I'm down to 1.75 from 8mg. I actually decided that I would go down .25 every two weeks and then stop at .175. So I'm glad that the plan that I have in place is exactly what you'd recommend. My Dr didn't have any recommendations for withdrawal meds unfortunately, so I'll have to look into some of the ones that you listed.
Hey friends, I'm on 8mg/2mg strips. I desperately want to taper&be off once &:for all.i was so close to the end. Just taking a shred. But back to taking a whole film. We can totally do this. Something that helped me was eating healthy & exercising. I also took melatonin to help me with my sleep but all this is doable. Hope you are well and hopeful.
hi doc loving your videos very informative and you seem to really care. so many docs seem happy to get ppl on subs for life with no interest in tapering them off. one question i can't seem to get a good answer to is if you'll get precipitated withdrawals from subutex (without naloxone) if you switch over from opiates to it without waiting 12hrs+? say you take a dose of oxy before you go to sleep you wake up ~8hrs later feeling shitty but instead of an opiate you take a subutex? and if thats possible whats the best initial dose of the sub? tyvm
Been on subs for about 8 years…Im soooo tired of the brain fog and lethargy….hard to describe but it feels like my brain is spinning a million miles an hour
Hi Dr. Starr! I'm literally allergic to Bupinorphin & I definitely want to quit & I don't know what to do other than Methadone? which is what several doctors had suggested to me but the downfall to that is I don't want to wait in a 3-4 hour line every morning at 7am cuz I have work at 8:30am. Please can you please give any suggestions?
@@KenStarrMDWellnessGroup Yes I tried both Subutex and Suboxine and the hospital tested me and concluded that I'm highly allergic to both of them. Ever since I have been trying to find another option. Most doctors are suggesting hallucinations to me since I don't want to go to get Methadone at 4am every morning. Any help you can supply would be appreciated because it has been a super long road? Thank You So Much for getting back to me!
I'm wondering about the consistency of the medication's distribution throughout the strip, particularly the generic strips. Do you find any issues with regard to this? For my patients who are on tablets, I suggest using a gram scale to consistently determine the amount they are taking and to decrease just as consistently.
I have never noticed any inconsistencies in dosing even with generic strips. The tablets and using a gram scale will work fine. I find it is a little difficult to separate them, and it's not as convenient to take with you if you aren't at home.
Hi Dr. Starr. Was preparing to use Sublacade to end my use of Suboxone. Our medical insurance is TriCare for life and Medicare part B. Neither offer coverage for Sublacade. Apparently, Medicare part B, in addition to a supplemental commercial policy will cover Sublacade. Any ideas on which insurance companies will offer the best policy for this coverage? My provider has turned in a request to the pharmacy they use for starting Sublacade. They said I will have to be denied first by TFL, then Medicare. From what I have read, a supplemental commercial policy in conjunction with Medicare is the only choice I have to avoid paying full price for Sublacade. I do not qualify for any copay assistance either.
@KenStarrMDWellnessGroup I called Humana today. They offered three supplemental commercial policies. I was quoted around 200.00 per month. This will be substantially less than $2000.00 per shot without the policy. It's interesting how many people over 65 on Medicare and served in the military are probably convinced they can't afford Sublacade. I thought politicians wanted to assist people trying to quit opioids (including Buprenorphine). The main driver for addiction is lack of mental health care and pharmaceutical assistance. Our veterans deserve better. No wonder our military can't recruit personnel. This loop hole to save money is killing people. Sublacade would be free if our political and medical system wanted to actually end our opioid use. So many suffering from oud are afraid of Methadone and Buprenorphine because of how difficult they are to stop once you become dependent on them. Plus, how many oud sufferers have $2000.00 a month to get Sublacade to end their Suboxone use? Trump suggests killing drug dealers is our way out of this crisis. What makes people think he won't stop at executing only major drug dealers. Something about his plan seems weird, dark, evil.
Dr. Star , I am currently in the northern california area, on 4 mg of suboxone tabs . I would i really like to work with you on getting on the sublocade to taper off this medication .. Are you guys currently accepting new patients?.. background - been on subs over 7 years , tried tapering numerous times but always hit a wall around 2 mg .
@@KenStarrMDWellnessGroup I’ll be getting in contact with you , i havd cali choice anthem gold insurance … i’m under the impression that sublocade will be covered in “ most “ cases ?.. Also , how does it work if i’m currently prescribed suboxone from another practice ? i’m assuming insurance won’t cover the shot until i’m out ? .. are these questions i can call about over the phone ? thank you 🙏
I can't thank you enough for putting this information out. Thank you!
Makes a lot of sense. I’ve never heard this explained so simply. Thanks.
Thank you for posting this!
I'm down to 1.75 from 8mg. I actually decided that I would go down .25 every two weeks and then stop at .175. So I'm glad that the plan that I have in place is exactly what you'd recommend. My Dr didn't have any recommendations for withdrawal meds unfortunately, so I'll have to look into some of the ones that you listed.
How it's goin I'm trying myself
@MaxJuarez-m9b it's going alright. I'm at 1.75. I'm definitely starting to feel it. But it's tolerable.
