06 04 21 Precipitated Opioid Withdrawal: Expert Panel Case Discussion

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  • เผยแพร่เมื่อ 18 ธ.ค. 2024

ความคิดเห็น • 92

  • @cunit80
    @cunit80 ปีที่แล้ว +4

    I've been on a 6th of suboxone cut in half and taken twice a day once in the afternoon at 12pm and once again at 830pm to 10pm for the last 13 years and have stuck to it without skipping a day once or using opioids at all. This has saved my life from the hell of opioid abuse I was in before 13 years ago.

  • @codyhahn2359
    @codyhahn2359 3 ปีที่แล้ว +5

    Also when a patient is on bupe why are doctors not telling them if they relapse it's imparitive to keep taking bupe don't stop and get off of it that needs more widely known in my opinion

    • @meganbrown2062
      @meganbrown2062 2 ปีที่แล้ว +1

      I never knew this

    • @Kerri303
      @Kerri303 ปีที่แล้ว

      Because doctors don’t know shit about this medication! And it becomes more apparent year after year after year how incompetent and uneducated they are but yet they keep you over medicated and keep taking your money and have no clue how to get you off of it. It’s criminal and unethical.

  • @Prosegoldmusic
    @Prosegoldmusic 8 หลายเดือนก่อน

    I was overdosing and narcan myself. I’ve been on methadone for six years. I was delusional. Screaming in a feverish panic. It was hell on earth . Precip is the worst trauma I’ve ever experienced. I was in an unconscious seizure state for 36 hours.

  • @grimshorts4834
    @grimshorts4834 2 ปีที่แล้ว +5

    Macrodosed 5 total strips after 36 hours. Terrible precip. Actually hospitalized me. The best combo is to microdose at least 2 or 3 days, while using, to build up, then macrodose on day 4. I personally was finally successful to get off fent after just going cold Turkey and literally suffering for 2 weeks. I’m talking restless legs and insomnia being relentlessly unbearable on a different level. Getting through it taught me a lot about how strong I am, but it also would kill me if I had to do it again. I can’t. Last shot 🤞

    • @koranbred3512
      @koranbred3512 2 ปีที่แล้ว

      I feel ya.

    • @angelinagiovinazzi766
      @angelinagiovinazzi766 ปีที่แล้ว +1

      That's awesome I wish that I had that strength and stamina to get through two weeks of that I am a huge baby and I can totally admit that LOL

    • @grimshorts4834
      @grimshorts4834 ปีที่แล้ว +1

      @@angelinagiovinazzi766 it took a lot longer than 2 weeks but it was worth it. 7 months clean now. You’re stronger than you think.

  • @JPII
    @JPII 3 ปีที่แล้ว +6

    I waited 3 FULL days to take 1mg of suboxene, when I was making the switch from fetenyal to suboxene, and still went into precipitated withdrawal......it was totally unexpected and was complete hell. It makes you feel like a slave, knowing that if you wait over 72 hours, you still run the risk of precip, w/ taking a sub....whats in this stuff...methadone? Like wth????
    Now I ALSO have waited 36 hours and took two much bupe...it was 8mgs @ once and went into precip....so explain this concept to me about how taking more subs will make you feel better once it's already put you in precip.....it makes sence until you hear people go into precip after taking too much at once.......or is it not too much...it wasn't enough?... 2mgs of bupe in the AM and 2mgs at night kept me good for years! Never had to take more and more....but I know people that take 32 mgs a day or more.....why...crazy

    • @marcusdolby1
      @marcusdolby1 3 ปีที่แล้ว

      It’s not the Bup that put you into precipitated withdrawals, it’s the Naloxone. If you are concerned about precipitated withdrawals just ask for Subtext, it doesn’t have Naloxone in it.

    • @sweetgirl2282
      @sweetgirl2282 3 ปีที่แล้ว

      0

    • @codyhahn2359
      @codyhahn2359 3 ปีที่แล้ว +6

      Uhh no it's the bupe do some research otherwise Subutex wouldn't only bupe wouldn't so it that is a very common old misconception my friend

    • @marcusdolby1
      @marcusdolby1 3 ปีที่แล้ว

      @@codyhahn2359 Have no idea what your talking about but Naloxone is the drug that puts you into precipitated withdrawals…

