take a chance with PW. So I got 10 fentanyl pills, and I planned on macro dosing. I took 16 MG at once, and I DID GO INTO precipitated withdrawal withdrawal. Thats when I started using my fentanyl. I took about half my intial stash (5 pills), and it eased my symptoms - basically I was out of the precipitated withdrawal. I am now stable on 16mg. I know its an unorthodox way to induce, but I didnt want to wait till I was sick and I just wanted to get it over with. Ever heard of people doing what I did?
And Naloxone doesn't stop people from shooting or snorting. It was put in so they could keep their patent longer. Just how other medicines become extended release instead of the initial offering of immediate release.
Thank you for this video it definitely helped to put it into perspective. I would like to know what I can do if I ever experience precipitated withdrawal again while at home and if taking something like a benzo would help.
Takes the edge of a bit but doesn’t help. You’re still gonna feel like hell , but if you take a benzo maybe like 8/10 instead of 10/10 w/o the benzo. Source: done it myself
Doc, I had a question, I once took suboxone after 12hrs but I was thrown into precipitated WD, I then took a heavy dose of opiods and it threw me out of precipitated WD and I then felt better, and I no further needed to take anymore opiods and the suboxone I suppose eventually took over. How was that possible? It's happened to me about 3x now within a 5yr span...
@robsmith9093 I was a heavy user, using a substance called "tianeptine" I was taking heroic doses multiple times daily but after the suboxone took over I no longer needed to take it anymore. I personally feel the science behind it is similar to the "bernese method" just a much faster rate. Like a rapid bernese method. This has worked for me numerous times in the past? Which is why it was so much easier for me to go back to using it, because I found a loop hole on how to get off of it so easy without the suffering.
@@laurengagliardi7892 Like give them a huge dose of a antagonist like Buprenorphine or a big dose of a full agonist like Morphine or Fentanyl to override the precipitated withdrawal. Mabey you could give them like 90ish mg of Subutex or Suboxone.
@@666wilfwhy u confusing the girl, your original comment is the correct one. You can bring people out of precipitated withdrawal by giving them a large dose of a FULL agonist. Meaning "oh shit 48 hours was still not long enough for these damn subs, time to call the dope man and hope he gets here fast enough before ur flopping around like a fish throwing up ur stomach acids"
@@CarlineSales-pz6mz I'm not confusing anyone. If you take a big enough dose of a full agonist it can stop the withdrawal but it's dangerous coz you got to take way more than normal..
So ive actually successfully done a transfer from 90 mg to subs. I tapered from 90-60 by 3 a day and then stopped at 60 for 3 days before i took my firat bupe in the doctors office. I did go through some precipitated wd but it wasnt too bad. I had colonidine , baclofen and ativan too to help (which it certainly did). I actually think i kinda needed to go through that small precipitated wd in order to kick the rest of the methadone out so the bupes could take effect. Which they did, the next day i felt amazing.
I have a question l was on 100 mg of methadone for almost 2 years back in 2019 and one weekend i took all my weekend takehomes that Friday so on sunday stupid me thought I was going through withdrawal so i took a half of a 8 mg suboxone and omg i had to call the rescue squad and went to the hospital, they gave me clonidine which helped tremendously but my question is i woke up the next morning to go to my clinic to dose and i felt great so much so i almost didn't go dose on methadone did i remove all the opiates off my receptors and not need the methadone or would i have eventually got sick after the sub wears off
Are you okay? When the fuck does this wothdrawl stop? I just took suboxone and apparently I didn't wait long enough for heroin/fentenal to get out my system
I have a question for Dr Craig what do you think about the Burmese method also I'm using fentanyl daily right now I have 8 mg Subutex but I know that if I started I'm going to go
What do you tell a person who’s been taking opiates for years because they’ve had seven or eight major operations, chronic pain patient if you look at the x-rays, orthopedic doctor neurological doctor will stay home I got still not prescribe anything because of all the crackdowns is they don’t want to get mobile and what happens when you’re told by Dr. Richard try and find you a place to get help you’re screwed just caught in the middle and implants or something along those lines for someone with stage four or five kidney failure is not an option, but they turn you away anyways
What if someone is on suboxone and have a one time relapse on painkillers. Do they still have to wait 24 hours to take suboxone again. Even though it was just one time
Usually wait until you're starting to feel sick ♡ funny nose and eyes than take half to see how u get on if you're okay you can continue... worked for me in all my slips but ask a doc first! They've heard it before xxx
My dr put me on suboxone, I wasn't able to tolerate it without throwing up. The taste is wretched. Dr switched to Zubsolv. Started Zubsolv in May 22, and the following 10 months while on Zubsolv, I lost 2/3 of my fair. After doing some research, the Bup in the Zubsolv is the culprit. It is the ONLY medication I am on. I tell my dr that the medication is causing my hair to fall out. His advice, get some Rogaine. HUH ? What a quack !!! Then each following week, when I would bring up my hair loss, the dr would blame it on everything BUT the medication. I can't stand the quackery !!! In my personal experience, coming off of Zubsolv is horrendous. I never experienced the ill side effects from regular opiates.
Could you do a video about surgery while on suboxone? I had a surgery and my doctor added oxycodone to my suboxone! It is rather confusing how they’re able to determine I won’t go into withdrawal. I didn’t go into withdrawal and I didn’t have to stop my sub either to take the oxy. I know there’s a method to it, but could you explain it?
@@CaseyJay95 right but taking sub while taking an opioid. Vs stopping the bupe to take pain meds after surgery and then starting the bupe again. I want a break down video lol
@@ScissorWhit if you don’t plan on taking pain meds for longer than a week. You’ll be fine. You only have to wait about 12 hours before taking subs coming from oxy. Fentanyl is the main reason behind this video and all the methods mentioned.
@@ScissorWhityou can take the pain meds and other full agonists on top of Buprenorphine without any problems. It’s when there is no buprenorphine in your system and you are on full agonists then you suddenly take buprenorphine without letting the full agonists leave your system first. That’s what causes the precipitation withdrawal. If you still have Buprenorphine in your system too it blocks any full agonists because of its high binding affinity at one of the Opioid Receptors.
