Methadone vs Suboxone: The MOST Important Considerations

[@debbiegeorge5718]

I firmly believe in these medications as a nurse i have seen people who never thought they would get there lives back . Once they started these medications all hope is brought back. Great program we nee so manymore.

[@rickp3753]

So glad I chose Suboxone. Took it for 16 years and now I'm Suboxone free for 102 days!

[@Nmh86]

congrats!! 🎉

[@lisaschuster686]

I quit because I’m in pain and it doesn’t help. My legs were restless yesterday and I was depressed, but I’m already better today. Was it withdrawal?

[@vfgfdfdf]

It took you 16 years to quit Suboxone? I'm not asking to shame you, just dumbfounded.

[@rickp3753]

@@vfgfdfdf lol, no I was doing very well on suboxone. But after 15 years I just didn't need it anymore. Some folks should stay on for life.

[@brianraulston7250]

How long it take you to get over the wds. Did you take kratom for it?

[@alexsveles343]

They are both good and working. But the reason I eventually stopped methadone is because I didnt want to be shackled to a clinic wich at that time was in a different city. Methadone crushes cravings much better than sub

[@garinpinkley1204]

Yepp. Been thinking about switching to methadone but that factor alone makes it not worth it. Almost 3 years clean from fent and I still struggle with heavy cravings even on the suboxone sometimes, and some of the time it’s nothing that triggers the cravings they just happen. Kids, say no to drugs! They suck

[@johnmollozzi1317]

​@@garinpinkley1204cravings were killing me meth stops that. 3 years in now I only gotta go once a week, 3 more weeks with no dirty UA and I'm down twice a month

[@justacollegestudent5147]

I feel like fundamentally the whole addiction treatment in this country needs to change. I’m disabled with severe chronic pain with no addiction history or issues thank god but I’ve done a lot of research on the topic because doctors always bring up addiction when you need pain control. A couple months ago I thought we were 20-30 years behind Europe wirh addiction treatment. Mostly with lack of access to good addiction care and stigma of MAT and an over focus on rehab. After talking to some addicts in Europe I realize we’re more like 50 years behind the rest of the developed world when it comes to treating opiate addiction. In Europe they regularly give high dosages of morphine to addicts I think in long term Recovery the person I talked to was 5+ years sober. I don’t think they give other opiates like oxycodone was specifically banned for reasons. I mean heroin is a pro drug to morphine it makes sense. All opiates are similar in mechanism of action. Also talking with these addicts from Europe it was clear their was much more options available and more willingness by the system to try and adjust to the addict. Between morphine, traditional Mat which is a lot more free to pharmacy dispensed methadone where you skip the clinic to even experiments now being done of daily or multiple times a day controlled amounts of pure heroin being dispensed. Europe has an opiate crisis but compared to us it’s nothing per capita and it’s not because they don’t prescribe as much it’s because they have a better caring society but it’s that their addiction treatment is so much more advanced it’s like comparing how we treated aids in the 1980s to now. I hope to god the system changes. I’m sick and tired of people dying for no reason. If pains me to hear of so many dead for no reason. I also know as a chronic pain patient my life is gonna get harder and harder as the government cracks down more and more on legitimate prescriptions leaving more addicts to die and never addressing the root cause and making important fundamental changes to our medical addiction treatment system. I also feel like one day may come where I can no longer live on due to a crackdown in pain prescriptions and I refuse to go to the black market I’d rather die than do that. The crackdown on prescriptions is so bad. I mean maybe someone things I deserve to suffer in pain so excruciating it ranks higher than most types of cancer but it’s not just me. End of life patients, cancer patients who are middle aged can’t get enough pain treatment. People are going now to palliative care or methadone clinics pretending to be addicts to get pain treatment clogging up those systems of care more. And it’s not like we have enough pain management doctors much less enough willing to put patients first and not the dea and their license first and do their job properly not that I blame them it’s their passion and livelihood. This is also causing fewer and fewer physicians to go into pain management and a lot hear refuse to write opiates which they are the only doctors that can do so for chronic pain and those that do pretty much never do so enough to adequately treat pain.

[@shihtzu291]

Yeah you have put some great points out there. Here in the UK we have easy access to Methadone and Subutex (Buprenorphine) and we only have to collect it once a week from our local pharmacy instead of travelling miles away every day to collect it also we've had needle exchange here in the UK since the 80's. Some puts of the UK are trialing Diamorphine to addicts like they do in Switzerland and Norway.Also here in the UK the gear ain't tainted with Fentynal and it never will because it just won't take off like Crystal Meth never has don't get me wrong I not saying that's good but Heroin is a lot safer than Fentynal and Heroin and Crack are available anywhere in the UK even in little village's its rife because the prices for these drugs are in my area £5 for a point but you can buy a teenth (1.7g) for £60 it's just crazy how many people do it now compared to say a decade ago. I think maybe that is why people here are more caring because Addiction is seen as an illness but maybe as well its in our culture to look out for one another I mean the Heroin addict here will never inject drugs on the street in front of people then throw the used needle in the street like in American cities which I've seen on these documentaries (San Francisco/Portland take note) they dispose of them in and small portable plastic sharps bin. 🇬🇧

[@arthurwatt5162]

Been on subs for 5 years and im living a normal life. Bills paid. I dont get sick. I make my appointments and on time. I spend quality time with my family. I can now live a normal life.

