... taper I've found. I am just concerned about one major thing... Relapse. I don't want opiates, but will that change when I detox completely off subs? I imagine after a 2 yr heroin habit, approx 8 yrs of methadone and now 18 mths of suboxone I've had enough. I pray I keep all of the bad things in mind if I start to stray. I feel like I'm cheating myself as long as i'm on something so I'm looking for support here b/c I can't get to meetings w/ a baby right now. So any positive feedbback is greatly appreciated. Did u guys start craving opiates after detoxing? It was expalined to me that my brain doesn't produce the natural opiate that we all need for pain and things like motivation. Will I feel down and out for a while? I have kidney stones and ovarian cysts which may require pain meds... should I take them? Okay well I guess that's a lot of questions, but I'm not getting answers from my doc. Is there a drug that counteracts naloxone if I need pain meds? thanks sorry so long
I will try to answer this to the best of my ability. Subutex and suboxone are both partial opioid aganists, suboxone having the added drug Naloxone.
Subutex may not have naloxone, but it still binds to the receptors tightly with a long half life. I have a card for emergencies directed to hopsital staff of my sub use. In a hospital scenario there is a way to help one's pain while on subs. Now, I would not take the chance of using other opiates with subutex as, for the most part, subutex will block any opiate. There is also a risk of OD with subutex and full agonist opiates together. From my reading, I find nothing indicating that subutex will cause precipitated WD, as suboxone will.
Your best option is to consult with your subutex doc and see what alternatives are available.
As for cravings returning atfer detox from subs, Pattishan is the best for this information. She has been off suboxone for over two months now.
Dear Sickofbeingsick, I know you think that you don't have time for meetings, but support is one of the things that helps with not relapsing, even if you have to do an online support group, you really need that. I don't know if you did any addiction counseling, but the therapists are really good at helping you reframe your mind so you are able to not worry yourself into a relapse. I am not sure which medications they have for those on subs who need surgery and pain meds, but apparently there are some they use, this also goes for those who are newly off suboxone. You may need to talk to Robert about that but I will pray you won't need any pain meds anytime soon. Alot of people forget that suboxone is healing your brain receptor sites, you aren't really cheating, you are staying sober with the help of a medication. I have had no desire to relapse, and also worry about whether I should have a wreck or need surgery, what will I need to do or tell the doctor, but, I am trying to be careful and stay healthy. If you can get some exercise ( if you are physically able and it is safe and comfortable where you are) start with some walking, like 10 or 15 minutes a day. As you taper down on the subs, the exercise will be producing endorphins, those help you feel better mentally and physically and it will help finish rebooting the natural system the brain has to relieve pain. Our bodies were designed to make and do, so when we get lazy, no exercise, that signal is not being sent to the brain that we need pain relief or energy. The walking sends that signal and increase your walk time by a couple of minutes every few days. I swear it helped me taper off subs. I am NOT an athlete, or a health nut, just didn't want wd when I quit subs and I swear it helped me. I did go back on a low dose of amitriptyline for depression while on the last of my taper, that helped to. Stay busy and reach out to help someone else who is going thru the same thing, and it helps you not to worry so much about what could happen. Patti
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