What is Buprenorphine?

[@jimwednt1229]

We need more of these guys in the field of treatment for opioid addiction.

[@tylabrinkmanship3605]

Nahhh he don’t understand

[@antielfimationleague231]

No we don't.

[@codyharris2807]

​@@tylabrinkmanship3605ya he is wrong in some of his theories

[@snowjammma]

I'm shocked this doesnt have more views the amount of raw information in here is top notch, thank you

[@fauxpassagan]

A clear, no nonsense, objective talk, simply excellent doctor! Thank you very much!

[@fireman746]

All I can say as I have been on Norco and Tramadol for years due to chronic pain. The pain doctor put me on Buprenorphine (Butrans) Patch for chronic pain from Arthritis. This drug is a God Sent Medication. I have been given 80% of my life back, don’t feel out of it and depressed as I did on Norco & Tramadol. My pain has decreased by about 85-90%. Kudos to this Doctor on his knowledge and compassion to helping others who are suffering from pain and opioid disorders.

[@Maryanncook2022]

I was on subutex 8mg 3 times a day and methadone 60 mg daily I have severe back problems from my experience subutex is way better for pain ..the only reason it's a partial opioid is because the euphoric effect is taken out

[@wendybell9007]

my husband is on his fourth week of transdermal patches5mg it hasnt done anything for his chronic pain and his depression hasbecome much worse. he is barely waking up during the day, he sleeps on the settee, he wakes up early evening and has something small to eat visits the loo then watches telly off and on during the night . He is becoming weaker every day he can barely turn himself over when hes sleeping i have to help him stand up i pray every day that he will get some rerlief from his back and shoulder pain . Docs dont seem to be bothered about his mental health, he sees nobody but me, our grandchildren cant come visit as he gets too anxious and stressed and we only live in a small 1bed flat. However it is inspiring that you have had success with this medicine and reduced your pain . Can you tell me what strength you had please

[@fireman746]

@@wendybell9007 I was taking about 30mg worth of Norco a day before I went on the Buprenorphine Patch. I’m on 7.5 mcg which is all the doctor will put me on for now because I have ongoing arthritis that is only likely to get worse. Plus I had shoulder and hip replacement in the last 9 months, so we left room for me to take OxyCodone and Tramadol for the breakthrough pain by leaving some pain receptors spared from the Buprenorphine. It’s not for everyone. So if it’s not working, you may want to ask the doctor to place him back on what works for his pain. It’s not effective on everyone that uses it, I would talk to the doctor or find a new pain specialist before it gets worse and have basic lab work done to make sure nothing else is manifesting.

[@rogernelson67]

But it’s so expensive and I can’t get my insurance to pay for it, but they didn’t bother denying 12 years of Percocet

[@Nan-59]

@@rogernelson67. Has your doctor written an authorization for it? Sometimes they have to do that. If they haven’t asked them to please do it now.! ❤❤❤ I have been chronic pain too, so I know what it is. What it is, is terrible 😢. I sure hope you can get your insurance to pay for it. I’m on Belbuca which is beautiful morphing that you put inside your cheek, and it adheres and goes into your system that way. Mine is $1500 a month but my insurance pays it. I would not be able to pay at either.

[@ManwithNoName-t1o]

10 hours of info in 16minutes This guy is a machine!

[@codyharris2807]

well he isn't correct only 80 percent

[@halecooley8296]

Refreshing hearing a dr talk positively and doesn't seem to be judgmental towards people with severe addiction to opiates.

[@NoOneCaresJSYK]

The love of my life passed away 6 years ago this month from a buprenorphine overdose. Idk how he managed that, but it happened. He had gotten off pills after a near fatal overdose from a laced pill, and was what we call “California sober”. I just don’t get it. I miss him so much.

[@allisona.1047]

I’m so sorry for your loss. I pray that you find peace and happiness 🙏💕

[@eva_marie633]

@@NoOneCaresJSYK I’m so sorry 😢!

[@CrashoutJD777]

So sorry for your loss

[@SolidStructureWC]

Love this guy. Delivers the facts without trying to sell you anything.

[@mattphillips3819]

This guy is great what's not only explaining what he's talking about but just his overall attitude in general. I've suffered with opiate addiction for more years than I want to remember. With that said, I want to thank Shawnee health services for this informative video...God bless

[@needmoreramsay]

Seriously, God bless you Dr. Ripperda. The fact you treat this horrible addiction with such compassion and understanding is incredibly rare and greatly appreciated. Please continue to practice your excellent work in treating and educating those with addictions. Truly going above and beyond the "normal" standards of care.

[@katejeff2000]

I was put on this earth to do some good. I'm trying. Thanks for your kind words!

[@luispardo3323]

Superb! Great video for clinicians as well as the normal population. Thank you for your knowledge. I, as an OB/GYN, have learned a TON from your videos. Again, thank you!

[@emilyhecomovich7086]

as a student this was the best explanation of addiction and buprenorphine i have heard yet, thank you!

[@dylanparr6880]

God bless you for being educated on this and able to convey the info concisely. I've spoken with many doctors about buprenorphine and most either had no clue about the pharmacokinetics/cology or stated just blatantly false info about it. Good on you! Great video and explanation!

[@ChaneVazquez-rx2dy]

This man is a great doctor. He seems to actually care about his patients needs.

[@MichaelMack-k9g]

This is the best video i have found. Listen a few times

[@matthewriccio5909]

I tried cold turkey, methadone, everything under the sun. I was against buprenorphine at first- in hindsight probably because it didn't get me high. A few years later I have my own place, a full time job and a whole new life I never imagined.

[@caseyw.6550]

Thank you so much for putting this info out into the world. The number of lives saved because of this medicine cannot be overstated. I am one of them...for 8 years now. I have never relapsed in that time, so I have zero shame in staying on it.