12 hours? yeah right...when it hit me after starting back on sub after a relapse and while on severe w/d already as he describes, it triggered a 3-day w/d unlike anything i ve experienced in my 35 year addiction, Want an advice from an old timer? when you start sub, and start you should, have some dope on the side to tackle the precipitated w/d. You then cut off the dope as you increase the sub
Need help I've been trying to microdose over to the shot. I'm not handling the dosing well I'm actually in the hospital. They've knocked me back to 4mg twice a day but it's still throwing me into withdrawal every single time I take it what do I do?
Time and staying strong. It could take up to a week , but eventually you’ll start feeling better and you’ll be so glad that you got through it!! Suboxone does work, I’m living proof! Don’t give up
@@andrewn.5117 I actually just kept dosing a milligram up every two hours last night in-between my two 4mgs and honestly... I had a lot of detox night sweats but when I woke up I took my dose and felt okay then they did the 100mg shot around 4pm and I seem to be fine. Can't seem to sleep but that's kinda normal for me.
@@MrAkaprimetime better! After a week of sickness on my bed my dr gave me zoloft. That at least gave me the serotonin but then I had severe side effects, esp akathisia for days n it was so scary n hard. I started at 50, 37.5, then 25, n now im at 12.5 every 2 days. So no idea how I made it thru. My now former psychectried giving me 2 other meds to cover up the effects of zoloft n I said no. Then he tried giving me mirtazapine. I tried it n just decided no ill see what happens without more medication. N here I am, for the first time in 20 years almost off an antidepressant. I have latuda, tegretol and Lamictal now n I think I'll try to get off latuda next. At one point I was on six meds. I can't believe I'm not needing an antidepressant! I feel ok n I do have major fear surrounding akathisia, so scary I can't describe it. I'm incredibly lucky to be where I am right now. My youngest son's on several meds n all this experience has made me very hesitant in completely trusting drs n taking anything. In the beginning I took meds cuz I wanted to be a good mom to my sons. Not realizing effexor would basically have me in rage n hurting mybson for the next 15 years. I didn't know what I didn't know tho. I'm at peace for once it's such an incredible feeling. Almost bland sometimes as the ssris, snri had me in hypomania so much as well. Prayers for you and anyone else who has been on this journey and continue. There is hope and it will get better it just takes time. So much time.
@@MrAkaprimetime I used tramadol to get off effexor took 2 years, I then tried edibles and I microdosed with edibles for the rest of my taper and to get thru withdrawals, akathisia, anxiety, depression all of that n I barely need any. In relation to the microdosing. I now don't need the edibles but probably will again as I get off latuda
My experience when you snort subutex after 24 hours like 1 mg and take 300 pregablin your good to bridge the gap then pop Under your tongue 0% pwithdrawals
I just went through a 10 day detox ketamine & nad …. I was good four 4 straight treatments then took a day off and threw up for hours , throat hurts bad , has white shit I guess from the acid , I’m 11 days clean but have diarrhea and cant hold food down becouse of the throat issue . Thinking I should start taking little pieces of subutex to get my body right ? Just don’t now how much since I have 0 opiets in me now …help pls
@@Bistra4982 I also switched from methadone. Most people switch from sub to methadone, not methadone to sub. But I am so so so glad I did. I slept majority of my 20s away because of high daily dosage of methadone. I’m now 30, on sub the 3rd year. Switching was hard bc I didn’t wait. I wouldn’t recommend doing it the way I did but I also don’t regret it lol
@@ScissorWhit stay savfeand stable, and try to tapper down to the amount that would make you feel good but in a reasonable way. Subs neverd gave that high line from heroine or meta, but it is the best choice for me, and ther’many reasons why. Bee good
Great explication of PWD! I have learned about different ways, in which to initiate buprenorphine! I think that Dr's (in my area at least,) take the online course to become a subscriber of Suboxone. Yet they have VERY LITTLE knowledge about problems like this, or just addiction in general!! So those people who are suffering with PWD, most LIKELY do NOT have Dr's. educated enough (In addiction medicine) to help them or tell them what to do! Is ALL Suboxone initiation done in 1 day (Like microdosing?!) And I'm not asking for medical advice, it is just a general question.
@@hannahszuch5450 I have. Unfortunately the fentanyl being used now is very slow to come out of your system like marijuana & methadone. It has something to do with the liptides and it hangs out in your fat cells your just your fat in general, I'm not 100% sure. Because everyone's different PWD's is different for everyone.
Look i took a suboxone too early apparently and I feel like fuckingnshit. Worsr than before. I want to stick with this as I know I can't even get high now. But when the fuck does the withdrawl stop?
@The Edge for sure take more opiate but never take more sub lol ...i just relapsed after being clean for 9 months...im super nervous to take the last of what i have tonight...i have 3 days off from work...i got some xans and kratom hoping i wont feel too shitty...i have a sub just incase but im not taking it for like 3 days....street fent is so much diff than the prescription ones so im scared to do the ...im such an idiot bc i been using for about 3 months and it wasnt everyday until the 3rd month
If you get someone down to 5mils of methadone per day and they have 1 to 4mg of Buprenorphine after 24 hours and don’t get any withdrawal symptoms they might aswell just not redose on Buprenorphine again and get clean using high dose Vitamin C to block the Opioid receptors. I’ve never understood why someone would taper so low on Methadone only to go up to a high dose of Buprenorphine when it is just as hard if not harder to come off than Methadone!?
Once again, false information. Now, I am not advocating that anyone do this, but the naloxone doesn’t do shit even if you put it up your nose even if you shoot it in your arms. Think about the logic here. If you were putting a Suboxone under your tongue all the ingredients in that are getting absorbed into your bloodstream it’s not like the naloxone goes poof and doesn’t get absorbed in there. I am speaking from experience on this. I used to shoot my Suboxone all the time obviously I don’t anymore but I never got sick. It’s not like if you put the pills straight up in your bloodstream the naloxone is magically going to get activated. They had to put that in there to get FDA approval. They had to show them that they were doing everything they could to prevent abuse but I am telling you it is not true. And it kind of pisses me off because I’ve had experience where I’ve been in the hospital and nurses have given me dilaudid, And then in the morning told me I could take my suboxone and I wouldn’t be sick because the naloxone isnt activated because I’m taking it orally. That was BS I was sick because I was taking buprenorphine. The buprenorphine is what makes you sick after using has nothing to do with the naloxone. More doctors should know this. Buprenorphine has a stronger affinity than the naloxone.
