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Originally Posted by laurie2400  i hope you mean suboxone, because if your taking about subutex you dont need to be in withdrawals to take that. subutex doesnt have a blocker in it, therefore you dont need to be in withdrawals to take it. |
The difference in Subutex vs Suboxone is simply the Naloxone we find in Suboxone. Subutex is pure Buprenorphine. Naloxone was added to Buprenorphine thus forming Suboxone. Naloxone's only purpose in this medication is to deter users from injecting the Buprenorphine. If one injects Naloxone it can initiate precipitated withdrawals if we have full agonists being opiates in our system at the time. Buprenorphine alone is a partial agonist and can definitely cause precipitated withdrawals if one is not in full and obvious W/Ds when they begin using EITHER Subutex or Suboxone. It is the Buprenorphine that causes the precipitated W/Ds in this situation, not the Naloxone. There is even a test I will explain that the drs use to verify the state of W/D the patient is in. I can refer you to numerous links that will verify this.
I would suggest that you go to to
http://naabt.org/faq_answers.cfm#70 and read the section on precipitated withdrawal. There you will find what I am referring to. This is the FAQ section of the main web site for Buprenorphine. One MUST be in W/D when beginning this therapy or risk precipitated withdrawal I assure you. The drs do what is referred to as a COWS score on the patient. COWS stands for "clinical opiate withdrawal scale". COWS is explained at this location as well. If the patient does not have sufficient W/D symptoms to score a 5-6 minimum on the COWS the drs will wait before initially administering the medication until such time that the appropriate score is achieved. This is very good information on using both Subutex and Suboxone at this location. It's worth the read.
PLEASE HELP, trying to get on subutex , but affraid it will throw me into worse withd 
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