"Buprenorphine OBOT: Home Inductions" - Randall Brown, MD, PhD, DFASAM

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  • Опубліковано 29 сер 2024

КОМЕНТАРІ • 111

  • @Findingrealloveonline
    @Findingrealloveonline 2 роки тому +4

    Omg thank all of y’all so much I’m trying to stay alive

  • @joepublic7692
    @joepublic7692 Рік тому +5

    I've been a heroin and crack addict for nearly 20 years now , and began subutex for the first time 3 days ago after years of Methadone. I had weaned myself down to 3mg methadone in preparation to switch to subbys, and stopped meth 2 days before starting them. Very rigidly prepared myself for the change. It's been a little bumpy but as the dose increases I'm becoming more stable. If your reading this and are contemplating doing this, then DO IT SENSIBLY AND EXTREMELY CAUTIOUSLY. and only take the 2mg ones as they contain hardly any blocker. Thus if it makes you Ill you can still fix yourself with enough smack. Good luck

  • @stefandwoodham
    @stefandwoodham 3 роки тому +7

    I tried to switch from methadone to bupe, I wanted 72 hrs took my fist dose of bupe and GOOD GOD I never felt such horrible withdrawal

    • @nicolaroberts4405
      @nicolaroberts4405 2 роки тому +1

      My son also waited 72 hours he took a subutex and is now so so ill. I don't know what to do? Should I call an ambulance or keep him at home? Have you got any advice? Thanks

    • @stefandwoodham
      @stefandwoodham 2 роки тому +2

      @@nicolaroberts4405 sorry I couldn't reply sooner I just seen it, if he is switching from methadone to subutex he needs to wait untill the methadone is out of his system before starting subutex, but if he took subutex while methadone is in his system he will/ is in precipitated withdrawal. The subutex knocked all the methadone off his receptors and is in very bad withdrawal. I would get some methadone in my system and taper completely from methadone then take subutex.he really needs to follow a taper plan correctly with a doctor.

    • @nicolaroberts4405
      @nicolaroberts4405 2 роки тому +1

      @@stefandwoodham yep tried so desperately to get him into proper detox. But he won't listen to me. Thank you Stefan really appreciate this. He was 3 days away from methadone and he took 2mg of subutex. I keep telling him to taper with hes drug worker. He doesn't like the drug & alcohol center he goes too. I said to him you can't afford to get angry now other wise this could cause you damage the way hes doing it. I am trying to get him in rehab. However to get into detox then rehab you now have to attend groups?? This is what he doesn't like.

    • @jesseolson9879
      @jesseolson9879 2 роки тому +3

      @@nicolaroberts4405 I know I'm late but the hospital won't do anything. I went to the Emergency room In full blown precipitated withdrawal all they did was gave me an iv with fluids. I just walked out I was better off at home.

    • @christopherbodnar9934
      @christopherbodnar9934 2 роки тому +2

      This happend to my friend for 9 days. She only waited 12 hrs. Had 3 ambulance rides. And came right back home waited then went back to ambulance

  • @room9037
    @room9037 2 роки тому +1

    I've been told to wait 24 hours after my last dose of heroin ..when I take subutxt for the first time will it make my withdrawal worse or will I become stabilise my wd 4mg sub

    • @sexcandy3266
      @sexcandy3266 Рік тому

      Yes Waite 24 hours u want to watie at least 12 to 24 hours before first dose to avoid precept

  • @nicolaroberts4405
    @nicolaroberts4405 2 роки тому +2

    My son was on methadone, he stopped 72 hours ago, he then used a little amount of heroine. The next day 36 hours later took 2 mg of subutex is now very sick and double clucking. I don't know what to do? Should he take more subutex?

  • @666wilf
    @666wilf Рік тому

    Why doesn't even 32mg of buprenorphine stop my craving? Even at 32mg my mind is in overdrive and still feel really bad.

  • @johnqueen2754
    @johnqueen2754 Рік тому

    I've got a question, what is the purpose of not eating and drinking 30 minutes before and 30 minutes after taking it? I've herd this from my Dr over and over. but I can't seem to take it without drinking something within that time. I don't think it really matters. whats your take?

