@@JackMcG_MD it really is. I'm happy to see that rehabs, like Hazelden, are on board with them. They weren't years ago. That could have saved a lot of relapses and deaths. They would not even entertain the thought when I was there.
Doc, I just want to thank you. I’ve been on 24mg of suboxone for 2 years, and always felt “off”, and would still crave and use. In one of your videos you mentioned some patients may respond better to methadone, and recently I switched, and stable at 50mgs. I finally can say I don’t crave, and I would never would have research alternatives to my current MAT until watching your videos. Thank you again! Edit - Don’t listen to any comments section as to what dose is best, or what MAT medication you should be on. Instead listen to your provider and your body!
You can do it. I did and it’s not that bad. Taper slow but tapering longer in some people will just cause a longer withdrawal. I’m 5 and a half months off of it and I’m 95% . Almost there and gets better every day
@@JackMcG_MD For me, it's the cost. I've been going to the same doc every 28 days for nearly 5 years. Between the doc appt and medication, it's expensive. It's all out-of-pocket for me, and my doctor won't budge on lengthening the time between appointments. I hate to change docs but I'm going to have to look at online appointments and using your videos to try and taper. I'd stay on it forever but it's just too expensive.
Ive been on suboxone 9 years. To be honest...ive tried to wean off of it several times and have not been successful. I take 2 8mg tablets a day. When i try to cut down I start getting cravings. As long as i take it i can function daily like a normal person & be productive. So i guess I'll be on it for the duration. Im 61 yrs old now.
I am on the sublicade shot please look into this I highly recommend this. It is a game changer. And no u do not need to get off subs to go on it. The only way to kick subs with zero withdrawals. No more ups and downs. I took subs 10+ years. I have not felt this incredible in forever. I highly stress looking into it many videos on RUclips
Interesting video & topic. I don't think forcing is a good idea. I was a patient at a methadone clinic for 17 years. Everyone is different. Some may be lifers, some only a year or 2, & then there's ppl in between like me. I think it's important we heal things at our own pace. When we are ready, we will know. I've been off methadone for 1 year & a half. I don't have any opiate cravings but I do struggle with other addiction loops. Cigarettes are the main problem. I get stuck in a loop. I'm trying to replace that void by keeping busy. Yoga, arts & crafts, cleaning, whatever. I'm thinking of trying acupuncture. What I've learned so far on my journey is there is no 1 answer/fix for problems such as addiction, anxiety/depression, etc. There are a lot of different things that help & all come together to help us heal. I'm having to learn coping skills 20 years too late & it's very challenging. It's rewarding at the same time whenever I accomplish something on my own. Because it was such hard work & I did it. 💚
Thank you for sharing your experiences! I think you make a good point when you say that everyone heals at their own rate. The patient should be the one to make the ultimate decision of when or if they want to stop methadone or buprenorphine.
Nicotine was a BEAST to quit. I smoked cigs from age 15 to 45. I went the harm-reduction/replacement therapy and tapered down and off; first with e-cigs, then patches and gum, then toothpicks
Started taking suboxone in rehab but found out that it also helps control the chronic pain in my lower back so now I take it for that. Keeps me off pain pills 🤷♂️
May I ask what dose you take for your pain? My doctor told me to take an additional 4mg of Suboxone twice a day after oral surgery, but that did not bring much relief. I still don't understand why a patient cannot take a regular opioid that's stronger for acute pain as long they are also taking naloxone because it won't allow the euphoria
Hey doc when we take the buprenorphine strips or tablets sublingually, do we press down on the medication with our tongues? Or do we just place it under the tongue and relax and let the medication do it’s thing? Also should we spit or swallow our saliva after the medication dissolves? Thank you! New follower
Thanks for subscribing! The algorithm seems to not like addiction medicine topics so subscribers really help with distributing these videos to a wider audience! I can't give medical advice in the comments. However, this is not really medical advice because it comes from the FDA's drug information sheet www.accessdata.fda.gov/drugsatfda_docs/label/2019/020733s024lbl.pdf Hold the tablet or film under the tongue or against the cheek until dissolved. There's no need to press it. Spitting out saliva reduces the dose because medication is leaving the body in that saliva.
