I need some advice. I posted a question or two last night about this but perhaps did it wrong as i don't see where it was posted. Anywas, I will make this as short as possible. I abused trammies 500-600 mg per day for almost seven years. Detoxed at a clinic for 4 days and got out there bc it was like jail and terrible for my mental health. I got out and went to visit my mom. She gave me methadone 10 mg 'just in case' (she's crazy-I'm crazier for listening/taking them) anyways, I took them for about 3 months. Ran out two days ago. I refilled an old Rx for tram to take so I don't go nutso with withdrawals while waiting on my subox dr appt. that is scheduled for aug 5th. Guys, what do I do? should I just try to detox from the tram alone? I MIGHT be able to do that, but I am obviously very weak when it comes to relapsing. Will subox help with me cravings/relapse? any advice is so greatly appreciated. I haven't told anybody about this; the methadone, new trams, subox appt etc. they assume I have been clean since i went to rehap in april. Sigh. help?
Call the suboxone doctor and see how they want you to proceed. Most people who go on suboxone are on opiates and have to be in withdrawal for an average of at least 24 hours before they start the suboxone. Reason being is that if you aren't in moderate withdrawal, the receptor sites still have opiate on them and you will go into precipitated withdrawal. With tramadol, I am not sure how they would proceed, you could also go to the suboxone website and get the toll free number and call about that question. Once you take suboxone, it should work in 15 to 45 minutes to eliminate withdrawal. It does help with cravings and some doctors use some other meds like clonidine to help as well. Going to some type of addiction counseling is supposed to be a requirement of the company that makes suboxone, but, I have noticed that some doctors ignore this. If you don't want to relapse again, go to the counseling whether your doctor requires it or not. I certainly don't mean any disrespect to your MOM, but, she needs to go with you so she will know what you are going thru, that you are trying to get better, and when she provided you with methadone, it actually set you back. I promise I meant no disrespect. Suboxone is a different type of opiate replacement than methadone and you can't switch back and forth between the 2. You should be withdrawal free in 15 to 45 minutes after the first dose of suboxone.
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