    • @akashicsoultarot5594
      @akashicsoultarot5594 Рік тому

      You cant eat or drink right after taking medication because it can't be swallowed. It has be sublingual under your tongue and dissolved all the way. If you drink or eat something it will take away the medication to your stomach which it won't get it your system it washes it away. Trying to wait to drink or eat helps you to ensure all the meds get in your system. I've been on this medication for a very long time over 10 years. Been life changing. Hope this helps.

    • @bigs_113
      @bigs_113 Рік тому

      @@akashicsoultarot5594hey ! Sorry I just have a question for you , so I’m going to be starting the home induction thing soon next few days or so . What symptoms exactly should I have before I take em cause I know time is different for diff ppl going by how much they use etc.. but about how long should I wait before taking my first dose and what dose should I take first I have 8 mg Subutex tablets (bupe) just wondering rather hear some advice from someone who’s done it for a while and can help me better . Btw I’m using about 1.7 of some whatever type dope a day . Just so you could get a lil idea of where I’m at u know ?

  • @Findingrealloveonline
    @Findingrealloveonline 2 роки тому

    I had no idea wtf I was doing to. Myself fentanyl was my doc last dose 7:00 pm have 20 sub what do I do? Her and me please guide what works so I can help

    • @sexcandy3266
      @sexcandy3266 Рік тому

      Waite till ur sick af around 12 to 24 hours anything sooner will throw u into precept amd immediate withdrawal so hold off as long as u can before u take the sub

  • @celtiberian07
    @celtiberian07 2 роки тому

    I waited 3,4 days in withdrawal from heroin and went in worse precipitation withdrawals

    • @MrAkaprimetime
      @MrAkaprimetime Рік тому

      How much sub did you do when u felt like crap

  • @joshuawalker2646
    @joshuawalker2646 2 роки тому +2

    Does taking more Suboxone stop PW if you're micro-dosing an 8 mg strip?

  • @allanglois4098
    @allanglois4098 3 роки тому +2

    But if I wait 15 to 18 hours and just so happens that I need to go into precipitated withdrawal in that case what do I do

    • @noongourfain
      @noongourfain 3 роки тому +3

      You are NEVER supposed to go into precipitated withdrawal
      during the induction process.
      There are no labels on street drugs.
      We have no idea what we are taking.
      Google the COWS scale and print it out.
      Learn to assess yourself.
      You should be at at least a 16-24 before you take any BUP
      It seems that these days fentanyl is in most of the junk,
      It has a long half life and ALSO builds up in your system.
      If you are older, have a slow metabolism or use alcohol,
      I think all or any of these factors slow withdrawal.
      You have to learn to assess yourself on COWS
      & micro dose with the BUP strips in the beginning of the induction process.
      I'm not a doctor, just what I've learned so far.

    • @AdrianaHernandez-zr9gd
      @AdrianaHernandez-zr9gd 2 роки тому +3

      @@noongourfain thank you this helped a lot! I'm waiting on induction , coming off fent! I won't dare touch the sub until Dr tells me its safe to do so

    • @noongourfain
      @noongourfain 2 роки тому +1

      @@AdrianaHernandez-zr9gd
      I wish the best for you.
      You are doing a great thing.
      If you can please tell me how long you went before your first dose of BUP?
      And how many MG it was?

    • @AdrianaHernandez-zr9gd
      @AdrianaHernandez-zr9gd 2 роки тому +2

      @@noongourfain hi im still hanging in there its been 48 hours now and dr called me and wants me to hold out another 12hours before I take or induce half a strip tomorrow morning

    • @noongourfain
      @noongourfain 2 роки тому +2

      @@AdrianaHernandez-zr9gd
      You are doing great.
      Try to think happy thoughts?
      Watch the most calming and tranquil videos on youtube?
      I'm so impressed by your effort.
      We all need support in this life.
      Drink a lot of water?
      I know you can do it!
      I know how you feel right now!
      It isn't constant.
      Move about when you can,
      then lie down when you feel like it.
      The physical sensations come in waves.
      They aren't constant.
      If you can stand up take a shower or bath?
      Breath deep breaths.
      Just BREATH deep 10 times.
      Water, water, water.
      I know how that clock slows down!
      In just a short time, you will feel better.
      I AM SO HAPPY FOR YOU!!!