@@JackMcG_MD I appreciate the response! I’ve heard so many different things about how to dose this medication. It seems like everyone has their own take or regimen. Does smoking affect how the medication is absorbed? Should we abstain from eating drinking or smoking before or after taking the medication? I know not to do anything DURING administration.
@@Una2Cold After 30 minutes, I'd recommend brushing your teeth, too, as there seems to be some indication that it can contribute to teeth and gum issues.
That is a strategy that doctors used in the past and it works to make withdrawal more tolerable. Some treatment centers still use it (usually those with a pro-abstinence philosophy). It has fallen out of favor as we learned that patients do better if they remain on Suboxone long-term and because patients experience an increased risk of all-cause mortality (dying from any cause, including overdose and complications of substance use) in the first year after stopping. How long to remain on Suboxone is a hard question to answer. That's why I framed it as a debate. It really depends on the person.
Sublocade is a great option for some people. I actually helped manage a clinical trial studying Sublocade in the emergency department and have seen the results firsthand. We usually start patients on daily Suboxone or Subutex first and find a stable dose before transitioning to Sublocade. Some doctors will skip straight to Sublocade first (this is actually what the clinical trial I mentioned was studying--giving the injection to patients in opioid withdrawal as a first-line therapy).
For some people, indefinite treatment with Suboxone or methadone is the best option. If it allows them to live a full life free of the medical and legal risks of illicit opioid use, then that's a win in my book. Others are motivated to stop or may be forced to taper if they want to return to their career (like medical professionals and pilots). I think the patient should make the final call about how long they want to remain on Suboxone or methadone, without outside pressure. Each case is unique.
@@joshuaolander201 they do last a long time. Cold turkey withdrawals should never be attempted although circumstances could lead to no other option (incarceration, doctor retiring, no money to continue treatment etc). Tapering off the drug isnt just the best way to do it, its the ONLY way a person should do it.
In such a situation, I would offer the patient Suboxone and let them decide. A reasonable alternative would be naltrexone and therapy (therapy with Suboxone prescription too). Suboxone is a potent tool to prevent accidents like overdoses and medical complications from opioid use. Factors supporting using Suboxone include a history of overdose, a more extended history of opioid use, the number of episodes of relapse, and a history of medical complications from opioid use (like endocarditis from IV drug use). If a patient has had endocarditis and has a mechanical heart valve, for example, I would strongly recommend Suboxone or methadone. If that patient relapses and develops an infection of their mechanical valve, it's over for them, as few cardiothoracic surgeons will take such a patient back to the operating room to replace their valve a second time.
Fear of withdrawal plays a big role in substance use disorder. I disagree with your last statement, though. I know many patients who would not be alive if it wasn't for Suboxone. It is possible to recover without medical aid, but your odds are better with treatment.
Fair point. For some people, that cost is trivial, but for others, it can be a large burden. The main benefit of buprenorphine is the freedom it gives patients. Methadone means that you are chained to an Opioid Treatment Program (methadone clinic) for life, whereas buprenorphine can be picked up at any pharmacy and prescribed by any physician. For some people, it's worth the cost. The data suggest that methadone is probably more effective than buprenorphine, but both do show benefits in reducing all-cause mortality and improving quality-of-life measures for patients with OUD. All the arguments for Suboxone in this video could be applied to methadone as well. I just treat more patients with buprenorphine myself, which is why I couched the argument in terms of Suboxone.
@@JackMcG_MD thx I am working on a new, regulated drug rehab using my educational back ground. What if you could get a bottle of methadone to take home. What would be your over all rating 1-4+ for each?
It was a creative risk, but it was fun making it! I feel that framing the question as a "debate" was the best way to approach such a contentious subject. I'm curious, what part do you not follow?
