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Re: Buprenorphine Question » jojo

Posted by Elizabeth on August 1, 2001, at 14:14:06

In reply to Re: Buprenorphine Question » Elizabeth, posted by jojo on July 31, 2001, at 21:21:44

> 0.1 cc out of 1.0 is still only 10%, and since I don't feel its effects or affects
> (must be that injection of Xylocaine I take beforehand ; >) ... ). I'm sitting up, of
> course. How else does one use a "spray" bottle, you silly goose!

Well, that might be why it's not working; try lying down with your neck hyperextended, and stay in that position for a couple of minutes after taking the buprenorphine. Afrin is a locally-acting drug; buprenorpine is not.

(BTW: I'll cop to silly, but I'm no goose.)

> Unless I just haven't crashed yet (I shudder at the thought), it appears to be a very
> effective "antidepressant", and after one month, the only "side effects" seem to be a
> little constipation during the first few days.

That makes me think even more that it's not getting absorbed.

> As this is REALLY off label, and there have only been a few publications, how do we
> know that 12 mg. per day is the appropriate dose. Your impression is that one feels
> the effect in an hour or so. I can always take another hit.

12 mg? That's an awful lot -- like, 40 mL, a volume that is ill-suited for intranasal (or IM) administration, even if you're taking it in many divided doses. Are you really taking it every 2 hours? Do you sleep???

BTW, it might work faster (than 1 hour after each dose, that is) if you reach steady state. I probably don't have much of a steady-state concentration because I can't take it at bedtime (too activating).

-elizabeth


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