[@dawnhines5331]

I have been on Suboxone and Subutex for years and it's caused a lot of health problems I think they are going to realize this pretty soon as far as a long study I know that methadone has been around for a long time it was invented by a German doctor during the war. I'm wondering if you can tell me if methadone has as many health risks I'm considering going back on it because I tried it for a bit and I do remember it helped me with the depression and withdrawal from people?

[@ElementofDefiance606]

I was a trial patient for suboxone. When it came out, they called it the new miracle drug that doesn't make you sick. Lmao. It never worked. I wasn't feeling better, I was just sick the whole time. Methadone (and valium) saved my life. Keeps me functioning, not using illicit drugs, haven't gone backwards in 18 years. I'm a lifer, and I realize it. My new Dr wants to take me off of valium not because of anything I did. Because she doesn't agree that it's a psych med.. I don't know what to do to make her realize I'm far better off medicated. I haven't used or been in any trouble since 2011. I'm honestly afraid of losing my mind and relapse. I haven't had a craving in years. Any advice doc?

[@Mamadordeculosprofesional]

As with anything else of similar effect, dont stop using it cold turkey. Lower the dose little by little. Start by taking half, then two months later lower it to a quarter, and see how the journey goes for you.

[@DrakeAWilson]

“Not using illicit drugs” yeah you’re in pure denial. You’re taking prescription grade opiates and benzodiazepines. 2 of the hardest best feeling drugs there is.

[@greendiesel33]

In the UK we use titration starting dose 40ml .. daily until clean test . Then pick up from the pharmacy.... Keep giving those clean test to only having to pick up 3days a week then once a week . Trust the process

[@shihtzu291]

I get my weekly 70ml and I have one urine test since Covid restrictions were lifted! I mean the chemist is in walking distance but I'd still be pissed off if I had to walk there every day or even 3 times a week. America tho must be a nightmare especially if you live in the arse end of nowhere and you have to travel miles every day just for your dayly dose it makes me wonder if Americans have less of a chance of abstinence than people here?Here in the UK we are a lot more lucky than our American cousins because access to Methadone and Subutex is so much easier to get access to and waiting time from being seen and being put on a script takes a few days. Also the brown here ain't tainted with Fentynal either and I don't think it ever will just like Crystal Meth hasn't taken off here. 🇬🇧

[@Yournotwokem]

im picking up my first ever dose of a script tommorow. satday 09/11/2024. starting on 20ml by friday ill be on 30mg then reavulated. i hope this medicine helps my heroin addiction and doesnt just create a new one

[@Charlie_12x3]

I have been taking methadone for 10 yrs and have been going only 2 times per month but I’m tired of taking it so now i switched to buprenorphine but I asked my doctor to prescribe me subutex which does not contain naloxone and can be taken as early as 6 hours after last use of fast acting opioids and 24 hours after last dose of methadone which removes the negative aspect of having to go into withdrawal for 2 to 3 days before taking Suboxone. I think every patient when transitioning from heroin or just opioids should be given Subutex which is buprenorphine without the drug naloxone and after 3 days on subutex should the patient be given suboxone. I don’t know why more clinics don’t do this takes away the much dreaded withdrawal symptoms that people don’t want to have to go through while waiting to take the first dose of suboxone

[@perpetualmotion357]

It's the Bupenorphine that causes the prec wd. Naloxone is only put in Suboxone so people don't try and shoot it, which will activate it at that point.

[@mvmusic8467]

You have that completely wrong, its not the naloxone that causes precipitated withdrawal if taken to early after your final dose of an Opioid its the Buprenorphine that kicks the opioids off the receptors due to its insanely high binding affinity at the mu receptor. You dont actually absorb any clinically significant amount of naloxone from sublingual or swallowing, its there purely to stop you from iv’ing it.

[@jkc8407]

I was referred by my pain management doctor for methadone. It has worked better than any other pain med they had given me (you name it). I had a pretty bad back surgery that has left me with chronic pain, I'm only 38. I'm still able to take my anxiety meds and antidepressants as with suboxone they can be contraindicated. These meds are very individualized. I don't have any addiction issues though, so this was a great option for me. I hope everyone finds what works for them whether it's for pain or otherwise. I should add that my methadone is over 400.00 a month out of pocket because my insurance does not cover it! 😪

[@mp-uy9sv]

Jesus the overwhelming majority of people that start methadone or buprenorphine never come off it , because the half is so extremely long and withdrawals are so painful that you become hooked for life. Heroin, morphine oxycontin etc.. do not hold a candle to these two drugs in how long it takes to leave the body completely, and the severity of the withdrawal symptoms . Know that once you start it can take months upon months to years to fully withdraw. there is no such thing as 1 week to 1 month of physical withdrawals to come off these medications. Simply go to any clinic and ask any addict 99.999% of them all agree. Doctors always downplay how terrible the dependency cycle to these two drugs are.

