PRECIPITATED WITHDRAWAL! WHAT IS IT? HOW TO AVOID IT!
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- Опубликовано: 20 окт 2024
- Dr. Ken Starr, an Addiction Medicine Specialist, explains what precipitated withdrawal is and how to avoid it. It's Important to dispel the myths about precipitated withdrawal so patients are knowledgeable and informed. Precipitated withdrawal is avoidable and unpleasant.
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#precipitatedwithdrawal #startingsuboxone #avoidprecipitatedwithdrawal 
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If i could wait 24 hours, i wouldn't have 10 yrs addiction
DITTO
@@lisabowie4040 People transfer over to subs from 40 yrs plus of daily use- it isn't great, but they do it {if they choose to}
I hope you are doing well
8 mg not enough for FENTANYL!!
What drug bro I’m fet n boy 👎🏾..!?! Jw
Brodie
I wish you were my doc. They gave me subs after even telling them that I was on street fent 8hr ago. I wasn’t even suggesting the suboxone, next thing I know instant precipitated withdrawl. Constant need to move my legs, sweating profusely yet shivering, extreme anxiety/claustrophobic feeling that I never even knew was possible. It lasted 4 days! I will never forget it, I have PTSD
They should know that Street fentanyl is a bit of a sticky blighter, like methadone is. ..Even on micro doses I had strange feelings ..I think induction ought to be done with lower doses at the start.
It's true..We never forget when we were most 'Sick'. It makes us really fearful of the next time.
Good luck.
I had it too. I didn’t even know what it was and why I felt that bad. I thought I was about to die
I was having the same effects as you and also throwing up and shitting myself. Was so terrible
Same thing happened to me every time I was in detox. Parole sent me so I couldn’t leave and they said they would kick me out if I didn’t take it which meant my po would put me in jail. My heart goes out to anyone who ever took buprenorphine right after fentanyl or methadone.
@@clc-gl4jn how did you get through it? I feel like imwant to die
Update ???…….
This RUclips page is a life saver...
Hmmm. I waited 5 whole days (unsure what I am getting on the street, likely all fentanyl). I took 2mg, and within an hour I am in the most horrendous withdrawal of my life. I have to say i was not feeling terribly bad after the 5 days before i took the suboxone but i figured that 5 days would have been plenty. I was SO wrong. I should have just waited it out as long as I possibly could have. Even then, who knows what would have happened? Now I am terrified to take anything more than
I was a fentanyl patch user for 6 months straight 50 micrograms a day every day I was a functioning addict for 2 years prior to the fentanyl I have NEVER had precipitated withdrawal from fentanyl then Suboxone. I do not think it's fentanyl causing it like people think. I've heard many people say I waited 4 days and I was sick as hell once I took a Suboxone. Half life fentanyl is rapid acting so short half life = gets out of system quickly. There has to be something else doing this. In the door everyone thinks is fentanyl....maybe the synthetics the chemicals u can buy from China online like xXylazine
@@denap21 hi Dena, you are very fortunate. I am still using. Everrytime I take anything more than 1mg I immediately get massive sweats and feel tough withdrawal symptoms. I really don't know how I will get out of this other than to go thru the absolute hell of a multi day conscious withdrawal, or if fortunate, be sedated while the wd is induced and hopefully when I wake up it will be all over and lll still be alive. This is hell as I am now running out of money and excuses at work. I have been able to hide the addiction from everyone, but if I end up in the hospital then I will be branded w the Scarlett letter of opiate addict. Perhaps I need a bloodtest to find our wtf is inside of me.
@@dean4559yes did I figure that out
@@dean4559yes did I figure that out
@@dean4559what the name was n why u was still withdrawling after a week
Thanks, I’m very grateful for the info.
I had a doctor make me take 24 mgs of subutex not even 24 hours after my last fetty use I told them and my parents I knew what would happen but they all yelled saying do it I said fuck it not even 3 minutes I could feel it kicking in so hard I couldn’t even make it 10 minutes from clinic to home had to go straight to er they didn’t let me leave for 14 days first day I barley remember I was hallucinating shitting throwing up couldn’t move talk was just so out of it for the first day man I wouldn’t wish that on anyone be smart people
That is so ludicrous of them to have done that.. I hope you sued.
OMG, that’s crazy scary….fucking doc
Same happened to me FIVE times! My parents blackmailed me into taking it and there trying to again!
Thank u for specific advice Dr Starr.
