Buprenorphine/Suboxone Everything You Need to Know!

This is a mu opioid receptor partial agonist most commonly prescribed as Suboxone which is the combination of buprenorphine and naloxone. Addiction treatment is still filled with stigma as a physician who treats a lot of substance use disorder, I want to bring more attention to this life saving treatment.
Time Stamps:
Introduction: 00:00 to 00:28
Key concepts: 00:29 to 01:04
FDA approval: 01:05 to 01:40
MOA: 01:41 to 06:20
Dosing: 06:21 to 08:13
How to use: 08:14 to 13:00
Injectable form: 13:30 to 14:50
Lab testing: 14:53 to 15:00
Thoughts on addiction potential: 15:03 to 15:54
Stopping the medication” 15:55 to 16:15
Side effects: 16:15 to 17:30
Final thoughts: 18:05 to 18:54
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Disclaimer: This is not medical advice, and the information is provided for educational purposes only. Please consult your doctor for any specific medical questions.
All content is created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider. If you think you have a medical emergency, call your doctor, go to the emergency department, or call 911. We do not endorse any specific treatment, tests, or procedures. Reliance on this information is solely at your own risk.

[@user-gn5fq5nd2o]

I have been clean for over 4 years thanks to suboxone. Because of suboxone I have a life, my wife and kids have a husband and father! Best decision I have ever made

[@palmeetsingh5693]

What was ur dose at first,and what is now.,plz reply😊

[@palmeetsingh5693]

What was ur dose ,plz reply sir☺️

[@donkeyballs3307]

Suboxone is an opiod 40 x times stronger than morphine ,how can u think u r clean ,if u r on it ,uv just switched one opiod addiction for another, your not clean

[@michelleduplooymalherbe2837]

I do not care who says what Suboxone has saved me and even if I have to stay on it for the rest of my life that is fine cause there is no way I want the hell of addiction ever again

[@SAMEntalhealth]

Yeah it helps your brain ditch the rituals

[@michelleduplooymalherbe2837]

@@SAMEntalhealth I know and I am absolutely sure of my facts that even though I have been straight with the help of Suboxone the only reason I am not using is the fact that absolute every avenue of getting my hands on cash has been blocked

[@mayito714]

Stay on it. It's a safe drug that helps you leave the hell of addiction behind and forever.

[@SAMEntalhealth]

@@mayito714 yup it let's you escape the ritual and keeps your receptors occupied which are unfortunately tainted because of the opiates

[@mayito714]

@@SAMEntalhealth Saved my life. I have no desire to abuse opioids after 8 years of being on it. I've had access to the med's that got me initially addicted yet have zero desire to go for them.

[@geekinhard343]

But overall this medication saves a lot of lives, and helps people get out of a drug addict life style. Even though you're still technically on an opiate and dependent on it, at least your not scaping change up for drugs, or having to call some sketchy drug dealer. It takes the immense financial stress, and guilt away from the equation. Its much better than methadone because methadone makes you feel like your going to get your drugs every day, it keeps you in that mentality.

[@davidkruse4030]

You aren’t technically on an opiate when on suboxone. You are on an opioid

[@makennaf1232]

I am a psych NP and I was on the fence about taking a job where I would be prescribing Suboxone. After watching this video, I feel SO MUCH BETTER and I took the job (granted, I will be undergoing additional training) I am so glad I did. Seriously. Thank you.

[@Scorcher-ii1ty]

You don’t know Psychopharmacology then. It’s a horrible drug. Prescribe Kratom. It got me off all opiates. Including Suboxone a trash drug.

[@Scorcher-ii1ty]

But you will give someone Seroquel or Zyprexa? 2 of the most dangerous drugs ever. Try coming off zyprexa. You get 8 hours of Suboxone training?? Kratom is much better than Suboxone. I turned it down. Don’t want my dr to see in my prescription profile I took Suboxone.

[@Scorcher-ii1ty]

So a Psychiatrist in sneakers convinced you. It would be much simpler if you recommended Kratom. It’s way better and when I come and see you and you go on your laptop to see what prescriptions I had filled Kratom will not be on there. Great right. Just remember when you put someone on Suboxone every Dr/ NP/ PA-C can see it . Then there is a bias. Plus the Pt keeps their teeth. So many lawsuits against Suboxone.

[@shemishaburns9556]

Thank you so much for doing this video..i definitely gained more clarity and understanding of how this medication works...definitely subscribed

[@ShrinksInSneakers]

No worries, thanks for watching please spread the word about the channel it's people like you that keep me going

[@franklinthompson7336]

Thank you for this video! I started suboxone today, and today is the first day of my addiction recovery. Thank you for the info!

[@ShrinksInSneakers]

Congratulations, there is a significant reduction in mortality for those in medication based treatments. We know it saves lives and helps to avoid the complications associated with recreational opioids. Best of luck, I know you will do great

[@Paxtonpia]

Hope you’re well…

[@ChazinFl1]

@@ShrinksInSneakers 💩🤡

[@franklinthompson7336]

@@Paxtonpia thank you! I actually switched to Sublocade on 3/22. The first week was a bit rough as I felt like I was going back into WDs. Since then it’s been better and it’s amazing not having to take something daily anymore. The hardest part of addiction was constantly thinking of when I could get my next fix, and worrying about having enough supply on trips/overnight stays at friends places. No longer is that a worry of mine anymore. And no more ups and downs with the strips! Just feeling normal and well 24/7. I’m excited to get my next two, and also last two shots, to see how my experience is with getting off of bup. Goes for me. Lots of people have had extremely great success with the 300/300/100 and then nothing. No withdrawals reported

[@teresaorth7832]

I am starting tomorrow after 19 years on Norco....

[@badass1g]

First time I’ve heard that the film has a diff bioavailability that’s good to know!

[@dk28355]

That was fantastic information! Thanks

[@ShrinksInSneakers]

Thanks for supporting the channel please subscribe and spread the word about what we are doing here

[@geekinhard343]

They need to do something about snorting the medication. No matter if you have strips or pills, you can snort them, and the bioavailability of the naloxone is so much lower than the buprenorphine, the medication ends up hitting a lot harder. The bioavailability of buprenorphine nasally through the mucus membrane its closer to 50%, vs sublingual witch is around 20%. This means people can abuse the medication and get high. I don't know how you could make it so it cant absorb through the mucus membrane in the nose, and still dissolve sublingually. Because sublingually its still using the mucus membranes in your mouth. People do this in jail. They dissolve suboxone strips in water and snort them, my friend told me about it in detail. The abuse of this isn't really being talked about much, but its happening a lot. I personally love this medication and it saved my life. I just think they should do something about the sublingual pills, and strips not being fully abuse proof.

