My Sub Dr. Is Pushing To Hard

Okay, So I have always loved my suboxone Dr. He and his wife work together, her being a therapist, him the M.D., but I do see more of her than him. We do more talking about "nothing" in there than we do my treatment. I see them so much, they feel like family, and I really do like them a great deal. I started on 8-10mgs, this was over a year ago, (well over) and I kept asking her about tapering but she was not concerned........Said she had some on it for years.

Well much to my surprise, He is pushing tapers now on all the patients (I am friends with another patient of his) due to some new study he read or something.

This is all fine by me, but...........They took my dose and dropped it all at once. I was somewhere around 6mg's give or take a mg, and now they are wanting me at 2mgs????

I saw the script and about fell out of the chair. that is dropping by two thirds? Is it just me or is this ALOT?

I feel it too..........I am feeling anxious, and some of those old triggers are there again, (none I have acted on lately)

The feeling is not a good one though. I am scared.

I find myself somedays taking 4mgs when I feel horrid, which is just going to mess me up in the end.

I am confused, I thought tapers were to be SLOW and they promised me that in the beginning, nothing was to be rushed???????

There are many patients there very upset, I am just confused I guess.

Thanks for any input.


edit to add: I am adding this to the sub board as well, but wanted it read here also, need all the help I can get.
jodigirl,
Hun Im not sure what your insurence situation is,but here in Ny I do know that like Medicade passed this new thing where Sub patients are ONLY allowed 5 mths of treatment.I am lucky as because of my medical issues I have a Dr that is willing to go to bat for me,so Im ok.Im still holding at 8mg which for me is SO great(from 24mg to start)

I want to suggest,first ask them the reason,& than be honest,tell them your having a REAL HARD time with such a drop & see if you can do it different.Its not good(which I know you know)to jump from low doses to higher one as if messes up your reseptors so much.
Hope they work with you.
I love you sis
molly
Well unfortunatley I pay Cash for each and every visit............OUCH. He also explained my prolonged use being acceptable due to having the rods in my hand. They hardly ever hurt that is for sure.

I think I may give him a call though Brina...........I guess keeping quiet dosent get me anywhere with them. I dont know, or I could ride this out, It may be a blessing in disguise, but it dosent feel like it really :(

Love you.
Jodigirl...one important thing to try & remember,is that HE/THEY work FOR YOU & you have every right to get the care ,the time etc you deserve.Yes I say take a proactive...(not the face stuff)& call.YOU deserve to have a taper that works for you.I feel if you DO drop too fast it can lead to temptation & Lord knows after all youve been through...You DO NOT need that
Love you so freaking much girl!!!!@!
I agree..................Gonna pick up the phone now.

Will let you know

"fingers crossed"


Big Hugs.


By the way, I am much more brave over the phone than in person :)
Well, I got the "He will call you right back when he is free routine"

We will see I guess.

java he should know that dropping from 8mg -2mg could cause some discomfort, two issues I see from this, what is this so called study, ask him for a copy of it, and details reasons for this huge drop.

technically you should go from 8 6,4, and so on, not 8 - 2. at 2mg increments. Or even 1mg increments. For a long taper not this big jump, my other fear would be when does he think you will jump and at what mg? this is crucial to success in my opinion. How long will he keep you on the 2mg? And you will run out before the next visit, you must tell him this.

I would be very proactive, because he isn't the one that will feel this wrath. You will be.

unless something is new that we are all unaware of. But nothing could be so new to have a patient jump at high doses, You have been there before you know how it will feel. At least try to get him to take you down to 4mg if he pushes it, will be better than 2 mg........ again what is his long range plan for you with the sub? BIG question here.

