Jessi21 said...
Dave, I don't quite understand what you mean by the "precipiated withdrawls." I mean, I'm on methadone right now, and supposing my insurance approves me taking Suboxone, than I will stop the meth under the detailed instructions of my doc, then he has a prescription of Tylenol 3 waiting for me to take for a while BEFORE I start the Suboxone. So then are you saying even after I do all that, when I start the suboxone I will just feel withdrawal symptoms? And for how long?? Also, when you say "Subs" are you talking about the subs of the suboxone - that they will block all opiates from working but that the Suboxone itself will not act that way?
Jessi, I don't want to scare you or anything but if you have any opiates in your system when you take your first dose of Suboxone you will go into Withdrawals. Those are called Precipiated Withdrawals. The Naloxone will kick in. This is why you must be in mild to moderate withdrawals before you take your first dose to avoid this. Another way to avoid this is to ask for Subutex. That's still the same drug but without the Naloxone. It costs a bit more though.
They put Naloxone in Suboxone to stop people from abusing the drug(crushing up the pills and snorting it or shooting it up via needle). This is why they give the drug to addicts in opiate replacement therapy. Along with the fact that it's a super long acting opiate that has a half life of 36 hours.
But don't take my word for it, please...talk to your doctor. I myself was told I had to wait 24 hours before my first dose. I was taking Vicodin then which is a shorter acting opiate then Methadone. Also, "Subs" is short for Suboxone. :)