Monthly Archives: January 2012

My aweful surgery experience.

Posted on by

Author: u2star

Posted: Fri Jan 27, 2012 5:02 pm

hatmaker510 wrote:
I’m so sorry you went through that. Unfortunately, it’s not an isolated incident. When our members have surgeries planned, we try to prepare for it in that we have an NIH paper online that we’ve shared with out members. Maybe it will help you in the future:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1892816/pdf/nihms17732.pdf

It’s a great article about treating acute pain in sub and methadone patients with 7 pages of references. Many of us share this with our sub docs, surgeons, and anesthesiologists. We of course cannot force them to read it, but we can offer it to them and hope they’ll be receptive.

I’ve always wondered who to go to in order to try to change this. One of my ideas was the state licensing boards? Or maybe even better, the AMA? They would have jurisdiction over every doc nationwide – is that correct? I really don’t know. Someone, somewhere needs to know that there are doctors out there that are standing by watching people writhe in pain and they do nothing.

I hope this paper helps you.

Thanks for sharing this with us!

JUMPING OFF SUB

Posted on by

Author: Romeo

Posted: Fri Jan 27, 2012 5:09 pm

Wow Courtney, you tapered to a nice low dose, good job!! Like the others have said, I don’t think your wd will be bad at all.

You could try tapering a bit lower, like Laddertipper did, or you could try what some other members have tried…..skipping a day in between doses.

I know a few members who did this and they too felt very, very little wd.

Good Luck!!

Alrighty, .25mg once a day~ feeling ready

Posted on by

Author: Romeo

Posted: Fri Jan 27, 2012 5:20 pm

Yeah, the emotional phase, I remember that part well…..heck, I’m still not all the way out of it!! LOL

Early on in my wd, I would turn into a puddle over anything and everything, but I never tried to stifle it because afterwards, I always felt better. Was it a little embarrassing for a grown man to be crying, yep, but I also seemed to know that it was necessary?

I think Sweet said it right when she said, "Get emotional and let it out.. It will help more than you can imagine…Promise."

604, keep hanging in there man. You sound like you’re doing really good, keep after it!!

Suboxone and joint pains especially at night…

Posted on by

Author: tearj3rker

Posted: Fri Jan 27, 2012 9:04 pm

Joint pain is a symptom of opioid withdrawal. There’s this theory that our endogenous / natural opioids have the purpose of inhibiting the natural pain occuring in our bodies all the time. It’s kinda like a balancing act. Even when we’re healthy, our bodies, esp the parts that experience wear and tear, do feel pain, and it increases as we age… our endogenous opioids balance it out.

It’s been found that post-operative pain can be exacerbated by Naloxone, that it causes hyperalgesia ( http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1438762/?page=3 ). This means that Naloxone can exacerbate any areas of our body that are under stress. Naltrexone can do the same. It makes sense that given agonists kill pain, that antagonists will

It may be possible that you may be more sensitive to the antagonist properties of Suboxone (incl naloxone). But this is just a thought / idea that came to mind.

Another noob

Posted on by

Author: Jimmy

Posted: Fri Jan 27, 2012 9:13 pm

Rich-PMS wrote:
So I wound up taking 4mg more each day so far.

Hello and welcome. As for me, I just sat down after a long day at work and having dinner with my family. I think you’ll find things pick up in the evenings on this board. At least that has been my experience.

I agree with Jonathon, your first post did not provide the level of detail needed to make an educated guess as to why you were feeling uncomfortable in the evenings. I’m NOT saying you should have provided details – how much you or any other member shares is completely up to them.

However, if you were taking 8mg including a 4 mg dose around dinner time, there is likely no way your uncomfortableness was due to a lack of sub. Sub has a very long half-life and completely fills the receptors with 4-6 mg.

What could be happening, and I’m simply taking a shot in the dark here, is an absorption issue. Dr. Junig gave these tips for getting max absorption from a sub dose:

How to get max absorption from a sub dose

His post was written before strips hit the market, but the same principles apply.

I will also add that when I first got on sub, and the times I got back on sub after a relapse, it would take about a week to really feel withdrawal free.

The decision to go on sub is no small thing. Congrats to you and I wish you the best going forward!

Jimmy

Suboxone film

Posted on by

Author: jonathanm1978

Posted: Thu Jan 26, 2012 7:30 am

I first thought the same thing, but obviously this person keeps going back to something else, because "going in withdrawals and waited as long as two days" to me says that they keep doing opiates after having waited 2 days to do suboxone, then back to opiates again because the suboxone isn’t given sufficient time to work??

I’m quite confused on this one myself…hard to understand.

Need some recommendations on some inpatient detox facilities

Posted on by

Author: stephent

Posted: Thu Jan 26, 2012 12:02 pm

I remember reading a story about a guy who took a vacation to somewhere tropical after a taper and basically got a room at a all-inclusive for 4 or 5 days. So he flew down there and basically detoxed by himself (after a taper), but other people were around. I remember he said he spent a day or two in his room but then slowly started going outside and laying in the sun and then had a good day or two of fun. It was the off-season so it wasn’t very crowded. Having food available 24/7 was very convient and I think he talked about having a tropical drink or two the first few days.

I was tapering myself and was so envious. That sounded perfect! But everyone is very different. I would love to be able to do that personally, but I am a extroverted introvert. I am a shy person, but also enjoy the presence of people and like to have a conversation or two. I love people watching!

Someone on this board has talked about taking walks at a mall during the first few days of your jump and that seems like a great idea (most likely going to be cold). Sorry, I am rambling here, but I do think it is very important to get out and do things when you are on a taper. Exercise is good of course, but I also like to "get out in the world". After I would taper off of full agonists, I remember feeling like I was "reintroducing myself to the world".