Please help. I have been taking at least 5 lortab a day, sometime up to 10, and the occasional ms contin and oxy contin. I went to a Suboxone clinic and was prescribed 40 2 mg Subutex (not suboxone). My question is exactly what point in my withdrawl do I begin taking them? My doctor said to wait 16 hours, but I don't begin really feeling the bad symptoms until about 24 hours afte my last lortab. I don't want to go into rapid withdrawl. (At this point Its been 22 hours and I'm just very antsy and sweating and can't really focus) should I wait longer?
Hey, if you will, google the COWS test ( clinical Opiate withdrawal scale) and give yourself this test, since you are 22 hours from last opiate use, you should be about at score of 26 and this is the lowest number suggested to start the subutex. You actually have subutex, and that is less likely to put you in precip while on it. It sounds like your opiate used may have been caught pretty early, and you might not start going thru really bad wd for another few hours, or you perhaps you would not have had that bad a round of wd because you did this early and didn't cause as much damage to the neurotransmitters. As long as you have not taken any other major rx'es like benzos to take the edge off the withdrawal, you should be safe to start the subutex at 24 hours or a score of 26 on the COWS test. You should start feeling the wd ease in 13 to 45 minutes, feel good one hour after the first dose, fabulous at 2 hours after.
I am curious, the doctor did NOT want you to take it in the office while you were monitored, that is not usually how people are inducted onto this medication. They are monitored at 15 min increments to gauge how well the subs are working, how fast, and all vitals. This should have been done, it is my suggestion that you take as small amount to keep you wd free as possible, it will be better on you. It can take up to 2 hours after you take it for it to reach full effect, it may take less time, but give it 2 hours before you decide you need more. You should be able to get by with a small amount, maybe just one 2 mg pill, every 24 hours. Hope things go well, I would begin to question this doctor a bit if I were you, he should really have given you lots more info and care, this is not the norm for subutex doctors.
Update, thank you so much ￼pattishan61 I ended up taking 2mg at 24 hours in. In answer to your question, my last dose of hydro was about an hour before my appointment, and my doctor said to wait till my first dose of subutex until I began w/d. So I couldn't take it at the clinic. I think you're right that I haven't gotten as deep into it as some, but the worst w/d for me start at about 24 hours in. Idk why it takes that long. But anyway, it's now been 9 hours since the sub, and I feel no w/d. :) I'm so grateful for this stuff!
I dont mean to hi jack the post but what if your on valium already and have been for 5 months tapering down from seratonin syndrome (now @ 7mg qhs) My doc sent me home w/ subutex for pain mgmt. No opiate abuse just intolerance. I was 56 or so hours out from taking one 10 mg vicodin. Took 2 mg of subs and have mild nausea and really lethargic but cant sleep. Now Im scared after reading all these posts
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