Like molly said you are paying him for a service ask the right questions and demand answers.
I agree Brooke,when I was at 24mg & that one therapy spot wanted me off fast,I tried to decrease Id say between 4-6mg,THAT was the worst thing I could try.I truley felt as if I was loosing my mind!!!
By my decreasing at 2mg at a time I didnt feel too uncomfortable & Ive gotten to 8mgs.
Jodigirl,YOU are his boss & deserve NOTHING but the best care & a taper YOU can work with
Stay strong my evil twin
Love molly(Brina)
java
i totally agree with brooke
SLOW! it must be a slow taper, that is what i am doing, i was on 8 mg for a year, on mar 15 i bought a pill cutter and i sliced off a small edge of an 8 mg tablet, i have been at that dose since and feel fine, i am assuming that the small slice i cut off was 1 mg. so lets say i have been at 7 mg since mar 15,
once a month i want to slice off another mg so april 15, i will drop to 6 mg and so forth, if i feel uncomfortable at any certain mg then i will stay there as long as it takes until i can drop again.
since he rx'ed 2 mg tablets for you i would buy a pill cutter take one 2 mg tablet and slice it in half, that makes it a 1 mg tablet now, then i would take that with 2 - 2 mg tablets making my dosage 5 mg. stay there a month and then very slowly, monthly or more you would drop to 2- 2mg tablets which total 4 mg. and so forth.
my plan is to do it sooo slowly my brain wont catch on.
that was too steep of a jump, no wonder you felt that way, whats with these doctors??? julie
Thanks a million guys for your input, really it means everything, I have no one in this rinky dink small town to talk to about addiction, and If I did, the conversation would leave me addicted to something else probably, Sad but true, I just dont trust myself right now.
I guess in some way I feel responsible for this. I am going to be really honest here:

Right now, I am feeling a little guilty about all of this, this is partly my fault I think. I knew during the last 5 or 6 months on the 8mg's that I could of got by on 6mgs, I had done it before and succeeded, I just didnt tell the Dr. that. But everytime I would go down I would panic by about two days later, (half life causing that, maybe) and I would immediately go back to 8. I am SCARED. Plain and Simple. No other way to describe it. I know I am not unique I know that for sure, I know every sub patient has to do this.........but damn it, I feel as if I continue on this dose my future could be jeapordized a great deal. Some really great things have happened in my life lately, and I sure dont want to mess things up once again. I want to live and love and be happy without pills. But............The fear is holding on to me something feirce.

I know for fact I can get by on 6mg's and have for some time, sometimes on 4, I was rotating, 6mg, 6mg, 4mg, 6mg, etc..........and was doing well, and didnt even notice really. I had no fear, my body noticed NOTHING.

This was per dr.'s orders, I followed them, and here is where it got me, Confused as heck.

Brooke- Apparently (and unfortunatley I guess for some) there is a new study that just came out on this sub, I have a friend who is sending me a link of it today, I will post as soon as I get it if you would like. I dont want to quote anyone but it said something about dependence when staying on 6mg's or more for extended periods. WELL YEAH...........Its an opiate. I am sure one could become "dependant" on .5 mg's per day. Big diff, in dependence and addiction there.

I cant wait to see this study.

My physician should of really thought this through though, On my first visit he made it clear there was NO RUSH. Now do I feel rushed, or what. I kept asking him, Should I jump down on my dose???? Every visit (swear to you) The answer was ALWAYS the same........."Let get you feeling good and stable and in a good program and then we will SLOWLY very SLOWLY titrate down. She was talking like .25 mg's at a time. That I never feared. They preached a slow slow slow taper. now they have done a 180. I almost felt like I had done something wrong or made them mad somehow but found out it was for everyone, I have made a friend or two in that office.

Now, this HUGE change? They are older, and married, and both work in the office, part of me is wondering if maybe they are retiring??? I noticed there were some of the "extra touches" gone in the office this last time. Some pics off the walls etc...........Could just be me, but I dont know.

What to do? I am clueless.


Oh and Brooke..........You asked me about a plan. Thank you for asking me. I need reminded as much as possible to STICK to it. I will admit in the beginning I did nothing but take sub...........and did I get better? Nope. Was all my fault too, I knew better, and I snowed my dr. to think I was in alot more counseling than I was. (God forgive me)

So, now that the fear of god is in me, maybe partly a good thing, I have found a really good addictionologist, that is actually not that far from me, and accepts Blue Cross. He is great. I am still nervous which I posted about lastnight but I go EVERY TIME never missed once. Sometimes if I need to, and there is a spot I can go 3 times a week. LOL I need it. :)

I know this drop is going to hit me hard though............very hard. I am taking around 4 per day now, double the two mg's he wrote me, somedays less, but it is so hard. My legs start to hurt after a couple days, and no sleep is the worst. I dont want to screw this up Brooke..............I love life to much now. I love it. I do. I have so much to live for now. I just couldnt see it before, was as if I was wearing blinders.