[@Cloud9az]

Yes in prison snort or shoot it up. I did 4 years, and ran a big habit now I'm stuck on the injection on the outside now. It saved my life but it's also fucked it too. As I'm still not "clean" clean. But did get me off alcohol and OxyContin. It catches up on you that's for sure

[@tonykeane7524]

I've been on the injection and it has been a miracle I can't believe I was very worried how this would hold me for a month but it releases it and I've not had any cravings or any thoughts of using amazing thank you, God 🙏

[@michelleduplooymalherbe2837]

just shows you how different we all are, my cravings and thoughts went away but only a bit, i will lie if I say that I do not often still think about it but it is sort of an abstract thought and never very serious it like sort of just flashes through y mind and then is gone again, but it is still the 1st thing I think of doing when I get cash (even on Suboxone) needless to say I and people close to me have closed all cash avenues ....

[@ShrinksInSneakers]

Hey Tony love it man, i appreciate the positive comment on medication that can truly be life changing. Best of luck with treatment and if you haven't subscribed to the channel please do and spread the word about what we are doing here

[@tonykeane7524]

@@ShrinksInSneakers hey how are you getting on?

[@ShrinksInSneakers]

@@tonykeane7524 Good man can't complain too much, it would be nice to have more time to work on content here on the channel but other than that I'm great.

[@tonykeane7524]

@Shrinks In Sneakers I would love to tell my story I think you would find it extremely useful to others and very I interesting I have a lot of experience around quite a few things on your channel unfortunately but I can turn that into a positive and help other. It would be good if you listen to my story first and then we can take it from there. Many thanks, Tony k

[@bcnonken]

Great video

[@greenthumbstrummer]

This was a great breakdown. I've seen many

[@ShrinksInSneakers]

Thank you appreciate the support let me know if there is any topic you want covered

[@michelleduplooymalherbe2837]

@@ShrinksInSneakers if at all possible can you explain why the mental cravings, although they get less in time just never go away completely, I KNOW for instance if I got my hands on cash it would be straight back to the drug merchant for me, the only thing saving me at the moment is Suboxone and the fact that my family has blocked every avenue of getting my hands on cash - so my head tells me it is better to be straight etc but my heart disagrees......

[@mayito714]

@@michelleduplooymalherbe2837 It took me a while to get over mental cravings of Oxycontin. Probably a good 4 to 6 months.

[@creativestarfox]

Why is there so little information (such as videos like these) about the transdermal buprenorphine patch?

[@patriciagonzalez-jz7wv]

If anyone is thinking of using... just know its not worth it... even if u think. "Just this once wont hurt" its never just one. Then it becomes everyother day, on the weekends, and slowly its everyday. I was taking suboxone for a little over a year and had a minor relapse. But I messed up bc I stopped taking my suboxone to do this one drug and fell off for 3 weeks.... but now I started my suboxone again bc I felt like I was losing control of my life again. And on suboxone I was doing so good... so now I'm just gonna try to get back to my routine. The relapse. Was NOT WORTH IT.

[@libertyforamericanow]

Im on krarom. I have a dr appointment in a couple days. I get lots of kidney stones. Will suboxone block pain meds like dilaudid if i whined up in the hospital with a stone? Cause i need the pain meds to work in that situation

[@davidjames5117]

I also switched from kratom to suboxone. Day 2 for me

[@libertyforamericanow]

@@davidjames5117 i wound up on buprenorphine. Which is suboxone but without the naloxone. What milligram are you on

[@nicole2613]

I've been on the buvidal injection for 2 years .I go monthly it's awesome.

[@MrAkaprimetime]

How does it make you feel? & what would happen if u missed a month

[@nicole2613]

@@MrAkaprimetime just makes me not crave for other things .It feels pretty good . If I missed a month nothing would happen.ppl are coming off the buvidal with little to no withdrawals at all it's fantastic for that .as suboxene has always had awful withdrawals.This is slow release so comes out of your body really slow .I know at least 10 ppl that came off the buvidal with no withdrawals.

[@badass1g]

NICOLE please go see my addiction channel and I would really appreciate if you could do an interview video with me about the buvidal shot? The channel name is “kickin addiction” I’m trying to get someone with buvidal experience to share how it went. I won’t see a reply to this comment so please go drop me a comment on my addiction channel and let me know if you’re willing to do a short interview. Thanks :)

[@G4ming_OG]

I’m trying to get off sobutex any help with some information would be appreciated please

[@G4ming_OG]

Im on 4 ml a day

[@sillymonkey6000]

Dr. You are very good looking !

[@hexoroid]

Man in US i was on 3 suboxones a day and I came to Europe and they put me on only one. Holy shit was I SICK. I had to buy extra until I tappered down. Suboxone is no joke.. yes it helps you get your life in order but you better know what you are doing!!

[@shakenbake5566]

I've been on it for almost 3 years and it definitely saved me. Although, my doctor has told me it will take long time to get off of it

[@NeverGiveUp-ib3xb]

What happens if you use an opiate while on buprenorphine?

[@palmeetsingh5693]

Is 6mg dose is ok to beat cravings ,i m new to this salt,plz share personal experince who r on it .😊

[@Grapetoast2]

Hi, that seems low. I’m in 20mg per day for cravings

[@palmeetsingh5693]

@@Grapetoast2 Thnx bro

[@paulflur4519]

I know many people who injected suboxone. I think it has more affinity than balcony because a lot of them don’t get any side effects, or if they do it’s very minor and short lived.

[@ShrinksInSneakers]

I love the IM injectable formulations, IMO way better than the sublingual options. Thanks for watching the video

[@JoJoICB316]

I met with a lot of suboxone prescribers & most of them are taking advantage of people that are in a bad way. Refusing insurance make people come twice a week at $300 to $1500 a visit. And Literally do nothing but writing the script. It took me a while to find a doctor who didn't care about the money it's about helping people get their life back.

[@ElizabethVanhoose]

So can you take subutex if you have taken a suboxone the morning

[@rhinocoff4510]

Can you use this drug to help with marijuana withrawls? Been smoking for over 25 years and having trouble quiting.

[@PixieyDust]

I have CRPS and my pain doc want to switch me from my pain meds to suboxone next month. I have to go 2 days without my pain meds I've been taking for 20 years. I'm worried about the two days like am I going to die from the wd? I have been trying to find answers

[@ShrinksInSneakers]

In order to start suboxone we usually prefer the patient be in mild to moderate withdrawal prior to starting. We would want to have a COWs score of 11 or 12 before doing the induction. I'm speaking about this in terms of addiction treatment I'm not as familiar with pain management as it's not my speciality. The withdrawal symptoms should subside in 30 minutes or so after starting the subxone but some additional adjustments to the dose may be required over the first day. Hope this helps, if you haven't subscribed to the channel please do and spread the word about wha we are doing here.

[@PixieyDust]

@@ShrinksInSneakers thank you for your response. I am hoping this buephrine (spelled wrong) works for me!

[@user-wq6bl5jp7m]

I took one 8 mg strip and still feel withdrawal, can I take methadone?

[@fredculkington4181]

Noo wait or you'll go into precipitated withrawl you will regret it wait 3 days atlwast with methdon

[@mprice235]

I know someone that has been prescribed this for chronic pain not for drug addiction....she has severe ankylosing spondylitis along with severe spinal degeneration. It is not working, is this common?