Hey friends, I'm on 8mg/2mg strips. I desperately want to taper&be off once &:for all.i was so close to the end. Just taking a shred. But back to taking a whole film. We can totally do this. Something that helped me was eating healthy & exercising. I also took melatonin to help me with my sleep but all this is doable. Hope you are well and hopeful.
🌴🌴🌴 Interesting 🧐🧐🧐 Great advice ❗️
Talk to you in about 30 minutes. Blessings,Carlos ✝️🙏❤️😊🇺🇸
hi doc loving your videos very informative and you seem to really care. so many docs seem happy to get ppl on subs for life with no interest in tapering them off.
one question i can't seem to get a good answer to is if you'll get precipitated withdrawals from subutex (without naloxone) if you switch over from opiates to it without waiting 12hrs+? say you take a dose of oxy before you go to sleep you wake up ~8hrs later feeling shitty but instead of an opiate you take a subutex? and if thats possible whats the best initial dose of the sub? tyvm
Been on subs for about 8 years…Im soooo tired of the brain fog and lethargy….hard to describe but it feels like my brain is spinning a million miles an hour
Hi Dr. Starr! I'm literally allergic to Bupinorphin & I definitely want to quit & I don't know what to do other than Methadone? which is what several doctors had suggested to me but the downfall to that is I don't want to wait in a 3-4 hour line every morning at 7am cuz I have work at 8:30am. Please can you please give any suggestions?
Have you tried generic buprenorphine (Subutex)? Did you have precipitated withdrawal?
@@KenStarrMDWellnessGroup Yes I tried both Subutex and Suboxine and the hospital tested me and concluded that I'm highly allergic to both of them. Ever since I have been trying to find another option. Most doctors are suggesting hallucinations to me since I don't want to go to get Methadone at 4am every morning. Any help you can supply would be appreciated because it has been a super long road? Thank You So Much for getting back to me!
will you get pwd from Subutex?
@@calpoker21yes
I'm wondering about the consistency of the medication's distribution throughout the strip, particularly the generic strips. Do you find any issues with regard to this?
For my patients who are on tablets, I suggest using a gram scale to consistently determine the amount they are taking and to decrease just as consistently.
I have never noticed any inconsistencies in dosing even with generic strips. The tablets and using a gram scale will work fine. I find it is a little difficult to separate them, and it's not as convenient to take with you if you aren't at home.
Hi Dr. Starr. Was preparing to use Sublacade to end my use of Suboxone. Our medical insurance is TriCare for life and Medicare part B. Neither offer coverage for Sublacade. Apparently, Medicare part B, in addition to a supplemental commercial policy will cover Sublacade. Any ideas on which insurance companies will offer the best policy for this coverage? My provider has turned in a request to the pharmacy they use for starting Sublacade. They said I will have to be denied first by TFL, then Medicare. From what I have read, a supplemental commercial policy in conjunction with Medicare is the only choice I have to avoid paying full price for Sublacade. I do not qualify for any copay assistance either.
It's hard to say. Blue Shield, Anthem, Medi-Cal all cover it in our area but it can depend on the plan
@KenStarrMDWellnessGroup I called Humana today. They offered three supplemental commercial policies. I was quoted around 200.00 per month. This will be substantially less than $2000.00 per shot without the policy. It's interesting how many people over 65 on Medicare and served in the military are probably convinced they can't afford Sublacade. I thought politicians wanted to assist people trying to quit opioids (including Buprenorphine). The main driver for addiction is lack of mental health care and pharmaceutical assistance. Our veterans deserve better. No wonder our military can't recruit personnel. This loop hole to save money is killing people. Sublacade would be free if our political and medical system wanted to actually end our opioid use. So many suffering from oud are afraid of Methadone and Buprenorphine because of how difficult they are to stop once you become dependent on them. Plus, how many oud sufferers have $2000.00 a month to get Sublacade to end their Suboxone use? Trump suggests killing drug dealers is our way out of this crisis. What makes people think he won't stop at executing only major drug dealers. Something about his plan seems weird, dark, evil.
How long to wait to take Suboxone from taking 20mg of Methadone tablets for chronic pain
Dr. Star , I am currently in the northern california area, on 4 mg of suboxone tabs . I would i really like to work with you on getting on the sublocade to taper off this medication .. Are you guys currently accepting new patients?.. background - been on subs over 7 years , tried tapering numerous times but always hit a wall around 2 mg .
Happy to help, but you'd need to come down to our clinic for the shot. We have patients do it all the time.
@@KenStarrMDWellnessGroup I’ll be getting in contact with you , i havd cali choice anthem gold insurance … i’m under the impression that sublocade will be covered in “ most “ cases ?.. Also , how does it work if i’m currently prescribed suboxone from another practice ? i’m assuming insurance won’t cover the shot until i’m out ? .. are these questions i can call about over the phone ? thank you 🙏
How much do you charge for sublocade 100mg shot?
Lucky that people in those parts of the country are tougher and accustomed to being left out of everything.