I am holding on to hope and faith.............and the Dr. to return my call !!!!!!!!! He still hasnt but usually calls on Thurs. afternoons, as they are closed most Fridays.

I want to say though, I am excited, I feel like my life is starting over in some way, I cant explain it, but I can feel it. I dont need the sub crutch anymore, of any kind, is why I want to be clear, I want off the sub.........just not quite so fast. and god do I owe those who have helped me get this far..................I feel hope for once in a long long time. I know I expressed some anger on the board the other night, but I think expressing that sometimes makes us human, and feel better in the end.

100 percent positive I can do this thing. For the first time ever.

Hugs to you all................Thank you.
the first time i went on sub i was on for 3 months. started at 6mg and did a slow tapper, extremly slow. and when i totally went off i completly freaked out. i ended up in the er having my very first anxiety attack and i ended up relapsing 2 days later. (i am now back on sub 4 mg) i have to tell you i truely think i freaked out due to all the negative and crazy things i read on this site. i don't care if i make anyone mad but there are alot of people here that really blow things way out of proportion. i went from 8 to 4mg's over night and was totally fine. i was fine because i know its all in your head. as addicts we always think we need more and if we don't have more something really bad is going to happen. well i am older and wiser then the person i was 2 years ago when i believed everything i read here. some people here seem to have switched addictions...going from pills to being addicted to this site.

good luck with your tapper, don't believe everything you read. and most of all relax, it's all in your head.
Hey Jodi,

I smell a rat!! Something just isn't right...it makes no sense. I would be completely blunt with your Doc. Ask him point blank in no uncertain term..."what going on"? You said yourself that you have a feeling...follow through on this inside gut feeling.

In any event....you will b just fine. I know you wanted to taper and be off so look at this like the little extra push that you needed!

I have no doubt in my mind that you will come through it. This is why it is so important to have something in place in conjunction with sub therapy. If left to my own devices...I would never had started attending meetings and going to therapy....I would have just floated around out there with no purpose.

I really want to follow how you are doing...I have been on sub for 5 months now and you know I am tapering as well. I did get down to 4mgs....but I finally spoke to my Doctor and he kicked my @ss. Told me to stop running the show....I was doing ok at 4mg but not great. I am back at 8mgs and will stay there for a little longer....no rush.....I found even with all the support systems that I have in place my brain started to go places it shouldn't! What a surprise.....I am in your corner. Get that Doctor to give you the honest deal though. I don't think you should be dropping like that....it is irresponsible....I mean sub is to designed to be used like that..he knows it!

I suppose if you had a little lead time to know it was coming to prepare it would be different but to just drop you like that...with a half @ss explanation..makes no sense!

You sound good honey! I am happy about that....I am so happy for you that you have a good therapist that you are comfortable with! What a relief!!

Big hugs to you!!!
Angela, Thank you........

You posted:

" went from 8 to 4mg's over night and was totally fine. i was fine because i know its all in your head. as addicts we always think we need more and if we don't have more something really bad is going to happen"

I agree with alot of that......................So so much is in our head it seems, I swear 95 percent of my addiction if not more, is mental, but I do know something bad will happen..............WITHDRAWAL ( sad but true.) I do know some have had easier time than others though, but that could be simply body chemistry. What matters is, your doing what is right for you............and your learning what works................Way to go on that..........

So glad to hear from you, I havent seen you post in a while.

Wish you all the best.

Email me anytime: Javagirl1976@hotmail.com.............Would love to talk about our progress together.

Hugs.
I stay away from most sub related topics since I have absolutely no experience with this medication but this just hit me wrong...

QUOTE
good luck with your tapper, don't believe everything you read. and most of all relax, it's all in your head.


