1. Dear Drugs-Forum readers: We are a small non-profit that runs one of the most read drug information & addiction help websites in the world. We serve over 4 million readers per month, and have costs like all popular websites: servers, hosting, licenses and software. To protect our independence we do not run ads. We take no government funds. We run on donations which average $25. If everyone reading this would donate $5 then this fund raiser would be done in an hour. If Drugs-Forum is useful to you, take one minute to keep it online another year by donating whatever you can today. Donations are currently not sufficient to pay our bills and keep the site up. Your help is most welcome. Thank you.
    PLEASE HELP
    Dismiss Notice

Treatment - Opiates fully out of system to start suboxone?

Discussion in 'Opiate addiction' started by cunningcriminal, Apr 20, 2010.

  1. cunningcriminal

    cunningcriminal Newbie

    Reputation Points:
    0
    Joined:
    Apr 20, 2010
    Messages:
    6
    33 y/o Male
    Well, I've been wondering if all opiates have to be out of your system to start on suboxone. SWIM has been a heroin addict for ten years, and SWIM is done. The kick is hell though, and SWIM doesn't even want to deal with it for one day...scary. Anyone know the answer?
     
  2. unema

    unema Silver Member

    Reputation Points:
    80
    Joined:
    Oct 4, 2008
    Messages:
    68
    Male from U.S.A.
    It varies from person to person. Some docs will tell you 12 hours after SWIY's last dose, all the way up to 48 hours. What is recommended across the board however, is SWIY must be in full w/d or else the subs will throw SWIY into precipitated w/d, which is supposed to be worse... :eek:

    SWIM waits between 15-24 hours...as long as SWIM is in full w/d, sneezing, runny nose, fever, watery eyes, gossebumps, hot/cold flashes, no longer constipated, puking, malaise, etc. SWIM knows some users that wait till they are dry heaving.

    Good luck.

    -unema
     
  3. Dickon

    Dickon Newbie

    Reputation Points:
    4,590
    Joined:
    Oct 17, 2008
    Messages:
    1,961
    Male from U.K.
    From what I've read the longer you can wait the better. 12 hours seems like a complete recipe for disaster (aka precipitated withdrawals - which my cat can tell you from experience, although not with buprenorphine, bring scary to a whole new level). It is also generally recommended that you reduce your dose down as much as possible before making the switch.

    As for waiting for the dry heaving, that is clearly not universally applicable. I don't think my cat ever dry heaved in withdrawal or vomited for that matter, and it's not that he hasn't done a smidgeon of withdrawing in his time. So, it's not about any one particular withdrawal symptom being present, but more about an overall assessment of how far into withdrawal you are.

    All the best with the switch, and I'm sure whoever is going to prescribe for you will give you advice about this.

    Dickon
     
  4. Spucky

    Spucky Palladium Member

    Reputation Points:
    3,000
    Joined:
    Feb 9, 2009
    Messages:
    2,401
    Male from japan
    AW: Opiates fully out of system to start suboxone?

    Yes, they need to be away from the Receptors,
    the Cats personal Tip is:

    Heroin: min. 24 Hours
    Methadone: min. 60 Hours
    By Codeine it's depending on what kind of Pills swiny is munching,
    some of them have a very strong Retarded System, individuel Information is needed!

    also have a look into: http://www.drugs-forum.com/forum/showthread.php?t=24501
     
  5. cunningcriminal

    cunningcriminal Newbie

    Reputation Points:
    0
    Joined:
    Apr 20, 2010
    Messages:
    6
    33 y/o Male
    SWIM varies between Oxycontin 80's, Dilaudid 8 mg's, OxyIR 30 mg's, and various other pills. With such a hodgepodge of opiate activity, SWIM has no idea what to do about withdrawals. SWIM tried 8mg Suboxone today, and it made SWIM sicker...was forced to Dilaudid (16mg)...worked, but not like it should cuz receptors were blocked (I guess from the Suboxone?). SWIM just wants to be done with the least possible amount of pain...
     
  6. jloops

    jloops Silver Member

    Reputation Points:
    164
    Joined:
    Nov 11, 2009
    Messages:
    123
    Male from U.K.
    If you took 2 mg or more and it made you sick but not drop dead sick, you should've just stuck with it.

    Switching to buprenorphine is not necessarily going to be pleasant. If you can take 2 mg and not absolutely go into insane withdrawal, the kind that would scare the shit out of anyone watching you, then you were good to go.

    Other than that, a doc could give you benzos or clonidine (don't mix them [or mix them with opiates] yourself -- you could lower your blood pressure too much and cause a serious problem) to get you through 24 hours, which is the safe number. If you wait 24 hours after heroin, or a little less after dilaudid and oxycodone which last an even shorter period, then you're supposed to be fine. The suboxone will be a relief if you wait that long.

    Like I said though, if you took 2 mg or more without absolutely losing it, then you should've just toughed it out for a few days and you'd end up in the same position as if you'd waited the full period. From now on you need to play it safe though and wait longer, because I've read descriptions of precipitated withdrawal that were so bad they caused me vicarious pain. It's just not safe, blood pressure goes way up in intense opiate withdrawal (hence the clonidine) -- severe precipitated withdrawal being the worst of the worst -- and you can have a stroke or hemorrhage, or, perhaps worse, feel like you're having one.