[@spaceace4613]

I was on bupe for 7 yrs...never relapsed once ..I realized that bupe..sub ect keeps people satisfied to the point that they don't really don't want to get off...IMO is a money making racket...IV fent was easier ..much easier than sub even with a taper... Unfortunately I was ejected out of a vehicle and put on 400 mg of oxycodone... nonetheless a 20 yr hell hole .Subs helped tremendously..but it's organized drug addiction..almost dope light ..Being a half antagonist people can only get so high... but the withdrawal is absolutely hellasish... congratulations on your sobriety... but male a plan to try and get off... because I guarantee you the Dr will never get titrate you..more than likely you will be a monthly or weekly payment for the Dr..good luck..God Bless

[@drainedeyes4268]

Here’s the issue with Buprenorphine for all the people wanting to get on it - it plugs those receptors all the time, and you end up feeling horrible after a few years. Also trying to get off of Suboxone is MUCH harder than short acting opioids because the taper is horrible and the withdrawal lasts on and off for up to a year. It’s very sticky, it lasts a long time, so after a while you end up with incredible amounts of depression and anhedonia just from being on Suboxone. Everyone I know who’s been on it was always late to work, stopped going out or doing anything or seeing anyone to hang out, and ended up trying to take other drugs or gamble or desperate to release dopamine in other ways. When you’re on something like this, your dopamine just feels depleted all the time. You feel decent for maybe 2 hours out of the day, so your whole day ends up being spent just waiting to take your Suboxone. It is a horrible existence, and everyone I’ve talked to who’s stayed on it longer than 2 years feels this way. It is no way to live. And it’s NOT good for recovering from addiction. Here’s my opinion after being on it for 7 years. It’s a LIFE SAVER of a drug if you want to use it as a bridge to get off short acting opioids. Take it for a couple weeks max. It’s also great for stabilizing your life and preventing withdrawal BUT you need to know how fucking hard this shit is to get off of. Tapering is a horror story, to avoid major withdrawal you’ll need to taper for 2-3 years and stay under 1mg for a year. This is the literature nowadays. And from the beginning doctors knew how strong this medication is - 1mg = 30mg of Hydrocodone. Here’s my opinion - if you want to stay on it for a while, get on Sublocade and you can just stop at any time and it’ll slowly come out of your system and force you to taper without any math. If you are ready to free yourself from addiction right now, use Suboxone for 2 weeks max, instantly use it to taper off completely. Doctors love to pretend Suboxone is easy to get off, but it’s absolutely not, it’s the most difficult thing I’ve ever had to do in my life. And anyone can get off opioids if they are ready and want it more than anything else. This whole “only half of patients can get off and do well” is bullshit. It’s very individualized it’s very subjective, but I promise you this is a marketing strategy between the DEA, doctors, and pharmaceutical companies. They prescribe everyone the highest dose possible and keep them on it for as long as possible. Suboxone is an industry, we have a healthcare system that profits off illness and addiction, and you need to know that you will not be on this stuff forever. I was ready to abort my life from the depression and anhedonia and anxiety induced by Suboxone. Now I’m almost off of it, and everyone I’ve seen who used Sublocade to get off buprenorphine are doing SO much better now. Please don’t trust these doctors, use them to get off opioids and then get out of there. Get some real therapy, give psychedelic therapy a shot, get in the 12 step program. But don’t just assume they’re telling the truth when they say it’s “irreversible” for half of patients, that’s absolutely bullshit. They’re going off of people who are still in active addiction or relapsed. You don’t have to relapse.

[@5thElement347]

It's toxic poison

[@cr-nd8qh]

Fukk I hear ya. I can never get off this crap I need other opiates for the withdrawal it's so bad

[@Killmaisy]

I only took it for a week starting high at 28mg-32 the first 2 days (I didn't know and was not monitered by doctor) down to 2mg on day 5 nothing day 6 and am feeling some withdrawal and want to know how long I will feel this way. Fast metabolism

[@nyakugatluak5301]

I stopped my sublovade in January (4 months ago) & I haven’t gotten withdrawals. I was on it for 6 months. Are my opioid receptors blocked for life? I am getting my wisdom teeth out next month, I want to be able to feel the pain meds since it’s so painful

[@wyattspop]

My post targeted his information claims with numbers like 1/2, 1/3 ...this is absolutely false. As someone who's been clean for 31 years in the rooms of AA/NA, no treatment center or MD on the planet can claim those percentages, it's well-known in the AA/NA community (we've been around far longer than any treatment center) that not 10% last a year, period, no matter what method you use, and none comes close to following a 12-step program religiously..

[@Nan-59]

So, what is the title of the video we were supposed to watch first???

[@veltealexander]

I was a intravenous heroin addict for 6 and a half years. I lost everything and was homeless for 3 years. I am ten months sober now and my life is great. Thanks to Subutex and going to NA meetings.

[@JamezMealz]

Sameeeeeee!!! I just hit 8 months, had a heart infection in February from shooting up dirty shit, I beat it after my surgeries and went to a rehab after and started to work a program after. Subutex literally helped save my life. I’m so thankful for it 😊

[@AV-sq3jb]

Clean 😂😂😂 try to get of this schit and you in for a nasty surprise

[@5thElement347]

Is this dude even telling you about all of the horrific long-term side effects????

[@bradleythebuilder8743]

No, he’s a well polished drug pusher, more reckless than any street dealer

[@b.p.879]

This is a great video, very easy to understand for us laypersons. Suboxone saved my life, allowed me to get back into a normal adult routine, hold down my job, and repair and maintain relationships with my friends and family. All it took was taking the cravings away and I could be normal again and feel pretty close to normal! If you're reading this and you want out or want help, find a suboxone clinic nearby and try it, it could save your life. I've been clean since Feb 8th 2015!

[@katejeff2000]

Well said!!

[@cathyt144]

Awesome! Ive been on subx for 9 mos. What do you take for pain now ?

[@LincolnGTX]

Same here, still on maintenance but got my life back on track

[@karlchinaski9790]

I've seen this video pop up in my feed a few times. Every time I see the thumbnail I think of the music video for Drugs by Ratatat, coincidentally.

[@holdonC]

Thank you for stating the end of taking Buprenorphine is not always in site.

[@Rugz-smoke]

It’s a life saver that’s what it is

[@timallsopp9622]

In my experience, if an addict really wants something, it doesn’t matter how it tastes etc but they certainly will lie about that to try and get something out of it.