If you tapered methadone to 5ml.. Why would you then go on 8mg of Buprenorphine!!!??? Maybe one dose of 4mg split into doses across a couple of days then stop completely. But to taper so low on methadone to only replace it with daily 8 or even 4mg of Buprenorphine just seems like absolute madness to me…
Unless you want to have another ruthless addiction to buprenorphine of course.. Then stay on it by all means.
I went through this precipitated withdrawal. It was bad!!!
Been on 2 mls of subutex for six years Now having another go at coming of them completely Then mirtazapine then Sertraline and diazepam So got my work cut out Any tips would be grateful and I need to get off them as soon as possible Even thought I know you have to take your time But haven't felt part of the world for 25 years now DDD or disassociated from the world is lonely and dangerous Any help would be much appreciated Blessings from Dublin Ireland 🍀💯❤️🙏🏻☘️
I was your 1k viewer :))))))
Ppl are saying the wait time is 80 plus hr now. The new h is not the same as all.
They're not lying either. Been almost 5 days and I'm still fucked up. Been taking suboxone and it does very little
@john wolf this is what ur talking about bro...
"The substance - which gets its name from its color - is mixed with the synthetic opioid fentanyl and a new drug named brorphine, which is believed to be as powerful,
“Not many people know about it. It was a surprise to us as well,” Varun Vohra, a director of the Michigan Poison Center at Wayne State University, told the outlet.
Brorphine is not detectable in blood tests, but it’s understood to be 50 to 100 times more potent than morphine, the outlet reported."
@john wolf same in California now. I'm clean but my doc told me its a huge issue
@@phillipt6345 Plan for Starting Buprenorphine at Home My last Opioid use was on or will
Plan for Starting Buprenorphine at Home BUPRENORPHINE-NALOXONE 2-0.5 MG FILMS
-DAY 1. 0.25 MG TWICE DAILY. (1/8 FILM )
-DAY 2. 0.5 MG TWICE DAILY. (1/4 FILM )
-DAY 3. 1 MG TWICE DAILY. ( 1/2 FILM )
-DAY 4. 2MG TWICE DAILY. (ONE FILM )
-DAY 5. 3MG TWICE DAILY. (ONE AND HALF FILM)
-DAY 6. 4MG TWICE DAILY. (TWO FILMS )
-DAY 7. 12MG IN THE MORNING. STOP ALL OTHER OPIOIDS
@@KenStarrMDWellnessGroup you didn’t feel like shit when you took the first dose? From what I’m gathering because you said stop other opioids so you was doing this while using I guess? You didn’t have to wait at all?
Befor suboxone hit the shelves here in Australia i had been on what we just called bup then when to subutex i there was never a rapid withdrawal when I took them only when it became suboxone, why is that ?
Yes I’ve been threw this 4 times and let me tell you it’s not fun and one time I waited about 40 hours and I still got sick why is that?
Something in the heroin that's long acting my only guess. Like synthetic drugs
I’d love some help. I am on Buvidal injections every 4 weeks. Last week I was unable to have my injection because my doc was unavailable. I was into my fifth week. I stupidly took a small amount of Tramadol to release withdrawal. I have my Buvidal injection yesterday. I felt good that night but woke up this morning in immediate intense withdrawal. I have since had 4mg of Suboxone and am feeling relatively stable. Was what I experience precipitated withdrawal? And, now that I have stabilised, will by buvidal start working properly again without the Suboxone?
Can send rovers to Mars but can’t figure a way around PW
The whole wait till your about to tap out thing doesn’t matter in my case. I feel like I’m in full blown withdrawal and it still doesn’t work.
Please see the video on micro and macro dosing.
ruclips.net/video/qNRTFDMtTh8/видео.html
Would it be possible to use Subutex until the fentanyl leaves the body then switch to Suboxone since Subutex doesn't have noloxone
So I wait to day 2 when I am dry heaving and then start micro dosing. Got cha
Thank you
Hey doctor
What about Kratom?
ive been on 30ml down from 90 for a while noe, but i get it every other day. So for the last 6 months ive been taking both bottles at the same time and then having nothing the next day. Im due to start a suboxone detox soon but my key worker thinks im taking 30 a day when really its 60 every other day. On week ends i dont have anything on monday or sunday and its been that way for 6 month to. Here in the uk you have to go 3 days without anything and then they start you on subs, what do you think i should do, I intentionally took both bottles so i would have to go without on the other days. Will my body have started withdrawing enough, i feel really bad some days already, but nothing like pw.
