Posted by Lindsay Rae on May 1, 2004, at 22:52:12
In reply to Re: Buprenorphine side affects, posted by drrisin06 on April 27, 2004, at 16:00:48
Hey there--
I hear what you're saying, and congrats on reducing your dose. The 40 mg dose is a general amount they use to convert you from one to the other. But in my opinion, it's BS. The only form of Bup allowed thus far is the Suboxone, and the antagonist isn't even really the problem. The problem is that, while Methadone is a full agonist, Bup is only a partial agonist. There's no easy explaination for this, but a decent comparison would be, imagine the Methadone opening the door to the receptor all the way, while the Bup only opens it partially.I don't know if that makes any sense, but I think you answered > HI, bAck in '94 I was involved in a bup treatment-study @ a University. This was before they combined bupe with naltrexone. Part ,actually one part of the study was to determin if this was possible. I saw a flyer about the program,and instead of having to pay,they paid you in gift certificates on a clean-time basis. It was actually a pretty good program. The dose was blind,sometimes they'd give us a double dose,and you were set for 2 days. If you came up dirty for opiates they gave u half a dose. I was in the "coming off dope mode of course" so the bupe gave a mild opiate glow, put it this way, I'd leave there w/ a smile,though it was comparible to an airplane that never actually took off, fealt like the engines were reving but it never
> took off.
> So the program was, they played w/ your dose
> ,combined w/ activities&therapy(skiing,movies-restaraunts) and they took you off gradually so
> I wasn't leaving w/ a smile. When the dose was so mynute the next step was taking the "naltrexone challenge" I didnt make it to this part, but they administered the naltrex, the patient would go through 3 hours of withdrawls so every opiate was flushed out of the brain,than they continued to pay you as long as you stayed on the naltrexone.
> I relapsed coming off the bupe wasn't ready--however That program is still there,though im sure its changed,since they combined the bupe and the naltrexone.
> So yes it is possible to get just buprenorphine.
> I do beleive. I'm not sure where other than
> places I've seen on the net/
> I am very much wanting to switch from methadone to Bupe as well, down to 100 mgs' from 280mgs
> I was at a way too ridiculously high dose.
> I've heard 40mg is an ok tranfer point from done to bupe?
> Be so nice to be not enslaved to a clinic.
poster:Lindsay Rae
thread:306607
URL: http://www.dr-bob.org/babble/subs/20040409/msgs/342347.html