[@DrBAddictionRecovery]

Thank you for sharing. Keep in mind the dosing and prescribing are very different when indicated for pain.

[@DrBAddictionRecovery]

I think what is being missed here is the risk/benefit discussion of 1 choice vs the other (ie heroin vs Suboxone). I do agree that many people need to be on it very long term and the belief or demand that one needs to come off a medication asap is a product of the stigma of addiction, addicts etc. Have you ever heard of any one demanding to come off their BP meds?? Just something to think about. Really hit me when I had a 40 y/o female prostitute, 20 plus year IV user, prison time, infections all over her body and an infected hip yell at me when I suggested Subs and she informed me that I could shove the sister of liquid handcuffs up my you know what. Although these drugs are not perfect and I am no fan of big pharma I feel there is an unreasonable demand and suspicion of these medications that are unjustified. Compared to chemo and radiation these drugs are bubble gum in terms of side effects. Yet cancer patients have a very different attitude. Again, Stigma and shifting reality lens and expectations. Thank you.

[@deant6361]

I’m surprised by the cost per month for you very expensive. I’m in Australia and it’s free except the pharmacy charges $30 a week or $100 a month dispense fee. Stay safe ❤️

[@jkc8407]

@@DrBAddictionRecovery thank you so much for your reply doctor. I should have mentioned that it my discussion. My dose is very different than that of someone taking it for opiate addiction. Although my body was definitely dependent on the meds was I prescribed prior to methadone. I still experience the stigma unfortunately when people ask me what I take for pain. The benefits definitely outweigh the risks for me. I think you are an amazing doctor! I wish there were more of you in my area.

[@samantharenaud370]

Methadone saved my life but that being said, it should really be your last resort because it’s easy to get stuck for a long time. I finished a taper 3 months ago and it was a rough detox but I’m finally starting to feel better.

[@ggsjunkjournaltime9784]

I been on methadone for 10 years all or anyone who k ows me di t like me on it i stopled walking it ate my teeth my beautiful teeth all gone fue to methadone i did t use it for addiction but yet dr was talking to me lime a addict buy i had reaso s for pain meds i had 6 disks sticki g out and migranes 4 day atta ks and then carpultunnal and then knees both went ouy all out bo e on bone

[@dlife7427]

​@@ggsjunkjournaltime9784teeth rot from all the sugar they mix it with at a clinic. They should prescribe tablets

[@alexlarsen6413]

Great content doctor B! I have to agree, the system of methadone clinics in the US seems incredibly archaic and should be updated for sure. In Denmark and most of Europe as far as I know the situation is more or less as you've described in the case of France. I've been on methadone for 15 years now and it's not only saved my life (which it truly did - no exaggeration) but made it possible for me to rebuild it. Of course, with a lot of work on my part and tons of help by incredibly dedicated professionals I'll forever remain grateful to! You remind me of them, Dr. B. Anyhow, I really wanted to explain the system over here. I get methadone at my doctor's office, not at a methadone clinic. The place and the expert primarily responsible for my therapy however, is a psychiatric clinic for addiction and my psychiatrist, one of about a dozen of them working there - all addiction specialists. Currently I need to go to the clinic every 4 months for face to face talk and control, otherwise I can call anytime, as well as show up more frequently if I feel I need to. In the beginning of course, and I mean for years, I had to be there much more frequently. Over the years we've developed trust. I pick up the take home therapy at my primary care physician's office once a week, unless I need to travel for a longer period. Otherwise I technically could be picking it up every other week or about twice a month but a few years ago, when she suggested a change I actually asked my psychiatrist if she could leave me on a once a week schedule as it had been the case for many years prior at that point. I felt I still needed that structure I'd gotten used to and which worked for me. The switch to picking the therapy up twice as rare as before seemed too daunting to me and so she kept me on the old schedule. If I need to travel, I may get the take aways for up to a month. At any rate, this system does seem much more humane ans ultimately more effective.

[@lemantisinfinity7648]

Methadone saved my life. I used it for 3 years and then got off of it. I've been clean 6 years, but I know it's something I'll work at forever. Also, here in northern CA if you are employed and cannot come in daily they will work with you. Good luck everyone, never give up!

[@lindacarol5982]

I'm quitting subs going to the methadone clinic Wednesday for my intake appointment. My spine injuries, amoing other chronic pain has made me get desperate af

[@sherryyyy100]

i get my buphenorphine from a pcp and yes it helps when Ive been sick or have a problem, the dr. prescribes me antibiotics or whatever to help at the same visit- very helpful to me and makes it so I don’t have to go to another dr and explain my whole situation being on this medication

[@emilyannamanda]

I used to get my suboxane through a monthly telehealth appointment in my car, covered by Virginia Medicaid in an application called bicycle health I actually feel like I’m in treatment using methadone

[@69Tridents]

When will the US adopt the use of Slow Release Oral Morphine (SROM,) as an option, the way they do in Canada?