Reply
If you can wait 72 hours, then start you'll be good. But on the first day be prepared to take a high dose.
Is there help for benzodiazepine or other prescription induced DPDR? Especially improper withdrawal. Most help I’ve found online is for trauma or street drug induced symptoms. I was doctor prescribed and had no help tapering ( she said my dose was too low to need to taper and that I couldn’t be experiencing these symptoms from it) I felt isolated and dismissed. Three years out and still experience DPDR everyday. Is this permanent???
I wish I knew you in real life. Detoxing/getting clean off Xanax & Klonopin was harder for me than fentanyl and literally anything else. I found some things helpful though. I hope you made it and our sober and healthy now 🖤
@@Pariah_Larry how are you doing now? & do you mind sharing what u did to help
Dr. Philip -
I had been on suboxone for several years. Miracle drug for me.
I broke my ankle and leg several months ago (approx 2 and 1/2 months) - after surgery, my pain was unbearable. Got in touch with the wrong people, and got back into the wrong habits. I am determined to overcome this obstacle and resume regular life. Can you please recommend an at home “tapering-upwards plan” for suboxone (I have plenty on hand, I’m terrified to start them)?
I would truly be grateful for any information. I am terrified of precip withdrawal - it’s not a joke….
Continue use while inducting suboxone at a low dose, raising the MG every day, and on a certain day completely abstaining from fent?
Again, any information would truly be appreciated.
Thank you, so much.
check out my video on " 4 ways to get off fentanyl " and another one called "microdosiing". There you'll find the recipe for tapering up.
Hows it going???
I never understood why you would go to the difficulty and expense of administering IV vitamins when the oral bioavailability of tablets is sufficient to get literally every single vitamin into systemic circulation
Nothing works as well as IV administration. Nothing.
@@ltrizzle12 What do you mean by “works”? Do you mean bioavailability? Obviously IV administration will enter any compound into systemic circulation more quickly than oral, but having a higher bioavailability does not mean that it works better. You can saturate the serum with supraphysiologic levels of vitamins orally and the rate of appearance in the serum does not change its pharmacodynamic effects. And you could actually argue that IV vitamins, particularly the B vitamins may be less efficacious since they have to be coenzymated to be pharmacologically active. And that happens primarily in the liver, which is missed, at least on the first pass, with IV administration.
Fantastic ! Dr . Ken !
Wonderful explanation of PRECIPITATED WITHDRAW. THANK YOU ...THANK YOU !!
Thanks Anita!
What if I am already on Suboxone and I relapse
What about 2nd 8 mg sublingual tabs straight bupernephrine with no naloxone in it.. off fentenyal..
Subutex
What dosing to not have withdrawal.. micro dose
Thank you man I wish you were in my town your so much more helpful than all the doctors I’ve talked to about transitions from opiates to Suboxone
Thanks Michael. If you' re in CA, WA, OR or Texas I can help. Those are the states I'm licensed in. Best of luck!
@@KenStarrMDWellnessGroup Buprenorphine is a very 'Strange' drug {After decades of methadone }
It was a bumpy ride transferring over to Subutex, A very horrible dysphoria initially , and everything seemed so bright and dazzling..But mercifully it stabilised.
Probably took about ten days to begin to stabilise out..To not feel so dysphoric.. 16 milligrams.
@@KenStarrMDWellnessGroup where in Texas?
@@KenStarrMDWellnessGroup I’m trying to get off fetanyl I’m in ca is there any way you can help
Does anyone know will you go into precip withdrawals if,you start taking methadone after being on Suboxone?
No. You will not. But you will the other way. If you're on methadone, then take suboxone you're in for badness.
I went more than 18 hour and still had precip withdrawal
Last time I tried I went something like 36 or 40 hours and went into precip BAD.