    • @codyhahn2359
      @codyhahn2359 3 ปีที่แล้ว +2

      Well you obviously have no idea what you're talking about I take subutex and I put myself into precipitated withdrawal before on just subutex and if you actually did your research and knew anything that you were talking about you would know that naloxone in Suboxone doesn't even get in your system when taking underneath the tongue they put that in there as a deterrent for people to try and go use opiates do yourself a favor and do research before you try to act like you know what you're talking about because personally you just sound dumb I can post plenty and I mean plenty of research papers on this subject a matter of fact just do a Reddit search or Google does naloxone in Suboxone get in your system when taking under the tongue I've been on and off drugs for a very long time unfortunately and I have a education and try to make sure I understand how things work on the human body before I just take stuff please read stuff on this subject don't believe what you hear someone say bube is the blocker take two Subutex and shoot dope you ain't feeling shit promise

  • @angelinagiovinazzi766
    @angelinagiovinazzi766 2 ปีที่แล้ว +13

    Yeah I just wanna thank the doctors that made this video because of you today was the worst day of my life I took 32 Yeah I just wanna thank the doctors that made this video because of you today was the worst day of my life I took 32 mg of suboxone hoping that a macro dose would do the trick and get me off the street fentanyl. I have been . I have been microdosing since December 29 and I'm up to 16 mg of suboxone per day but still going to some precipitated withdrawals .....so I watched this video & took 32 mg at once which set me right into the pit of hell and there couldn't be any worse advice than thata be a worst idea out there then o go and do something stupid like that ever again

    • @highcaliberexclusive9890
      @highcaliberexclusive9890 2 ปีที่แล้ว +2

      OMG I feel for you. How did you manage? God I when I tried to get clean even after 24 hours I went PWDs on 2mgs. The worst of my life.

    • @angelinagiovinazzi766
      @angelinagiovinazzi766 2 ปีที่แล้ว

      @@highcaliberexclusive9890
      Not only did I think that I was gonna die but I wanted to die it was horrible and the only thing that I can do to undo it was to take a bunch of heroin or fentanyl whatever the fuck is in mind though which is that now because that’s all I ever tested positive for it was horrible I’m now I’m methadone

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว +1

      If your struggling to transition from fentanyl to bup get u some Ativan 2 or more most, gabapentin 800s, clonodine .2mg, Zofran for nausea, bentyl for intestinal cramping and srink plenty fluids and smoke somegood weed use all these while u wait out a few days then microdose while still taking all the other mess it cut my wait down to two days after 45 hrs I took 16mgs od subutex and only had minor leg cramps the 1st nite the the next 2 days I didn't feel great but no noticeable precips then each day got better

    • @angelinagiovinazzi766
      @angelinagiovinazzi766 2 ปีที่แล้ว +3

      @@jasonphilpot7186 I ended up going to the methadone clinic and I’ve gone up to 140 mg a day now and I’m starting to feel more comfortable without the fentanyl? I may have to go to 150 but I’m doing a lot better unfortunately to help with my anxiety I have been taking benzos and it decreases my anxiety zz&@I cravings tremendously and I am actually going to see a psychiatrist next month to see about getting a prescription because I have severe panic attack and the Lexapro I take is not enough and I tried Wellbutrin and hydroxyzine and her just a joke for me pretty much I really don’t get any relief. But so far I’m happy at the methadone clinic it’s not what I wanted but maybe when I get comfortable and stabilized completely on the methadone I can try to transition to Suboxone from methadone which should be a lot easier than coming off of fentanyl stayed in my system for four weeks after I stop taking it it really sticks to your fat cells and I’m not even overweight an average size 5foot 5, 145 pounds, It’s just a whole Notherbhhgg gf

    • @reiceharison2748
      @reiceharison2748 2 ปีที่แล้ว +3

      Holy shit. I thought my precipitated withdrawal was bad, that must have been beyond hell to go through man

  • @jasonphilpot7186
    @jasonphilpot7186 2 ปีที่แล้ว +2

    Ketamine infusion 6mg/mcg/hr IV to bridge induction of bup along with the nausea, muscle relaxer ,clonodine.. after start benzo when bup is tolerated

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว +1

      @@FlippedFaith no im not a doc but I have read many papers from clinical trials and the ketamine affects your pain receptor in a certain way and in the trial reports it was successful in most cases. This is just for fentanyl since suboxone throws u into precipitated withdrawal up 5 days of not using. The IV ketamine and slowly bridged em back to suboxone with minimal withdrawal. For the skin crawling and anxiety a 2mg dose of Ativan , bentyl for intestinal cramping Zofran for nausea and clonodine .1 or .2mg for hot and cold sweats and also helps with anxiety and blood pressure

