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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Taper Off Suboxone?

i have a daughter that has been on suboxone for a year to get off of vicodin. we have trusted this doctor to taper or just take care of the meds. it required us to have private insurance and cash for each visit. the meds are expensive even with insurance. well we are on state insurance finally and they will not prescribe it until she has an intake visit with a special clinic. it took so long to get in she ran out of the suboxone. after 4 days of hell finally checked into detox and they wont keep her because she is not as severe as the others waiting for beds in the detox unit. the other clinic has a taper program and she finally has an appt on monday. she has been off of the suboxone for 7 days. the taper program will start her on 8 mg and rapidly decrease it. should she do this. i think she has already made it through the worst and just needs help controlling pain and she will attend groups and i like that.
Tue, 11 Aug 2015
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Addiction Medicine Specialist,  's  Response
Has nothing to do with the medications. The relapse rate is HUGE. The main questions are about addiction. Has the person's overall life changed all that much that they are not going to go right back again. In the context of what used to be standard therapy when suboxone came out (a 7 day taper or a 24 day taper) the answer is obviously no, not much change. The average time someone spends in recovery on methadone or suboxone is years.
Groups are good. But staying on suboxone for years and getting out of the previous milieu and getting job, family, legal, financial situation stabilized is the real issue. Takes years.
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How To Taper Off Suboxone?

Has nothing to do with the medications. The relapse rate is HUGE. The main questions are about addiction. Has the person s overall life changed all that much that they are not going to go right back again. In the context of what used to be standard therapy when suboxone came out (a 7 day taper or a 24 day taper) the answer is obviously no, not much change. The average time someone spends in recovery on methadone or suboxone is years. Groups are good. But staying on suboxone for years and getting out of the previous milieu and getting job, family, legal, financial situation stabilized is the real issue. Takes years.