[@ShrinksInSneakers]

It's not the greatest medication for the treatment of chronic pain. In this case it really depends on the details of your friends case and why this medication was chosen by their doctor. Neuropathic pain does not respond all that well to opioids and the mechanism is thought to involve an inflammatory process which these medications do not target. I would talk to the doctor and explain what's going on

[@lyndsayford8037]

@@ShrinksInSneakershi there, I’ve been one every narcotic possible since age 13, I’m now 25 and on 75 micrograms of fentanyl patch and my dr had me on hydromorphone as well but it wasn’t helping my break through pain hence why I’m now in 75. But my dr got in trouble for overprescribing me a few years ago so they forced me to try sublocade and now I can’t feel anything from my narcotics and my nerve pain is that bad 😢 I need to get off this yet everyone thinks it’ll help me so much with my pain and it just doesn’t. I feel with the opioid crisis and me abusing my patch because they took over half my medicine away two years ago so I abused it because my dr only had me on the oatch and would increase my hydros for breakthrough pain because she got in trouble. She said she is allowed but won’t do it hence the abuse but now I feel like I’m in the category of just an addict but the pain and lack of meds that I used to have drove me to try anything for my pain relief. I want to be back just on the fentanyl again this isn’t working :( am I crazy or does it make sense ?

[@erynlasgalen1949]

I'm just starting a buprenorphine patch for intractable back pain from scoliosis. I know how many MG of morphine per day it took me to function, and that was 20 MG. How will the maximum dose of buprenorphine compare to that? I'm trying to find out the mme of buprenorphine, so far without luck.

[@rogernelson67]

I was on 60 mg of Percocet a day some days I took his high is 80 and 90 because I started abusing it I was able to get myself back down to 30 to 40 mg a day before I went on the patch after 12 years of abuse I started out with the 10 for a month and then I drop to the 7.5 for a month and now I’m getting ready to go to the five and I’m not sure if I’ll stay there or if I try to wing myself off, before you put the patch on make sure you go at least eight or nine hours without any pills because you want to be in partial withdrawal, once you put that patch on just give it a little time and you’ll feel the cravings go away like magic and you won’t want the pill anymore, for myself I probably took a 10 mg Percocet after the patch for about three days and I haven’t touched it in two months, this crap works and it’s amazing

[@mayito714]

Bupe is amazing for pain, depression and anxiety. Work yourself down to the lowest level of relief for "You" and you'll feel great.

[@michelleduplooymalherbe2837]

@@mayito714 You are right, everybody is different and what amount works for one will not necessary work for someone else, so it is trail and error but the stuff is excellent and it defeniealy works very very well for depression and anxiety

[@ShrinksInSneakers]

The morphine milligram equivalent conversion factor is 30. So 8 mg of buprenorphine is equivalent to 240 mg of morphine. But this is only one source and many of the other sources do not offer a MME for buprenorphine products. Hope this helps

[@Bonesph]

I used to take 240mg Oxycodone a day. 8mg of Suboxone stopped my withdrawals instantly after waiting 3 days to start taking it. Bupernophine is STRONG. One of the the strongest and safest opioids. The patch is Mcg not Mg so you are only going to be getting up to half a milligram of Bupernophine.

[@walkingbyfaithnotbysight2291]

My Dr prescribes me Subutex 8 mg tablet for pain management, straight buph,, what is your opinion of giving straight buphenorphine?

[@ShrinksInSneakers]

It's fine the only reason naloxone is added is to reduce the potential of abuse by crushing snorting, or injecting the medication. It's usually reserved for pregnant patients. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here.

[@rickp3753]

The half life is great for pain, but tapering off Bup is no joke. I'm on day 66. It's great for pain, but I would use something else. It can be the devil to get away from.

[@sutekh7890]

I was offered a BuTrans patch recently for my neuropathy but generally patches don’t work well for me… skin’s too oily and gross lol.

[@ShrinksInSneakers]

I like the injectable version but I'm not a big fan of the patch or the implant. It's usually best to just stick with the good old tab or strip

[@MrAkaprimetime]

I never knew that had a patch but you said they're not good?

[@BadgerBabyBoy]

Which opioid replacement medication does not cause dental decay please doc ?

[@johnnicolaou554]

dia morphene hcl

[@williamself1224]

I had doctors try to get me on suboxone to treat my pain. It was like they wanted to treat an opioid addiction instead of treating my pain. Needless to say I didn’t take the suboxone and stayed with the morphine and oxycodone.

[@brianfreland9065]

Suboxone is prescribed for chronic pain all thr time.

[@williamself1224]

@@brianfreland9065 I couldn’t see how it would be helpful in my case. She wanted to not take a pain pill for 2 days, then she would give me a pill on Friday. On Monday I was to come back to get another pill and a refill for whatever for a week. Then I would have had to see her every week for 3 weeks, then monthly. I couldn’t get pass the don’t take pain pills for 2 days? I have a jacked up spine and need both hips replaced at 52. If I went on Suboxone and needed more pain medications I would have to go to the ED because they would have to administer and monitor me. Yeah that was a big no thanks. I found a pain doc that would give me what I need.

[@brianfreland9065]

@@williamself1224 whatever works. I'm not judging and I'm no one to tell others what's best for them. Glad you found a place to help out. To be honest, I'd rather find a pain doc than a sub clinic but they're far and few between now days. I'm finding the subs to work ok for though and in my case I see that as better than nothing at all or being in pain and withdrawals. Whatever gets people through the day with some quality of life is just fine in my book.

[@kcarson9896]

Suboxone was HELL for me NEVER AGAIN !

[@erynlasgalen1949]

@k Carson Hmmm. I'm being put on a buprenorphine patch for chronic worsening back pain after two nerve ablation, one steroid injection, and 6 months of dry needling failed to help. I'm slowly working up to full dosage. So far, after one month, I don't even know I'm taking it. Just got my new month of patches up from 5mcgm per hour to 10. How was it hell for you? My chief worry is that the maximum dose won't control my pain.

[@odin-fr9et]

I sont mean to be ignorant but can suboxane be uaed for alcohol abuse?

[@batyahel-chai6120]

I understand that it's good for alcohol dependent pple

[@NeverGiveUp-ib3xb]

Try using Naltrexone

[@jamiestanley9234]

My mother has been on methadone for at least 15 years and her doctor is switching her to suboxone. She was put on oxy first for back pain and it’s just progressed. She is definitely addicted to her meds and drinks heavily with her methadone. I wonder if this new medication will help. She almost unbearable to be around because of her medication and drinking.

[@ShrinksInSneakers]

I hope so too, It's much easier to work with buprenorphine.

[@rebaprinkey1172]

Anybody ever tried to just quit taking Suboxone?? The withdraw from it feels like death for a long time..

