My son has been taking prescribed subutex 6mg for 3months he has been using herion on top of these pills he says he is 5 days clean of h but i have seen no real sign of withdrawl is this normal or is he lying.
any advice or onfo would be great.
W.Mum,personally ive no experiance of subs&heroin together.Your sons withdrawls will depend on the amount&strenght of the dope he has been using,his 1st. four days shouldve given him the worst of his withdrawls but by day 5 it wouldnt be unusual for him to have the symptoms you mentioned,only time will tell,see how he is in a day or two coz most of his physical shouldve gone by then.All the best to you both ...Davey
not to confuse W.Mum mentioned her son was having slight sweats,runny nose etc.on another post,these are the day 5 symptoms i meant might not be too unusual....cheers ..Davey
H,
IMO...he is not lying. what I have read sounds like he is going through the normal pase. Subs curb the symtoms of withdrawl without completely taking them away. Hope this helps! All the best.
Darin
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1. What are Suboxone and Subutex?
Subutex and Suboxone are medications approved for the treatment of opiate dependence. Both medicines contain the active ingredient, buprenorphine hydrochloride, which works to reduce the symptoms of opiate dependence.
2. Why did the FDA approve two medications?
Subutex contains only buprenorphine hydrochloride. This formulation was developed as the initial product. The second medication, Suboxone contains an additional ingredient called naloxone to guard against misuse.
Subutex is given during the first few days of treatment, while Suboxone is used during the maintenance phase of treatment.
3. Will most prescriptions be for the Suboxone formulation?
Yes, Suboxone is the formulation used in the majority of patients.
4. How are Subutex and Suboxone different from the current treatment options for opiate dependence such as methadone?
Currently opiate dependence treatments like methadone can be dispensed only in a limited number of clinics that specialize in addiction treatment. There are not enough addiction treatment centers to help all patients seeking treatment. Subutex and Suboxone are the first narcotic drugs available under the Drug Abuse Treatment Act (DATA) of 2000 for the treatment of opiate dependence that can be prescribed in a doctors office. This change will provide more patients the opportunity to access treatment.
5. What are some possible side effects of Subutex and Suboxone?
(This is NOT a complete list of side effects reported with Suboxone and Subutex. Refer to the package insert for a more complete list of side effects.)
The most common reported side effect of Subutex and Suboxone include:
cold or flu-like symptoms
headaches
sweating
sleeping difficulties
nausea
mood swings.
Like other opioids Subutex and Suboxone have been associated with respiratory depression (difficulty breathing) especially when combined with other depressants.
6. Are patients able to take home supplies of these medicines?
Yes. Subutex and Suboxone are less tightly controlled than methadone because they have a lower potential for abuse and are less dangerous in an overdose. As patients progress on therapy, their doctor may write a prescription for a take-home supply of the medication.
7. How will FDA know if these drugs are being misused, and what can be done if they are?
FDA has worked with the manufacturer, Reckitt-Benckiser, and other agencies to develop an in-depth risk-management plan. FDA will receive quarterly reports from the comprehensive surveillance program. This should permit early detection of any problems. Regulations can be enacted for tighter control of buprenorphine treatment if it is clear that it is being widely diverted and misused.
8. What are the key components of the risk-management plan?
The main components of the risk-management plan are preventive measures and surveillance.
Preventive Measures include:
education
tailored distribution
Schedule III control under the Controlled Substances Act (CSA)
child resistant packaging
supervised dose induction
The risk management plan uses many different surveillance approaches. Some active methods include plans to:
Conduct interviews with drug abusers entering treatment programs.
Monitor local drug markets and drug using network areas where these medicines are most likely to be used and possibly abused.
Examine web sites.
Additionally data collection sources can indicate whether Subutex and/or Suboxone are implicated in abuse or fatalities. These include:
DAWNThe Drug Abuse Warning Network. This is run by the Substance Abuse and Mental Health Services Administration (SAMHSA) which publishes a collection of data on emergency department episodes related to the use of illegal drugs or non-medical use of a legal drug.
CEWGCommunity Epidemiology Working Group. This working group has agreed to monitor buprenorphine use.
NIDANational Institute of Drug Abuse. NIDA will send a letter to their doctors telling them to be aware of the potential for abuse and to report it if necessary.
9. Who can prescribe Subutex and Suboxone?
Only qualified doctors with the necessary DEA (Drug Enforcement Agency) identification number are able to start in-office treatment and provide prescriptions for ongoing medication. CSAT (Center for Substance Abuse Treatment) will maintain a database to help patients locate qualified doctors.
10. How will Subutex and Suboxone be supplied?
Both medications come in 2 mg and 8 mg strengths as sublingual (placed under the tongue to dissolve) tablets.
11. Where can patients get Subutex and Suboxone?
These medications will be available in most commercial pharmacies. Qualified doctors with the necessary DEA identification numbers will be encouraged to help patients locate pharmacies that can fill prescriptions for Subutex and Suboxone.
12.Where can I go for more information?
Go to: http://www.fda.gov/cder/drug/infopa...one/default.htm
Contact the CSAT Buprenorphine Information Center at 866-BUP-CSAT, or via email at info@buprenorphine.samhsa.gov or http://buprenorphine.samhsa.gov/
IMO...he is not lying. what I have read sounds like he is going through the normal pase. Subs curb the symtoms of withdrawl without completely taking them away. Hope this helps! All the best.
Darin
--------------------------------------------------------------------------------
1. What are Suboxone and Subutex?
Subutex and Suboxone are medications approved for the treatment of opiate dependence. Both medicines contain the active ingredient, buprenorphine hydrochloride, which works to reduce the symptoms of opiate dependence.