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว

      I was able to take 2mg Ativan 3x day, and all the above mentioned medications except the ketamine and after just 48 hrs I started 16mg of subutex with the benzo and that other stuff so I didn't have any precips except a lil restless leg.. but they have done a trial with ketamine infusion and I think all ER drs should spend a lil more time reading all these trials and put em into practice plus get licensed to give subutex to ppl in the hospital and write a 4 day script of suboxone til they get into dr to prescribe them. The government has made a new law allowing emergency rooms to address opioid withdrawal and give bup a nd a 4 day script when they leave but no hospitals around here care to do anything and if they did they combat precips cause these trials aren't being looked over... I think Pennsylvania is where the ers are giving bup but all hospitals should and they should study more on successful trials and use em for precips

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว

      Oh and 800mg gabapentin helps very well it's kinda like Lyrica

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว

      That was supposed to be mcg not kg

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว +1

      @@FlippedFaith the clonidine is what keeps your body temperature regulated so u ain't having cold and hot sweats and blood pressure thats why they use it for opiate withdrawal. Yea Xanax and Lyrica are a step above u can use that combo too. I read a clinical report for er Dr's directing them on what to give for precips and Ativan covered 2 symptoms skin crawling and anxiety and it said they could use Valium but it was best just for the anxiety. I like Xanax as well I use to be on the green bars but dr retired and the new dr put me on 3mgs of klonopin a day. its what helped me I just take little pieces of subs each day now

  • @acidbath3226
    @acidbath3226 ปีที่แล้ว

    I couldn't get through the withdrawals without using CBD or gabapentin and phenibut. Also I couldn't bear swallowing it anymore because it did nothing but cause unbearable nausea, constipation and metabolism issues, once I started just holding it under my tongue and spitting it out, it was a million times easier to deal with as it eliminated those side effects. Also macrodosing is unnecessary as long as you have the other meds in fact its probably torture to force yourself to take a huge dose just to immediately get off fentanyl, it will end up making you feel like your dying because it will overtake the receptor and leave you in immediate withdrawal from the amount of opiates that are built up in your body. The best thing is to take as little as possible up until the point where you are in full blown withdrawal typicaly on day 2-3 and thats when you would wanna take the highest dose but you don't want to take anymore equipotent to the dose of fentanyl you are taking

  • @JM-zq9em
    @JM-zq9em 2 ปีที่แล้ว +2

    Or you could just have some good caring friends that aren't scared of tough love chain you to radiator with a tarp under you to catch the wrath of hell you will go through. Some I.V. fluids will help keep you alive while you lay there... SWIM done done it . Saved his life .

  • @codyhahn2359
    @codyhahn2359 3 ปีที่แล้ว +5

    Omg are you kidding me 16 of bupe when 2 or more causes precipitated w.d. if you ever went through that you would be better off using chlonodine gabapentin and a benzo to help the bridge possibly microdosing bupe if going onto it but what's sad is those simple medications are less accessible to the patient then fentanyl is and that's sad

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว

      For fentanyl use Wait 2 to 4 days of not using it sucks but gotta be done then start taking a couple gabapentin 800s, a benzo 2mg Ativan or a couple of them are best for the crawling skin and anxiety, then if u can get some nausea meds like Zofran and bentyl for cramping flexeril for spasms clonodine .2 is good for hot and cold sweats plus blood pressure an anxiety. Alive for any pain then try a very small dose of subutex too make sure all the other stuff is knocking out the precips and if so macrodose 16mg subutex. Drink plenty of fluids too after it's dissolved

    • @tircwatchyou1269
      @tircwatchyou1269 2 ปีที่แล้ว

      While I agree with the concept of using those medications to help withdrawal, precipitated or not (especially the gabapentin which I feel is. criminally underrated at reducing withdrawal symptoms, and may be the best non-opioid choice) the idea behind a super dose of 16-24mg of bupe is to basically just to blitz through and while they will still feel prrecip it’ll be for a shorter duration because of so much bupe helping to mitigate it.
      Another benefit is now instead of waiting days for a slow induction, you can now just get it over with and the patient will be stable on suboxone with no withdrawal symptoms in at the very most; 12 hours.

    • @houseofsolomon2440
      @houseofsolomon2440 2 ปีที่แล้ว +1

      I wonder if kratom can be used to help mitigate withdrawal symptoms.
      There's a significant number of people who report that it really helps.
      Obviously it's a replacement route.