[@patricksnyder7724]

Excellent video extremely informative and educational. I take Suboxone myself and I feel it helped me take my life back, I thought it was funny when he says “tastes like the creators tried to make Gatorade and screwed something up” so true!

[@dylanparr6880]

I've heard it was supposed to be a citrus/lemon lime flavor. They done goofed on that. It tastes like unripe watered down lemon juice and chalk. Ew

[@alanmeyers3957]

I took it for about 6 months, now even the smell makes me vomit.

[@Leo_Davis_]

I was addicted for years... I started taking Suboxone about 5 or 6 years ago. I've always thought it tasted like an orange peel

[@joeldobbs7396]

Heh, I likened it to sprite and tonic water. Had one generic last year that was mint, much superior to citrus.

[@cr-nd8qh]

I can't stand the taste so I crush mine up and snort them. It definitely works

[@mickdracul5823]

Thank You for this information! I just Subscribed to this Channel I look forward to more informative episodes!

[@pepepantuflas1]

Why does this look like it was filmed in the 50s

[@katejeff2000]

Ha!!

[@trudywapoose291]

Wow very well said in detail

[@johndrax4174]

This drug sucks im down to like .5mg and im terrified to stop... It's so strong :/

[@5thElement347]

I've been off for 5 years I still cannot sleep, depression, anxiety & pain & everything else is Really bad, the long term side effects are numerous and absolutely horrific. This stuff is toxic 😒

[@5thElement347]

Don't be scared to stop- just be prepared for it when you do it with the right herbal meds and the proper foods -] you'll be OK. I was super scared and then I said screw it and just did it cuz it was poisoning me and I didn't even know it

[@jcbanbury]

​@@5thElement347 "herbal meds" - which ones please??

[@simonrobertson8795]

I agree, I’m now on 04mg, down from 24mg over two years my next drop is 50%, and I’m dreading it, my addiction Dr says it’s all in my head , I feel like punching him in the head when he says it, pleased that you all understand . Simon from England

[@compostcorner5934]

​@@simonrobertson8795I'm from the UK and on 'Espranor' which is a form of buprenorphine that dissolves on top of the tongue . It's ok ,but I crave more all the time. I started on 4mg a day 2 years ago ,but now on 10mg ..The problem is with this stuff it doesn't seem to give you more of a high . What form of buprenorphine are you on?

[@br-dj2ti]

I am one of those people who take buprenorphine it has changed my life for the better without it I don't know where I would be right now either dead or in prison I'm being 100% honest this medicine has helped me so much I just found this video it is March 2022 right now but it seems like the pharmacies are having such a hard time given me my prescription anymore it's almost scary like what are we going to do I don't understand why they're doing this I get my prescription from the doctor no problem but the pharmacies give me trouble I don't get it maybe pharmacists need to take classes also on this medicine cuz what you were saying doctor is 100% right

[@joeldobbs7396]

Hope your pharmacy issues get sorted, had a few shortages over the years and it sucked wind every time. Like to see them tell someone with parkinsons "yah, like sorry, your plan only covers generic and we are out-of stock except for name brand so you just sit there and glitch out till we get our shit straight " I called my insurance and raised hell till they paid for the name brand goods, if I had to pay for it myself it would be $40 per day, same as buying dope here. Telling the call center shmoe that tried to defend the insurance company's cheapness that she was basically jamming the needle into my arm might have been overly dramatic (especially considering I smoked my d when I was using) but it worked. I suggest saving 2mg a day once they let you carry, or spit out a bit if you can do it without causing a fuss. Keep 3 days worth on hand at all times, if you rail it you can use half as much, I take 20mg a day sublingual and have been fine railing 8mg a day for a whole week, less than that and things eventually get gnarchy. Best wishes and good luck to you, don't let anyone tell you it's not better, fools are just fools

[@br-dj2ti]

@@joeldobbs7396 you are exactly right and it's so f****** frustrating man I don't understand it I really f****** don't this medicine has changed my life completely I run a tree company now I'm on the straight and narrow but they don't comprehend that s*** some people take this program as a joke and I understand that but I'm not one of the ones I don't think you are neither it's sad for the ones who really try and it really helps

[@glenbearh9109]

I am on generic subutex for pain and it works

[@who_cares848]

I was prescribed this when I was a kid. The doctor insisted that subutex on a daily basis would control my hyperactivity. Pretty sure she was forced to close her practice.

[@dylanparr6880]

That's....that's insane.

[@acidbath3226]

ironic they put me on prozac and ritalin

[@who_cares848]

@@acidbath3226 that was what my next doctor put me on except it was Vyvanse instead of Ritalin. The one who gave me subs was most definitely a quack but I wasn't old enough to know what subutex is actually for.

[@alanmeyers3957]

Makes about as much sense as adderall

[@joeldobbs7396]

I am curious if it helped any? Definitely not a standard practice but it does affect dopamine and I usually have a window of 2 or 3 hours where I can write or work on art projects after my daily 20mg dose. I can't take stimulants like methylphenidate or amphetamine so the suboxone does double duty but it's not nearly as effective.

[@frankjamesbonarrigo7162]

My God, what if u break a leg though?

[@joemorton9217]

Great video

[@brockgangell5759]

Im on Buvidal monthly injection and its so much better than the 8mg strip's as I had to take 32mg of suboxone strip's per day now just 1 injection of Buvidal per month here in Australia

[@drinkwalter9346]

I know an online vendor that sells , it’s been the best I’ve had , they sell other psychedelic products that helps with depression and anxiety like magic mushroom, lsd, MDMA , I get mine delivered discreetly to me , that’s the best way natural way to cure pain of any sort is to go all natural and it cures addiction

[@drinkwalter9346]

*Formulah11*

[@brockgangell5759]

@@drinkwalter9346 why??

[@drinkwalter9346]

@@brockgangell5759 I don’t understand your question

[@katejeff2000]

You get more buprenorphine into the bloodstream with Buvidal than you can ever get with the strips. If you require a lot of med, Buvidal or Sublocade is the way to go.

[@melcomepay6668]

Over here, we have a skin patch.. BUTEC, which releases a small amount Buprenorphine over seven days. Total strength. 20 mg. For me, very effective at stopping pain from my arthritis. This takes a few days to begin to work properly... but it is worth waiting for..Surprird that maybe you don't have this fotm of bupren in USA?

