Doctor insights on:
Opiate Withdrawal: The active ingredient in Suboxone is called Buprenorphine (bupe). Bupe is by itself an opiate and is used as part of what is known as the harm reduction model with opiate replacement therapy. The harm reduction model attempts to improve the opiate addict's overall level of functioning while causing less harm and in some cases-death. Suboxone is not a cure for opiate addiction. ...Read more
Sub withdrawal: It took you a long time to get where you are so don't expect miracles with a fast withdrawal; not saying this is you. Go off it very slowly at your own pace. If you develop symptoms you might try pain medicine such as Motrin and and another drug called Clonidine that might help with general symptoms. But in general you might think of six months to 18 months to slowly get down to zero. ...Read more
U can do it if U try: It's hard from 36 hrs after the last dose last for several weeks, even a few mths. Symptoms include muscle cramps and jerks, insomnia, diarrhea, sweating, anxiety and depression. Tapering helps 1/2 steps weekly or bi-. Or, a period of medical detox can help. They can keep you asleep a few days till your body clears. You can ask questions at 1-888-658-5242. I hope you do well! Best 2U! ...Read more
Varies: Because of a long half life of 36 hours withdrawal lasts longer than withdrawal from a full opioid agonist like heroin or hydrocodone. Most patients feel the symptoms for 7 to 14 days after stopping the drug. Keep in mind that some withdrawal symptoms can start as you begin tapering off the medication. ...Read more
I'm currently on 18mgs of suboxone. I was wondering how bad the withdrawal from suboxone is? Compared to methadone or opiate withdrawal?
If you’re considering discontinuing suboxone, you’ll need to taper it. Withdrawal can include nausea, muscle cramps, anxiety, depression, diarrhea, insomnia, etc. Opiate withdrawals are generally similar in their predictable effects.
Suboxone withdrawal is treatable by tapering the medication. Please discuss a taper regimen with your prescriber if this is what you wish to do. Good luck! ...Read more
Not necessarily: I have heard patients tell me that Suboxone withdrawal is not as bad and have also heard it's worse. It depends on from how high of a dose one is stopping whatever opiate they've been taking. It is much easier and safer to try and gradually decrease the opiate dose until one is stopping from a very low dose and not a higher dose. The higher the dose, the worse the withdrawal when stopping. ...Read more
Suboxone withdrawal: This is a very difficult question in my experience it varies extremely from several weeks to several months if nothing is done to lessen the symptoms there are ways to minimize the withdrawal. If you have the choice the best way is to come off the Suboxone very very slowly over many months. ...Read more
If I were to take. 5 mg-1mg suboxone on day 4 of suboxone withdrawals am I going to be back at square one starting withdrawals over again?
It depends: It depends on the daily dose the person was last receiving before stopping. Short term, the most severe withdrawal symptoms generally do not last much longer than three to five days or up to about a week. The longer term return to normal functioning for anyone coming off opiates can last much longer, even up to six months to one year. That has been called post acute withdrawal syndroms or paws. ...Read more
Do it slowly: If you are experiencing significant withdrawal, the best choice is to reduce the taper (if you were coming down 2 mg at a time, go by 1 mg; if you were reducing it every day, reduce it every second or third day). Other medications for treating symptoms - ibuprofen/tylenol for pain, pepto bismol for stomach cramps/diarrhea, Benadryl (diphenhydramine) to help sleep etc.) as well as prescribed Clonidine can be helpful. ...Read more
Several.: There are several withdrawals associated with suboxone: there is precipitated withdrawal--this is when someone is on a FULL AGONIST opiate and takes suboxone which interferes with it to produce withdrawal. Similarly, not taking the suboxone produces narcotic withdrawal (suboxone is a narcotic). symptoms are runny nose, pain, agitation, GI upset. THen there is removal of positive effects on pain. ...Read more
The box and withdrawal: Suboxone, as far as I'm concerned, is a lifesaver drug but it does have the downside of being difficult for many to stop. There's no set way or medication regime, standard regime, to help. The best way that I know of is to go down on your dose very slowly, by months, and then weeks ; then skipping days. All that said the use of Clonidine might help ...Read more
If we only knew...: That's the "holy grail! " I believe if we knew this answer, there would be much less drug abuse in the world. Unfortunately, there is no magic formula or medication (or vitamin or herb) that really helps. Anyone who tells you differently is almost certainly trying to sell you something. However, that said, keep in mind we are all different. Some things work and others don't for some people. ...Read more
Treat symptoms: Suboxone withdrawal should always be planned, managed and closely supervised by your treating physician. Medications are provided to treat the symptoms of withdrawal. Sleep meds, medication for nausea, clonidine, non opioid pain medications. To minimize risk of relapse participating in an intensive out patient treatment program should be considered. ...Read more
Opiate withdrawal refers to the wide range of symptoms that occur after stopping or dramatically reducing opiate drugs after heavy and prolonged use (several weeks or more).