Well, I can say from experience that I've been thrown right into PWS from Subutex because if not waiting. And that doesn't have any NAX in it. Bupe has a higher binding affinity. So it literally boots off whatever full opioid agonist u are using and binds to it but it only partially stimulates the receptor which causes the withdrawal.
The real reason why naloxone was added was to extend the patent for suboxone. Buprenorphine has so much higher binding affinity for mu compared to naloxone that it realistically naloxone was never going to come close to preventing any sort of abuse of buprenorphine.
My issue is I've been on suboxone for 15 years. I broke my collar bone last week and had surgery. They gave me 2mg oral Dilauded to take home. . .it does not work and I'm in extreme pain. Any advise??
Hello? Did you not disclose to your doctor that you were on suboxone??? They would not have xd you that had you been honest. I’m not shaming you I’m js that was pretty dumb. They would have given you options for non narcotic but sounds like you’re watching this video just because you wanna know when you can get high. If that’s what you wanna know through personal experience I went into precipitated wd and was able to use same day and felt the effects. Probably 4-8 hr window.
@taylorfrye8778 oh no you have it all wrong! I disclosed everything to my doctor. I've not had any illicit drugs since 2008. Matter of fact the summer before I had gallbladder surgery. The only issue I had with that was in the recovery room. They gave me IV fentanyl for pain. Pain left me, I had no euphoria and I was able to walk out the same day. Took my suboxone and ibuprofen and healed with minimum pain. The collar bone break is all together different. That happened this past July and I am just now not having any pain 6 months later. Those first few months were agonizing. Couldn't even take ibuprofen bc it was affecting my kidney function. Don't go telling people that want their pain gone they are just seeking to get high!! You don't know a fucking thing about me!! You're rude af!!
I just botched a 175 mg daily methadone dose transfer to subs, cold turkey. Waited 79 hours and did the first sub. OMG. I'm on the 8th day and starting to feel normal. I even got to the point I was throwing up from too much subs, but still half sick. To top it off, I was offered the job of a lifetime and HAD to interview and start. Thank God I got my legs back the day before I started. After this past week, I'm certain I could make it through Seal training and hell week. No problem, lol.
You got some balls damn. I am on methadone 80ml and on friday my clinic is gonna transfer me to suboxone and eventually to buvidal. Theyre gonna start it by giving me 0.2mg subo and 80mh methadone on the 1st day. Second day 0.4mg subox and 80mg methadone. They gonna take the suboxone up little by little like that daily until its 12mg and then stop giving me methadone. Idk how its gonna be but am scared shitless already. Been almost 10yrs on methadone.
Toko how did the switch Work for you?
@@aliciaguebara first day was awful. After that it was way less bad than I expected. Now I've been on 32mg/5days +8mg boost injection if necessary for 5weeks and it's been relatively easy going. I am happy with the switch so far. Eager to see how the monthly injections gonna work, they should start within the next two weeks.
Damn I think you shouldnhave tapered down a little bit. Methadonr is no joke
@Toko hey, what happened? I'm so curious. That sounds leik the opposite of what you should do... taking a full agonist TOGETHER with suboxone? I'd be so scared. I've gone thru precipitated withdrawal twice and dear God there's nothing worse.
Actually what stops the precipitated withdrawals when you take subs is actually to take more. I know this sounds crazy but if you take enough subs that it fully attached to your opioid receptors then your fine.
@Joy Chirigotis go up every 2 hours until you’re up to 26-30 mgs brotha I know it sounds crazy but you’re doing it wrong. You go up kind of fast, I honestly cold Turkey I don’t wanna be on any opioids and precipitated withdrawals kind of helps you go over that hump. You’re already the sickest you’re going to get at that point the rest is smooth sailing.
This is a absolute lie! Do not do this people!!!
@@Duddy921 it’s not a fucking lie I can even send you medial reports and data.
@Joy Chirigotis www.ncbi.nlm.nih.gov/pmc/articles/PMC8248003/
@@joshanthony5078definitely not a lie. Called macro dosing and it’s the only thing that will finally get you out of precipitating withdrawal. Suboxone was created before the fentanyl epidemic. Weren’t prepared for the kind of withdrawal fentanyl creates
I agree with you on this! I was on fetanyl and suboxone only worked for me when i made myself suffer to the point i couldnt take it anymore and had no choice but to do it! Well said and you can tell from listening to you that you are well educated or have 1st hand experience! Start small so the withdrawal isnt so intense! If u can handle it, the only way is up! Gooluck to everyone reading this!
Thanks for your feedback, Mike! In addition to his clinical experience with patients, Dr Swainey is in recovery from opioid use, so he does have some personal experience to draw from when discussing withdrawal symptoms.
Hello I am calling clinics to see if I can find a doctor that can subscribe me this I'm on fentanyl as well I've grown tired of it and want desperately to get off so if I find one I'm just curious how long is within your first week of taking it until you start to feel normal
@Dale Gribble hi dale, congrats on taking the first steps. Im proud of you man! You can do this! I was told to stop taking for as long as i could. I lasted a measly 15 hours the 1st time. I couldnt handle it cause i wasnt mentally ready. Then the next time i went 20 hours and fell asleep somehow. It was a total of 25 hours then i said ok im gonna try a little piece. So i did! Within 30 minutes my withdrawal got better! So i felt like hell yes i can do this. Everyone is different. It also depends how much you were on and how frequently you took it. I am a small timer! I only did about 1 gram every other day. I can tell u its a learning curve. You really have to go as long as u possibly can before you take suboxone or it will make it so bad for you! Do as much research as u can and ask questions! Noone has ever treated me like a drug addict. Just the opposite. I was cheered on by everyone. Goodluck to you my friend! You are worth it! Just remember, it only works if YOU are ready!
@@thecolemaninstituteforaddi6234 I don't believe that "Dr. Swainey" is an addictive person, and I know the opioids are NOT addictive? You need to leave this chemical-biology $hit alone, and let the government use sociopathic inmates to figure out just what happens when you simultaneously activate and deactivate pleasure regions in the brain. You are creating the Manchurian Candidates of the future, and are totally unaware of it.
