1. acumark

    I’m tapering now on buprenorphine. I’m reading how difficult it is at the end because of needing to divide the tablets into incredibly small pieces to get a decent slow taper from 2 mg down. I’ve been using a liquid preparation, made by a pharmacist in NYState. I use a 1 ml “syringe” – no needle just to measure. The bupenorphine is made in different concentrations ie: 6mg/ml.etc. So I can take .5 ml and get 3 mg of bup., etc. right down to .5 mg.
    It seems to solve the problem lots of people are complaining about the backend taper. I’m at 6mg/day down from 16mg/day with no significant w/d. I’m doing the 4 day cut 25% off method. Just started doing therapy- I highly recommend some support. Dogs help too!
    Good luck all.

  2. Askingforhelp

    Hello doc – After weeding out all the misinformation on suboxone which can be found on the ‘internets’, I now I read your blog pretty much exclusively. I have an imporatnt time sensitive issue here and could use your advice. Please excuse me as I am having trouble navigating and I’m sure there is a better way to contact you, but here goes.
    I have been on Suboxone/Subutex in some form since March 2008, after a 3 y/o long affair w/opiates and dangerous amounts of Tramadol. I recently went rapidly down from 20 mg/daily to 8-10mg/daily. Feeling not too bad – just sleepy w/lack of energy. I’m pretty much maintained at 8 mgs right now and hoping to stay that way until I go down to 4 mgs and stay there for awhile.
    I will be w/o the subs for 2 days here (took my 8 mgs today and am out of town, like a dumbo cannot get my hands on my rx until Sunday.) I do however have access (per my dr) to methadone. I plan on maintaining w/as little as possible (30 mg max) for the next 2 days, and then going back to my subutex, 8 mg/daily. I was wondering if you could give me any info you may have on taking an intermediate dose of methadone during subutex/suboxone maintenance tx?
    Basically, my concern is whether i will have to wait the requisite 48-56 hrs (or longer!!!) you would normally have to after stopping the methadone (on Sunday — after taking it only Friday & Saturday) before transitioning back to the subutex? I’ve heard if you are stabilized on the Subutex beforehand, then you shouldn’t have to wait as a long as if this were a typical ‘sub induction’ when only taking a couple days worth of methadone between – but I’m not sure?
    I’ve tried to contact my sub doctor but have not yet heard back. I really do NOT want to jeaporadize my recovery w/a drawn out w/d and possible relapse (which is the reason I got on the subs in the first place – always relapse w/cold turkey) – so I do feel this is a matter of not only my recovery, but of life and death. I know I need to speak to my doctor – do you have any advice for me? I wonder if I’d be better waiting it out cold turkey until Sunday? I just know how awful I feel when I miss my usual sub dose – going through the emotional roller coaster I’ve been on, and needing to work over the weekend, I feel like my recovery will be at risk! Any advice? (p.s. if anyone reads this and knows of the docs email address please let me know – thanks!)

  3. Haley

    I did an incredibly slow taper of subs, I took a whole year. I was on 6 mg for 4.5 years when I started my taper. I immediately jumped to 4 mg and then took it super slow; the last 4 months of the taper I was taking .5 mg every third day and continually adding days until I was done. I can honestly say that I had no withdrawal symptoms at any point in the year other than mental ones because I was so used to dosing. If you are very afraid of the taper, as I was, and you don’t have a deadline, as I didn’t, I encourage an incredibly slow taper. It also gives you that cushion room to fully accept being chemical free and strengthen your program of recovery to armor you against any potential relapse. Walking around free from any chemical dependence is such an amazing feeling after such a long period of reliance!

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