[@ShrinksInSneakers]

It can be difficult. I would recommend having the person prescribing the medication do an appropriate taper just to be safe. Best of luck and let me know if I can be of service in the future

[@lacemz]

taper down i tried it and it works o ly tapering down tho i try to cut cold turkey cuz i had to i couldint get it from my boy was out of it and my knees sterted cramping amd diarea headaches was bad 8 hpurs later i got some more amd withdraw went away ive got off ir before now i just take lil pieces daily subboxobe saved my life it got me off oxy 15 30s a day i was at my tilerance kept increasing i dont know how long more ill be on subbys for i get it through my freind not prescribed

[@DubstepHeroDH]

Using Buprenorphine for pain management. Anyone know what can stop the itchy's being on it?

[@dereks1848]

Antihistamines usually helps.

[@ShrinksInSneakers]

I've used ondansetron and antihistamines in the past. Hope this helps

[@dereks1848]

@@ShrinksInSneakers hi there! Would you happen to know the ceiling effect of buprenorphine? Like what dose do you think in mgs is max for the receptors? Thx.

[@franklinthompson7336]

@@dereks1848 I actually went over this with my provider today! It levels out quickly between 18-24mg after that the opioid receptors can’t be stimulated much more 32mg would be the max as nothing beyond that would do much of anything

[@Italocanadese81]

No stigma just ppl who know nothing about Addiction acting like they do. Suboxone saved my life and has taken away my cravings unlike any other drug could do. The fact that it is a K receptor antagonist means that it also has antidepressant qualities. It is also incredibly strong. Ppl do not realize 1MG of bupe = 30 of MOR

[@ShrinksInSneakers]

Glad you found treatment that works, continue to advocate for proper addiction treatment because some people will have you believe all medications are bad and not useful. If you haven't subscribed to the channel please do I'm taking my addiction medicine boards next year and I plan to cover a topic every other week in addiction medicine

[@Italocanadese81]

I’ve also noticed that there is a major problem with generics. In Canada we allow + or - 20 % bioavailability w generic drugs. Well bupe only has 35% bioavailability in the first place! The only negative is the proven dental damage and tooth loss you mentioned. I tried everything. I’m 40 and need dentures but only on my lower teeth. But, better than having HIV or hep C. The implant is just a stupid excuse for patents imo

[@ShrinksInSneakers]

@@Italocanadese81 The dose of the implant is limited and will not work for most. I think buprenorphine has been a major game changer and I do agree quality control of generic mediations has been an issue lately

[@Italocanadese81]

@@ShrinksInSneakers my theory is that there must be something about thebaine derived drugs (OxyCodone, Oxymorphone and Buprenorphine) that create a unique feeling that other opioids don’t. Methadone was this awful heavy feeling. OxyCodone, my drug of choice, gave me energy and then around 80mg or so I would get that typical nod. But the euphoria and energy was unlike any other opioid esp the way it improved my mood. When I went on Buprenorphine I had just tapered off methadone and was opioid naive as my goal was to try abstinence. I couldn’t do it and when I tried Buprenorphine it literally felt like OxyCodone used to for me. Except the euphoria wore off much faster. By the time I was at 24mg (a few months in) there was no more noticeable high. The improved mood and the craving control is still effective ten years in on 14mg. Methadone was like taking an opioid and getting only the negative side effects. I also experience no issues w Testosterone or constipation at my dose. Something about the thebaine alkaloid though. It produces much more stimulation than typical opioids. It’s also where the antagonists are derived from. So many heroin users don’t like Buprenorphine. The more tools the better.

[@TheMatrixgod]

yea crazy so why do they give out 32 mg of sub to people

[@Una2Cold]

Great information! Question though, I never get straight answers for dosing my medication. I take sublingual tablets, do I press my tongue down on the tablet once I set it under my tongue? I’ve heard some people say to clamp your tongue down on it, others say to avoid it with your tongue. Then I’ve even read just to place medication under tongue and then just relax your tongue. So I’m being pulled in different ways and always experimenting because my tablets take FOREVER to dissolve. Please help lol thanks

[@ShrinksInSneakers]

This is a good question, When you take a sublingual medication its absorbed directly in the blood stream and bypass hepatic metabolism. It should not matter if you press the tongue on the tab. I personally prefer the film strip I think it dissolves better and has better bioavailability but insurance can get in the way. Unfortunately it's not recommended to crush, chew, or swallow the sublingual tablet. See if the film is an option with your doctor and watch for overmedicating as the higher bioavailability may require a dose adjustment when switching to the film.

[@richardburnette5151]

Best to let it dissolve slowly whatever you have to do to do that.

[@daphnepierre6246]

Just leave it under your tongue i guess and give it time to dissolve

[@stephenstuckey]

@@richardburnette5151 exactly, the slower the better. Try not to move it, just leave it there and let it slooowly release. Get much more out of the medication. Tbh, at least 15 mins, but i would go 20 to 30.

[@torres3008]

Would Suboxone make a good pain management treatment substitute taken 8mg 4 times a day for a spinal cord injury patient that took tramadol 50mg and morphine er 30mg as prescribed?

[@bluestrings8829]

Yes... I have moderate to severe spinal stenosis. The shots only work for a couple weeks to a month. 4-6 mg's of suboxone has done wonders for me. And it does not get you high. It keeps me in pain free mode for the most part. Unless I ride my bike a little too hard. But it works very well. I found out because I started to use fentanyl for pain since it was readily available. I quickly realized how dangerous this new powder fentanyl is. So I got suboxone to get off fentanyl, and what do you know it fixed my pain and my drug habit. And back pain is no joke. Just remember, you don't need the high dose when used for pain. I find 6mg's being the most needed. And I take it 3 times a day for pain. Or if I do 4 mg's I take it morning and evening. I just add a lunch when I do 6.

[@torres3008]

@@bluestrings8829 i have a spinal cord injury fused top to bottom back and was told it would help i am on the same dose 6 mgs 3 times a day and idk if it's my condition but i find it takes the edge off but roughly all it does for me unfortunately but it does do wonders for getting off opioids and serious substances that lead to addiction.

[@bluestrings8829]

@@torres3008 sorry to hear. So far this winter I haven't flared up. If I do I'll come back here and update. I haven't been on it longer than 3 or 2 and a half months. But it seems to help the pain. I am also focusing on posture at all times.

[@torres3008]

@@bluestrings8829 yes same here posture is definitely a big focus of mine as i have an anterior pelvic tilt that favors the right yes I'll come back as well and update on winter hopefully after longer term use it'll start to be more active in my pain management. Thank you so much for your shared advice i really appreciate and look forward to hearing more. I am currently one month recovering from my 6th spinal surgery and was just discharged home.

[@torres3008]

@@xaeaxii7777 i Know you didn't include me but i suggest morning afternoon evening

[@notoriousswisha5005]

I’m struggling real hard fighting withdrawals from fetynal . I was only 24 hour sober and than I took 8mg of suboxone as soon as I got out of jail . I didn’t know if it was working so I bought lower dose of fetty to stop the withdrawals. I still feel slight withdrawals and no high off the fetty. Will it mess with my detox and make withdrawals worst ?