@mike sthilaire hey how are things going? Do u mind how were u doing the fet? & did you say you stopped using for as long as you could then you took a little piece of sub? / I have seen people in the comment section saying to use some kratom to help you get through the W/d then to maybe start taking the sub idk I'm just trying to ask people that has been through things to get some of the best info
I liked, subscribed, and am commenting. I have abused opiates in the past. Then fentanyl came to my town and when I was used my last dose of fentanyl, I waited about 18 hours to wait before I took the 16MG bupronorphine and within an hour I was experiencing hell worse than regular withdrawal. Sweating, heart was pounding out of my chest and I wanted everything the end. I didn't know of microdosing and pretty much just sat out suffered in absolute hellish silence. This video needs to be seen and hear far and wide! I'll spread your channel Doc!
Were you able to get clean from microdosing?
@@CherokeeChief. By the time I had learned of microdosing I had already stopped using for a week. It is something I will keep in mind though if I ever slip up. Best believe I will try not to tho haha
@@airbornetortilla9489 how are things going now ?
@@MrAkaprimetime Things are still going good thanks for asking. Still on subs, but I'm thinking it's time to ditch them because I just want to move on with my life. Again thanks for checking in hope you are well random internet denizen!
I know that I always make sure to attempt to pinpoint as much as possible the patient's last time of use as a starting point before giving Suboxone. I agree that microdosing is effective. It's unfortunate that many patients are neglecting this therapy because they were previously started incorrectly or tapered incorrectly, which led them through a terrible withdrawal. I'm an addiction RN (CARN) and just found this video. Nice explanation.
It sucks cuz we feel as addicts we want to feel better now and now
That kind of withdraw sucks!!! I ran out of methadone one time and I had two days before going back to the clinic so being the genius I was decided to take half of strip of subutex. How smart was I? I knew what could happen but through all my years of getting high I always beat the system till this time. I started off feeling great. Better than when I took methadone. Then my feet started freezing, then my whole body started freezing, then I was beyond sick. Total withdraw, but it felt worse than regular withdrawal. The next morning I got some pills and I felt better but I had to take 20 10s. Finally I got to go back to the methadone clinic a day later. I couldn't get there fast enough. Anyway Jesus got me through it but thought me a good lesson. I won't ever do that again. Just take your methadone like you suppose to take it.
7 year oral morphine user. Very dependent but then I quit completely by using Kratom to treat WDs. I had to play around with the dose but once I figured it out I tapered down over a 6 week period. Kratom removed all the wds.
How long were you on Kratom for? And how were the Kratom withdrawals? Are you completely clean of everything out?
@@theblowupdollsmusic I spent about a month gradually decreasing Morphine from a max of 100mg per day down too about half that. Then when I got Kratom I quit Morphine completely. So I guess I was trading one opiate for another. Kratom took away the worst of the WDs. I started using 14 g/day and at the end of 6 weeks I was down to 1 gram 4 times a day. Then I quit Kratom completely. I had 4 sleepless nights and some heebieJeebies but after that I'm ok.
I was on 210-240mg of methadone for almost 10 years. I switched to sub a few years ago and my life is infinitely better. However, I decided to shoot a subutex and I was only on 48ish hours of methadone withdrawal. First time I ever experienced precipitated withdrawal. I was yelling uncontrollably and flipping like a fish. Worst feeling ever. But it zapped the methadone right out of my system. I was in precipitated withdrawal for the entire day
That’s exactly how I felt, flopping like a fish. Uncontrollable. I’ve went through precips a few times and it suck’s so so bad.
Same here, wanted to die, lasted 12 hours.
I experienced it twice.. both cases in heroin to xuboxone induction.. 😢.
I flipped like a fish out of water too .. I pressed my naked back against the cold wall.. to get some milliseconds relief.. and again it rises high.. but it went on for 4 or 5 hrs.. later sibxone got mixed .. and I could sleep at night..
Why so much methadone? The highest they will give you in the UK is 100ml per day. I’ve never need more than 60ml a day even at the worst of my habit. It makes no sense.
I feel bad for you having to go through that because I’ve experienced precipitated withdrawal it’s biblical kind of torture.
@@mackcarlo because I was young and wasn’t done with my addict behaviors, and I metabolized it super fast which didn’t help. I don’t know how many ML per MG, the highest I went I think was 220mg, split to twice a day
I got off of a pretty bad fent addiction by using the Bernese Method, essentially a micro dose suboxone plan but while also continuing to take fent then each day upping the subs and reducing the fent. It works and has very little discomfort when done correctly.
Before that I tried the normal way of transitioning and went into PWD and it was terrible. Had to rail a massive line of fent to get out of it and then started over the next day with the Bernese Method
I'm on day 6 of the method when I fully stop the fentanyl will I be able to go to work I can't miss work
Can you do this method with the 8mg sublingual pills? Not the strips but the pills? I can break it down to quarters pretty easyily which is 2mg but idk about breaking it down more than that? I guess I could... how much did you start with on day 1 and go up to each day?
Over on the East Coast most treatment centers won’t let you try micro-induction unless you sign a waiver and score higher than 15 on your COWS score. I live outside Philly and 90% of Fetanyl is cut with Xzalazine, or “Tranq.” The issue is docotor’s aren’t properly taking into account that Tranq mimics the effects of opiates, and for a prolonged timeframe (7-14 days dependent on the person). Not only does it cause necrosis, infections, drastically worsened withdrawal, (I’ve seen people take 64mg’s of Phenobarbital and it hardly have a sedative effect on them) etc. It also is killing people left and right as it induces the effects of opiates and causes severe respiratory depression. This may not have effected your patients, but please take into consideration there aren’t standard drug tests for xzalazine (horse tranquilizer) and it is a nasty drug to kick. Stay safe out there people.
I came back to say I did the Bernese method for 8 days then hopped off for 24 hours no medicine only 1 mg of subutex. Then I took like 4mg and I was in light precipitated withdrawal. It’s nothing like true fully on precipitated withdrawal. Yes it’s been another 7 days and Iv slept really none at all but i made it and I’m only taking subutex. It’s not easy of course but it’s possible. I’m starting to feel better slowly and feel more like myself again. You can do this. Bernese method is the only way to get off of fent on your own terms. The longer you do the method the better chances you have. Best of luck guys you all can do this. I needed someone to tell me they did it before I started. And that’s why I came back. THIS SAVED ME.
Thanks for sharing your experience, Noah. Best wishes!
What is Bernese method?
