take one day and just break them down to halves whenever I get an urge. I was taking three thirty mg. of oxycodone a day by mouth for two years. What kind of damage was I doing to my body?
You need to be in withdrawal with at least a 26 on the COWS sheet before you start the suboxone. This usually occurs about 24 to 36 hours after your last dose of oxy. If you take the suboxone before the oxy is off the receptor sites in the brain, you will go into something called precipitated withdrawal and it is a really really bad form of withdrawal. COWS stands for Clinical Opiate Withdrawal Scale. Suboxone takes up all the room on the receptor site and the brain has a higher affinity for suboxone than it does the oxy. If there is oxy on the sites, the 2 meds will fight for the same space on the sites and both meds will be cancelled out and really bad withdrawal will set in.It does take you out of withdrawal in 20 to 45 minutes if properly taken and it will quell cravings. The oxy you took probably affected your liver and kidneys as well as causing the brain to not produce its own opiates as opiate was already in the brain. This is the reason a person goes into withdrawal. The system of natural pain relief goes crashes when someone regularly takes opiate and the neurotransmitter goes on vacation and doesn't send the signal to the receptor sites to send the brain's opiates. Withdrawal is the attempt by the body and brain to bypass the no longer working neurotransmitter and try to trick the brain into releasing its own opiate. It can't and then the body sends multiple unpleasant symptoms thinking that one of them will make that neurotransmitter reboot. The brain has to reboot that system in order for it to work again. Suboxone will allow you to remain withdrawal free and craving free. Make sure you don't take the suboxone too early. The neurotransmitter can start working again, but you have to give it time.
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