The cardiologist have their "pill in a pocket" strategy (flecainide for atrial fibrillation) and now addiction medicine can have its "film in a pocket!" I think the main benefit from buprenorphine and methadone is due to constant occupation of opioid receptors which both decreases the desire to use and blunts the euphoria from any full agonist opioids that the person takes. If you used bupe PRN, you wouldn't enjoy those two benefits--that's my intuition. Maybe it could work for some special cases. It would be an interesting question for a clinical trial.
You must be in withdrawal to start taking it again or it will make you sick. I wouldn't give up any gains on the taper. I was on films for 16 years and I never went into acute withdrawal. Now I'm more than a year off and so glad.
I’ve been taking Subutex for 3 years now. But I have had plenty of relapses. Every time I’ve decided to taper off I end up down to 2mg in the morning but I’ll wake up extremely sick. I can never get lower than 2mg. I’m just gonna stick to subutex till I have insurance that will pay for Sublocade.
6 years on 24mg a day, had to taper off using only a one month supply of films I was able to stretch it out 5 months by cutting them into slivers. The withdrawals are awful and your life will suck for awhile. Get away from it, these people are not doctors, they just wear a costume and prescribe you a subscription prescription. Do you know how much money that is for them? I hope you make the right decision for yourself. If I can do it anyone can.
@@vatorman I can’t take suboxone because naloxone gives me such an intense migraine for some reason. There’s nothing in the medical studies at all (as far as I’ve been told) that say naloxone can cause headaches, but any time I take suboxone strips, I get a migraine once it’s been a day or two. And it literally doesn’t go away. That’s why I never got onto subs in the first place. I did methadone for years when I’d try to get clean. But finally my doctor decided to try Subutex bc other people had complained of the same issue and it worked perfect for me. It’s just near impossible to cut them down. I can make the 8mg tablet into 4/2mg pieces but I can’t make them smaller. And it cost 3 times as much to try to fill my script if it’s 2mg tablets so idk exactly how I’m gonna cut down again, but I’m hoping I can eventually do the Sublocade shot. I’m sure it’ll give me a migraine but hopefully with headache meds and stuff I’ll survive it lol. But everyone I’ve talked to gets the shot and can get off subs after the 3rd one
Two hundred and eighty seven days on subutex zero cravings zero relapses in no hurry to quit the subs.. but when i do the taper should be cake as im only on 6mg a day ( I was smart and I fully detoxed in detox. Like went through a 7 day kick and then got on subs so I could be on a low dose)
@@joshuaolander201 As long as there are no other factors like cost or finding a doctor or pharmacy, I don't see a reason to be in any hurry to quit. If you do decide to do it, I would do the slowest, longest taper possible.
@@JackMcG_MD Are there any plans to make the films in even lower doses, like 0.25mg and 0.12mg to make tapering more accurate? My last Rx instructions say to take 1 and a half of the films, and this is the first time my doc has written a half for a Rx. My pharmacist called to ask me what the doctor told me because he'd not seen that before since the films are not uniform does when cut. I'd wondered about this, too, and found your channel when I searched "Suboxone, What are the white dots on films" as I'd noticed these on the films when I first switched from Zubsolv tablets to films. Could this be why so many have trouble when they get to the lowest film and start cutting them?
@@B_Bodziak yeah I'm a little bit concerned about that taper I've never been able to quit any drug by tapering off I've always had to crash off everything cold cold turkey Style could I hear that's a really long lasting miserable experience if you do it off of Subs
Exactly! It's silly how people (doctors included) treat Suboxone and methadone differently than all other drugs. It's not weird to take a daily medication.
Depends on the person. Some can stop and are successful. Others relapse every time they attempt to do so. My philosophy is that the patient themselves should have the final say. So long as their life is good, I don't think there's anything wrong if they want to stay on Suboxone for life.
I took subs for 16 years and it saved my life. I didn't need it anymore, so i jumped in November 2022. Now I'm free
It really is a life-saving medication. Glad to hear your success story!