@@robbyv.526
I feel ur pain, its the worst feeling in the world nothin comes close to that feeling, sometimes i have nightmares about it@@robbyv.526
thank you !!! this is why i'm scared to stop the fentanyl
Man I took a 8mg having snorted 10+ blues a day for over year I will never do that again on the floor of my bathroom covered in sweat like I was in a suna for a whole day even the next day I wasn’t right I stayed in bed
@@jayton580 u said it, I've been sober since February now 9 Monthes clean
@@brandonjordan1951 I don’t know u but proud of you brother I’m trying get there
Looking back at this post Holy shit this is exactly before I went into detox
OMG, I'm dying! Please please please anyone that knows. I did my last two beans, yesterday at like 9pm, I'm that person that can do two, at 8pm and be fine until 2-3pm the next day before I start feeling "uncomfortable" well, I went to ED tonight at 4 and she could see my symptoms, I was honest, I have nothing to gain or lose by lying, I'm fully employed and buy my own junk, I made that choice for my grandchildren, if only for now, I pray I can say, "I did it for me" but that's lie. They gave me a 4mg at 5:45 and I felt fine, my symptoms was subsiding and then they gave me another 4 mg at 6:15 and by time I took my script in and got home, I'm in the worst withdrawal of my life and I quit methadone and that wasn't anywhere near as bad as I feel now. Questions are, how long until the presip withdrawal is done, or should I take more Suboxone, my head feels detached from my body and luckily my husband is a saint and is just trying to keep positive thoughts in my head. Also, if this put me in full blown withdrawal, will it go away sooner? Like if I was doing this cold turkey, it would take me two days to get this bad, did I skip over a couple days?
Let’s say you thought you waited long enough to take the suboxone, but it quickly becomes apparent that you didn’t. How long does the precipitated withdrawal then last and can you then take a higher dose of suboxone to end that misery? I think I may have knocked the rest of the opiates off of the receptors, but the dose was too low to make me feel better. Any input will be greatly appreciated.
How did it go?
@@These-nutz I knew a Brian Carey, he o.d. last June and passed. Crazy seeing another one here on a RUclips vid like this.
How's it going
What about cows scoring?
Thanks ken Starr👍🏼
I LOVE HOW HE CASUALLY SAYS 2 MG EVERY 2 HOURS AND AFTER A SAY YOU CAN TAKE A WHOLE 8 MG,……YEA OK !! THIS IS OUTDATED INFO,. THESE OLD VIDEOS SHOULD BE TAKEN DOWN SOMEONE COULD LITERALLY TORTURE THEM SELF LISTENING TO THIS
My doctor wants me to micro dose by taking as you said little bits of suboxone while I'm still taking 100mg of methadone for 2 weeks. he said that we would start at low dose and build up slowly. He said I wouldn't feel withdrawal but just in case he would prescribe me some dilauded to help. afterwards I thought to myself that dilauded is an opiate, wouldn't that cause the withdrawal to be worse
Be careful with the Methadone. I quit the Methadone program to switch to Subs. I waited 72 hrs after my last dose of Methadone(120mills) to take 4mills of Sub, and it still threw me in precipitated withdraw! I suffered thru the precip withdraw another 36ish hrs b4 trying Sub again, finally it worked! In the old days I could take Sub 24hrs after heroin, but this new dope with Fentanyl, I'd wait 48hrs. I waited 36ish hrs to take Sub after doing Fety dope a week straight, during my last relaps. I still got caught by precipitated withdraw. Only time in my life I consider ending it. Be careful my fellow addicts, Sub is a life saver, but dangerous AsF!
@@bigptm1364 thank you very much. I’ve been worried about the PW. My Doc told me that we’re gonna use the Burnese method. I’m on 100 mg of methadone right now. The way it works is for two weeks there gonna start me off at the lowest possible sub dose. Then gradually move it up. I’m still gonna be on methadone. He says that once the sub basically takes over the receptor. Then once I get up to like 12 mg of sub, they take me off methadone altogether. He said that he would prescribe me other stuff to help with the “uncomfortableness”. He didn’t tell me anything about the PW. Through research I found out about that. The weird thing is that lately like my kastv4 appointments, he’s desperately wanting me to go on subs. I even told him that the reason I haven’t made the switch is because I feel as if I’m being sold something. He became very quiet when I said that.
@@bigptm1364 can I ask why you changed from methadone to subs. I’ve been on methadone for about 6-7 yrs. long freaking time. The dude effects on me are very hard. Sweating, weight gain, swelling are the most. My test level went down so I take testosterone injections to level the rate. Anyway that’s the reason I wanna switch. I sweat literally like I came out of the shower. At work (hotel front desk) people would ask me if I’m ok. The management thought I would take blow. Imagine dead of winter and I’m sweating as if I ran a marathon. I gained weight so fast even my doctor was shocked. I was 180-200 before started now I’m 260. My hands look like the Michelin man due to the swelling. It’s really crazy man. Yes it’s better than being in withdrawal running from place to place everyday worried how am I gonna buy oxy or dilo or whatever but still.