[@tanieldillman476]

It’s all in your head. You took 8 mg of suboxone. Then You took the fentanyl and the suboxone blocked it, and the suboxone is still in your system. You just don’t realize it. I injected fentanyl and heroin daily for 20 years, and I can get well off 4 to 8 MG. Suboxone doesn’t get you high, or make you feel anything at all, besides withdrawal relief. Because of the ceiling effect. One time I took 60 subs at one time, they were subutex so I shot them up. and it felt the same as taking one. If you wanna get clean, take subs once or twice a day, and relax. Get out of the pill seeking lifestyle. Don’t hang out with people who use. Trust me, what your feeling right now is nothing… it’s just mild discomfort…. Get out now while you can. God bless you bro

[@notoriousswisha5005]

@@tanieldillman476 thanks for the feedback I never done heroin or anything like this before first time in my life I really can’t stop due to the fact my body became co dependent on it

[@tanieldillman476]

@@notoriousswisha5005 I feel your pain, How long have you been using opiates for? I ask because sometimes we mistake discomfort and cravings for true withdrawal. (I could be wrong I don’t know how long you’ve used for) but I remember in the first 2 years of me shooting you fentanyl and heroin daily, I didn’t even get sick when I stopped, I thought I was sick, I cried like I was sick, and I thought it was withdrawal, but really I was just wanting more. Anxiety, cravings, insomnia, and discomfort, aren’t true sickness. If you keep doing this, you’ll end up like me, if I go through withdrawal I can die. I’ve had many seizures, my blood pressure goes in the 200,s and I don’t eat, sleep, or drink water for days at a time. I can’t walk (like really can’t walk, I can try my hardest and fall over like an old man) If I get sick I truly think I may die. I hallucinate, and go crazy. But in the beginning of addiction, it’s just cravings and being uncomfortable, which will end on 1 to 2 weeks. be careful, it gets a million times worse. Get out now while you still can.

[@mattyice_13]

I have been on 2mg a day for a about 5 years STEADY. I get sick as hell every time I try coming off it…I’m just stuck on it now. I always have a crippling social anxiety disorder. My psychiatrist who prescribed both decided to just cut me off my 1 mg alprazolam 2x a day as needed. I’m 31 been taking klonopin or Xanax for 18 years! Somebody please try to give me advice I need to get back on my anxiety meds on get off this suboxone. It did it’s job don’t get me wrong but time to move on! Please any feedback would be highly appreciated!

[@bluestrings8829]

18 years on Xanax or any benzo is a long time. Have you been off the full 5 years that you've been on suboxone? I would slowly taper lower to 1mg. If you go back to benzos keep it to no more then 2 times a week. Or maybe 3. Klonopin (not only are they easily available) it has a long half life so you'd be good.

[@mattyice_13]

@@bluestrings8829 thank you man

[@hope4humanity222]

@@bluestrings8829 this is also a very difficult time for anyone w/an anxiety disorder to go off their meds. Most psychs know that this time has caused terrible anxiety in huge numbers of people who didn’t have it prior. I feel bad that this guy’s doc made that decision. Sounds like a new psych w/some empathy is in order.

[@ShrinksInSneakers]

I would go back to the doctor who is prescribing the medications and explain the symptoms. In some cases the taper has be conducted very slowly over months and possibly years to avoid significant complications. If there are signs of withdrawal the dose should be increased and then reattempt the tapper at a much slower rate. I feel like it's the doctors responsibility who was prescribing the medication to help with a proper tapper. Hope this helps

[@jonhutchinson2902]

I keep hearing people say that you have to go to the clinic daily to get methadone, but not for suboxone. Here in Canada they are treated the same way. You have to have clean urine samples for a month to recieve a take home dose of both suboxone or methadone. I have all my take home methadone doses and only have to go to clinic once per week. You gain one take home for every month of clean samples provided for both substances. Only differnce it the naloxone in the sub, that blocks your receptors.

[@ShrinksInSneakers]

Initially we like to see people more frequently until they are stable. With any controlled substance you need to be careful prescribing given all the government regulations. I don't have a hard and fast rule about when and how much to offer as take homes but I do want to be sure I know the person well and have some objective measures indicating they are consistent with the medication. Hope this helps

[@nickydaviesnsdpharms3084]

it's interesting how you said you never prescribe Subutex (Buprenorphine alone without Naloxone) for people to take home, cos I live in UK and i'm on 12mg daily of Subutex and I collect once a week, but i pass my drug urine tests every time as I of course don't ever use heroin anymore, although i do use cocaine powder once a week, which my prescribers know about and occasionally shows up on the urine tests.

[@zay5456]

Why do you use coke once a week ...to party

[@Carol-dj8gp]

You didn’t mention any other side effects. It causes me to have insomnia and edema. I’ve had sleepwalking that’s caused me to fall and injure myself badly. Once breaking my nose and cheekbone. I was forced off medication working very well for pain and onto this drug all because of the DEA forcing doctors to stop writing prescriptions for opioids. Also tolerance comes on quickly and if any pain relief dwindles quickly as well. I won’t even go into the problems if you have to have surgery wile taking this drug. I was a chronic pain patient forced into addiction treatment.

[@jacobbell4687]

God blessing be upon you

[@ShrinksInSneakers]

Thanks for watching, if you have not subscribed please do and spread the word about what we are doing here

[@THAxILLEST]

NEED ADVICE PLEASE! The nalaxone never worked as a deterrent when I’ve used opioids while taking suboxone everyday. I feel like I still got just as high as if I hadn’t been taking Suboxone maybe a little less high which very possibly could just be in my head because the medics tell you it’s supposed to prevent you from getting High so your expecting it to deter your high to some degree. When I weened down my suboxone dose I went from 16mg everyday and within just 2 weeks I got myself down to 2mg a day then shortly after 1mg daily. At that point I stopped taking the medication all together and went into withdrawl very quickly after which I figured might last a day or 2 after day 5 my symptoms have only got worse. So I got back on suboxone and had to go back to using 16mg a day to relive my symptoms do you have any tips to either prevent any withdrawl once I get back to down to 1mg or if I cannot and have to fo through some withdrawl no matter once when I stop, how many days total do people generally withdrawl through the during the suboxone detox? The symptoms are very intense and uncomfortable. It’s not the same symptoms as fast acting opioids withdrawls. When I was detox suboxone I had severe stomach pains ,constapation, stuffy nose. Serve muscle pain and weakness a lot in the knees severe anxiety restlessness twitching shaking toss and turning restless moving of my legs hot flashes lack of motivation tired wanting to sleep no appetite whatsoever couldn’t even bring myself to take a bite of anything. Ir sucks… I’m sick of having to rely on this medicine everyday. I hate waking up in withdrawl and having to take a tablet right when I wake up and I don’t want to have to hide it from everyone or hoping for workers don’t find out or my boss finding out anymore i want to finally close this awful expiernece of opioid addiction and recovery being sober from opioids after being an addict is one of the best feelings! To kick to Suboxone and officially be free from all symptoms and all medications and be officially free from the control and grip the opioids have on you. Need advice though on the questions I asked though badly I want to make the final step of my recovery process and recovery plan.