@@JackMcG_MD it really is. I'm happy to see that rehabs, like Hazelden, are on board with them. They weren't years ago. That could have saved a lot of relapses and deaths. They would not even entertain the thought when I was there.
Doc, I just want to thank you. I’ve been on 24mg of suboxone for 2 years, and always felt “off”, and would still crave and use. In one of your videos you mentioned some patients may respond better to methadone, and recently I switched, and stable at 50mgs. I finally can say I don’t crave, and I would never would have research alternatives to my current MAT until watching your videos. Thank you again!
Edit - Don’t listen to any comments section as to what dose is best, or what MAT medication you should be on. Instead listen to your provider and your body!
So great to read this. Methadone has completely saved my life as well.
Do you have to go every day or every week to get the methadone? I'm glad you found the right treatment!
This is a FANTASTIC video! Very informative and funny, I will be sending it to family and friends.
Thank you! It means a lot. I put a lot of time into each video and it's worth it when I see happy fans.
@@JackMcG_MD It shows and it's fabulous!
I’m tapering off now. Think everyone should at least try to taper and get off and achieve total abstinence from all opioids.
Out of genuine curiosity, what motivates your belief in abstinence for all?
You can do it. I did and it’s not that bad. Taper slow but tapering longer in some people will just cause a longer withdrawal. I’m 5 and a half months off of it and I’m 95% . Almost there and gets better every day
@@JackMcG_MD For me, it's the cost. I've been going to the same doc every 28 days for nearly 5 years. Between the doc appt and medication, it's expensive. It's all out-of-pocket for me, and my doctor won't budge on lengthening the time between appointments. I hate to change docs but I'm going to have to look at online appointments and using your videos to try and taper. I'd stay on it forever but it's just too expensive.
Ive been on suboxone 9 years. To be honest...ive tried to wean off of it several times and have not been successful. I take 2 8mg tablets a day. When i try to cut down I start getting cravings. As long as i take it i can function daily like a normal person & be productive. So i guess I'll be on it for the duration. Im 61 yrs old now.
So long as it works for you, don't feel pressured to stop just to make someone else happy.
he needs to stop@@JackMcG_MD
Yo tengo 60 llevo 7 años y creo q nunca me sargo d hay
I am on the sublicade shot please look into this I highly recommend this. It is a game changer. And no u do not need to get off subs to go on it. The only way to kick subs with zero withdrawals. No more ups and downs. I took subs 10+ years. I have not felt this incredible in forever. I highly stress looking into it many videos on RUclips
Well I want off of it bc I want to feel myself as myself and I am stuck at half a strip a day and can't seem to get past that....uhg
Interesting video & topic. I don't think forcing is a good idea. I was a patient at a methadone clinic for 17 years. Everyone is different. Some may be lifers, some only a year or 2, & then there's ppl in between like me. I think it's important we heal things at our own pace. When we are ready, we will know.
I've been off methadone for 1 year & a half. I don't have any opiate cravings but I do struggle with other addiction loops. Cigarettes are the main problem. I get stuck in a loop. I'm trying to replace that void by keeping busy. Yoga, arts & crafts, cleaning, whatever. I'm thinking of trying acupuncture.
What I've learned so far on my journey is there is no 1 answer/fix for problems such as addiction, anxiety/depression, etc. There are a lot of different things that help & all come together to help us heal.
I'm having to learn coping skills 20 years too late & it's very challenging. It's rewarding at the same time whenever I accomplish something on my own. Because it was such hard work & I did it. 💚
Thank you for sharing your experiences! I think you make a good point when you say that everyone heals at their own rate. The patient should be the one to make the ultimate decision of when or if they want to stop methadone or buprenorphine.
Nicotine was a BEAST to quit. I smoked cigs from age 15 to 45. I went the harm-reduction/replacement therapy and tapered down and off; first with e-cigs, then patches and gum, then toothpicks
@@discdoggie I used Juul to stop cigarettes 10 months ago, and now, it's time to figure out how to stop those.
