Prescription and Synthetic Drug Abuse Support Group
If you or a loved one is struggling with presciption drug abuse, this is the community to discuss your experience, find support, and meet others going through a similar fight. You don't have to struggle with addiction alone. Ask a question, give advice, share your story, and get hope for recovery here.
deleted_user
just a brief history of myself. i am a alcholic and addict. i never was addicted to opiates just cocaine. i was in a treatment facility for the summer and was doing well. recently i started taking suboxone without a prescription. im getting it illegally ......i like the way it makes me feel, and now i am hooked on it. it gives me energy and seems to take my depression and anger away. i know that it sound horrible because im back to being a addict but only with a different substance but i dont want to come off the suboxone. i guess i am just looking for some advice. I would rather have a doctor prescribe it to me than to keep getting it illegally. but would a doctor do that seeing as i was never a opiate addict???????
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Usually you can't get suboxone unless you are getting some type of addiction help like drug counseling, or an iop.
There are drugs available to help with depression and anger. You don't really need the suboxone!
Good Luck!
Suboxone is the first opioid medication approved for the treatment of opioid dependence in an office-based setting. Suboxone also can be dispensed for take-home use, just as any other medicine for other medical conditions.
The primary active ingredient in Suboxone is buprenorphine. Initially developed to treat pain, buprenorphine was adapted for use in treating opioid dependence in cooperation with the National Institute of Drug Abuse (NIDA) and was approved by the FDA in October 2002.
Buprenorphine is a partial opioid agonist, meaning its opioid effects partially mimic those produced by full opioid agonists, such as oxycodone or heroin, and partially mimic those produced by opioid antagonists, such as naltrexone. Two formulations were approved: Suboxone and Subutex.
* The first, Suboxone, contains buprenorphine and naloxone, an opioid antagonist to discourage people from dissolving the tablet and injecting it. Consequently, most practitioners only prescribe Suboxone to their narcotic addicts, as it has even less potential for diversion or misuse.
* Subutex is rarely prescribed in clinical practice, the discussion here will be limited to Suboxone.
Suboxone is used to reduce illegal opioid use and to help clients stay in treatment by blocking the effects of opioids, decreasing cravings, and suppressing any major symptoms of withdrawal. Most narcotic addicts seem to benefit from Suboxone regardless of their histories of opiate addiction.
Suboxone is very safe, effective and is a revolutionary step in the treatment of narcotic addiction. It can be easily used in both the withdrawal stabilization (detoxification) and maintenance phases of opiate addiction treatment. Also, because of its ease of use and excellent safety profile, its adoption by the growing number of primary care physicians who are screening for and recognizing narcotic addiction in their client populations should make a very positive impact in the treatment success for narcotic addicts.
Suboxone has several advantages over other opiate addictions treatments both for withdrawal stabilization (detox) and its long-term maintenance uses. A great number of advantages to this anti-addiction medication are created because of its chemical structure. (see Treatment Issues with Opiate Addiction section for more information on the different types of receptor structures).
With these receptor functions (full agonist, antagonist and partial agonist) in mind, one can understand that methadone, which is a full agonist, would bind to the opiate receptor and produce the full response that would help you reduce your cravings, but it also might give you a high. When Suboxone ( a partial agonist) binds to the receptor, it completely satisfies the receptor that there is an opiate there, but it doesnt produce any high or euphoria. Consequently, its addictive potential is extremely low. Again, the receptor is activated with Suboxone, which significantly reduces the cravings for opiates, which then, in turn, significantly prevents the chances of a relapse, but it also acts as a receptor antagonist, so normal agonists are not able to elicit the normal response. So, if you are taking Suboxone and then you try to shoot up heroin to get a high, Suboxone blocks the heroin from causing a high because the heroin cant get to a receptor. Consequently, you dont get a high, which is a very disconcerting feeling for the opiate addict who has just spent a great deal of money on a addictive drug that gave him or her no effect.
Because of the chemistry involved at its brain the receptor, Suboxone has several inherent safety mechanisms:
* First, it is very safe in overdose because of the way it interacts with the receptor. If you try to take too much of Suboxone, it actually becomes a full antagonist and punishes you by putting you into withdrawal. This is quite the opposite of most agonists, such as heroin or Lortab, where the more you take, the more high you get. Yet eventually, not only do you get a high, you also shut down your breathing and you die inadvertently from not being able to breathe. So, if you do take an overdose of Suboxone, you will put yourself into withdrawal and your breathing will become extremely hyperactive rather than shut down, so you wont die. You will be very uncomfortable, but you wont die.
* Because of the way Suboxone interacts with the receptorthere is a very long duration of interaction meaning you can easily take it once a day or sometimes every other day and still achieve a certain normal feeling, an effective dose, where you do not have cravings for the drug. Also, if you forget a dose on a particular day, you will not go into a full opiate withdrawal, so you can wait until the next day when you can get your medication.