@rtdmna pretty much introducing subs in micro doses while continuing to do ur regular opioid, and then stopping ur opioid when uve reached a sufficient dose of the subs.
I'm looking the method up now. I have to do this...
I had an experience with precipitated withdrawal a few days while I was transitioning from methadone to subutex. I can tell from my own experience that it scared the hell out of me and thought I was going to die. I've been on subutex for about 5 days now and am doing much better with it.
Same here dude, I was coming off Fentanyl and decided to take 4mg's of Subutex and it was terrifyingly miserable, thinking I needed to go to the ER, but managed to get through the fish out of water, climbing the walls with agony. I just wanted them to put me under anesthesia for a few days untilmit was over. Glad to hear you made it through and are on the Subs, although the withdrawals from them are just as nasty and long lasting as Methadone, most unfortunately, unless you only take it for a short period of time and taper off..
@@patrick3176question here ❓..
If I try to control heroin withdrawal with methadone.. will it cause precipitation withdrawal?? .
And if I take methdone for 2 or 3 days . And then decide to induct on suboxone on 4th day .. will it help? Or will I face precipitate withdrawal even then.
@@patrick3176 commenting a little late but just wanted to tell you my story of what happened i was doing the dirty 30s i had been on them for about a year and i had ended up picking up a script of suboxone. And i had smoked about two percs the night before and took the sub very next thing in the morning. Because i had work. So i shit my fucking pants going down the highway to work and had to pull over because i felt like i was dying and having a panic attack. Sweating absolutely profusely. Anyways. I been clean for a year now and shit is looking up. Wish you guys luck on your sobriety
Feeling like im doomed because of precip. Can put people in space but can’t find a medication to get around precip. Can’t do methadone clinic so and those are the only two options. Feel like my life is over straight up.
Have you tried the vitamin c method? This girl has a channel called MaliMalz she has a video on taking natural supplements that will help like 70 to 80% of withdrawals less painful make sure you read the comments as well cause people share how they did it & what worked for them I hope the info can help you out someway goodluck & God bless
Xanax. I don't understand one more positions don't prescribe small amounts of Xanax or Valium just to get you through the first 24 hours. I had the same problems then xanax saved my life
Try the bernesse method.
I'm coming off 30 mg methadone cold turkey and using Kratom or I'd be dead. I stopped using the first time and wound up in the emergency room after 3 days. I took the methadone again in the hospital for 3 days and then didn't have access to anymore and wound up in the E.R. again after 3 days. I got one dose of methadone the next day and then wasn't able to get anymore help so had to go cold turkey again for the 3rd time. Today is the 13th day. It's been a horrible nightmare for sure and I was only on the methadone for 7 weeks. I never could have imagined how hard it is on your mind especially! So scary 😳! I'm taking between 12 and 15 grams of Kratom a day but sometimes it doesn't feel like enough. The anxiety is through the roof!!! My heart pounds almost to explosion 💥 I think At times maybe dying would be better but I keep keeping on. Every minute feels like a day. Every day feels like a week. I don't have a great support system in place. That's a big problem in this situation. If I had an accident and soiled the carpet lets say "Well these clean mean people would do heaven only knows what! I can't afford to lose control of myself so I don't very much; but man I feel like I'm going insane all the time! Methadone is excruciatingly WICKED!!!! I'd never have taken it if they'd explained this feeling to me in depth. I hope you made it!
Wonderful information I just went thru participated withdrawal its horrible wish I could have seen this video very informative thank you
Is the microdosing method done over the period of several days? How do you find a doctor that does this? My daughter used the Bernese method successfully back in 2020 after several failed attempts at suboxone induction. I did some research and found an article in a medical journal about the increase of fent in the supply, and that it sits in the fat stores. Suboxone releases it and causes precipitated withdrawal. I wish more videos would cover this.
I'm addicted because I had an intrathecal morphine pump for 17 yrs. Following that (couldn't sustain the private pay), in 2015 l found kratom. Been using orally at heavy doses for 2 solid years.
Took a lower,weaker dose, also took gabapentin, for 5 days.
I have no idea how sick to be before taking the EIGHT MG tablet sublingually. 17 hrs w/o kratom, 5 hrs w/o gabapentin.
My counselor just used vague terminology and warned of "the worst withdrawal of your life" if I took pure burprenorphine too soon. 7-8 out of 10, huh? Oh, geez.
You're better off waiting AS LONG AS possible to be safe - kratom should be okay even with heavy use after 4 days or so, it's water soluble so it comes out fairly well. Fentanyl, on the other hand, is fat soluble (like marijuana) and takes fucking forever to get out of your system.
To give an example - Last Tuesday I did my last dose of fent and waited five days to take just the CORNER of a strip - INSTANT PRECIPITATED WITHDRAWAL FOR 7 HOURS.
Waited another day and tried about 2x as much (hoping the previous dose kicked enough receptors clear) - NOPE!! Same shit, went to the hospital.
It took me until today (8 days) just to finally get to the point where I can safely take it. It's fucking hell if you hit it, so if you think you're not feeling good, imagine adding hardcore leg cramps, fluid out both ends, puddles of sweat, and THEN decide if you're to the point or not.
How's everything going with you???
@@SteedRuckus how's everything going with you now?
@@MrAkaprimetime things are going great man, thank you for asking! on the 1st it'll be 2 months clean and goin strong! it definitely helped that for the entire last year of my usage I wanted to be done with it so damn bad, I just couldn't make it through the withdrawal...now that I have, though, I've been in the mindset to be done for quite awhile and I have to say, I sincerely have zero interest in going back to it! I rarely think about it and if I do, it's almost always in a case like this where I'm explaining my situation, but not thinking about it as in wanting to use it anymore.
@@SteedRuckus did u try micro dosing ?
So buprenorphine is actually has a stronger affinity for opiate receptors than naloxone which is why it fails to prevent abuse even when taken through IV. I think the naloxone was added simply to gìve the appearance of an abuse deterrent
For people who wants to taper off any meds ..
Try to decrease the dose .. lower to lower .. amd dont make the period long.. try to complete the therapy within 2 or 3 months max.. in my case id do it within 2 weeks..
Yea it'll make me withdraw.. but a guy who faced high severe withdrawal van take on mild ones ..
And the greatest help would be from cannabis..
I dont wanna encourage anyone.. but while trying ot taper off meds . Weed is the best .. try to smoke it after the withdrawal begins..