[@CaseyKoplinCk13]

It’s called MS Contin it’s been available since the 1980s in America

[@danm3195]

I've been on methadone for 20 years.i have to collect once a week an appointment every2 months.it allowed me to get my life back well ,everything back havnt used heroin or ant other opiates for well over a year.i live in yhe u.k maybe it's something to,do with geographical location I don't know.but what I do know is that without it .I be dead.100%

[@miss.l.1563]

I'm from the U.K. & I'm on methadone (65ml) & it's so different over here! 1) We don't have a methadone clinic where everyone is given their meds. We get given prescriptions where we choose which chemist we will use (local to where you live) the script lasts 2 weeks & it can be anything from daily pick up to once a week, (ie take home a week's worth of meths) you have a drug/key worker who you see every now & again. Plus because of the NHS it's free. 👍. IF you need works or narcan/naltraxone you can get those too. Either from a chemist or drug worker. A few people are getting the injection now, which i m o sounds great! They are doing really well!

[@miss.l.1563]

*naloxone* (I'm always getting the 2 names mixed up!)

[@truelovex]

what's the injection

[@lisaschuster686]

My sister was killed by her methadone clinic and my parents. The clinic gave her seven days of liquid all in one sitting - she was never a street drug or Rx-opiate user but she could talk anyone into literally anything. At home, she got so angry when my parents called 911, they decided not to call 911 that time. It was a “right to die” and a “we can’t take it anymore” situation. It helps to be White in a nice suburb, right? Or would a Black family get away with it, too?

[@kylestokes4501]

I’m 18 years clean, and I am so, so, so sorry you went through this. I can’t imagine. When an addict is active, our judgement feels normal to us, but the scariest thought I have sober: “My best decision making destroying a Marriage, Career, and too many relationships.”💔 I’m sorry for your loss, your sister not getting rescued, and your scars, pain, trauma, and grief. Addiction causes an unreal amount of unspeakable chaos, and its aftermath is beyond words. I hope you are healing.🙏

[@Steven-l4m9v]

Pardon the typos, Apple voice text is really horrendous. Why don’t they fix it?

[@tracyengle7829]

Which is better for severe chronic pain without wanting to take an opioid? Thank you and God Bless!

[@andrewmays4385]

This is not true. Ive been on methadone for 5 years. Im on level 28 which means I get 28 take homes

[@debbiesnell7568]

Dr. B, thank you for giving us all this addiction information. Is suboxone also used to treat crystal meth addiction?

[@DrBAddictionRecovery]

Thank you and no. But when polysub involved it seems to help for some

[@daniburke9452]

I use an APP called Boulder Care it's all online and I've never met my physician in person. She prescribed me 3months at a time. I hated having to go to the clinic daily .

[@butafligq1606]

Oh nice

[@emilyannamanda]

I mean psychologically it also helps that I am extremely accountable for every little bottle of methadone and I have never sold it or abused it like other medication’s to this day

[@jhhyuu_DaveIsNoProfessor]

Dr b, doesn't Methadone become a fatty alcohol. Alcohol in fat or tissue & slowly released in bloodstream. It's not ethanol tho. I think Heptanol, (also Methadol) right ?

[@pinealeye8578]

Can't wait for this one!

[@TheOnlyElle.]

Hey Buddy. I really enjoyed listening to Dr B's "TED Talk" too! super informative and it's interesting to hear how other countries do things, treatment wise I think (whenever possible) Bupronorphine treatment is definitely "better" for most people. Easier on the mind, less severe withdrawal and some leyway with Your own life. I must say, these methadone clinics sound awful..like no privacy, cattle markets, but I've never been to one so perhaps I should not say that..anyway I Really hope You're doing well with that saturation thing too. Best Wishes to You ✨

[@pinealeye8578]

@@TheOnlyElle. I didn't know about his Ted talk, thanks!

[@richardpedley6291]

Dr b i was on heroin and metherdone for well over 33 years im now 5 months clean iv not slept for nealy 4 weeks and im still withdrewing pluss im getting relly server hangsyety is it becouse i was on it for so long ?? All the best

[@Daytond623]

I have used suboxone for years. How do you handle major surgery while on suboxone? I have had back and neck surgery looking at another one. It’s really not much fun…..

[@jkc8407]

I wasn't prescribed methadone until after my back surgery. That's a really good question. I'm not sure how surgery would work on suboxone prior to a major surgery. Maybe they would have someone stop the drug first? Good question for the doc. I've never thought of that.

[@Daytond623]

@@jkc8407 the last surgery I had I couldn’t get the pain doc to talk to the surgeon to put a plan in place. I quit taking the Suboxone 2 days before surgery but it wasn’t enough. I had a total disc replacement and the pain meds didn’t work. It was so bad…

[@MostlyHarmless9]

@@Daytond623 damn you have to quit suboxone like a week before to get the narcan out of your body

[@skippingbear92]

Every time I’ve had a surgery. I tell the dr about my subs and the still prescribe opioids. I have had 3 surgeries while on subs and each time I was prescribed opioids except for the last time cause I told them I didn’t want them

[@brockgangell5759]

Ive been on methadone 110mg per day with 4 takeaways per week but i have been clean off all other opiates for 12years and due to pain i need to stay on it but its been a true life changing experience.