[@brockgangell5759]

Im on a once per month injection of suboxone and it works wonders

[@dylanparr6880]

Yeah we have the transdermal formulation here in the US called Butrans. However, it's written for pain, not maintenance or replacement therapy. Same with the buccal films, (belbuca) the only formulations for MAT or replacement are Suboxone, Subutex, and sublocade.

[@terri5757]

There is also a Buprenorphine bucal film now called Belbuca. Starts at 75mcg, then 150, 350, 450. 650, and 950 mcgs. I could be wrong about exact mcg doses but I know I’m close. You put the film in your cheek and let dissolve fully. I tried the Butrans patch but it just didn’t seem to help with my pain. Even at 20 mcgs. I kept breaking out in a rash and the intense itching caused me to tear off the patch when I was sleeping. I’d encourage anyone with similar issues or just don’t care for the patch to talk to your doctor. Belbuca must be fairly new since I’ve found only a couple people on KZbin who use it.

[@boicrazee]

Bupe is a lifesaver. Period.

[@skooskipotato3750]

How do I get off Burprenophine ?? I got into a drug de-addiction program after 4 years of heroin addiction. Started with 10mgs of Burprenophine and tapered down to 1.4mgs over a period of a year. I want to get off this medication too but if I take less than 1.4mg my body feels like hell and I get depressed and shit. I just want to feel normal again.

[@Bonesph]

Once you feel icky start only taking that much till it makes you feel normal, then taper a little more. Ask doctor for Clonidine and take Ibuprofen to. It takes time but it's either that or cold turkey or just continue taking it forever.

[@wyattspop]

I must say, I've never heard a doctor so well-versed in the reality of living with opioid "addiction" (not everyone is addicted involuntarily). I have 10 herniated discs and couldn't live without opioids, I'd be bedridden with no quality of life. Ironically, I've been a sober man for 31 years...

[@themightypotato3857]

seems like a great dude. just a personal anectode: I have been taking oxycodone for severe RLS since my teens. I tried several times to use a formulation with naloxone because of my messed up stomach and the ability of naloxone to disable the effects in the stomach. I never managed to. in my case with this particular case of neurological pain, taking naloxone together orally with oxycodone each and every time made the medication at least 50 percent less effective.

[@joseazcona9195]

ⁿ

[@joseazcona9195]

⁹

[@jimwednt1229]

Brother man, my condolences to you for the pain and opioid used; it's a recipe for misery, I know . But, I didn't understand what you were saying about the naloxone.

[@Pabloladin]

I understand ur statement

[@omid877]

It works for me. But it is so difficult to get off the subutex. 😩

[@bdoon51]

I am prescribed buprenorphine off label for arthritic neck pain and previously for knee and hip pain. When the pain in knee and hips became bad the bupre no longer was not very effective but I could not take stronger meds as I had to work (engineering and planning). My first knee replacement, the day after the surgery (they practically sever your leg) no physician to prescribe pain relief couold be found. The 5 doctors at the surgical practice were playing golf I guess and the hospital floor doctor did not respond(turns out she was dealing with a code Blue from noon onwards). I always thought pain would plateau...but guess what...it doesn't. starting about 10 AM the pain got intolerable and then progressively worse from there. By 6:30 PM I was no longer screaming into a pillow as I was going in and out of consciousness. My wife had gotten a wheel chair to take me to the emergency room of another hospital. Finally the surgical practice responded. That was my number 10. Intensity of pain however is not always the measure of WORST. After months of RL pain finally they realized it was not my RK prosthetic but my RH was decrepit. Nevertheless I still had to wait almost 3 months for HR but buprenorphine was all that could prescribed for pain (of course OTC as well but should have saved my money). I worked in a professional capacity and could not be taking opioids. So 24/7 for 81 days I lived with perhaps 6 to 7 pain. When I awoke, when I stumbled with a walker or cane trying to reach a rest room before I pissed my pants, and before the Ambien they were providing finally put me to sleep. Ambien is the dangerous drug. If I had been able to move without pain, the "sleepwalking' events brought on by Ambien could have been dangerous. To be subject to that level of pain for day after day I was ready to call Dr Jack Kervorkian ... I understood while for some, he was the physician of choice (not exaggerating). When I awoke I was ready to kiss my male surgeon for the pain relief he had provided me and I have not been inclined to kiss another man since I was like maybe 2 years old...my father? I felt euphoric for a week after my second hip surgery RH due to the lack of pain. I was no longer falling on the floor at work or ignoring flirtations from pretty women (married and not) though I am married. No sooner did I receive relief from that pain then my heg and neck pain jumped a qualitative level and the x-rays revealed decrepitude.I asked for a neck replacement (right). So I take buprenorphine which is not a great pain killer but as mental healthe studies have discovered.....buprenorphine results in patients with better levels of mental health than the population as a whole. It may not be a good pain killer but it facilitates in me an attitude to better tolerate the pain. However I am facing a wisdom tooth extraction. When I had the hip replacement (number 2) I discontinued the bupre 3 days prior to surgery and the morphine they initially gave me had no effect so they used fentanyl...yes, that worked. However the dilaudid they prescribed post surgery may as well have been sugar pills. With the surgeon's permission I ended up tripling the initial prescribed dose fro almost a week. However I took Ambien to sleep. Woke up the day after leaving the hospital and the Dilaudid was spilled all over my bathroom with some floating in the toilet. I have no idea what happened. I took fotos and asked the surgeon to re-prescribe, showing him the fotos. I felt to ashamed but he did it. I was anxious to start taking bupre again and stop with the Dilaudid...it was not very effective and made me numb. Now facing dental surgery I do not know what to do. I am so sensitive to dental pain, my last tooth extraction I needed 7 injections of novocaine. I do not know what to do. BTW....in June , after taking the prescribed dose of Ambien at 11 PM, I awoke at 3 AM and felt compelled to hurry get in my new car and drive several miles ending my trip at a concrete barrier worth $15K in damage. Insomnia has never cost so much.