[@robertworton2394]

Look into Ibogaine!🌱

[@SAMEntalhealth]

You need to taper. If you're on let's say 16 mgs a day, and 3 days go by you only take 16 mgs in 3 days, on day 3 you will feel withdrawal symptoms. And you won't crave opiates it's weird, your body is just cold and wet. Take more suboxone, like 3 strips, you'll feel better ;-)) hope this helps

[@SAMEntalhealth]

It's not so much relying on it, it's saving you. Our receptors are shot, remember that.... so just like an ex coke addict will drink more coffee, opiate users need some stimulation or else you'll be battling cravings for a long time until you get better. Suboxone helps you forget the old rituals and stuff that you used to do

[@mauriciojr.4428]

What about the use in resistant depression?

[@ShrinksInSneakers]

Good point, I have seen some studies out of Europe where it works well. I think most doctors will not prescribe it for that reason here in the U.S. so I left it off the video but it's important to think about for sure

[@creepypuppet7]

If you take this. Does it fail a drug test & if so my main Question is what panel on a drug test?

[@ShrinksInSneakers]

This will not show on a standard UDS. If you are interested I'm thinking about covering everything you need to know about a UDS in the future. If you are being treated an an addiction clinic they do send the labs out and often test for buprenorphine and it's metabolites along with other things like synthetic opioids that are not seen on standard UDS screenings. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here.

[@creepypuppet7]

@@ShrinksInSneakers they give it to me for chronic pain

[@texastoast5202]

Hi- Is your brain healing while you’re on bup?

[@Hayley1681]

Is this pain reliever slow release?

[@greenlightchronicles7198]

No, it set in 30 minutes last for 6 to 8 hours at a lower dose from my experience.. Suboxone film. 2 mg

[@timcunningham9996]

What is the difference between the pills and the strips?

[@blesstics]

So basically getting hooked on another drug just to leave a drug alone 😂

[@rdfire10]

Hi Doc great explanation question I really don't get any physical withdrawals from opiates but the mental side of crushing Omen snorting own and doing them is just like lodged in my mind does Suboxone help with that and part 2 the question if I'm taking 120 mg of opiates a day how much Suboxone do you think would help

[@ShrinksInSneakers]

Without a full clinical evaluation and honestly me doing the induction of suboxone, I can’t really say for sure what dose is required. I find many people level out around 8-24 mg/day. Like I said in the video the goal is to have no cravings and no withdrawal symptoms. I believe subxone can help and like I said it’s harm reduction. Please subscribe to channel if you haven’t already and spread the word about what we are doing. Also check out the Instagram page as I’m now posting daily content there.

[@greenthumbstrummer]

My good person all you will need is 2 milligrams twice a day... 2 mg floods over 80% of the MU receptors is why most people don't get withdrawals when they reduce to 2 mg but have a really hard time when they get under that

[@seekingfreedom9020]

One Suboxone 8 mg film is equivalent to 160 mg of oxycodone or 240 mg of hydrocodone/morphine

[@greenlightchronicles7198]

@@greenthumbstrummer exactly!!!! That 8/24 mg a day comment had me thinking is he just reading information off the internet 🤣

[@petarnedic9179]

120 mg hahahaha omg pa 120mg bilo čega je mnogo ali mnogo , uzmes lepo 8mg buprenorfina i to je to ...

[@jonhutchinson2902]

I know someone that got the implant. It worked for approximately six months and had to be replaced. When they put the impant in thry told him that some patients dont find a need for it to be replaced anand so thats what he was hoping for. Unfortunetly that wasnt the case and he now regrets getting it. It is an invasive surgery after all

[@ShrinksInSneakers]

The implant is not a good option for most people. It's invasive and limited in terms of dosing. I've never seen anyone on it. Look out for an upcoming short that I'm doing about sublocade which I do like just don't like the cost

[@markc1310]

It’s unfortunate. Sometimes I wish they never put me on it, but I know I’d be dead had I not. It did save my life and marriage. And that was from breaking my back with 10 years of narcotic medication dependence. Too much oxycodone and morphine over 10 years. Just wish I was off it all now. It’s expensive for Dr visits and medication. But beats dying when you have allot to live for. Good luck folks!

[@mauriceosullivan6832]

Mark, how much do the doctors, charge if you don't mind me asking??.

[@markc1310]

@@mauriceosullivan6832 $150 a month. $160 on months I have to test (twice year). You have to test more at first. Over years of sobriety its every 6 months. I’ve been with this Dr for a few years. He will treat MD things too so it’s just a text away for other meds if i get sick. But with the meds costing that much each month too (Theyre $150). $300 a month just to stay sain and sober feels like allot sometimes.

[@vickifrederick2934]

I take Belbucca for pain. ,fibromyalgia Doesn’t work all that great but works as well as anything else.

[@ShrinksInSneakers]

Good to hear that you found a treatment that is effective, best of luck with everything

[@gmc8810]

I had a implant once that worked great in about 5 months ! Unfortunately I ended back on suboxone and I don't remember what I had implanted but it worked worked no withdrawals & the tablet dissolves in about 3 months. This was to get off of oxys not suboxone. I'm not sure if it works the same way for suboxone. I would pay for that instead of tapering off suboxone !

[@MrAkaprimetime]

When you stopped taking the implant you didn't have any withdrawals or what???

[@moshisquad7835]

Should I stop taking my suboxone for a min? Because I'm on 8mg and right now I don't feel nothing from it. Is it that my tolerance of it really high?

[@lunaticonthegrass4258]

It want get you high like heroin that's for sure, this chemicals are pure poison! Think of your body and mind, health overall , sub will just fuck upp your life more. A hellish nightmare! If you don't have used it for long you should really think about what you are getting in to. Much love from Norway

[@cr-nd8qh]

I tried that it's really hard I made it into day 3 than needed some

[@moshisquad7835]

@c r I went to 4 days with out it felt fine and then tried it again and it didn't work

[@cr-nd8qh]

@@moshisquad7835 I would have been in pretty bad withdrawal on day 4

[@moshisquad7835]

@@cr-nd8qh I think my blood levels gotta be too high then

[@profet1385]

One thing I disagree with is that anecdotally people report Naloxone doesn't do anything intravenously because it has lower binding affinity than buprenorphine. So it doesnt stop abuse, just scare away people who aren't deeper into the topic

[@jerrygarcia5840]

I was take pain pill is it ok to take this to help me off the pills

[@ShrinksInSneakers]

It has been used in that capacity by pain management clinics. I would get connected with a good pain management specialist to see if it's an option.

[@srjackson1132]

Can you get IV sedated to get your tooth pull if your on suboxone 8mg/2mg 1 a day

[@jacobbell4687]

God bless you

[@rob7788]

How long does Suboxone stay in your system

[@michelleduplooymalherbe2837]

I also want to know

[@rickp3753]

@@michelleduplooymalherbe2837 It has a VERY long half life of 37 hours. Only half is gone in 37 hours. I tapered off 8mg strips after 16 years. The half life is so long you can forget to take them one day or two, and you wouldn't feel symptoms. I'm on day 66 sub free and it took a while for me to sleep.