Yes it won't work if your does was high..
Thats why tapering is necessary.. on the period when your dose is really low to 0.5 to 1mg .. u can conteol it with weed.. yes.. ive tried it..
But the early days withdrawal cannot be controlled that way. U gotta go through it no matter what . .
But withdrawal is the cost of using the drugs.. right? ..
For me personally weed is the worst thing to take when in withdrawal... Couple of diazapan 5mls in intervals and anti diarrhoea take daily for three days then 4th day 1 diazapan as and when also if can get potassium for leg cramps (deep muscle) a pair of headphones music can get very emotional during detox so choose accordingly
Doc. I was on fentanyl for 8 years, daily user. Got prescribed suboxone, but I didnt want to wait th 48 hours, and still take a chance with PW. So I got 10 fentanyl pills, and I planned on macro dosing. I took 16 MG at once, and I DID GO INTO precipitated withdrawal withdrawal. Thats when I started using my fentanyl. I took about half my intial stash (5 pills), and it eased my symptoms - basically I was out of the precipitated withdrawal. I am now stable on 16mg. I know its an unorthodox way to induce, but I didnt want to wait till I was sick and I just wanted to get it over with. Ever heard of people doing what I did?
Did heroin like this
I felt as weak as a nine month old baby who has salmonella poisoning and the flu.
And Naloxone doesn't stop people from shooting or snorting. It was put in so they could keep their patent longer. Just how other medicines become extended release instead of the initial offering of immediate release.
Thank you for this video it definitely helped to put it into perspective. I would like to know what I can do if I ever experience precipitated withdrawal again while at home and if taking something like a benzo would help.
benzo wont help for shit. Only more dope will get you out of a precip
Takes the edge of a bit but doesn’t help. You’re still gonna feel like hell , but if you take a benzo maybe like 8/10 instead of 10/10 w/o the benzo. Source: done it myself
How much of a strip is a micro dose and what is the timing of each dose per 24 hours?
Doc, I had a question, I once took suboxone after 12hrs but I was thrown into precipitated WD, I then took a heavy dose of opiods and it threw me out of precipitated WD and I then felt better, and I no further needed to take anymore opiods and the suboxone I suppose eventually took over. How was that possible? It's happened to me about 3x now within a 5yr span...
So where you completely clean and didn’t have withdrawals after that?
Might honestly be only using a little bit . What’s your average daily dose? If it’s under .5 of powder fetty then that might be why .
@rolladoo6121 I'm a heavy user but I was using a substance called "tianeptine" not fetty.
@robsmith9093 I was a heavy user, using a substance called "tianeptine" I was taking heroic doses multiple times daily but after the suboxone took over I no longer needed to take it anymore. I personally feel the science behind it is similar to the "bernese method" just a much faster rate. Like a rapid bernese method. This has worked for me numerous times in the past? Which is why it was so much easier for me to go back to using it, because I found a loop hole on how to get off of it so easy without the suffering.
@@robsmith9093 I wasn't using fetty. I was using tianeptine
We get sub injections now in Australia. The old original bupe was the best no naloxene
Yes.. I miss it. It was so better. Idk why they added naloxone. Now. U don't even wanna induct to sub.. 😢. For the pwitbdrawals 😢..
@@kakarot666.the naloxene doesn’t change anything still does the same .
You can dring people out of precipitated withdrawal by giving them a high dose of a full agonist..
High dose of full antagonist what do you mean?
@@laurengagliardi7892 Like give them a huge dose of a antagonist like Buprenorphine or a big dose of a full agonist like Morphine or Fentanyl to override the precipitated withdrawal. Mabey you could give them like 90ish mg of Subutex or Suboxone.
@@666wilfwhy u confusing the girl, your original comment is the correct one. You can bring people out of precipitated withdrawal by giving them a large dose of a FULL agonist. Meaning "oh shit 48 hours was still not long enough for these damn subs, time to call the dope man and hope he gets here fast enough before ur flopping around like a fish throwing up ur stomach acids"
@@CarlineSales-pz6mz I'm not confusing anyone. If you take a big enough dose of a full agonist it can stop the withdrawal but it's dangerous coz you got to take way more than normal..
So ive actually successfully done a transfer from 90 mg to subs. I tapered from 90-60 by 3 a day and then stopped at 60 for 3 days before i took my firat bupe in the doctors office. I did go through some precipitated wd but it wasnt too bad. I had colonidine , baclofen and ativan too to help (which it certainly did).
I actually think i kinda needed to go through that small precipitated wd in order to kick the rest of the methadone out so the bupes could take effect. Which they did, the next day i felt amazing.
Kratom really needs to be implemented as a clinical strategy for some.
Why what does it do ?
@@MrN75nokiarelieves the withdrawals
I have a question l was on 100 mg of methadone for almost 2 years back in 2019 and one weekend i took all my weekend takehomes that Friday so on sunday stupid me thought I was going through withdrawal so i took a half of a 8 mg suboxone and omg i had to call the rescue squad and went to the hospital, they gave me clonidine which helped tremendously but my question is i woke up the next morning to go to my clinic to dose and i felt great so much so i almost didn't go dose on methadone did i remove all the opiates off my receptors and not need the methadone or would i have eventually got sick after the sub wears off
Learned about this 6 hours before watching this video. 😢😮😢😢
Are you okay? When the fuck does this wothdrawl stop? I just took suboxone and apparently I didn't wait long enough for heroin/fentenal to get out my system
4 days ago for me. Had to pull my vehicle off the road, wouldn't wish it on my worst enemy.
I’ve been in withdrawals for 3 weeks from kratom
How are you doing now
I have a question for Dr Craig what do you think about the Burmese method also I'm using fentanyl daily right now I have 8 mg Subutex but I know that if I started I'm going to go
What do you tell a person who’s been taking opiates for years because they’ve had seven or eight major operations, chronic pain patient if you look at the x-rays, orthopedic doctor neurological doctor will stay home I got still not prescribe anything because of all the crackdowns is they don’t want to get mobile and what happens when you’re told by Dr. Richard try and find you a place to get help you’re screwed just caught in the middle and implants or something along those lines for someone with stage four or five kidney failure is not an option, but they turn you away anyways
How long after suboxone induced precipitated withdrawel can I start my suboxone again?