This is such an important discussion to have.
The answer is it depends on the patient and severity of the disorder.
Bingo! It should always come down to the patient's choices.
Started taking suboxone in rehab but found out that it also helps control the chronic pain in my lower back so now I take it for that. Keeps me off pain pills 🤷♂️
It's a nice side benefit. Chronic pain can drive addictive behaviors.
May I ask what dose you take for your pain? My doctor told me to take an additional 4mg of Suboxone twice a day after oral surgery, but that did not bring much relief. I still don't understand why a patient cannot take a regular opioid that's stronger for acute pain as long they are also taking naloxone because it won't allow the euphoria
I'm happy to see that MAT has been accepted!
@@JackMcG_MDI started using opioids due to chronic low level pain that no doctor has been able to help me with.
Hey doc when we take the buprenorphine strips or tablets sublingually, do we press down on the medication with our tongues? Or do we just place it under the tongue and relax and let the medication do it’s thing? Also should we spit or swallow our saliva after the medication dissolves? Thank you! New follower
Thanks for subscribing! The algorithm seems to not like addiction medicine topics so subscribers really help with distributing these videos to a wider audience!
I can't give medical advice in the comments. However, this is not really medical advice because it comes from the FDA's drug information sheet www.accessdata.fda.gov/drugsatfda_docs/label/2019/020733s024lbl.pdf
Hold the tablet or film under the tongue or against the cheek until dissolved. There's no need to press it. Spitting out saliva reduces the dose because medication is leaving the body in that saliva.
@@JackMcG_MD I appreciate the response! I’ve heard so many different things about how to dose this medication. It seems like everyone has their own take or regimen. Does smoking affect how the medication is absorbed? Should we abstain from eating drinking or smoking before or after taking the medication? I know not to do anything DURING administration.
@@Una2Coldyes for 30 mins after don't drink or smoke
@@Una2Cold After 30 minutes, I'd recommend brushing your teeth, too, as there seems to be some indication that it can contribute to teeth and gum issues.
would taking naltrexone cause issues with endorphin? could it block out your endorphin? Ive always wondered that about naltrexone and naloxone. FIRST.
Good question! Yes, it does and through this mechanism, naltrexone can reduce the desire to use alcohol.
What if you use the subs to beat the Cold Turkey and then stop outright. A week at the most.?
That is a strategy that doctors used in the past and it works to make withdrawal more tolerable. Some treatment centers still use it (usually those with a pro-abstinence philosophy). It has fallen out of favor as we learned that patients do better if they remain on Suboxone long-term and because patients experience an increased risk of all-cause mortality (dying from any cause, including overdose and complications of substance use) in the first year after stopping.
How long to remain on Suboxone is a hard question to answer. That's why I framed it as a debate. It really depends on the person.
This is talent❤
Do u recommend sublocade and is it the miracle drug everyone is making it out to be???
Sublocade is a great option for some people. I actually helped manage a clinical trial studying Sublocade in the emergency department and have seen the results firsthand.
We usually start patients on daily Suboxone or Subutex first and find a stable dose before transitioning to Sublocade. Some doctors will skip straight to Sublocade first (this is actually what the clinical trial I mentioned was studying--giving the injection to patients in opioid withdrawal as a first-line therapy).
@@JackMcG_MD Any plans for the injection cost to become more reasonable and closer to the cost of the daily medication?
I take 90mg daily methadone daily Carrie’s ( once a week at local pharmacy) n go work evryday now.
That's awesome! I wish it was easier for patients to access methadone; stories like yours illustrate how successful it can be.
I been on 28mg of Suboxone aday for 18 years
I think whatever dosage works best for you is what people should stick with unless there are other factors like cost or availability issues.
The longer you stay on it the more likely you'll be on it for life. The withdrawals last forever like methadone.
For some people, indefinite treatment with Suboxone or methadone is the best option. If it allows them to live a full life free of the medical and legal risks of illicit opioid use, then that's a win in my book.
