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Originally Posted by anna50 Actually, I believe that if you quit suboxone too early, you may relapse. From the research that I have done, I believe that it is better to be on it long-term. I have been trying to get my daughter to get on it. Currently, she goes to clinic for methadone. She is afraid to get on suboxone, for fear that she will relapse. She told me that she knows people who are on suboxone and still get high off of opiates. And, she knows that opiates will not get her high while she is on methadone. Also, I have a friend who is an RN and an opiate addict. She confirmed that you can get high while on suboxone. |
Anna,
addicts tend to be dishonest at times and highly manipulative. Your daughter and your addict friend seem to be taking you for a ride or are at best misinformed. The main differences between methadone and suboxone are (if interested why, do the homework):
1) no opiate on earth works when you're taking suboxone, you'll die from OD before getting a high, believe me, I tried very hard (getting high that is, not dying) so eventually you realize it's pointless.
It is quite easy to get high from opiates on Methadone. You might have to take a bit more and the euphoria is not as intense all of which may lead to a more aggressive method of ingesting to compensate, shooting up being the most common.
Methadone very often (40% in this country) keep taking their opiate of choice and use methadone as a) safety net in case they cant get their DOC b) to create an illusion with their parents that they are working on getting healthy while they are in effect on a substitution treatment with a full agonist, therefore it's essentially the same as if they were getting heroin from their doctor.
2) Methadone does seem to reduce or even eliminate cravings in the first couple of weeks when it gives you a high but once the honeymoon is over the cravings are back. I speak from personal experience + that's the reason cca. 40% of people on methadone still use. Suboxone/Subotex on the other hand does stop cravings, albeit it might take one a few days to stabilize, especially if switch is made from a high methadone dose or if subject does not wait to be in at least Grade 2 withdrawal (diarrhea and dilated pupils are reliable indicators, don't take her word for it as she may really go into withdrawal after taking Sub, the worse the withdrawal the better).
Your daughter is probably scared of Suboxone because of possible discomfort (not so bad though, nothing compared to actual withdrawal) in the switching phase + once she starts taking Suboxone she's not getting high again, your friend is wrong or lying, you cannot get high on Suboxone.
3) The main reason why people prefer Suboxone to Methadone and why you should consider it, while it's an opiate just like Methadone and while it may take years or a lifetime to get off it, almost everyone feels much different on Suboxone and other partial agonists, the brain receptor processes seem to be restored with the effect that while on Methadone just like on heroin and such there is invariably stupor, laziness, drowsiness and pretty much complete inability to do anything productive with predictable results (most all opiate addicts except perhaps the trust funded ones end up a financial mess, most of them physical wrecks and emotional disasters). This I know from experience.
On Suboxone patients report clearheadedness (some dislike that of course, having grown accustomed to feeling better than normal, i.e. there is no high), their vital energy restored etc. I'm on Sub for a week so this is not from experience, but if you'll do your homework you will agree.
Relapse is actually very likely when patients drop below 30mg of Methadone so your daughter will either be on Methadone all her life, with all the consequences, try reducing it, a high relapse risk, let's not even discuss kicking it.
Therefore, it makes sense for her to try Suboxone, it's the lesser of two evils, definitely no joke, but a guaranteed blocker from opiates (they don't work on Suboxone, she'd have to wait 3-5 days to feel any effect of heroin or whatever her DOC is), an almost certain cravings remover, gives her a much better shot at a real life than Methadone and if, inshallah, she does decide to stop altogether, Suboxone will be easier (but not easy by any means) to quit then Methadone.
Perhaps a good way to motivate your daughter to start taking Sub is to understand that she will be in a withdrawal sooner from short acting agonists like heroin and should actually discontinue Methadone for 48 or even 96 hours (depending on dosage, duration of Meth treatment and her metabolism) before taking Sub and she can be on her drug of choice for a couple of days.
Ideally she'd detox from Methadone with Suboxone in a month or so before she gets hooked on Sub, but from what you say she's probably not ready yet.
In my humble opinion, you should get your information from multiple and reliable sources. If you believe what your addicted daughter and an addict friend of yours tell you without bothering to check it out then you might want to reconsider. Doubt everything they say related to drugs, money, unusual behavior etc.
Best of luck.
Leiito