Update On Buptreatment

Hey all, Im a little bummed out and kinda worried, had appointment with shrink yesterday to discuss going on bup. What I didnt know is that even on strait bup I will need to stop my my meth on a fri and come to see her mon morning in partial withdrawl because the bup will take over all the receptor sites in my brain that the meth or any other narcotic takes up and it throws out the other narc immediatly. She said it would be much easier transition for me if I get down to 20 mgs of meth than on 40 and she gave me a 6 week taper, 5 mgs per week. she also said that theres a reason that none of the shrinks or addictionologist in town are the Dr. in charge of the meth clinic. they each no of only a couple patients on meth that work and she said it would have been easier for me to switch from the morphine than the meth cause I would of had to stop one day before going in. When I go in she wants me to spend the day at her office so she can make sure I get the correct dose of bup as she will have to start me at 8 mgs instead of2 because of my tolerence. Im very scared at this point.I asked her why I couldnt just taper off the meth and becuse she has known me for many years ,as when Im in real trouble with drugs I always end up going back to her, she said because of my history I would probably not stay strait because of the pressures of work ,pregnant wife etc. She would like to see me on a maintanence dose for at least 6 months mabey longer till I can get some good clean time, its mandatory I see a counselor and go to a couple meetings a week. She feels i owe it to my self wife and future baby to get my life together with out drugs for as long as possible before weaning off bup.I understand her point and my wife has no problem with it its just the initial withdrawls I have to go through and Ive heard comming off bup can cause some withdraws if not done slow enough. Also after a couple weeks she will add the other med with the bup that makes it immpossible to get high on narcotics.OF course my addicted mind is going ape shi- and my desire to use has grown out of fear. what I wanted to do was go on the bup for a month or 2 and get off. That will still be my option but mabey I should just trust her. She has several patients on it and she said they love it , how their lives are back to normal . She is tapering 1 down now. and siad she is very excited about this medication Any way just wanted to update every one sory post is so long would appreciate input and or advise. Im not functioning well on the meth and need to get off and so want to stay sober for a change . thanks Ray


Ramon.........morning! Well, I don't know anything about the Bup, but I know how scary the change can be. Sounds like the dr. has some experience with your situation, so I would put my trust in her and roll with it. This monkey is a b***** to let go of and if you've got a plan and motivation you are one step ahead of some and on your way to a clean life. Hang in there. I wish you the best of luck and will keep you in my prayers!
Thanks mom I could use all the encouragement I can get and I appreciate you answering my post Best Ray
Ramon
Did you not get my last post to you on the thread you started titled something like "start bup on Monday"? I explained all what your Dr told you so you would know in advance. I even mentioned that you could not go on the Bup until you got the meth down. Anyways I think your Dr is one of the good ones and you have been given a real lifeline. I say take it trust the Doc. You mentioned she said that she would add another med to Bup to make it impossible to get high on narcotics. I think that she means she will switch you from Subutex to Suboxone. Suboxone contains Naloxone which is an opiate blocker, however when taken sublingualy it has little effect....basically it is only added to the Bup to stop you injecting it. The Bup on its own is a good enough blocker when taken as prescribed. I liked your Drs point about keeping you at the office all day that good advice......if you have not got your methadone down low enough you will go into a major withdrwal that will be a big shock, dont try to bluff it you will come off bad. Meth hangs around in your body for days thats why you have to take a weekend to om down prior to starting Bup/Sub. 30 mils keeps the body satisfied but below that it starts to use up the resources left in you fat cells and you start to withdraw....you dont have to be in full blown W/D just showing a few markers. Also when you take the Bup you may get the chills and start to rattle a little but this is a transitional period and happens particularly when changing from methadone. Dont worry it usually only last about 5 mins. The Bup comes to the opiate receptors and kicks off the narcotics and your body goes *s***t I am in withdrwal but after a few mins the agonist side of the drug kicks in you will feel fully satisfied but not high.
I take it so speak from experience I am also going to be using it long term (20mg) for mainly pain relief reasons. I am a painpill addict and believe me I feel younger and fitter and have no cravings whatsoever. Its good to us the time to get things in your life back together you can work socialse and just live without thinking of drugs all the time
Hope that helps a little
Paul
Ramon, good luck to you. I was scared to death to go into treatment, but it really wasn't that bad. I let the fear keep me stuck for so long. Fear can be a major thing for us. I agree with neon, and it sounds like you are in good hands.
Good luck, and congrats on the baby. Is that your first child? I still will never forget the feeling when I saw my children for the first time. There is no feeling in the world that even comes close to that.
Kerry
Thanks both of your for your support. Yes this will be our first child. We had been trying for 3 years and even went to fertility guy to ask about options luckily my wife got prgnant 6 months ago but not so fortunate she had a misscarage at week 8. Now she is 3 weeks ,our first drs appointment is wed and she is already showing ,and twins run in her family. shes 41 and Im 40 and we had no idea how hard it would be to get pregnant. She had the die test for her tubes and the Dr said that a lot of women get pregnant within 3 months of geting that test mabey it takes out any blockages that are to small to see. In any case last time she was pregnant I had weaned myself from 200 mgs of morphine to about 60 or so because I didnt want to bring a child into the world with a using father, but after the miscarrage and holding in my feelings I got right up there with the meds again. It took me 3 months to finally cry about our loss, us guys try to be so tough. It was tramatic as she yelled for me to wake up and was holding it in her hand asking me to get something to put it into , not to gross anyone out sorry but at least as a women she talked it out and had female support I kept it in. We are optamistic this time.Noen your post really made a difference for me thanks Ray