Posted by drrisin06 on May 2, 2004, at 10:03:50
In reply to Re: Buprenorphine side affects » drrisin06, posted by Lindsay Rae on May 1, 2004, at 22:52:12
yes. that makes sense, I also read dr. bobs explanation of the partial agonist beeing the door open half way, but I though that was because suboxone is partial agonist and antagononist. Bup isnt as strong as methadone, but I know alot of x-heroin users, when facing withdrawl and transferred onto buprenorphine were fine -not sick.
I think If the methadone patient gets to a low enough dose that when they switch say to suboxone, for the first few days they may feel some wd's, because of the antagonist properties, its in effect cleaning their system of the opiate they transferred from while replacing it with the less potent buprenorphine. If annyone needs
just buprenorphine, I know of a few pharmacies that will ship this.
Its ironic beeing I got on methadone to flee heroin withdrawls and have a more smooth life, but I would rather come off heroin any day than methadone. With benzodiazipines and good sleep medication, perhaps some clonidine durring the intense w/d period I can do the 72 hours of H wd.
I had none of these things when coming off before hence one of the reasons I got On methadone.I am troubled about the same day detox,not only is it dangerous, but for methadone patients which withdrawls can last for months, this doesnt seem like it would work as wll as the detox programs say. Most admin naltrexone while unconsious, the body still goes through withdrawls and I beleive you feel alot more than the heads of these programs say. especially when they discharge you right after the procedure.
I've seen some places do it better and give u more time and meds to recover, perhaps dr bob has some knowledge on this,.wouldnt it be a shock for your heart to go into immediate withdrawl, unconcious or not.
rising
poster:drrisin06
thread:306607
URL: http://www.dr-bob.org/babble/subs/20040409/msgs/342435.html