What if someone is on suboxone and have a one time relapse on painkillers. Do they still have to wait 24 hours to take suboxone again. Even though it was just one time
Usually wait until you're starting to feel sick ♡ funny nose and eyes than take half to see how u get on if you're okay you can continue... worked for me in all my slips but ask a doc first! They've heard it before xxx
Great info, thanks!
Glad it was helpful. If you have other topic you'd like us to cover, please let us know!
My dr put me on suboxone, I wasn't able to tolerate it without throwing up. The taste is wretched. Dr switched to Zubsolv. Started Zubsolv in May 22, and the following 10 months while on Zubsolv, I lost 2/3 of my fair. After doing some research, the Bup in the Zubsolv is the culprit. It is the ONLY medication I am on. I tell my dr that the medication is causing my hair to fall out. His advice, get some Rogaine. HUH ? What a quack !!! Then each following week, when I would bring up my hair loss, the dr would blame it on everything BUT the medication. I can't stand the quackery !!! In my personal experience, coming off of Zubsolv is horrendous. I never experienced the ill side effects from regular opiates.
Could you do a video about surgery while on suboxone? I had a surgery and my doctor added oxycodone to my suboxone! It is rather confusing how they’re able to determine I won’t go into withdrawal. I didn’t go into withdrawal and I didn’t have to stop my sub either to take the oxy. I know there’s a method to it, but could you explain it?
Going to full agonist from a bupe isn’t a problem. It’s a problem when you do it the other way
@@CaseyJay95 right but taking sub while taking an opioid. Vs stopping the bupe to take pain meds after surgery and then starting the bupe again. I want a break down video lol
@@ScissorWhit if you don’t plan on taking pain meds for longer than a week. You’ll be fine. You only have to wait about 12 hours before taking subs coming from oxy. Fentanyl is the main reason behind this video and all the methods mentioned.
@@ScissorWhityou can take the pain meds and other full agonists on top of Buprenorphine without any problems. It’s when there is no buprenorphine in your system and you are on full agonists then you suddenly take buprenorphine without letting the full agonists leave your system first. That’s what causes the precipitation withdrawal.
If you still have Buprenorphine in your system too it blocks any full agonists because of its high binding affinity at one of the Opioid Receptors.
Can methadone cause precipitated withdrawal? Just like suboxone?? If we take it before medium to severe withdrawal begins?
Yes
175 MIL aday, oh my days. Why would THE DEVIL DOCTOR HAVE YOU ON THAT MUCH DOSAGE......
12 hours? yeah right...when it hit me after starting back on sub after a relapse and while on severe w/d already as he describes, it triggered a 3-day w/d unlike anything i ve experienced in my 35 year addiction, Want an advice from an old timer? when you start sub, and start you should, have some dope on the side to tackle the precipitated w/d. You then cut off the dope as you increase the sub
Need help I've been trying to microdose over to the shot. I'm not handling the dosing well I'm actually in the hospital. They've knocked me back to 4mg twice a day but it's still throwing me into withdrawal every single time I take it what do I do?
Time and staying strong. It could take up to a week , but eventually you’ll start feeling better and you’ll be so glad that you got through it!! Suboxone does work, I’m living proof! Don’t give up
@@andrewn.5117 I actually just kept dosing a milligram up every two hours last night in-between my two 4mgs and honestly... I had a lot of detox night sweats but when I woke up I took my dose and felt okay then they did the 100mg shot around 4pm and I seem to be fine. Can't seem to sleep but that's kinda normal for me.
Idk how to handle the withdraws from Wellbutrin n Prozac n how long does it last I'm stuck in my room
Hows everything going with you now???
@@MrAkaprimetime better! After a week of sickness on my bed my dr gave me zoloft. That at least gave me the serotonin but then I had severe side effects, esp akathisia for days n it was so scary n hard. I started at 50, 37.5, then 25, n now im at 12.5 every 2 days. So no idea how I made it thru. My now former psychectried giving me 2 other meds to cover up the effects of zoloft n I said no. Then he tried giving me mirtazapine. I tried it n just decided no ill see what happens without more medication. N here I am, for the first time in 20 years almost off an antidepressant. I have latuda, tegretol and Lamictal now n I think I'll try to get off latuda next. At one point I was on six meds. I can't believe I'm not needing an antidepressant! I feel ok n I do have major fear surrounding akathisia, so scary I can't describe it.
I'm incredibly lucky to be where I am right now. My youngest son's on several meds n all this experience has made me very hesitant in completely trusting drs n taking anything. In the beginning I took meds cuz I wanted to be a good mom to my sons. Not realizing effexor would basically have me in rage n hurting mybson for the next 15 years. I didn't know what I didn't know tho.
I'm at peace for once it's such an incredible feeling. Almost bland sometimes as the ssris, snri had me in hypomania so much as well.
Prayers for you and anyone else who has been on this journey and continue. There is hope and it will get better it just takes time. So much time.
@@MrAkaprimetime I used tramadol to get off effexor took 2 years, I then tried edibles and I microdosed with edibles for the rest of my taper and to get thru withdrawals, akathisia, anxiety, depression all of that n I barely need any. In relation to the microdosing. I now don't need the edibles but probably will again as I get off latuda
I coming out there whether you meet up on not
3 days of withdrawal until I could take subs
Precipitated withdrawal is worse than withdrawals from heroin
My experience when you snort subutex after 24 hours like 1 mg and take 300 pregablin your good to bridge the gap then pop
Under your tongue 0% pwithdrawals
How to microdose with 900mcg of belbuca?
Hhaha it is not true that you CANNOT SNIFF if you take suboxone!!
Being there done that- norhing!!!
I just went through a 10 day detox ketamine & nad …. I was good four 4 straight treatments then took a day off and threw up for hours , throat hurts bad , has white shit I guess from the acid , I’m 11 days clean but have diarrhea and cant hold food down becouse of the throat issue . Thinking I should start taking little pieces of subutex to get my body right ? Just don’t now how much since I have 0 opiets in me now …help pls
Isn't the nose a mucous membrane
Oh dear God its horrendous
Bro are you goingy you call me man.I dont know why suddenly stopt dont talk to me. I need to tell you something that is weird on my phone.
Two milligrams is way to much for the first dose, but the smaller dose you mentioned is o.k.