[@martinoamello3017]

If possible talk to other people who have been to different clinics because they're not all the same. Some are very professional and really care about your well being, but some are run like the department of prisons. I had a counselor who was a nasty off duty prison guard and about as useless as something foul smelling you might get stuck on your shoe. Another clinic was extremely professional and eased me right through things with no problems at all. Be careful, patient and don't expect overnight results.

[@swully-ol4lx]

I called a doctor in my area that is an addiction specialist that does the suboxone and the receptionist told me that they no longer take my insurance anymore i was so depressed when she told me that I just want help and I don't want to go on methadone I've heard bad things about getting off methadone it's just as bad as getting off h. what say you?

[@deant6361]

As long as you’re not using H reducing methadone very slowly is easier than you think. That is as long as you’re not using dope. I’ve seen many people get off 80mls over 14 weeks very slowly. I’m in Australia I was on methadone 30years and reduced 2.5 mls each week and had support from NA it worked good luck my friend it is very possible ❤

[@deant6361]

Also I watched just as many people get off the bupe both were just the same to get off.

[@DrBAddictionRecovery]

Look for another doctor and good luck

[@jkc8407]

I hope you find a doctor. If you google search suboxone providers in your area you should get a list. I know you have probably done that, but just in case. I'll keep you on my thoughts. 💛

[@emilyannamanda]

At first the accountability of driving there every single day really did help me out and they even found my urine temperature too high because I snuck in Bayonne proper urine, trying to beat the system for some blow

[@Lilshortstuff8186]

I’ve been on suboxone for the whole time i have been clean. I love my monthly take homes, I’ve weaned wayyy down to only like 1/8th a day. It saved my life and i do hope they have learned that long term suboxone or methadone is not the answer. I’d say have a max of like 6-7yrs. I’m on year 12 n i do plan on getting the shots to get off of subs for good. Def life saving meds!

[@Steven-l4m9v]

And one thing that my I’ve never taken a medication that has not been legitimately prescribed for me by Dr., time is changed?

[@LincolnGTX]

I was half of my life on opiates / opioids and been on on Buprenorphine for last 6 years, stable, no side effects, working, raising my family and feeling mostly good. I was offered methadone or Buprenorphine and after an online research and I chose Buprenorphine. Now I have control checkups once a month and getting my Buprenorphine for a week or two. I would like to ask you if I made a right choice cause most of the people I know on methadone are mostly lethargic, no jobs, family and spending their days mostly in bed while I'm active for 16 hours a day...

[@dlife7427]

Its usually the other way around. You must have come off an opiate that wasn't as strong to the Mu receptor. Or an opiate that had less of an affinity rate to the mu receptors. If you had been on Fent dope you would have had a hard time being on suboxone

[@cruizingwiththemullins2129]

I believe you answered your own question. Your doing great. Why would you question that. Don't fix what isn't broken. Methadone is a full agonist. Suboxone is a partial agonist.

[@Joshua-mb9vq]

I’m on 110 mg methadone been on for 3 years I’d be dead or in prison if it wasn’t for my dose😢 14:05

[@wayneyarr3473]

Since I finished tampering Clonazepam 2 months ago I developed sensitivity to medications and foods. How do a person deal with this. Does it go away.

[@bulldrumm]

In Serbia, you can get a methadone prescription ( take home) in one city, than 50 km away in another, it is only clinic, daily. I haven't yet figured out how and why. Knowing my country, it's probably just a ordinary human mess.

[@Maxmaxmax63]

Dr B - do you have any experience utilizing Parkinsonian-type dopamine agonists for treatment of RLS during opiate withdrawal? Ropinrole?

[@DrBAddictionRecovery]

I do not.

[@andrea022383]

Hi, I’m on 40 methadone daily I really want to change to subs. Any advice ?

[@jsail5508]

Hey Dr.B Would you recommend clonodine for suboxone withdrawal?

[@DrBAddictionRecovery]

Yes can help

[@dereklyons1133]

Clonidine gave me real.bad dry cotton mouth!

[@808yoloturtle9]

I think it’s regressive even that we only have two options for OUD. in the treatment of chronic pain with opioids patients have access to a diverse array of chemicals and that’s obviously because different things work better for different people. Everyone’s chronic pain is individual and so too is everyone’s biology. This is obviously also true of OUD patients clearly more options would mean more patient retention wich would mean less death. There are studies wich objectively prove that some people do better on different chemicals but I don’t feel I even need to invoke them it’s just too intuitively obvious.

[@jameswalizer7254]

Thanks for all your videos I've been off opiates 5 months

[@ChazinFl1]

Congratulations quitting Suboxen!!! It is one of the hardest to get off of! Great job!!

[@kankan572]

So what do ppl do when they’re out of town and can’t get to a clinic daily??