[@mhewett92]

I am confused about precipitated withdrawal with this info. I always thought that taking suboxone too early into heroin withdrawal causes precipitated withdrawal because of the naloxone kicking off the opoids immediately from the receptors. Is this true? What's up with precipitated withdrawal?

[@katejeff2000]

Suboxone causes precipitated withdrawal because buprenorphine kicks the heroin out of the opiate receptors and takes its place. The buprenorphine doesn't turn on those receptors nearly as strongly as the heroin, so the sudden crash in receptor activity causes the withdrawal. The naloxone really doesn't play a role.

[@cr-nd8qh]

When I first got on this the doctors said there is no withdrawal from bupe. I told them they were dead wrong

[@ullerick]

My Man U are a legend for sharing your knowledge

[@katejeff2000]

Aww, shucks...

[@vatorman]

It’s poison

[@matthewriccio5909]

P.S. I agree with all of the doctors notions on Naloxone, however my clinic- as it urine screens all of us, the detection of Naloxone can be used to determine if someone is say selling or misusing their Suboxone and in its place using (usually IV) Subutex for just an example.

[@campergal6140]

I lived in Illinois and went to inpatient detox then outpatient rehab for opiate addiction. After changing doctors a few times (over 10 years) I finally found one I was very very comfortable with. (A psychiatrist. Who specializes in addiction) when I first saw him all I wanted to talk about was getting off the drug. He was very compassionate and told me that if that is what I really wanted we would work on it but that what I needed to do was stop focusing on the dosage and going up or down and just live and do what I needed to do for my sobriety. He could see that my focus was on the wrong thing. I would see him every3 months for check up and refills. Sooner if I needed to. He was the best Dr, and really helped. After a few years we made the decision to downsize and move by our grandchildren and this past fall we moved to Michigan. I have been so unhappy with the Dr’s here that prescribe suboxone. I’m going monthly and it’s very much like a methadone clinic. It’s been really bad for my overall mental health concerning addiction- it’s hard to explain really but now all I do is think about it again. It’s like trying to diet - the minute you start thinking of all you can’t have or how much weight you need to lose you want to eat everything in sight! Does this make sense? Does anyone else live in Michigan and get suboxone? Are all Dr’s here the same? Is it a state thing?

[@natashajohnson588]

I wish you the best ❤

[@mrc6993]

What about side effects from buprenorphine? Tooth decay is real. Please be careful with this medication long term. If you feel it effecting your teeth please try to get off. I’m going to be in dentures in my 30s. I soaked this medication into my teeth for 7 years and it was a huge and expensive mistake. I’m alive but in constant pain in all of my teeth. I had perfect teeth before Suboxone and zubsolv.

[@goodmorning8172]

I didn't have but 1 cavity in a wisdom tooth before suboxone 2 years ago. After only 6 months on subs, I literally, legitimately had multiple cavities in each and every tooth, top and bottom. Buprenorphine destroys teeth hardcore. Edit: Forgot to mention that I take my buprenorphine as a suppository,...16mg a day up the backside, so It doesn't ever even touch my teeth.

[@deedevs]

@@goodmorning8172 backside of mouth or up the arse?

[@katejeff2000]

The FDA actually issued a warning about this in January 2022. A lot of my patients have bad teeth when they start buprenorphine (addiction takes a lot of toll on the body) so it's hard for me to discern how many bad teeth are from lack of self care and how many are from buprenorphine. More research is coming...

[@OneMoreRedNightmare]

I knew it wasn't my imagination. I had zero cavities when I started bupe (I actually took decent care of my teeth through addiction) but after a few months I had several and a few teeth straight up started breaking off pieces occasionally, even a few that were cavity free. I brought this up with the doctor and they said I must have acid reflux, which I don't. When I finally went to the dentist they also commented that it looked like my teeth were suffering from acid corrosion. They also said it would cost over $16,000 to TRY to save most of my teeth. Hopefully they find some solution to this for the sake of anyone who depends on bupe for quality of life because adding the stigma that comes with missing teeth on top of the one that comes with addiction treatment is definitely going to drastically negate from that quality. In more than one way.

[@dipper888bp]

When you say “clean from day one”, do you mean if you stay on bup ?

[@sistah9541]

Thank you so much! This was very informative.

[@katejeff2000]

You're welcome!

[@damonbtc9701]

Bonds Better than fentanyl? Can you site that?

[@freak37]

Due to the fact that Bubrenorphine is prescribed by doctors and taken with a prescription, a huge number of addicts have joined this new method. After a few years, all those people realized that they had made the worst mistake of their lives. The simplest thing to say is that pharmaceutical companies succeeded in diverting the money of addicts to their accounts, ie they took over the market from drug dealers and became legal dealers.

[@Lifehappens1]

Have you had any complaints about severe constipation. I have been on quite some years myself and seemingly experiencing some complications. My doctor has suggested I love fiber which I do not believe to 100% be the case. Does seem to suck a lot of the hydration from stool. But did save my life

[@striprockracing848]

Has anyone had lower back pain from taking suboxone ? My dr had me on 90 mg of oxy a day then all of a sudden decided I was an addict for takin the meds he was giving me so he put me on suboxone. I’ve had lower back pain ever since I started taking it and the back pain is worse than the ankle pain I was initially being treated for. He has me on 2 strips a day, but I can’t even take a whole one without getting sick. I can only take a quarter or a half

[@Angel2043-w3s]

Having been a "H" adict for years , I only needed to use once in the morning.

[@terri5757]

I wish more doctors would talk to their patients or just talk in general about Buprenorphine. Most people I talk to don’t know what it is or that it even exists. That includes all forms including Suboxone and Sublicade. Many addicts or even just people in pain go to their doctor for pain pills and after the Feds started cracking down, doctors just started cutting patients off left and right. I heard this caused many suicides and now with Fentanyl pouring into the Country and often looking like real opioid pills there are thousands + of people dropping dead because many are addicts, those fearing the agony of withdrawals, or have severe pain issues they feel they have no choice but to chance buying off the street. If the Government isn’t going to do a better job of cracking down on Cartels and stopping China from shipping fentanyl to Mexico knowing full well it’s coming to the US, then more doctors and insurance companies need to make people aware there’s another choice, a very, very helpful choice, and make Buprenorphine available in many of its forms.