Others are motivated to stop or may be forced to taper if they want to return to their career (like medical professionals and pilots).
I think the patient should make the final call about how long they want to remain on Suboxone or methadone, without outside pressure. Each case is unique.
@JackMcG_MD Is it true that Sub withdrawals last a really long time like methadone withdrawal does I kicked methadone years ago and that was terrible
They can, and it really depends on the person.@@joshuaolander201
@@joshuaolander201 they do last a long time. Cold turkey withdrawals should never be attempted although circumstances could lead to no other option (incarceration, doctor retiring, no money to continue treatment etc). Tapering off the drug isnt just the best way to do it, its the ONLY way a person should do it.
Dr Allrught reminds me of an old boyfriend lol
So i have cravings for perks and Vicodin i was sober for a year would you prescribe it to a person like me
If its not fentanyl, i wouldnt do it. Just exercise and maybe kratom to stop
In such a situation, I would offer the patient Suboxone and let them decide. A reasonable alternative would be naltrexone and therapy (therapy with Suboxone prescription too). Suboxone is a potent tool to prevent accidents like overdoses and medical complications from opioid use.
Factors supporting using Suboxone include a history of overdose, a more extended history of opioid use, the number of episodes of relapse, and a history of medical complications from opioid use (like endocarditis from IV drug use). If a patient has had endocarditis and has a mechanical heart valve, for example, I would strongly recommend Suboxone or methadone. If that patient relapses and develops an infection of their mechanical valve, it's over for them, as few cardiothoracic surgeons will take such a patient back to the operating room to replace their valve a second time.
Do not take kratom. I'm currently on Suboxone for kratom abuse.
FEAR
Fear of withdrawals
Just fear .. if u defeat ur " F " of withdtawals
U ll be live without subx.
Fear of withdrawal plays a big role in substance use disorder.
I disagree with your last statement, though. I know many patients who would not be alive if it wasn't for Suboxone. It is possible to recover without medical aid, but your odds are better with treatment.
Suboxone is still expensive. Is it really that much better than the far cheaper methadone
Fair point. For some people, that cost is trivial, but for others, it can be a large burden.
The main benefit of buprenorphine is the freedom it gives patients. Methadone means that you are chained to an Opioid Treatment Program (methadone clinic) for life, whereas buprenorphine can be picked up at any pharmacy and prescribed by any physician. For some people, it's worth the cost.
The data suggest that methadone is probably more effective than buprenorphine, but both do show benefits in reducing all-cause mortality and improving quality-of-life measures for patients with OUD.
All the arguments for Suboxone in this video could be applied to methadone as well. I just treat more patients with buprenorphine myself, which is why I couched the argument in terms of Suboxone.
@@JackMcG_MD thx I am working on a new, regulated drug rehab using my educational back ground. What if you could get a bottle of methadone to take home. What would be your over all rating 1-4+ for each?
You can get generic 8 mg bupe tablets for $1 each without insurance. Dirt cheap in 2023.
My government insurance pays for mine and talk about freedom. I get my subs and do treatment through an app on my phone
@@badass1g I pay $3.79 for each 4mg film. Where are you buying yours?
crazy video,warning do not follow this
It was a creative risk, but it was fun making it! I feel that framing the question as a "debate" was the best way to approach such a contentious subject.
I'm curious, what part do you not follow?
Where did you do your residency? Just curious
what about weaning down from suboxone whenever then keep some in your wallet hitting it during bad needs (hate the word cravings sounds so craven)
The cardiologist have their "pill in a pocket" strategy (flecainide for atrial fibrillation) and now addiction medicine can have its "film in a pocket!"
I think the main benefit from buprenorphine and methadone is due to constant occupation of opioid receptors which both decreases the desire to use and blunts the euphoria from any full agonist opioids that the person takes. If you used bupe PRN, you wouldn't enjoy those two benefits--that's my intuition.
Maybe it could work for some special cases. It would be an interesting question for a clinical trial.