[@DrBAddictionRecovery]

They have to visit closest one if can’t get take home

[@marieefrance2020]

My boyfriend his been clean for a year also two years. But at midnight on thanksgiving I drug test him and came back positive for buprenorphine so like I don’t know 🤷‍♂️ help me with this question.

[@kamarieshines]

You drug tested your boyfriend?

[@greendiesel33]

@@kamarieshines wtf

[@kamarieshines]

@@greendiesel33 seems like an incredibly unhealthy dynamic.. just my first reaction is all

[@408tankshit8]

He’s using buprenorphine

[@Ginger_Prince]

At least he didn't relapse on fentanyl, oxy, or heroin. Has he been off all opiates for 1-2 years? Because if someone with no opioid tolerance takes Suboxone, they will be completely floored. Maybe your boyfriend was having cravings, and needed to get back on Suboxone which is entirely appropriate. It is harm reduction after all.

[@hexed8749]

Dr B will you make a video About Apomorphine ? How come it's no longer used for addiction? No longer used at all outside of parkinson's actually..

[@joshuaratcliff4424]

I've been taking Suboxone for a year now and my cup pee test comes back positive but my lab test comes back negative for suboxone. Also when I take it I don't swallow none of the saliva after it dissolves because it gives me migraines would that be affecting the lab tests in any way.

[@oceanearth2243]

If you get migraines, you are on way too high a dose. Remember suboxone is 50x more potent than morphine. Do not take a full 8mg like they recomond.

[@CaseyKoplinCk13]

Yea swallow the dissolve.

[@Steven-l4m9v]

Part of me is of the opinion that because I’m on Medicare, I’m treated differently I’ve seen four doctors, my GP, the orthopedic doctor, emergency room doctor, not one doctor laid hands on me check my collarbone and try to move my arm to see how they can move or function. I really have no function in my left arm anymore, it hurts too much cause a huge bump in the middle of my collarbone. Is that how doctors treat patients now because of Covid are they talk or is it because I have Medicare that one doctor has even in a Physical I got no one doctor‘s check my glands done anything they just do blood tests check my blood pressure which because of the pain is a consistent 200 and something Over 170 or 60 when the pain was controlled it was almost normal but they’re not worried about that. They’d rather have a stroke out then treat me treat the pain why is this how dark doctors talk to treat patients in medical school now not to lay a hand on him of the three doctors I saw I thought it was four but three I timed it 12 minutes for three doctors, want to ask me what the problem was same doctor to give me the test results and say goodbye and I said doctor my blood pressure is kind of high and I need a new GP know there’s plenty down the road as he’s walking away find one he said

[@BigFatSeal10]

When I started Suboxone I seen the Methadone users at the clinic and they looked SO intoxicated literally 12 people nodding in waiting chairs. Im so glad I made the right choice. On Sublocade now

[@Steven-l4m9v]

And attorneys don’t think this is actionable I’m literally dying. This is no life to live. I know I’d hurt my kidney. My creatinine level is over three more information that I want to give if I turned my right eye, get the worst pain, my life in my kidney and like I said, I can’t even get the strength to get out of bed, except to put in the washroom and Try and get to the kitchen but I have very little appetite but they’re really good at making me sign something that says well I’m going to get some medical advice but then they send you the emergency room which I’ve been to and they humiliate you abuse you and do nothing for you and I told him that it would just be the same thing. Why would I go back to the emergency room? They know what my blood pressure is do you think they gave me any blood pressure medication? No they did. What makes you think going to emergency room is gonna be any different well they say yeah, no we don’t want to be liable if you should have a stroke instead of treating the stroke or the potential stroke believe in blood pressure medication they won’t even prescribe that and I do wonder is it because I’m on Medica

[@Steven-l4m9v]

Not right I that’s Apple voice text, so I’m sorry it’s right side. If I turn to the right, my right left side is excruciating worst pain I’ve ever felt in my life and I think when I took the fall and this from like four or 5 feet and I was unconscious for a second or two my neighbors saw it and they came over. God bless him, they’re not worried about that. Either attorny says they are so greedy unless it’s a slam dunk case they don’t take it that’s why they say we want all our cases because there’s no doubt instead of advocating for someone who is being abused every day of his life, I have children, one new grandchild, who I don’t see my families destroyed, and I feel terrible. I love them. I can’t see them because I can’t get out of it.

[@emilyannamanda]

I was already more than 10 years into the opioid abuse disorder, and every time I got Suboxone and I sold them or share them while indulging them, and then would relapse almost monthly

[@markaprill6501]

It’s always easier to get methadone than stay on opioids period.

[@pinealeye8578]

Pacific time?

[@DrBAddictionRecovery]

yes

[@dejpsyd0421]

Doc, I work as a counselor at a Methadone clinic. Despite the ‘positives’ of the methadone clinics you mention here… With the ease and less regulated ability to obtain Suboxone, do you see the future of the Methadone clinics being phased out in the near future; and now you mention in Europe you can get methadone at the Doctors office. If that works its way here, we’re out of business, no? 😯

[@perpetualmotion357]

I was on Subs a while ago. The methadone route was the only one that worked for me with the Fentanyl now on the streets. My clinic has said there's actually been an influx in patients because of this. Unless regular heroin comes back and Fentanyl is taken off the streets (I don't see this happening) I very much doubt that there won't be as much of a demand for Methadone. I wish it was regulated differently though.