[@katejeff2000]

Amen!! -Jeff R, MD (the guy in the video)

[@samlazar1053]

Am thats misleading. Buprenorphine stays at the receptors rought 26h.But it can be found in the body ca 5 days after last usage, This are 2 ENTIRELY different things

[@thedoctorpatientforum-dont9836]

How do I get in touch with you?

[@amaliasereno3315]

i have been on the same dose of hydrocodone for a year and am able to stop at anytime, which is actually great because my body gets to the point where my dose is just not working due to me building a tolerance... So i stop for a day or two so that i can bring down my tolerance ... I’ve tried Oxy and had no affect i was in full blown pain (neuropathy). Burning, numbing pretty much constant pain...This Doc is actually making sense, he broke down!!! So in six weeks where my doc instead of upping my dose of hydro, added and upped antidepressants that also help with nerve pain, if all fails we plan to try this Buprenorphine... We shall see😬

[@preston2636]

Subs don't help pain much. Its best for opiate addiction regulation and if you don't have an opiates problem stay far away from subs because they're way more addictive. I can tell you all of this first hand. They saved me but I was a heroin addict

[@fireman746]

Buprenorphine is a God Sent medicine for my chronic arthritis pain. I had taken so much Hydrocodone and Tramadol the past 10 years that I too never had classic opioid side effects, although my pain was unbearable when the pills wore off. The Butrans Patch has reduced my pain by 90-95%! Don’t have to worry about taking pills and playing catch up trying to dull pain. I would suggest talking to your doctor. Buprenorphine in the Butrans Patch is 100x stronger than Morphine. I sincerely believe that since I’ve been on it.

[@vikingkrigare5329]

Sweden could learn something from this doc

[@katejeff2000]

I'd love to visit Sweden!! Find me a doc there who wants to learn - I'll come over and enjoy some fantastic food and do some trainings.

[@TandemPVP]

how can a medication turn off mu receptors while turning on mu receptors?

[@seanmorgan5339]

This drug saved my life I have bin on it for 5 years working on getting off it takes 30 +days to kick

[@heathercombs9014]

I believe you when you say bup works for 5 days because I went to the hospital for 4 days and I didn't feel sick at all those 4 days.

[@KaraBley]

What’s your thoughts on Chroinic Pain patients and this med???

[@thomasmcqueeney6877]

I've been 2 1/2 years on subs, no relapse or cheating, on 16mg

[@katejeff2000]

Congrats on your sobriety!! Well done!

[@thomasmcqueeney6877]

@@katejeff2000 thanks 😊

[@MedullarisConus]

Buprenorphi e is another devil but without the pleasure

[@truescotsman4103]

if the drug effects only last about 6 hours you're still able to go about 3 days without too much trouble till the real withdrawal kicks in. if the drug effect lasts 5 days what happens when withdrawal kicks in? how long does this drug take to resolve withdrawals? this drug may be good for getting off of other opiates but its not a solution its a bandaid till you actually buckle down and completely cease taking mu receptor agonists altogether. still a deathtrap that's hard to escape without a lot of pain and suffering.

[@joeldobbs7396]

Why stop? I have been taking 20 MG suboxone a day for six years now and see no reason not to take it every day till my last. It doesn't make sense to stop taking a medication that allows you to live a normal, healthy life. I have zero side effects, zero urge to relapse and get less effect on my mind than one beer. I work full time in a decent day job and part time selling art on the beach I have my shit together by anyone's standards including the judge that just signed off on my six year old son staying with my half the month. Why would anyone risk disaster by stopping? If you are going to say that I just replaced street drugs with doctor drugs, I agree, that's exactly what I did. I damaged parts of my brain and nervous system by flooding them with opiates, now I take medication once a day to replace the neurotransmitters my brain will never make at full capacity again. If I tapered off it would take about 3 years and my chances of relapse would quadruple I don't see any way I would relapse but the world can be quite creative in the ways it flings shit so I figure it's smarter to play it safe. The only thing I worry about is getting injured, there are 2 opiates that I can use for pain and they are not common so I would likely suffer a bit until a doctor signed off on getting them. Anyway, what other medication would you say the same thing about? Why is it special because it's an opiate? Would you tell a schizophrenic to stop their meds? What about parkinsons patients, are they better off if they quit taking dopamine? Sorry if I seem like I am harshing on you a bit, but the way you are seeing this has cost people their lives. Give it some thought.

[@truescotsman4103]

@@joeldobbs7396 my thought is opiates are a dead end drug that you can't become dependent on and live on for life. I've been smoking weed all my life and I'm actually quitting this week the last couple of weeks. I used all kinds of drugs my whole life and had my shit together the whole time. I'm 57 and I'm burnt out on weed in the end. I went through benzos cocaine opiates. Suboxone is a hook it's just another money Maker for the doctors. I agree that it can be effective in helping you but if you can't stop taking it it's just another drug it's another hook. I'm not suggesting you go cold turkey and lose your job etc. I'm saying think about it from my perspective I'm only trying to quit pot after being a hardcore drug user my whole life and it's like a joke. There is no withdrawal it was like the first two days I might have felt a little shaky. And now I'm completely sober and it feels better than I felt in my whole life. Just something to consider it's the end game when your body gets just fucking jacked up from all the work and all the partying and all the drugs you want to be able to come off that shit easy and not be a wreck. I'm feeling pretty good right now. Just something to consider.

[@joeldobbs7396]

@@truescotsman4103 I quit everything six years ago when my son was born, I don't take chances with my health anymore so I would need a very good reason to stop taking suboxone. I live in Canada so nobody has any motivation to keep me on a drug I don't need, no money in it aside from about a hundred and fifty bucks a month in generic drug and dispensing costs. I feel no effects or side effects at all, it just fills a gap in my brain chemistry. Fact is, my biggest problem is attitudes like yours. I lost a good job three years ago because someone found an empty pill bottle and brought it to the owner. Like you, he couldn't see past his own experiences and told me I was just a junky with a doctor for a dealer. I hope I can convince you to reconsider how you see people who are taking buprenorphine. It works for 60% of people who use it to treat opiate use disorder. If it increases their chance to live a long healthy life that's not a dead end, its the right thing to do. If they take it for the rest of their life the important thing is that they live and are free from symptoms. Someday you may influence someone to not get treatment, maybe they agree and think it is just as bad as street dope so they choose a three month detox instead. A few months after detox they have a shit week, relapse, and overdose. if they had chosen suboxone and taken their doctors advice they would still be alive. This happens too often so I suggest you support other people when they need treatment, even when that treatment might not be for everyone.

