I have been on Suboxone now as prescribed for just under two months but cant afford the script and want to go back to H until I can step off of that. Obviously I don't want to kick the Subs cold turkey so I have to go back to the H.. How long do I have to wait (with a pretty fast metabolism) before I can feel the affects of the H or another opiate?? I am an IV user and was planning on using about 36 hours from my last dose~
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What about talking to your doctor about using methadone instead of Suboxone (buprenorphine/naloxone)? Methadone is dirt cheap and in many cases people who use high doses of IV opioids like Heroin respond better to methadone.
You could also talk to your doctor and see if there are any programmes to help cover the cost of the Suboxone.
Another option (however it is probably not realistic with the amount of Suboxone you take) is to use ancillary medications (without any opioid including Suboxone or methadone) to help reduce the symptoms of withdrawal. Examples include-
For anxiety, agitation, hypertension, nausea, abdominal pain, muscle aches/pains
Valium (diazepam) 5-10 mg every 4-6 hrs, maximum 40 mg/day
Ativan (lorazepam) 1-3 mg every 4-6 hours as needed, maximum 10 mg/day
For anxiety
Lyrica (pregabalin) 50 mg every 8 hours as needed
For diarrhoea
Imodium (loperamide) 4 mg initially, followed by 2 mg after each loose bowel motion as needed, maximum 16 mg/day
For nausea/vomiting, cramping/abdominal pain, anxiety, and in some cases insomnia
Phenergan (promethazine) 12.5 to 25 mg every 4-6 hours as needed
Atarax, Vistaril (hydroxyzine) 25-100 mg every 4-6 hours as needed, maximum 400 mg/day
For pain, muscle aches
Advil, Motrin (ibuprofen) 400-800 mg every 4-6 hours as needed, maximum 3200 mg/day
Tylenol (acetaminophen) 1,000 mg every 4-6 hours as needed, maximum 4,000 mg/day
For nausea/vomiting, cramping/abdominal pain, and (not for Bentyl)muscle aches and pains, excessive sweating, and anxiety
You could also talk to your doctor and see if there are any programmes to help cover the cost of the Suboxone.
Another option (however it is probably not realistic with the amount of Suboxone you take) is to use ancillary medications (without any opioid including Suboxone or methadone) to help reduce the symptoms of withdrawal. Examples include-
For anxiety, agitation, hypertension, nausea, abdominal pain, muscle aches/pains
Valium (diazepam) 5-10 mg every 4-6 hrs, maximum 40 mg/day
Ativan (lorazepam) 1-3 mg every 4-6 hours as needed, maximum 10 mg/day
For anxiety
Lyrica (pregabalin) 50 mg every 8 hours as needed
For diarrhoea
Imodium (loperamide) 4 mg initially, followed by 2 mg after each loose bowel motion as needed, maximum 16 mg/day
For nausea/vomiting, cramping/abdominal pain, anxiety, and in some cases insomnia
Phenergan (promethazine) 12.5 to 25 mg every 4-6 hours as needed
Atarax, Vistaril (hydroxyzine) 25-100 mg every 4-6 hours as needed, maximum 400 mg/day
For pain, muscle aches
Advil, Motrin (ibuprofen) 400-800 mg every 4-6 hours as needed, maximum 3200 mg/day
Tylenol (acetaminophen) 1,000 mg every 4-6 hours as needed, maximum 4,000 mg/day
For nausea/vomiting, cramping/abdominal pain, and (not for Bentyl)muscle aches and pains, excessive sweating, and anxiety
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