Subs get you geeked up with no tolerance 😂🤪
You must be in withdrawal to start taking it again or it will make you sick. I wouldn't give up any gains on the taper. I was on films for 16 years and I never went into acute withdrawal. Now I'm more than a year off and so glad.
I’ve been taking Subutex for 3 years now. But I have had plenty of relapses. Every time I’ve decided to taper off I end up down to 2mg in the morning but I’ll wake up extremely sick. I can never get lower than 2mg. I’m just gonna stick to subutex till I have insurance that will pay for Sublocade.
The last 2 mg is always the hardest to taper. Sublocade is a fantastic medication for some patients.
6 years on 24mg a day, had to taper off using only a one month supply of films I was able to stretch it out 5 months by cutting them into slivers. The withdrawals are awful and your life will suck for awhile. Get away from it, these people are not doctors, they just wear a costume and prescribe you a subscription prescription. Do you know how much money that is for them? I hope you make the right decision for yourself. If I can do it anyone can.
@@vatorman I can’t take suboxone because naloxone gives me such an intense migraine for some reason. There’s nothing in the medical studies at all (as far as I’ve been told) that say naloxone can cause headaches, but any time I take suboxone strips, I get a migraine once it’s been a day or two. And it literally doesn’t go away. That’s why I never got onto subs in the first place. I did methadone for years when I’d try to get clean. But finally my doctor decided to try Subutex bc other people had complained of the same issue and it worked perfect for me. It’s just near impossible to cut them down. I can make the 8mg tablet into 4/2mg pieces but I can’t make them smaller. And it cost 3 times as much to try to fill my script if it’s 2mg tablets so idk exactly how I’m gonna cut down again, but I’m hoping I can eventually do the Sublocade shot. I’m sure it’ll give me a migraine but hopefully with headache meds and stuff I’ll survive it lol. But everyone I’ve talked to gets the shot and can get off subs after the 3rd one
Every person has unique circumstances and needs. What motivated you to taper off Suboxone? @@vatorman
Two hundred and eighty seven days on subutex zero cravings zero relapses in no hurry to quit the subs.. but when i do the taper should be cake as im only on 6mg a day ( I was smart and I fully detoxed in detox. Like went through a 7 day kick and then got on subs so I could be on a low dose)
That's great to hear! Don't feel pressured to stop if it's working for you.
@@JackMcG_MDThank you for replying to my comment.
And thank you for putting my mind at ease.
@@joshuaolander201 As long as there are no other factors like cost or finding a doctor or pharmacy, I don't see a reason to be in any hurry to quit. If you do decide to do it, I would do the slowest, longest taper possible.
@@JackMcG_MD Are there any plans to make the films in even lower doses, like 0.25mg and 0.12mg to make tapering more accurate? My last Rx instructions say to take 1 and a half of the films, and this is the first time my doc has written a half for a Rx. My pharmacist called to ask me what the doctor told me because he'd not seen that before since the films are not uniform does when cut. I'd wondered about this, too, and found your channel when I searched "Suboxone, What are the white dots on films" as I'd noticed these on the films when I first switched from Zubsolv tablets to films. Could this be why so many have trouble when they get to the lowest film and start cutting them?
@@B_Bodziak yeah I'm a little bit concerned about that taper I've never been able to quit any drug by tapering off I've always had to crash off everything cold cold turkey Style could I hear that's a really long lasting miserable experience if you do it off of Subs
Sum take cholesterol medicine for ever. Sum vitamins for ever
Exactly! It's silly how people (doctors included) treat Suboxone and methadone differently than all other drugs. It's not weird to take a daily medication.
I did 7 years on subs.. there's gotta be a time to get off it's a tool it's a crutch but not forever let's be real here.
Depends on the person. Some can stop and are successful. Others relapse every time they attempt to do so.
My philosophy is that the patient themselves should have the final say. So long as their life is good, I don't think there's anything wrong if they want to stay on Suboxone for life.