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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by v1dreselly on September 20, 2011, at 10:01:26
Hi,
My sister is in opiate withdrawals pretty heavily. Her last opiate was taken only 12 hours ago, but she doesn't want to wait to take her first Suboxone. Isn't it dangerous not to wait a full 24 hours between last opiate use and first suboxone? Please advise. Thank you.
Posted by Phillipa on September 20, 2011, at 10:53:08
In reply to how soon to start suboxone?, posted by v1dreselly on September 20, 2011, at 10:01:26
How long is she supposed to wait? What did the doc advise? Phillipa
Posted by sigismund on September 20, 2011, at 19:08:13
In reply to how soon to start suboxone?, posted by v1dreselly on September 20, 2011, at 10:01:26
Which opiate is she withdrawing from?
I matters obviously. Methadone withdrawal would benefit from a longer wait. As long as possible. It depends on the dose too. I mean, trying to move from methadone 30mg/d to suboxone is going to be different to if it was methadone 15mg/d.
Some people report an asthma like effect during the shift. I don't know how bad that can get.
The best way to handle opiate withdrawal is to (kind of ) welcome it, requiring a twist in something or other, it being so unpleasant and all.
And gabapentin, in my opinion, is worth a look at to help with the terrible restlessness.
This is the end of the thread.
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