[@Steven-l4m9v]

I hate to say it never happened

[@olivier-pierredebelmont.3630]

I prefer subutex without suboxone,it is buprenorphine alone,-8mg tablets,very pleasant and easy to quit if not abused,(always the same lingering problem with these products) Dear Dr B,can you explain in a next video the difference between Buprenorphine with naloxone(suboxone) vs pure buprenorphine. My experience; pure buprenorphine,(temgesic 0.2 mg .or subutex 8mg buprenorphine alone) Is that I feel a pleasant high using a quarter of a tablet,(2mg)after one month abstinence of all medecine.(terrible cold turkey I admitt!) As an old 69 polytoxicomane, I assure you that they add naloxone to deprive us of a pleasant high,totally absent in suboxone. Tell me what you think,Thank you dr B.🙏

[@Steven-l4m9v]

Help me

[@hitechmechanical8258]

This guy gets pay by suboxen

[@DrBAddictionRecovery]

Damn you got me again!!! Except one thing, that would be illegal. Nevertheless thank you for looking out for the public's wellbeing by promoting a fantasy. Next time my office get's a free lunch from them I will hit you up. Peace!!

[@thebethlehem2852]

He said that because it seems like you are pro suboxone over all other meds for addiction. Even in this video, the fundamental logistic views were never mentioned you went straight into regulations. Treatment is not an end all be all. Go talk to Derek Lambert again He will tell you the same thing. Methadone is BEST, hands DOWN!!!!!!!! 😂❤

[@ChazinFl1]

@@DrBAddictionRecovery scammer! Yeah, i know you THINK you are helping people, but actually doing the opposite! You ADVERTISE YOUR SUBOXEN CLINIC RIGHT IN YOUR BIO!

[@ChazinFl1]

@@thebethlehem2852 This "DR" is pathetic. Suboxen PUSHER!

[@BigFatSeal10]

Dude you are probably stoned on methadone. Dont blame us for making a good choice and not wanting to be intoxicated daily and waiting in a line

[@janedoe6071]

How about just GET SOBER!! Or don’t 🤷‍♀️

[@janedoe6071]

These are drugs and it is a addiction🤷‍♀️ please someone tell me the difference … this is crazy but their getting rich as long as people fall for this bs

[@figuringthingsoutwithgravy]

This man is beyond sexy.

[@NicholasApostolopoulos]

Spice it up too boring zzzzz

[@emilyannamanda]

You can definitely get on Suboxone at my methadone program but for some crazy reason it cost more and people can you be using Medicaid to just telehealth it to Cvs once a month

[@hds8182]

I was prescribed suboxone 4mg/1 But i currently take 3mg klonopin everyday and im scared to take the suboxone but i need to make a decision soon before i start major withdrawals from oxy. I was taking 10mg oxy everyday. Ps i have a very very high benzo tolerance

[@Vin496]

You were only taking 10mg oxy a day, and they gave you 4mg/1 Sub? That is way overkill, for a 10mg a day use. I would just get off the oxy and feel a little uncomfortable for maybe 2-3 days than get on Subs, 10mg is nothing, you may feel like you have a slight cold at most. Trying to get off the Sub is a whole different beast, you may actually get sick off the the Sub as that is a large amount for such small Oxy use.

[@hds8182]

@@Vin496 btw its actually 4mg/1 3 times a day But ive been on oxy for 2 years so i feel i will still get bad withdrawals

[@Vin496]

@@hds8182 12mg of Sub for 10mg Oxy use a day is even worst. 10 Mg is nothing, you'll may feel crappy for 2-3 days max, and I stress the may. Seriously that's a small dose. If you do 12mg of Sub, it will kick your ass, that is way overkill. People who shoot up 2 grams of Heroin a day, don't need 12 MG of Sub. Do yourself a favor and steer clear of Subs for such small Oxy use. That's like switching to Methadone or smoking Fent to kick Oxy, it makes no sense.

[@hds8182]

@@Vin496 oh shit i did not know that it was such a high dose. I will probably up the klonopin while i withdrawal so i dont feel so bad. Another thing i forgot to mention im on the oxy for chronic hip pain.

[@Vin496]

@@hds8182 Is there a reason you are getting off the Oxy, are they not wanting to prescribe it anymore? If after years of Oxy use you are good at 10MG a day you clearly are using it properly, so why get off it? Is it still working for your hip pain? I know there is a huge stigma now about pain meds, but clearly you are using them as prescribed and are not an addict. Getting of Oxy especially 10MG is physically a breeze(2-3 days of discomfort at most). Try getting off 12MG of Subs, especially if you are on them for an extended period of time. You are talking weeks or months of misery, Physical and mental pain. That's why many people have been stuck on Subs for 5, 10, 15 years. It is highly addictive, and it has a long ass half life. Look Subs have their place, they can be life savers for hardcore users, but for 10mg Oxy, I would truly advise you to stay away from them, you are trading a paper cut on your finger for a slit wrist.