[@michelleduplooymalherbe2837]

@@rickp3753 ok thanks but also did you have any other withdrawl symptoms and over what time period did you taper off, I want to do it cause i am scared that one day I might not beable to get them (I live in Africa) what worries me more than the physical pains etc. are the depression and irritation that I get - now that you have said that I am wondering if it is not phsyco somatic, I am on 2mg and sometimes even when I am asleep it is as if my brain sends me a message that I have to take my pill and then often it has not even been 24hrs - our bodies are so strange.....

[@michelleduplooymalherbe2837]

@@rickp3753 forgot to tell you I just feel out of sorts, if I do not take one pill every 24hrs like I said I am starting to think it is all in the mind now that you say the half life is so long

[@rickp3753]

@@michelleduplooymalherbe2837 i tapered slowly down to. 5 mg. I had no acute withdrawal symptoms, insomnia was bad for a little while.

[@zay5456]

I just went from strips to pills n I don't feel good I caught covid at the same time I thought that was why but it's been a month now n I still feel bad wth idk what to think or do ...I feel depressed dread n doom headache woozy irritable tired n I don't feel like doing anything n my concentration sucks

[@666wilf]

Subs make you feel like your going insane the first 3 or 4 days you start to take it. Here in UK, Methadone is still ahead of subs.

[@ShrinksInSneakers]

In the U.S. the regulation surrounding methadone is a real pain in the butt. Only qualified centers can distribute methadone for OUD but in pain management it can be prescribed without issue. For me buprenorphine is probably a little safer and a little easier to use in the U.S. but I agree in the UK I recall a 2012 paper that showed improved adherence and outcomes with methadone. Both work and it comes down to what works best for the individual patient

[@kristinetannous6150]

This information isn’t accurate anymore. People shoot or smoke suboxone all the time. Turns out the naloxone doesn’t quite work when suboxone is diverted thanks to the N dopamine or something. Also, the suboxone shot is way more common now and it has helped many get off the subs. I know someone who changed from Long term methadone to subs then the shot and now she’s off it all. The shot has been working wonders by what I hear. But anyway in jail they divert the subs all the time and they love it so it definitely gets them high.

[@williamself1224]

If suboxone works well for pain management why aren’t people being prescribed it for acute conditions? Are they giving suboxone post surgery? In the ER for broken bones?

[@ShrinksInSneakers]

It's more in chronic pain with comorbid opioid use disorder but honestly I'm not a big fan for pain. I would say opioids are best reserved for short term acute pain as you stated for surgery or acute injuries. Even in those cases if you can avoid using opioids even better.

[@williamself1224]

@@ShrinksInSneakers the unfortunate thing is Dr are prescribing it for chronic pain patients who haven’t shown any signs of opioid use disorder. They just want to change medication for the sake of changing it.

[@ShrinksInSneakers]

@@williamself1224 It's a difficult position to be in, I know how complicated these issues are these days.

[@meddem7060]

I'm on 16mg sublingual for 5 years and I think I have kind of a backpain or kidney pain. AND TOOTHDECAY! My tooth broke just like that and it was hollow. I always had healthy teeth before.

[@justinlogan869]

Subs are bad for your kidneys for sure and opiates in general can rot your teeth

[@johnkeller2527]

It works for show okay

[@edrominger6165]

There's lots of people who bang them and they love it Idk because when I was using I did it and it didn't make me sick but I didn't get anything off of it. I had to take another by mouth to get feeling better still so Idk why they do it.

[@ShrinksInSneakers]

In some cases people feel that buprenorphine improves their mood. In some cases people are looking to just avoid withdrawal and buprenorphine is available. Either way we need to be mindful of the potential for abuse, but it's certainly not an issue for everyone. Thanks for watching if you haven't subscribed to the channel please do and spread the word about what we are doing here

[@nara808]

A few points refuted by a drug user: Injecting it does not in fact cause withdrawal to be precipitated, no feelings of the nalexone whatsoever, this is I’m sure very harmful for the veins though. And strong enough heroin and fentanyl can easily ‘blow through’ the suboxone, getting you high regardless of the bupe already in your system.

[@stevenfairhaven6388]

What about the chronic pain that the Suboxone doesn’t take care of your OK with your patience suffering whatever happened to first do no harm main goal in your life is to make sure there’s no addiction would you rather have your patient addicted to opioids and able to live a normal life then be in chronic pain and barely able to get out of bed pick a or B I know I’m not saying pick what’s best for you because we know what’s best for you not your patient

[@zachgoodrich9509]

Why r u so mad? Take your opioids suboxone isn’t for you, it’s for long term opiod addiction, you are most likely dependent, and btw I take suboxone and it helps my carnivore back and neck pain more than cannabis or Kratom

[@zachgoodrich9509]

Chronic*

[@ryancresta4744]

Exactly

[@user-yi1vn6bs4o]

I prescribe it for pain, it hasn’t helped at all.

[@mp-uy9sv]

time 16:01 withdrawal is definitely possible? No, it is not just "possible", it is guaranteed to happen!! , it is 100% going to happen without question or possibility. Plus along with methadone, Buprenorphine will be the longest and most painful withdrawal experience you will ever endure, in your life making heroin withdrawal look like mosquito bite at a picnic

[@svtkilr]

Even with a slow taper? How long were you in subs or still on? I been on them for a week now. But I want to not be on it long term I’m just trying to get rid of my methadone withdrawals I been on 60mg and 1mg xan for 14 years. This last week has been the worst withdrawals I have ever had in my life. I always hear the sub withdrawals horror stories tho. But I see many people going to low .5mg tapers and finally get off. I guess it all depends on the person?

[@jameswood7689]

But they give out espanol now and also in UK they want us to cluck for 24 hours from methodone before they switch us .

[@ShrinksInSneakers]

Addiction treatment has not been the best over the years. we all need to do better to reduce the stigma and offer these treatments as we would any other medical treatment. In the U.S. the X waiver which was required to prescribe suboxone in the past has been eliminated hopefully opening the door for increased access to treatment. Appreciate the comment

[@greenthumbstrummer]

I really don't understand why anyone needs to take more than 8 mg in a day ever

[@ShrinksInSneakers]

Not sure but I see it all the time. Appreciate the comment, if you haven't subscribed to the channel please do and spread the word about what we are doing here

[@greenthumbstrummer]

I really agree with this and this is something that needs to change in the larger culture as a whole. And also for the record I had to have every single one of my teeth replaced

[@heathermariearmbrust]

Why do u say that?

[@baxtodato]

@@ShrinksInSneakers bro can suboxone start ed and urination problems ?

