... avoid being thrown into accute withdrawals. (I tried to edit first line but it wouldnt let me, so i'll try to clarify now) I am planning to transition from methadone (at 75mgs./day) to oxycontins (at say 100mgs./day or less) then to suboxone. I have been taking oxycontin to ease withdrawals from methadone, but the addict in me started abusing them again. Anyway, if I can get down to say 80mgs./day of oxy, would it make for a better transition to suboxone than it would have been from methadone?I have always had severe withdrawals, and am wanting to know how long after my last oxycontin should I wait to aviod being thrown into severe accute withdrawals when I take the suboxone. Remember, I will also be in withdrawals from the methadone so I will be seeking the shortest term possible.my plan is to take my last oxycontin one night before bedtime, and take the suboxone when I wake up in the morning. (this will make a week or more off methadone). will this work or do i have to be in withdrawals from oxycontin, also. I may be way off, but my reasoning is that the methadone has a much longer lifespan than the oxycontin- right? if so, then I wouldn't have to wait as long while in withdrawls transitioning from oxys to suboxone than i would from methadone, right??? I have been told by a few other addicts who are taking suboxone that i only have to worry about accute withdrawls happening with the methadone/suboxone mix but im worried about having the same problem with the oxys ??? Has anyone had the experience of going directly from oxys to suboxone, and if so, how long did you have to wait after your last oxy and how much were you taking?
There is a way to determine if you are in sufficient withdrawals from the opiates. It is a series of questions that you answer and then depending on your score, you can tell if it is time to start the Suboxone. The questions can be found at:
After the test you will find the directions. It really is recommended that you score at least a 24, some people say a 26, before taking the Suboxone.
not a judgement here, Promise, but you sound like you may be getting your suboxone and the treatment plan from an... ahem... Freelance unlicensed pharmaceutical supplyman. If that is the case (and again, no judgment) this supplyman is not educated enough about suboxone to safely dispense it or the induction plan. Methadone can stay on the brain receptor sites much longer than 1 week at 80 mgs and the transition from methadone to SUBUTEX (which is the smarter way to induct a methadone patient) is tricky, I still think you are going to have a rough induction and precipitated withdrawal with this plan. I am seriously just trying to keep you from going into precipitated withdrawal. All opiates must be off of the receptor sites in order for the subutex or suboxone to "sit down," and not cause precip. Proper induction from methadone to SUBUTEX, involves tapering to 30 mgs or less of methadone, 72 hours methadone free, then subutex. Proper induction from short term opiates only involves around 24 hours opiate free, moderate withdrawal, which is indicated by a score of 26 on the COWS test. methadone slowly recedes off the brain receptor sites, especially at that high a dose. I do wish you the best of luck, and hope you won't have precip. You can possibly call the tollfree number at suboxone.com for more help and check out SuboxDoc's videos on YouTube.com on all sorts of subs questions. He has many and they are easy to understand. Subutex does NOT have the naloxone that suboxone has, therefore less of a chance of precip wd, that is why that is suggested instead of suboxone from methadone transitions. Hope this helps. Pattishan61
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