[@tjyau7068]

Suboxone is just overall a better drug in terms of what's best for the addict. The longer time it has in the body without increasing dosages and having the associated side effects and the fact that it still works as a blocker and helps with cravings makes it superior in my opinion to Methadone. This is because if the person chooses to get off Suboxone they can simply taper down without having to worry about the withdrawl as much because it is only a partial agonist. I also believe because it's a partial agonist that it doesn't get you as high as a full agonist and therefore the associated side effects with those full agonists. I also believe it keeps people who are addicts seeking that "nod" they got from using heroin, which is something you can certaintly achieve on Methadone. For me personally I have been clean off Heroin and Meth Intravenous use for 5 years and Suboxone and medical marijuana has helped me curb all my cravings even on my worst days.

[@skippingbear92]

No the withdrawal is still very bad. I’ve been on subs for 11 years and I have always said that sun withdrawal is worse than heroin. Withdrawal last 30-45 days

[@CarnivoreKrak]

How soon can intake sub after my last perc I was clean off heroin for 7 years and I lost my mother two years ago this feb to cancer, my sister is currently dying from it , I live in mental hell with a bad relationship with my sons mother - I’m his sole provider and caretaker - I’m functionally ok financially and still living as I was sober - been taking 30mg a day of REAL percs for about two months. I feel like I failed cuz I let everything get to me - I want away from it now while my life is still in place . How soon can I take sub to avoid withdrawals for a few days without getting acute symptoms? I also have the buca strips that are minimal 2.5mcg should I use those instead since it doesnt hsve naloxone in it like subs? I’m desperate I don’t even crave them I try to withdrawal but taking care of my son full time makes it SO hard I find myself sitting up at night crying because i just want away from it all before I go to far . Someone please help - I have two sub pills and two buca strips I just want to take it long enough to bypass the severe withdrawals and then be done with the sub after a few days just scared to start it too soon after my last perc

[@BigFatSeal10]

You gotta wait 7 days really sorry man its a hard battle. If you take them too soon you will get percipitated withdrawl

[@MostlyHarmless9]

@@BigFatSeal10 no 7 days is from fentanyl.. if you’re on prescription percs you can take a sub way sooner then 7 days that’s just fentanyl

[@BigFatSeal10]

@@MostlyHarmless9 Oh word I didnt know I only did fent

[@MostlyHarmless9]

@@BigFatSeal10 Yeaa lol I just know from other family members on oxys.. all the dope in the street has fent now.. I’m on methadone and I hate subs from going into precipitation withdrawal 😂 and didn’t help me much with cravings

[@MostlyHarmless9]

@@BigFatSeal10 tbh I wouldn’t be able to wait most of the time but even when I waited a week I would stillll get fucking sickk from subs.. I’ve been off heroin for 10 months on methadone cleanest I’ve ever been in my entire life.. but if subs work for you and you don’t get sickkk taking them and it helps you not use and helps cravings subs are a lot less addictive then Methadone.. now a lottt of people at methadone clinics are not clean lol like if you’re still going in everyday to dose that means your pissing hot.. after 2-3 months of clean tests you’ll go to phase 2 and so on where they give you take home bottles and shit.. the people there everyday are still using or unless you’re in a big city they don’t like doing take home bottles in major cities cause the methadone bottles hit the streets alot lol..

[@ilikepasta99]

I take three suboxone 8s a day lol 4 if I stay up rly late

[@vintagebleachedblonde4322]

Wow, that’s a lot. I noticed you wrote lol that’s not so funny I just started I’m on 4 mg and I hate myself for it. I feel guilty and wrong. I’m terrified I’m going to be on it to the rest of my life.

[@ilikepasta99]

@@vintagebleachedblonde4322 well if I were you I would reconsider your ideas on this medication. If ur using it to abstain from deadly street opiates like me, then this medicine is a godsend and it saved my life. If u aren’t rly addicted to opiates and don’t think u will relapse the. Yes I would recommend trying to discontinue it. But aside from that buprenorphine is a safe and effective

[@ilikepasta99]

And don’t worry about being on it forever if u rly want u can just decrease your dose by a minute amount every two weeks u won’t feel it rly

[@marieefrance2020]

My boyfriend was taking it but his been clean for a year also two years. But at midnight on thanksgiving I drug test him and came back positive for buprenorphine so like I don’t know 🤷‍♂️ help me with this question.

[@kamarieshines]

@@vintagebleachedblonde4322 you hate yourself for it? I feel like the biggest key to working through addiction is self acceptance and eventually self love.. I got into therapy as well as taking Suboxone to get off heroin. I used for 4 months but it was the hardest thing I've ever done! I realized that my addiction has been rooted in shame and self hatred for years ( I've struggled with other substances over the years). Anyhow I hope you can find some acceptance of your process. People dying every day out there. My unsolicited advice: Be grateful you got to where you are and go from there.