[@truescotsman4103]

@@joeldobbs7396 I think you're wrong. With all due respect I'm trying to give you some advice to help you. Quitting Suboxone will change your life you'll actually be whole again. Your body doesn't need Suboxone you just think it needs Suboxone to be healthy.

[@truescotsman4103]

@@joeldobbs7396 so I'm getting from your response that you think it's extremely dangerous for you to quit Suboxone. So you're basically walking a tightrope across a fire pit and one slip and it's over. What if you can't get Suboxone anymore? What if you have to switch to a new drug? What if they change the laws? I'm completely dumbfounded that you actually think you need that shit. Suboxone isn't sobriety bro it's chemical dependence. Just because you're not an addict doesn't mean it's not bad for you. I've been a functioning dependent drug user all of my life I have experience I know what I'm talking about. Until you quit that shit you don't even know what sober is.

[@kcerin1]

There is no way I can take 8mls once a day ket alone 3 times a day! I accidentally took two 4.1mls and it was awful! Rushing feelings, heart palpitations, anxiety! That only lasted for about 15 minutes, but it sucked so bad. I will never do that again.

[@stfuliberal]

You are a good Man, normies have no clue on the matter.

[@sherrydurham2220]

So seems like you're just trading 1 medicine for another 1.

[@eva_marie633]

You are.

[@andreasgreek312]

The drug that saved my life is called Libroxar. Bupreborphine and Naloxone. BUT... I was NEVER on more than one gram of heroin a day. Friends who use 2-3 grams of heroin a day, say that only a lot of Methadone helps them. Me, i was hooked, always, but in smaller heroin doses. And between Methadone and LIbroxar, the second thing worked for me. I use it for a week and after that i dont use anything and i dont get withdrawal symptoms at all. With Methadone i experienced severe cravings after my meth stash ended. There was also another silly factor. Methadone in my country comes in syrup bottles and Libroxar in pills. So going downtown to the black market to buy 12-15 bottles of Meth and then avoiding the cops, looked and looks dangerous to me. The only good thing about heroin addiction is that it was always about tiny bags/paper doses and you could hide that shit or throw it away if you saw cops approaching. How the hell do you get rid of ten bottles of meth syrup?? Anyway, my advice is this. ALWAYS hear the addict. If the addict prefers one thing over another, choose a treatment with the thing the addict prefers. But remind him that every single time he takes a substance, that substance has effects on his body. All of them. Love and some chemicals for some time, have saved COUNTLESS lives. Do not think that your son/father/aunt is already dead.

[@needmoreramsay]

ADVICE :. PLEASE link the prior video in your pinned comment or description. I've checked your videos and am still uncertain as to which one I should watch. Thank you !

[@remruataralte3589]

What if buprenorphine tablet is diluted with water and is injected to the vein what happens to the body

[@johnmarkcarsonjr1848]

Wow, really cool info video. I like this doctor, he seems very humble. I will say I’m on Subutex, FOR ME, I cannot take any formula with naloxone, it does get into my bloodstream and it does make me very sick. And yes I take it SL

[@azxde9266]

That thumbnail got me laughing so hard, nice video btw.

[@katejeff2000]

I swear to God I'm less unattractive in person! My mom and wife both say so!! :)

[@jacktrout5807]

Great info. Thanks DOC. Could you do a video on the long term side effects of suboxone you know like organ failure 🤔 or will your corporate sponsors frown on that?

[@caseyw.6550]

What corporate sponsors? I guess I missed that part of the video. Personally, I'd rather live longer and die from organ failure surrounded by my friends and family who's lives I haven't destroyed rather than by myself in an alley with a needle in my arm and everyone hating or being disappointed in me. But go off! I'm sure you're a big hit at the NA meetings.

[@jacktrout5807]

@@caseyw.6550 that's fine as long as that's an educated decision you make, but as a medical professional the DR should be educating his patients on the long term effects ....... don't you agree?

[@ttrestle]

Does anyone know where a place like this is in Bloomington IN

[@Ross-um4bc]

I hold all my subby back and swap it for H

[@JimmyT995]

Big question for me is will this come up as an opiate on a workplace urine drug test like hydrocodone does I can’t find an answer for this anywhere

[@hollid_makeupandreviews]

no it doesnt

[@wyattspop]

I think you missed Butrans, the patch form?

[@Floyd12345]

So if I'm understanding correctly, Suboxon isn't much different then the Belbuca that doesn't contain the added chemical called Naloxone? So detox won't be much different?

[@katejeff2000]

Correct! The active ingredient in suboxone and in belbuca is the same.

[@Floyd12345]

@@katejeff2000 Okay, thank you.

[@samlazar1053]

Buprenorphine was developed in Britain by the Bentley team

[@katejeff2000]

True. In Hull, I believe. I was just simply wrong about that in the video.

[@Magelind]

This guy is pretty amusing

[@katejeff2000]

(Blushing)

[@jamesgilmour2318]

Bupregarbage is what that stuff is. I tried using that to get off opiates got all the way down to 1mg and would get horribly sick if I quit taking the 1mg. Go on methadone and get down to 1mg you don't feel the greatest for a week but it's nothing compared to how bad I felt off Suboxone.

[@andyokus5735]

You could of used some oxycodone and quit w/no pain.

[@bryantaylor9909]

I thought methadone was way worse to kick

[@mongogojjo5944]

Getting on methadone to kick suboxone is like using a rocket launcher to kill an ant. Pretty dumb dude.

