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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Suboxone Addiction

Hi doc hope u can help me I can't go on like this anymore. I'm 29 I've Ben addicted to opiates for 11 years. (Snorting Oxycotton &opana) all of these were obtained from the street. Then 4 years ago the person I got them from got on suboxone I to started taking it to recently I have tried to get my own doctor to prescribe them to me I'm a father of five kids have a full time job and a wife and buying the suboxone off the street has broke me and caused me to nearly loose my family I have called several doctors in my area that prescribe suboxone and the waiting list is so long they can't tell me how long it will be before they can help me. I don't have anymore time left I'm guna lose everything that is important to me in life very soon if I can't get to a doctor asap! I go thru withdraws once a month at least! Due to the person I get them from needs them for himself. They are horrible I get to the point that my body convulses uncontrollably, cannot sleep eat I shut everyone around me out anxiety depression and so on. If I lose my family I no I won't be able to recover from that I'm begging you for your help! I just want to live a normal life. I no that it I nobody's fault but my own for the position I'm in but if you would be so kind as to help me I don't know what else to do!
Mon, 23 May 2016
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Addiction Medicine Specialist,  's  Response
Yes, you reasonably would want to get into an actual program.
Tapering is a long term process which the ideal length is based on many individual factors BUT, has doubled in the length of recommendation every year subxone has been out starting at 1 week for the entire taper when suboxone came out to closer to a year currently.
For this reason, I cannot say in your particular case but can give some general information.
Ok, you need to have some suboxone to be able to get a taper program. They stay in your system for most of a day, so each step of the taper has to be at least 3 days and longer is better.
with 8 mg strips:

1/2 1/2 1/2 is 12 mg is a starting dose for a taper
three times a day, approximately 8 hrs between doses with one of them being at bedtime.

1/2 1/4 1/2 is 10 mg and down from the 12 is rarely felt.
1/2 1/2 will give some unpleasantness
1/4 1/4 1/4
1/4 twice a day is 4 mg.
Often people stop at the this point or at the 6 mg point.
Withdrawal starts at about 2 days out, peaks at 5 to 7 days out and becomes not so much by 14 days. Imodium helps diarrhea, benadryl is safe for sleep and other meds are quite helpful and would require at least a primary care doctor.
AFTER being off of all narcotics for at least 2 weeks. long term naloxone is recommended.
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Suggest Treatment For Suboxone Addiction

Yes, you reasonably would want to get into an actual program. Tapering is a long term process which the ideal length is based on many individual factors BUT, has doubled in the length of recommendation every year subxone has been out starting at 1 week for the entire taper when suboxone came out to closer to a year currently. For this reason, I cannot say in your particular case but can give some general information. Ok, you need to have some suboxone to be able to get a taper program. They stay in your system for most of a day, so each step of the taper has to be at least 3 days and longer is better. with 8 mg strips: 1/2 1/2 1/2 is 12 mg is a starting dose for a taper three times a day, approximately 8 hrs between doses with one of them being at bedtime. 1/2 1/4 1/2 is 10 mg and down from the 12 is rarely felt. 1/2 1/2 will give some unpleasantness 1/4 1/4 1/4 1/4 twice a day is 4 mg. Often people stop at the this point or at the 6 mg point. Withdrawal starts at about 2 days out, peaks at 5 to 7 days out and becomes not so much by 14 days. Imodium helps diarrhea, benadryl is safe for sleep and other meds are quite helpful and would require at least a primary care doctor. AFTER being off of all narcotics for at least 2 weeks. long term naloxone is recommended.