@@Sayed36870 same thing happy to me weight gain and sweating. I never related to methadone.?
So so soooooooooooo grateful I found your vid..
Have been on methadone daily for decades..
My drug worker prescribed 4x2mg Buprenorphine , and I cut them up with a scalpel on a mirror. Literally taking 0.5 mg... waiting....and after repeating these tiny doses I could feel like ''Vibrating'' in my legs and strange pains that were shooting, and my guts were rumbling and being feelable and sharp.
I waited 38hrs since last methadone.
Edit: Worker phoned to see how I was getting on, and I mentioned the pill cutting. She was not pleased.
She spoke to her supervisor as she felt she had prescribed too much as I was cutting them.
Luckily it was ok, maybe supervisor had heard of these ''Micro Doses''.
I do think had I taken 2mgs all at once it could have felt uncomfy..Especially as it accumulated. It's a strange sensation. On day 2 of buprenorphine now, and still getting sharp leg twangs.
Head definitely ''Clearer''...Laugh and cry easily, a sure sign of early WD.
Thanks for informing me of micro~dosing.
Never make the mistake of telling these people the truth about things like this.
As soon as you start talking about doing things like splitting your daily dose into two halves or making any modifications then they will throw the book at you...
@@cardboardjase248 Yes, you are right.{Re. books thrown at one}
Had I taken all the pills prescribed at once, I'm sure I'd have gone into precipitated WD.
As it was, I felt really headachey and nauseated and horribly dysphoric for a few days.
Seems to have settled down now.
Hope all is well with you.
@@cardboardjase248 I was prescribed 16mgs in total per day..but advised to take them gradually initially.
I have a friend on methadone & they want to get off they have subs to help I'm trying to find the best info to help her / so did you wait as long as you could then take a small piece then kept going up? I keep getting a little confused on how it should be done the right way
@@MrAkaprimetime Well...2 yrs later, I'm still on subs!
Precipitated withdrawal is what you need to avoid at all costs.
Subutex {and worse, Suboxone} literally kicks off methadone from the opioid receptors in the brain and elsewhere, so you can be put into a very horrible withdrawal state that nothing can put right.
Surely your friend was given advise as to how to proceed?
I remember going about 48 hrs with no methadone at all, and then taking fractions of a 2mg tablet at a time..
It depends on how much methadone she is taking [and any use on top} - It would be insane for me to advise on here, I am not medically trained-
It did take about two weeks to get 'settled' on subutex, I felt pretty horrible with headaches and a hideous dysphoria -but after 2 weeks, it settled.
Your friend ideally needs advice from the person that prescribed her these- If she goes into precipitated withdrawal, she will not be thanking anyone!
Best of luck!.. It's not fun doing the transfer- but is doable.
Do not get the suboxone shot in your belly that lasts for 30 days per injection. I did this for over a year before switching back to the strips,its painful as hell most of the time you get the injection, plus after i switched back to the strips i noticed the lumps it makes in your belly doesn't go away and dissolve during the month like they say it does.it took just over 5 years for all the injection lumps in my belly to go away,plus i had a couple nurses that im sure Didn't know what they were doing at the time cause me the most pain ever from the injection that caused me sever pain and even bigger lumps in my gut that took even longer to go away.
Just bought 14 8mg off the street hoping I can kick this blue pill junk. I understand I fucked up and underestimated the blues I can’t stop my life to get clean I got busy life with too many relying on me
In the same boat. I need a fellow addict pushing me to keep staying clean. I am prescribed 16mg, but scared to take more than 4mg in the fear of PW. I hope I am induced but don't want to find out the hardway.
I am on the blues too I do have suboxone I have 3 days off work starting tomorrow when would be safe to try 1-2mg please help I’m nervous I!
Suboxone has naloxone as well, unlike subutex or subuclade which is just buprenorphine.
I DONT think you listened but Naloxone isn’t the thing that’ll cause the Pw all Bupe with or without Naloxone is the main thing that’ll cause the PW’s .
So….. there’s bupe, with naloxone (?) and there’s bupe WITHOUT naloxone (?) ???
U got it !!
Yup but Bupe is what makes you go into the PW’s either way ppl always mistaken that part they think they can take the Bupe alone without Naloxone without waiting as long and that it’ll work the problem is that isn’t true . No matter what you’re gunna have to wait because Bupe is what will put u into PWs if taken to early .
Have to say ai agreed with person below 👇🏻