[@jenniferlucas2432]

I just started suboxone yesterday because my doctor wants me off the pain medication. I’ve been on it for a LONG TIME now… I had an accident in 2002 that flipped my world upside down. I don’t plan on taking suboxone a long time. My plan is to take it for a few weeks…If I can take it long enough to prevent withdrawals, yet not long enough to be dependent on the suboxone at the same time! I’m taking quarters of my 8mg pill… I dont want to take it for a long period of time. I just want to take it long enough to get me off opiates. I’ve seen people take it for years, but I don’t think this should be a long term medication. I can take 2mg and it makes me SO SLEEPY!! BUT I feel great! It’s helping with the pain… I do think it’d be better for short term recovery though. If I don’t take it long, then I won’t get physically dependent on that too!! Has anyone else done this? I’m curious about this method. I’m confident that it will work… I just have to take as little as possible to get me through this process. Different people need different techniques, and I applaud everyone who’s getting off prescribed drugs and illicit drugs. Everyone’s different and that’s why I don’t like it when people judge others. I don’t expect people to do it the same way as me. IF I’m successful though, it may be a breakthrough experiment! I just wish I didn’t get so sleepy from it! 😂

[@justin-a8782]

Please answer me why I sleep all the time and can't eat food anymore. I have 20 mg buprenorfin. And I have cravings, i dream about heroin

[@thomassenemounnarath3278]

2 years sober.

[@ShrinksInSneakers]

congratulations

[@TheophaniStyle]

I will forever work at normalizing our choice to choose life-saving medications…

[@user-uf2rm8tw4r]

Bullshit i know ppl who shoot it and snort the films and get high

[@josiplucic1911]

😢

[@tiffanyroseangeles34]

Look. I’ve never put a needle in my arm. I do have chronic pain. I’ve been on suboxone FOR PAIN THANKS FOR THE EXTRA STIGMA AS THE HOSPITALS DO AS WELL

[@debbielockhart7762]

You are putting judgement onto others. You and I are no better than anyone else- why are you so bothered or feel a "stigma"?

[@maymacbell3983]

You don’t have to put a needle in your arm to be an opiate addict, maybe instead of coming here and stereotyping addicts you should educate yourself first, you my friend are part of the problem, you are the reason there is stigma!

[@TheMatrixgod]

worst thing for you warning,will make your life a living hell

[@TheMatrixgod]

he has subs all wrong,how ong have you been on them,cause you have no idea

[@lunaticonthegrass4258]

The brain become so out of balance when popping subs for years. I almost don't remember two last months, and i aren't even clean. I converted to dolcontine oktober last year. Subs are tens of times more powerful as a painkiller, and it don't get you high, after a few years of use you probably just feeling crappy and not in tune with who you are.

[@TheMatrixgod]

@@lunaticonthegrass4258 yes

[@tylerrochette2052]

Vets give it for pain

[@SuperJcclark]

Sub/bup withdrawal is HELL….beware

[@jerrygarcia5840]

Are you talkin about the suboxones is that they're hell when you try to get up with him

[@angeldoherty]

Because there are people that are struggling with fentanyl, and he saying he won’t prescribe buprenorphine. What is wrong with this guy obviously, he is not an addict, and he could not relate to addict’s!

[@bobmarshall3700]

Why would an 'educated' doctor cover himself with ugly tattoos?

[@claudiodominguez.]

32mg per day, quackery !

[@Randaddy25]

Subs saved my life. Listen though, don't think you can ween down to 2 mg and stop. It will absolutely NOT work. Take your time and ween SLOWLY. Also, precipitated withdrawals have been the CLOSEST I've ever been to killing myself. Do this wisely.

[@edrominger6165]

Yes I agree I get scared that I will lose my insurance and not be able to get mine and last time I had to stop because of that reason I was sick till I got them back or bought them off the street.

[@edrominger6165]

Also yes I felt like killing myself the whole time I didn't have Idk how I did it.

[@svtkilr]

How long have you been off the subs now? How long did it take to ween yourself down to finally get off the subs?

[@Val_Halla777]

I understand the harm reduction model..but for those of us who weren’t heroin addicts and working and had families depending on them were also affected. The medical crackdown on Oxycodone/OxyContin here in Canada truthfully ruined my life. Taking Oxycodone was a game changer for me. I took it for nearly 8 years responsibly (sure I was physically addicted) but it allowed me to work and had the bonus effect of removing my social anxiety and depression to the point that I had the most successful years of my life (in every aspect) Once my doctor wanted to take me off, I had already committed myself to project that I would’ve never started if I had my previous social anxiety and pain. Dr sent me to a pain management/addiction Dr who convinced me to switch to suboxone..but after few months and wishing to return to Oxy wouldn’t do this (despite other in clinic that she still prescribed Oxy to) I’ve been on Subs for 7years now..and technically I’m still taking an opiate but all ‘beneficial’ effects are blocked..leaving me flat, anxious and depressed. And life’s gone to crap..not to mention being in massive debt from not being able to complete the large project. I feel sorry for my wife and 14yo daughter because I’m no interested in doing anything. I don’t find enjoyment and the debt we’re in due to the fallout is constant stress.sleepless nights. If only I was allowed to stay on Oxus until my large project was completed like I was asking..life would be so different. But what do I now I’m just an Architect…Doctors know better hey? I understand that many were misusing. But truthfully, in my case..If the crackdown never happened, I can honestly say my life and my families would be 1000 times better. And I know there are many who turned to worse things after doctors cut them off

[@ShrinksInSneakers]

This is far to complex for me to comment on and I’m not your doctor so I’m unsure what the shared decision making process was for your treatment. I have seen studies where suboxone improved depressive symptoms. It’s a partial agonist not an antagonist so all the beneficial aspects on mood for example should still be in play. I hope you find a doctor who is willing to work with you on a better plan that is most satisfying. It really is a complex topic and like I always say everyone needs an individualized plan

[@ljiljanaazic3347]

Try with ibogain. That's what I will do. Don't whant to trade one addiction with onother. Love you and wish you best of luck in any way.

[@TheMatrixgod]

im in the same boat,the problem is they dont tell you years on it will basically make your life a living hell

[@BadgerBabyBoy]

Can you change doctors? Maybe you’ll have better luck Unfortunately you are seeing a dr who apparently doesn’t care & just sees all their patients as junkies & puts you in that same box I could be wrong but I’ve met drs like this. All the best to you

[@BadgerBabyBoy]

@@TheMatrixgod I’m about to go on a replacement program but I’m afraid it will make my life hell too Can you tell me how it’s made your life hell & what you are on please Anyone else can share the negatives of these replacement medications please I want to be informed of all the pros & especially the cons before I decide which one is for me Thank you 🙏🏼 Btw methadone messed up my teeth & was so hard to get off & the withdrawal is so bad, it felt really dirty & like it was eating my bones & teeth. What can I get on that I can be off & done with within a week? & something that won’t ruin my teeth even more. Yea yea yea it’s all better than heroin, I don’t want to hear that, I’m not comparing it to heroin I’m just wanting the best for myself coz I’m so ready to be clean. Excited & very scared.

[@jacobbell4687]

God bless you

[@ShrinksInSneakers]

thanks for watching