I have watched a very dear friend of mine wean off of sub and she did it but there were still withdrawls and I know this women pretty well and she's a straight shooter and would not hype anything out of context...nope, wouldn't happen so please to all that are on sub, after reading about this drug for 2 years, please work closely with your doctor's on a taper and don't think it's all just in your head...LOL...reminds me of when I quit drinking and few ignorant people that refused to acknowledge the disease part of addiction and figured I could stop anytime I wanted as it was all in my head....

With much respect,
Stacey
Kee-

Whenever you post to me, I cannot explain to you how much better you make me feel. I mean it. You make me smile, even when your not trying.

I swear you are so right, Something is NOT right here at all. This place was as relaxed as it gets, on time frames, etc. They did not worry about how long, what dose, just so you were not using, getting counseling, that was what mattered, and is why I loved them so much. The worst part is I really liked the people, alot. I felt "safe" there, but yet, I feel as if the rug has been yanked all at once. There attitiude changed so fast it was unreal. Rumor has it there is something going down, I dont want to speculate, but GO FIGURE!!!!!!!!!!!! I hope its just that they are retiring. (really hoping)

I am not sure, what the heck, If they dont call by 5.........I am calling them and not hanging up until I speak to him or her. They have to be honest , if they expect that out of us, right?

If it had just been me, I would of been mortified.........I mean it. But I got a "heads up" a couple days ahead" I am just so so lost, and freaking chicken!!!!! lol

I know now I really really needed the counseling just to vent............I wouldnt say I am "learning" alot..............I am about me, but more I am understanding my responses and reactions to everyday situations, and how that effects the big picture. Does that make sense? This is all new to me. But I do enjoy it, as much as I get nervous and panic beforehand.



I agree with your Dr. as well you are still early in this, although I dont blame you a bit for trying to run your own show. We women are good at that :)..............Dont rush it Kee, my god You have come so far, I am absolutely amazed at you, and your accomplishments. You, sweet lady, are special :)


Please Please, lets stay in touch okay...............We can talk through this thing..........

Love ya's.


Javagirl1976@hotmail.com
Stacy, with all due respect I hardly think you can compare a sub tapper to quitting drinking? I first hand know what i am talking about. the first time i tappered from sub i was hooked to this board like a hawk. and i have to tell you it did much more harm then help. there are way to many know it- alls on here and they aparently think they are at a level to give medical advice. I was scared sh*tless when i tappered because i read and reread way to much crap here. and i now know it is crap because i am doing the sub thing for the second time and it is all good because i refuse to let scare me. it is what it is and for god's sake we aren't gonna die going from 8 to 4 or from 4 to 2 what ever? it really bothers me how people here obsess over this stuff. get a life besides this board, it's not healthy to sit around all day on a recovery board. there is life after reovery.
GREAT post Stacey............

I agree with the withdrawals, I do agree some is in the head, the feeling the need for a pill to accomplish everyday tasks is what I mean. But there are some REAL physical things going on in our bodies. Some do have it easier than others as I said, Possibly body chemistry or there previous dosing and amounts and DOC.............but no DOUBT.............Its real.

I wont go into detail but I once went without sub for around 6 days, off of 10mg's or so..........

If It was in my head...............I really am insane :)

It sucked on such a high dose, Is why we are to taper low, as you say.

Not trying to scare anyone, with any narcotic the standard is to wean slowly, with most any drug actually, I believe.

Angela............Please stick around..........We all have different experiences, but really we are all the same in so many ways.

Hugs.

Thanks again Stace.
Angela.........

I am really needing and getting help on this thread..........

Please DO NOT get it locked for me.........

Thank you in advance.

Also, not healthy to pick at others, when one is having a bad day. Please just take a breather, Its okay. And your right, no one should believe everything one says. You take what you can from a site like this, but I have received alot of help and friendship.

I know we all have bad days but please...........Everyone is just trying to help and I thank you all.

JODIGIRL
Not sure if I can help but wanted to send a EVILTWIN ((((((((((((((((((((((hug)))))))))))))))your way & YGM hun.
Anytime you feel I may help I got your back
Love Brina
GIRL you have ESP

WE HAVE to talk NOW.

On its way NOW

To weird.