Suboxone ; Suboxone Doctors


Suboxone Treatment and Suboxone Withdrawal tips for Opiate Withdrawal and Addiction.

The Thomas Recipe For Suboxone Withdrawal and Detox


If you can’t take time off of work to detox off Suboxone then I recommend you follow a taper regimen usinf suboxone or an alternative.  I have found that tramadol works great in controlling Suboxone withdrawal symptoms— the slower the taper, the better.  If you cannot taper or don’t have access to tramadol to taper then this recipe will help alleviate many of suboxone withdrawal symptoms.

You will need:

1. Valium (or another benzodiazepine such as Klonopin, Librium, Ativan or Xanax). Of these, Valium and Klonopin are best suited for tapering since they come in tablet form. Librium is also an excellent detox benzo, but comes in capsules, making it hard to taper the dose. Ativan or Xanax should only be used if you can’t get one of the others.

2. Imodium (over the counter, any drug or grocery store).

3. L-Tyrosine (500 mg caps) from the health food store.

4. Strong wide-spectrum mineral supplement with at least 100% RDA of Zinc, Phosphorus, Copper, Magnesium and Potassium (you may not find the potassium in the same supplement).

5. Vitamin B6 caps.

6. Access to hot baths or a Jacuzzi (or hot showers if that’s all that’s available).

How to use the recipe:

Start the vitamin/mineral supplement right away (or the first day you can keep it down), preferably with food. Potassium early in the detox is important to help relieve RLS (Restless Leg Syndrome). Bananas are a good source of potassium if you can’t find a supplement for it.

Begin your detox with regular doses of Valium (or alternate benzo). Start with a dose high enough to produce sleep. Before you use any benzo, make sure you’re aware of how often it can be safely taken. Different benzos have different dosing schedules. Taper your Valium dosage down after each day. The goal is to get through day 4, after which the worst WD symptoms will subside. You shouldn’t need the Valium after day 4 or 5.

During detox, hit the hot bath or Jacuzzi as often as you need to for muscle aches. Don’t underestimate the effectiveness of hot soaks. Spend the entire time, if necessary, in a hot bath. This simple method will alleviate what is for many the worst opiate WD symptom.

Use the Imodium aggressively to stop the runs. Take as much as you need, as often as you need it. Don’t take it, however, if you don’t need it.

At the end of the fourth day, you should be waking up from the Valium and experiencing the beginnings of the opiate WD malaise. Upon rising (empty stomach), take the L-Tyrosine. Try 2000 mgs, and scale up or down, depending on how you feel. You can take up to 4,000 mgs. Take the L-Tyrosine with B6 to help absorption. Wait about one hour before eating breakfast. The L-Tyrosine will give you a surge of physical and mental energy that will help counteract the malaise. You may continue to take it each morning for as long as it helps. If you find it gives you the “coffee jitters,” consider lowering the dosage or discontinuing it altogether. Occasionally, L-Tyrosine can cause the runs. Unlike the runs from opiate WD, however, this effect of L-Tyrosine is mild and normally does not return after the first hour. Lowering the dosage may help.

Continue to take the vitamin/mineral supplement with breakfast.

As soon as you can, get some mild exercise such as walking, cycling, swimming, etc. and force yourself to eat.  It will be hard at first but food will give you energy.


Suboxone 8 mg

Suboxone 8 mg


EXPLANATION OF TREATMENT

Intake
You will be given a comprehensive substance dependence assessment, as well as an evaluation of mental status and physical exam from your Suboxone Doctor. The pros and cons of the medication, SUBOXONE, will be presented.  Treatment expectations, as well as issues involved with maintenance versus medically supervised withdrawal will be discussed.


Induction
You will be switched from your current opioid (heroin, methadone or prescription painkillers) on to SUBOXONE.  At the time of induction, The Suboxone Doctor will ask you to provide a urine sample to confirm the presence of opioids and possibly other drugs.  You must arrive for the first visit experiencing mild to moderate opioid withdrawal symptoms.  Arrangements will be made for you to receive your first dose in your doctor’s office.  Your response to the initial dose will be monitored. You may receive additional medication, if necessary, to reduce withdrawal symptoms.  Since individual tolerance and reactions to SUBOXONE vary, daily appointments may be scheduled during this time so your dose can be adjusted to where you no longer experience withdrawal symptoms or cravings.  Urine drug screening is typically required for all patients at every visit during this phase.
Intake and Induction may both occur at the first visit, depending on your needs and your doctor’s evaluation.


Stabilization
During Stabilization, your Doctor prescribing SUBOXONE  may “fine tuned,” your dose to about once a week, if needed.  You and your Suboxone Doctor will discuss your treatment options from this point forward.


Maintenance
Treatment compliance and progress will be monitored.  Participation in some form of behavioral counseling is strongly recommended to maximize your likelihood of treatment success.  Appointments are usually scheduled on a weekly basis, however, if treatment progress is good and goals are met, monthly visits will eventually be considered sufficient. The Maintenance phase can last from weeks to years—depending on what best suits your individual needs—as determined by you, your doctor, and, possibly, your counselor.


Medically Supervised Withdrawal
As your treatment progresses, you and your doctor may eventually decide that medically supervised withdrawal is an appropriate option for you.  In this phase, your suboxone prescribing doctor will gradually taper your SUBOXONE dose over time, taking care to see that you do not experience any withdrawal symptoms or cravings.  You can always return to a previous dose if you experience uncomfortable symptoms or cravings at the reduced dose.