2. Why did the FDA approve two medications?
Subutex contains only buprenorphine hydrochloride. This formulation was developed as the initial product. The second medication, Suboxone contains an additional ingredient called naloxone to guard against misuse.
Subutex is given during the first few days of treatment, while Suboxone is used during the maintenance phase of treatment.
3. Will most prescriptions be for the Suboxone formulation?
Yes, Suboxone is the formulation used in the majority of patients.
4. How are Subutex and Suboxone different from the current treatment options for opiate dependence such as methadone?
Currently opiate dependence treatments like methadone can be dispensed only in a limited number of clinics that specialize in addiction treatment. There are not enough addiction treatment centers to help all patients seeking treatment. Subutex and Suboxone are the first narcotic drugs available under the Drug Abuse Treatment Act (DATA) of 2000 for the treatment of opiate dependence that can be prescribed in a doctors office. This change will provide more patients the opportunity to access treatment.
5. What are some possible side effects of Subutex and Suboxone?
(This is NOT a complete list of side effects reported with Suboxone and Subutex. Refer to the package insert for a more complete list of side effects.)
The most common reported side effect of Subutex and Suboxone include:
cold or flu-like symptoms
headaches
sweating
sleeping difficulties
nausea
mood swings.
Like other opioids Subutex and Suboxone have been associated with respiratory depression (difficulty breathing) especially when combined with other depressants.
6. Are patients able to take home supplies of these medicines?
Yes. Subutex and Suboxone are less tightly controlled than methadone because they have a lower potential for abuse and are less dangerous in an overdose. As patients progress on therapy, their doctor may write a prescription for a take-home supply of the medication.
7. How will FDA know if these drugs are being misused, and what can be done if they are?
FDA has worked with the manufacturer, Reckitt-Benckiser, and other agencies to develop an in-depth risk-management plan. FDA will receive quarterly reports from the comprehensive surveillance program. This should permit early detection of any problems. Regulations can be enacted for tighter control of buprenorphine treatment if it is clear that it is being widely diverted and misused.
8. What are the key components of the risk-management plan?
The main components of the risk-management plan are preventive measures and surveillance.
Preventive Measures include:
education
tailored distribution
Schedule III control under the Controlled Substances Act (CSA)
child resistant packaging
supervised dose induction
The risk management plan uses many different surveillance approaches. Some active methods include plans to:
Conduct interviews with drug abusers entering treatment programs.
Monitor local drug markets and drug using network areas where these medicines are most likely to be used and possibly abused.
Examine web sites.
Additionally data collection sources can indicate whether Subutex and/or Suboxone are implicated in abuse or fatalities. These include:
DAWNThe Drug Abuse Warning Network. This is run by the Substance Abuse and Mental Health Services Administration (SAMHSA) which publishes a collection of data on emergency department episodes related to the use of illegal drugs or non-medical use of a legal drug.
CEWGCommunity Epidemiology Working Group. This working group has agreed to monitor buprenorphine use.
NIDANational Institute of Drug Abuse. NIDA will send a letter to their doctors telling them to be aware of the potential for abuse and to report it if necessary.
9. Who can prescribe Subutex and Suboxone?
Only qualified doctors with the necessary DEA (Drug Enforcement Agency) identification number are able to start in-office treatment and provide prescriptions for ongoing medication. CSAT (Center for Substance Abuse Treatment) will maintain a database to help patients locate qualified doctors.
10. How will Subutex and Suboxone be supplied?
Both medications come in 2 mg and 8 mg strengths as sublingual (placed under the tongue to dissolve) tablets.
11. Where can patients get Subutex and Suboxone?
These medications will be available in most commercial pharmacies. Qualified doctors with the necessary DEA identification numbers will be encouraged to help patients locate pharmacies that can fill prescriptions for Subutex and Suboxone.
12.Where can I go for more information?
Go to: http://www.fda.gov/cder/drug/infopa...one/default.htm
Contact the CSAT Buprenorphine Information Center at 866-BUP-CSAT, or via email at info@buprenorphine.samhsa.gov or http://buprenorphine.samhsa.gov/
hi there.i started taking subutex and the only uncomfortable side-effects were achy legs , tummy cramps and for 3-4 hours after my first dose. quite horrible , weird feeling but easy managable so it wouldn't look severe from your point of view. Then for the next 3-4 days i didn't feel on top of the world but as i said , easily managable.To get me thru one of my subutex detoxes for the first 3-4 days (that was my excuse ) i used about an hour after i took my sub. dose.so that i could go to work and not worry about havin to go to the toilet every 5 min .all i got was an initial rush , then ..nada.. after 3-4 days i stuck to my subs and all was fine. that is ONE of my stories and i hope the info helps. hermster.
i took subutex for three days, i think there brilliant.If its in your head to give the heroine the boot then thats half the fight over, when you take subutex it takes all the nasty symtoms you get when you try to do the rattle with nothing... what will happen is if you smoke heroine on top of the subutex it makes you feel like you need to get some heroine inside you, it will not cause a mad rush or anything all your doing is wasting the subutex or heroine you have taken..... its easy to give up heroine while your taking subutex its just hard to get the subutex in the first place... i bought mine from some geezer that was selling his script, the only problem with that is when that geezer decided to not answer his phone to me i was totally and utterlly f***ed, so i dont recommend this to anyone.. so unless you have got your own full supply, don't try this at home...........
I think your son is very selfish, his got a good mum behind him while mine turned her back on me when i needed her the most.... subutex is very hard to get on script its months of hard hard work i would give my right hand to be in your sons posistion obviously your son doesnt want to give the heroine the boot cause otherwise he would'nt go anywhere near this nasty devil drug... my heart goes out to you, he needs to want to help himself before he will except any from you..... good luck, tracie xx if his taking heroine on top of subutex then he aint kicked no habbit.