[@mongogojjo5944]

@@bryantaylor9909 it is

[@katejeff2000]

@@bryantaylor9909 It depends on the person. Buprenorphine is unequivocally a safer drug than methadone. It has higher rates of sobriety and lower rates of side effects. All the same, though, a small percentage of people will do better with methadone than with buprenorphine in the long run,.

[@patrickmcdade7353]

When I take 2mg to 4mg at most a day of Bupe I don't have alcohol cravings and if I do drink it isn't more than half a beer and I throw up. I am going to convince my future bupe doc that this works not just for opiate addicts. And I am addicted to Kratom which hits opioid receptors and I need I need to quit taking it. My liver has to be affected because I will take 10 grams a day sometimes 20!!!! In 24 hrs.

[@AV-sq3jb]

Please do not believe this guy

[@vintagebleachedblonde4322]

I don’t understand what he means by can’t? What does he mean that it’s completely impossible for some people to stop taking the medication or does he mean that some people can’t stop taking it because they’ll relapse on their drug of choice?

[@craigkonowal1260]

Does buprenorphine or sublicate help with constipation otherwise caused by regular opiates

[@mauriceosullivan6832]

Craig,,,no it doesn't help mate,,, I've been on buprenorphine for 3 years and I have terrible trouble.

[@craigkonowal1260]

Yeah I figured it didn’t. I have cystic fibrosis, since I’ve been on oxycodone I’ve had three bowl obstruction surgeries. I can’t take it anymore

[@youngkinghedwig]

Symproic is a good medication. Milk of magnesium is really helpful once in a while too.

[@katejeff2000]

Constipation is by far the most common side effect of buprenorphine. It's usually better than on other opiates, but still present.

[@jpablo700]

This guy needs to mention Butrans and Belbuca. Those are FDA approved for pain patients not addicted to opiates (OUD). That just makes things more confusing and blurs the lines of STOP demonizing people.

[@ChaneVazquez-rx2dy]

If you take an opioid after Suboxone wouldn't that turn on the remaining receptors since Suboxone only sticks to 40% of them??

[@michellahor6218]

Methadon is very good stuff in low doses. I like to try buprenorfine but I can yett find a docter who is willing to give it to me. Can anyone sell it too mee (from within a EU country)

[@rudyramirez9993]

Opioids messed me up. I’m off of them I take subs but I don’t get the same good feeling as hydros. I use to love to drink and go out socially w my friends now I’m such party pooper I’ll go out for a couple drinks n call it a night cause drinking isn’t the same anymore as it was before I started taking opioids. I wasn’t an alcoholic or anything but yea now I don’t find drinking fun or enjoyable anymore. I don’t have to many w draws anymore thanks for suboxne but it’s nasty asf I spit the saliva

[@HeavyDKC1]

You dont get high off off bupreborphine thats why!

[@needmoreramsay]

PLEASE Dr. Ripperda PLEASE can you do a video on kratom and it's potential use for treating opiate addiction ? Or collaborate with another doctor if they've done research on it ?? Please and thank you !

[@katejeff2000]

For now, I don't advise using kratom to treat opiate addiction or withdrawal. It's not really been studied and kratom dosing has never really been standardized. Is there some potential for use in the future? Yes, but the knowledge deficits right now are too vast for me to recommend it.

[@jcbanbury]

​@@katejeff2000 im hooked in it and don't know how to get off. Any advice please?

[@AliRiz99]

I’m addicted to kratom and had to start suboxone to get off. It’s very addictive and has ruined my life

[@ttrestle]

Subutex is amazing for pain. Suboxen sucks.

[@Ibogaine_RivieraMaya]

Buprenorphine is a powerful opioid

[@br-dj2ti]

That's not true at all I was addicted to painkillers for many many years I now take buprenorphine daily I get no high no rush nothing it reassures me it helps me so much

[@Ibogaine_RivieraMaya]

@@br-dj2ti do Ibogaine!!!

[@br-dj2ti]

@@Ibogaine_RivieraMaya what is that I've never heard of that can you tell me what that is please thank you

[@hugh-jasole]

@@br-dj2ti Depends on your tolerance. as someone who just took Percocet maybe a few times a week i agree with OP it is definitely very powerful. i mean yeah if youre a heroin user or daily oxycodone user then that's a different story but if you give this to someone whos not opiod tolerant or a daily user they will definitely get high

[@br-dj2ti]

@@hugh-jasole oh yeah definitely I understand that 100%. I'm talking about full-blown addict like myself

[@AlB1974]

I was on Norco 4-6 times a day for about 14 months straight for back pain from a spinal surgery. My doctor just prescribed me Buprenorphine 2mgs three times a day. Is this better than Norco for pain management? Never had this before and I just took 2 under my tongue and this hit me hard. I feel light headed and a bit dizzy. I know sometimes I would abuse my Norco and be out for a week or 2. Just want to make sure I don't hurt myself if I take an extra one or 2. Also, this doesn't have the blocker I guess but I thought that's what my doctor said she was prescribing me but the pharmacist said it didn't have it and I would need to ween myself down. Hopefully I can handle this since I'm new to it.

[@katejeff2000]

Asking whether buprenorphine works better for pain is complicated. The answer is: sometimes. If you have opiate induced hyperalgesia, a condition in which the pain regulation system of the body is massively screwed up because of long term opiate use, then buprenorphine works beautifully. For you, it's probably worth a try. It sounds like the 6 mg daily dose was probably too much for you, though...

[@AlB1974]

@@katejeff2000 I was bumped up to 2 pills a day 800mgs each. My pain is worse with these versus the Norco in the fact that I think my body is enhancing my pain tolerance to get more of the meds in my system. Not going to lie but I blew through the 20 pills I had in 3 days but the they actually did nothing for me. Plus with the bitter after taste I really don't care for these at all. I probably won't be able to talk my care physician into Norco since I refuse to stop taking the Ambien but I feel like even Tylenol 3's would be better for me.

[@katejeff2000]

@@AlB1974 Your best best is going to be some sort of MAT. Without seeing you, I can't give specific advice, but I think it's a no-brainer that if at all possible, you need to see an MAT provider to discuss naltrexone vs methadone vs buprenorphine. Good luck, my man.

[@tlv82]

Good luck quitting. 30 day withdrawl vs 5 w heroin.