Have you tried this? & If so how is it going & how did you start
@@MrAkaprimetime wow this is an old post,
But i am still on bupreorphine 4,4 mg daily, going smoothly!
I switched from methadone but it was hard!
@@Bistra4982 I also switched from methadone. Most people switch from sub to methadone, not methadone to sub. But I am so so so glad I did. I slept majority of my 20s away because of high daily dosage of methadone. I’m now 30, on sub the 3rd year. Switching was hard bc I didn’t wait. I wouldn’t recommend doing it the way I did but I also don’t regret it lol
@@ScissorWhit stay savfeand stable, and try to tapper down to the amount that would make you feel good but in a reasonable way. Subs neverd gave that high line from heroine or meta, but it is the best choice for me, and ther’many reasons why. Bee good
40 hour after kadien for coming off matador is not long enough 2 ml sub put me throw hell
Eat some firewood and immediately shit it out = PWD's!
Great explication of PWD! I have learned about different ways, in which to initiate buprenorphine! I think that Dr's (in my area at least,) take the online course to become a subscriber of Suboxone. Yet they have VERY LITTLE knowledge about problems like this, or just addiction in general!! So those people who are suffering with PWD, most LIKELY do NOT have Dr's. educated enough (In addiction medicine) to help them or tell them what to do! Is ALL Suboxone initiation done in 1 day (Like microdosing?!) And I'm not asking for medical advice, it is just a general question.
I assume that you've been through this then?
@@hannahszuch5450 I have. Unfortunately the fentanyl being used now is very slow to come out of your system like marijuana & methadone. It has something to do with the liptides and it hangs out in your fat cells your just your fat in general, I'm not 100% sure. Because everyone's different PWD's is different for everyone.
I just hate suboxone.
To add naloxone is a simple disdain for the people who can benefit from pure buprenorphine.
But,that is only my story....
How do you stop it once you already did it?!?!? Fyck!!
Look i took a suboxone too early apparently and I feel like fuckingnshit. Worsr than before. I want to stick with this as I know I can't even get high now. But when the fuck does the withdrawl stop?
Honestly you cant :( i hope you're feeling better
I've do more fetty or H.....it does help with perception w/d from taking sub to early.....
Yes that's actually exactly what I did was smoke some h. It did work but now I'm gonna be trying this again
@The Edge for sure take more opiate but never take more sub lol ...i just relapsed after being clean for 9 months...im super nervous to take the last of what i have tonight...i have 3 days off from work...i got some xans and kratom hoping i wont feel too shitty...i have a sub just incase but im not taking it for like 3 days....street fent is so much diff than the prescription ones so im scared to do the ...im such an idiot bc i been using for about 3 months and it wasnt everyday until the 3rd month
It's funny: Every advancement in addiction medicine, has more lethal consequences than Heroin when you STOP taking it. What about The Dutch Paradox?
Bro one of the worst experiences of my life I will never take another Suboxone ever again precipitated withdrawals the devil
Precipitated withdrawal
If you get someone down to 5mils of methadone per day and they have 1 to 4mg of Buprenorphine after 24 hours and don’t get any withdrawal symptoms they might aswell just not redose on Buprenorphine again and get clean using high dose Vitamin C to block the Opioid receptors.
I’ve never understood why someone would taper so low on Methadone only to go up to a high dose of Buprenorphine when it is just as hard if not harder to come off than Methadone!?
WAIT TILL YOUR IN WITHDRAWAL TO TAKE ANY SUB....A LIL AT A TIME
Help?
Yes I believe that's the way to do it start small like 2mg is prob to much
Once again, false information. Now, I am not advocating that anyone do this, but the naloxone doesn’t do shit even if you put it up your nose even if you shoot it in your arms. Think about the logic here. If you were putting a Suboxone under your tongue all the ingredients in that are getting absorbed into your bloodstream it’s not like the naloxone goes poof and doesn’t get absorbed in there. I am speaking from experience on this. I used to shoot my Suboxone all the time obviously I don’t anymore but I never got sick. It’s not like if you put the pills straight up in your bloodstream the naloxone is magically going to get activated. They had to put that in there to get FDA approval. They had to show them that they were doing everything they could to prevent abuse but I am telling you it is not true. And it kind of pisses me off because I’ve had experience where I’ve been in the hospital and nurses have given me dilaudid, And then in the morning told me I could take my suboxone and I wouldn’t be sick because the naloxone isnt activated because I’m taking it orally. That was BS I was sick because I was taking buprenorphine. The buprenorphine is what makes you sick after using has nothing to do with the naloxone. More doctors should know this. Buprenorphine has a stronger affinity than the naloxone.
Well, I can say from experience that I've been thrown right into PWS from Subutex because if not waiting. And that doesn't have any NAX in it. Bupe has a higher binding affinity. So it literally boots off whatever full opioid agonist u are using and binds to it but it only partially stimulates the receptor which causes the withdrawal.
The real reason why naloxone was added was to extend the patent for suboxone. Buprenorphine has so much higher binding affinity for mu compared to naloxone that it realistically naloxone was never going to come close to preventing any sort of abuse of buprenorphine.
@jakekesler8867 u watch this or read any comments
My issue is I've been on suboxone for 15 years. I broke my collar bone last week and had surgery. They gave me 2mg oral Dilauded to take home. . .it does not work and I'm in extreme pain. Any advise??
Hello? Did you not disclose to your doctor that you were on suboxone??? They would not have xd you that had you been honest. I’m not shaming you I’m js that was pretty dumb. They would have given you options for non narcotic but sounds like you’re watching this video just because you wanna know when you can get high. If that’s what you wanna know through personal experience I went into precipitated wd and was able to use same day and felt the effects. Probably 4-8 hr window.
@taylorfrye8778 oh no you have it all wrong! I disclosed everything to my doctor. I've not had any illicit drugs since 2008. Matter of fact the summer before I had gallbladder surgery. The only issue I had with that was in the recovery room. They gave me IV fentanyl for pain. Pain left me, I had no euphoria and I was able to walk out the same day. Took my suboxone and ibuprofen and healed with minimum pain. The collar bone break is all together different. That happened this past July and I am just now not having any pain 6 months later. Those first few months were agonizing. Couldn't even take ibuprofen bc it was affecting my kidney function. Don't go telling people that want their pain gone they are just seeking to get high!! You don't know a fucking thing about me!! You're rude af!!