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Old 11-03-2009, 10:31 PM
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Smile methadone to subutex (buprenorphine)

hi all, i have been on a methadone program for 4 years and every day i wake up feeling withdrawls at some ungodly hour (roughly 5am). i was on 80ml, i am now on 28ml and ive gotten so sick of it, that when i went to see dr rushton at my clinic i got him to change me over to subutex. he gave me 8 8ml tablets and told me to wait 48hrs before i start the transtition, and wait till you get big withdrawls, the only thing is its now half 3 in the morning and i havent had any methadone sinse yesterday at 9am, so thats what, 43 and a half odd hours and i still havent even got the SLIGHTEST symptom of withdrawls, the only thing im feeling is wide awake and cant sleep (hence messaging on a message board at half 3), im confused why im not in withdrawl. so my question is, does anyone think it a bad idea to take my subutex yet?? because i am worried.

Last edited by iinfinity; 11-03-2009 at 10:44 PM.
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Old 11-03-2009, 10:50 PM
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Originally Posted by iinfinity View Post
hi all, i have been on a methadone program for 4 years and every day i wake up feeling withdrawls at some ungodly hour (roughly 5am). i was on 80ml, i am now on 28ml and ive gotten so sick of it, that when i went to see dr rushton at my clinic i got him to change me over to subutex. he gave me 8 8ml tablets and told me to wait 48hrs before i start the transtition, and wait till you get big withdrawls, the only thing is its now half 3 in the morning and i havent had any methadone sinse yesterday at 9am, so thats what, 43 and a half odd hours and i still havent even got the SLIGHTEST symptom of withdrawls, the only thing im feeling is wide awake and cant sleep (hence messaging on a message board at half 3), im confused why im not in withdrawl. so my question is, does anyone think it a bad idea to take my subutex yet?? because i am worried. thanks in advance.




It would be a TERRIBLE idea to take the subutex now. You will need to go a good three days before starting on the subs. Methadone has a very long half life hence you're just not feeling the w/d yet. It will start though just wait for it. It's very important not to start the subs now.

I'm going to give you a link for what is called the COWS (clinical opioid w/d scale) worksheet. When you add up your w/d symptom scores according to the worksheet you should be at a 26 or above. Otherwise if you take the subs too early you can get vile sick! DON'T DO IT!!! Here is the link.

http://www.suboxone.com/pdfs/OWR.pdf

If you're going to use subs you should check out the following link. IT WILL WORK!! This is how I've suggested using subs on this forum for over two years. Can't even tell you how many people have successfully gotten clean off opiates including the subs following this plan.

Pay close attention to the INDUCTION section where you will notice the COWS worksheet being referenced. It also explains how to use and then taper off the subs properly so that you can do this basically incident free. Here is the link. Hope it helps. God bless.

http://www.drugs.com/forum/featured-...apy-50887.html
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Old 11-05-2009, 07:01 AM
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thank you for the reply robert, i did wait i waited till thursday morning, and took my subutex, and it didnt throw me into a massive withdrawl
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Old 11-05-2009, 10:29 AM
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thank you for the reply robert, i did wait i waited till thursday morning, and took my subutex, and it didnt throw me into a massive withdrawl



Good for you! What dose of subutex did you end up stabilizing at? Keep us posted. God bless.
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