    • @codyhahn2359
      @codyhahn2359 2 ปีที่แล้ว

      @@houseofsolomon2440 kratom will do nothing for fentanyl withdrawal shit oxy don't even take fentanyl withdrawal away

    • @kylenichols3422
      @kylenichols3422 ปีที่แล้ว

      Ur 100% right even in a "controlled" facility I can 70% of time get fenty or xans at small rehabs. Large facility is 100% u can get both. I've tried to get a cpin script for 2mg a day 1 in am 1 at dinner... they only give u subs. I have to lie and chug some alcohol, which I hate, bfore I go in just to get libriam. They just tell u take subs until u get better or go to hospital and not thier problem... but it's ur worst day of ur life. I attempted suicide because of this. Guess I needed more bars

  • @jasonphilpot7186
    @jasonphilpot7186 2 ปีที่แล้ว

    There are er drs that have used ketamine and some trials showing ketamine is effective when bridging with bup induction

    • @kokokat584
      @kokokat584 2 ปีที่แล้ว

      I know ket helps i did it on street, goid luck finding a dr who will do this. They have meds but wont use it. Best i ever got was benadryl hydroxyzine and clonidine. It was useless

  • @firehawk346
    @firehawk346 2 ปีที่แล้ว

    Can heroin ease Fentanyl withdrawals and avoid precipitated withdrawal altogether?

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว +2

      Bup is a synthetic opioid its not a full analgesic so it goes straight for the mu pain receptor and knock everything off and binds to that receptor being only half an analgesic that's what causes the precips but a full analgesic such as heroin, a handful of oxycodone, or some hydrocodone will ease up regular withdrawal yes u wouldn't have precipitated withdrawal using those but they would help u get thru regular withdrawal til u can get back to bup I recommend subutex if u can get it cause thats narcan in suboxone and they claim its not absorbed much in the mouth but u know your body is getting some of it subutex is great to start on after a few days with no fentanyl but I don't suggest u to do H get u some .2 clonodine, 2 to 4 mg of Ativan , gabapentin ,some Zofran and bentyl for nausea and cramping and after 3+ days of no fentanyl take small pieces of subutex and all the other medications I listed continue and if u do fine with small pieces than go with 16 mg of bup and u should be fine. Hope this helps u id all this and 45hrs after my last use of fentanyl I took 16mg of subutex and was ok

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว +2

      And I'm not a Dr thats clueless im an addict that's been thru it and used these meds and got thru it all comfortably the key is waiting as long as u can before bup

    • @grimshorts4834
      @grimshorts4834 2 ปีที่แล้ว

      REAL pills can do this. To put more time between the fent and you. Heroin could in theory but now all the dark has fent in it. Too risky. You’d rather be dope sick than in precip.

    • @kokokat584
      @kokokat584 ปีที่แล้ว

      Yes

  • @ronalddesoto3515
    @ronalddesoto3515 2 ปีที่แล้ว

    Im an Heroin and Meth Addict, and it's not false positives from Meth for Fentanyl, the Meth, it's the meth being cut with Fentanyl

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว

      Everything has fentanyl in it u gotta be careful no matter what it is there are hundreds of thousands of fake pressed roxys, Xanax bars,all kinds of fake pills and they're even putting it in ppls weed now and yea the meth has it alot of times. Our country is flooded with fentanyl cause it's so much cheaper its made from chemicals it doesn't even come from a poppy

  • @All6swrk7s
    @All6swrk7s 2 ปีที่แล้ว +6

    They need definitive proof that taking more bupe, macrodosig, is actually a viable solution for PWD. I'm not convinced at all from the research alone, from others personal experiences.

    • @dean4559
      @dean4559 2 ปีที่แล้ว +4

      nor am i. its insane to macrodose anyway with the fentanyl that is everywhere now. Fentanyl stays in your system for days and days. The old ways that sub worked with true heroin are now irrelevant. One must micro dose suboxone over a few days before any amount such as 4,8,16 can be considered. I know I lived thru it.

    • @jasonphilpot7186
      @jasonphilpot7186 2 ปีที่แล้ว +1

      Macrodose is just gonna make worse but there's a handful of meds if u can get em I went straight to 16mg of subutex after just 48 hrs of no fentanyl use and it didn't really bother me much

    • @kokokat584
      @kokokat584 ปีที่แล้ว

      It's not it's BS

    • @jonahjames8915
      @jonahjames8915 ปีที่แล้ว +1

      I tired to macrodose coming off fent and it put me in the hospital. Byfar the worst experience I've ever had. I had to go cold turkey for a whole week before introducing bupe.

    • @kokokat584
      @kokokat584 ปีที่แล้ว

      @@jonahjames8915 if u need advice get it from a junkie that got clean fuck these doctors who have no clue

  • @christophermackerley4217
    @christophermackerley4217 3 ปีที่แล้ว +6

    These people have no idea what their talking about!

    • @timgreenglass
      @timgreenglass ปีที่แล้ว

      agree. bupe-pushers at best.

  • @enriquenatal7831
    @enriquenatal7831 3 ปีที่แล้ว +1

    U are soooooo wrong