* Because Suboxone binds so tightly to the receptor, as mentioned above, if you try to shoot up a narcotic or take narcotics to get a high during a weak moment, you wont feel any of those effects and consequently, you will be less likely to have a relapse in the future when your are on Suboxone.
* Finally, not only is buprenorphine safe, inherently on its own, the medication Suboxone is actually a combination of buprenorphine and naloxone. Naloxone is an opiate antagonist like naltrexone, but it is a very short-acting one that only works if you inject it intravenously in your veins. Consequently, the naloxone, when taken by mouth with the buprenorphine in the Suboxone tablet, does not cause any withdrawal symptoms or even cause any uncomfortable feelings for the client.
So not only is this combination tablet a deterrent for the people on the anti-addiction medication, it is also a deterrent for people trying to steal the medication and use it on the street. Because the naloxone is part of the Suboxone tablet, the street value of Suboxone is very low; consequently, it is much less likely to be stolen from you. This is not the case with methadone or other standard agonist narcotics, such as Lortab or Oxycontin.
The combination of these four main attributes of Suboxone, plus many others, makes it an ideal and even a revolutionary anti-addiction medication which has come to the aid of clients with opiate addiction.
Guidelines for the use of Suboxone in Opiate Addiction
In regards to Suboxone dosing, it is very important that Suboxone is started for the first time when the opiate addict is in withdrawal or detox. If you try to start an opiate addict on Suboxone while he or she is still comfortable, because they have opiate in their system and are not in withdrawal, the Suboxone will act like an antagonist and will put them into chemical withdrawal immediately. However, if you ask the opiate addict to wait for several hours or for the appropriate time period until the withdrawal begins, once they are in mild to moderate withdrawal, when they begin Suboxone, it acts as an agonist at the receptors and they calm down and feel much more comfortable.
Usually the first 2-3 days of being on Suboxone and adjusting it to the proper dose for that particular client is the rockiest time for clients. Once the client is on a stable dose of Suboxone, they are very comfortable, they have no cravings, they have no desire to use, and they actually feel quire normal. It is a very positive feeling for the patient to feel normal and not feel desire for narcotics. These feelings allow the addiction patient to participate very positively in an outpatient addiction treatment program and/or 12-step program. This way they can finally learn the coping skills that they need in to maintain a sober lifestyle going forward.
Once the opiate addiction patient stabilizes on Suboxone, it is up to the client and the physician as to how long the patient needs to be on the Suboxone. It is generally accepted that most addicts will need to be on it for approximately 9 months to 1 year, as a starting point, in order to allow their system to get stabilized, and then taper off slowly. Many patients40% to 50%--would be able to remain sober without Suboxone long-term.
Naltrexone
Once you are off Suboxone, however, being on naltrexone for at least another year to 2 years is a further deterrent to relapse. (note; Vivitrol is not FDA approved for treating opiate addiction, only alcohol addiction, however oral naltrexone is approved to treat opiate addiction by the FDA.). Consequently, once the recovering addict is off of Suboxone for approximately 2 weeks, one highly recommended option is for clients to then get on Vivitrol (time-released naltrexone). Prior to the advent of Vivitrol, oral naltrexone was frequently prescribed for clients when they stopped methadone or other narcotics, because once they are taking naltrexone, if they try to use an opiate, they wont feel any high or euphoria. Consequently, there is a much less likely chance that they will try an opiate during a weak moment in their addiction recovery process, say during a time of high stress, because they know that the opiate will not help them deal with the particular stress, if it does not provide any high or euphoria.
However, in addition to Vivitrol, oral naltrexone has also been successfully used to treat narcotic addiction. Once-daily ingestion of a 50 mg tablet will almost completely block any narcotic at the receptor site that a narcotic addict will attempt to use.
Consequently, naltrexone prevents any euphoria or other benefit that an addict may hope to achieve through a relapse. Because daily administration is required, it is best to have an addict take naltrexone under direct observation to enhance their compliance. Naltrexone is not successful in all narcotic addicts, yet there is strong data that is significantly enhances a sobriety program when used with impaired professionals who are motivated to stay sober (physicians).
I would think that the Suboxone would cancel out the effects of the Vicodin completely and he would get thrown into immediate withdrawals. Is he feeling sick? I think it's a dangerous combo. That's why doctors wait until a person has the opiate out of their system before they prescribe Suboxone.
So yes! It's never a good idea to mix the two together.
zengal
And how in the world are you getting high on it? I NEVER get high...I do get energy, but I cannot sleep on it at all. It does help with the mental and physical withdrawal symptoms though, it just has some side effects that I do not really care for.