Treatment involves supportive care and medications. The most commonly used medication, clonidine, primarily reduces anxiety, agitation, muscle aches, sweating, runny nose, and cramping. ...Read more
Withdrawals: Withdrawal can upset a lot thing in a body and you should see a doctor if your period is late. Let them do a pregnancy test and rule out some other causes. ...Read more
Is suboxone withdrawal as severe as methadone withdrawal? Or normal opiate withdrawals? I've been on 18mg for about 3 months & have a high metabolism.
Its probably not: As severe, but everyone is different and reacts differently. ...Read more
It's unpredictable.: My thinking is that they are two separate problems and have to be treated as such. The withdrawal from Suboxone when you are more vulnerable to depression (when your sad tends to flare up), may make it more likely you will become clinically depressed so it would be wise to take extra precautions if doing so. Withdrawing form Suboxone in itself can lead to depression. ...Read more
Talk to your doctor: You need close medical supervision if on this combination of medication. Sedation and respiratory suppression are the main concerns. Don't do it alone. Seek medically supervised detox. ...Read more
Clonodine will: Clonodine does help someone cope with the symptoms of opioid withdrawal. I usually add this medication into the titration initial hours when the patient has alot of GI symptoms of withdrawal. I generally recommend taking Suboxone and not just going off opioids due to the very high rate of relapse. ...Read more
Hello I'm prescribed clonidine. 01mg for bp and was wondering if any nasty drug interactions happen with Suboxone for withdrawal. Beside BP drop.
I've been on methadone& then Suboxone for withdrawal for about 1 year. If I need surgery, after quitting all med, will any narcotics ever work again?
Yes.: Hi conni, yes narcotics will work just fine. You may need a little more than a regular person, but if you've been off of them for a while, it will be the same as for the opiod naive person. Make sure you use IV opiods sparingly in the hospital and go to oral meds as soon as possible. ...Read more
I've been on methadone for a week and a half. I started at 30mg and went up to 90mg. Then I lost my car and can't go to the clinic anymore. Its been a few days now and I know I'm going to go into withdrawal. I have some suboxone I was prescribed from befo
Slow down/get help: First and foremost, contact the clinic and see if they can help you - there may be someone who lives near you who can carpool, or public transportation. I am concerned about a clinic raising you so rapidly - this is not in keeping with modern concepts of patient titration. Suboxone may make your withdrawal worse within 2-3 days of taking methadone. ...Read more
What should I do if I have been cut off suboxone, and are wanting to know how long the withdrawal lasts?
Depends: Many addiction experts would say that the length of withdrawal symptoms is correlated to the total length of opioid dependence multiplied to some extent by the strength of the opioids abused. There are unknown coefficients in the equation but that is a rule of thumb. For some people who have very severe dependency it can last months although for less severe dependency possibly weeks to even days! ...Read more