  • @Funguyzz
    @Funguyzz Рік тому

    What about if your taking er oxy but you chew it down to a powder can I take suboxone between 12-16 hrs even if my dose is really high ? I take about 270mg at once 2-3 times a day

    • @XXAnthonyCarmineXx
      @XXAnthonyCarmineXx Рік тому

      If wait 36-48 to be safe some sites say 72 since its extended or 24 hours but as long as your somewhat sick you should be fine

    • @666wilf
      @666wilf Рік тому

      If your chewing oxy then you should be ok after 6 hours.

  • @jasonmanning4288
    @jasonmanning4288 Рік тому

    Amazingly I have become more aware and conscious of how to administered and the horrifying affects of early administration as a result of rapid withdrawal induced by my clinics early dising. hoRRIFYING and dramatic for me and my family and neighbors!. This clinic Deals with one issue, oud and how they got it so wrong and continues to practice in a flippant way. Of course they were very defense and and not compassionate at all. I've chosen to try at home administration, somewhat trepidaciously, but I definitely am more concerned and knowledgeable about my own experience with the drug than they are. In defense of counselor and admin. , though they are a finger of the same hand since dosing is a requirement, they were more compassionate though evenly complicite through silence. The onus is on the addict, find the dealer that is not a scub bag, and take care of yourself.

    • @_mooney1699
      @_mooney1699 Рік тому

      My exact experience… I’ve been too scared to take my first dose because it seems so hard to wait long enough. I’ll have a runny nose and sneezing, and still feel worse with a first dose.
      The doc basically did not believe me. They think if it’s been 12 hours you should feel better. You’ll sleep better. Blah blah blah.
      Listen bitch, I’ve done this stuff for years. I know how this shit works better than you do evidently. I know many people with the same problem

  • @stevesibiski5619
    @stevesibiski5619 3 роки тому +2

    Why is it that even after my last dose of heroin 24 hours ago I still don't feel bad withdrawal symptoms?

    • @fireinsoul8904
      @fireinsoul8904 3 роки тому +1

      It gets to be painfully noticable around 30 to 36 hour's for me anyways. I've had a sub for a couple weeks if I can stay off for 24 hours I'd take it and be done. Best of luck

    • @AdrianaHernandez-zr9gd
      @AdrianaHernandez-zr9gd 2 роки тому

      Same I'm going through fent wd and I'm 50 hours in now amd I feel ok . last night was horrific then today I felt better I'm taking a lot of asymptomatic meds to help though so idk if thats what's calming my wd symptoms

    • @AdrianaHernandez-zr9gd
      @AdrianaHernandez-zr9gd 2 роки тому

      Did you ever get bad wd what happened ? Did you induce?

    • @noongourfain
      @noongourfain 2 роки тому +1

      Because it's probably fentenyl?
      It sequesters in your fatty tissue.
      This is what I think from what I've read.
      There is no heroine anymore. It's all synthetic.
      Not from actual poppy flowers.
      Just synthetic dope i.e. fentenyl.
      from Mexico or China.
      Stays in your system a lot longer.

    • @AdrianaHernandez-zr9gd
      @AdrianaHernandez-zr9gd 2 роки тому

      @@noongourfain yes mine is def fentanyl I did a UA so we could be sure

  • @michaelmoline7058
    @michaelmoline7058 3 роки тому +4

    Wait longer for fentanyl, waaaay longer.

    • @michaelsordyl9641
      @michaelsordyl9641 3 роки тому +1

      How long?

    • @dave8484
      @dave8484 3 роки тому +1

      Same as methadone which should be 72 hours at least

    • @jesseolson9879
      @jesseolson9879 2 роки тому +1

      @@michaelsordyl9641 I say wait a full week. I waited 3days and still went into precipitated withdrawal. Give it a week it sucks but the regular withdrawal process is way easier

    • @noongourfain
      @noongourfain 2 роки тому +1

      @@jesseolson9879 What do you mean by "regular withdrawal"? Thanks.

    • @AdrianaHernandez-zr9gd
      @AdrianaHernandez-zr9gd 2 роки тому +2

      @@jesseolson9879 hi thank you for being here . I'm almost at day 3 of fent wd dr said I could take sub in the am at about 7 am but I still want to wait til I think its really safe . I'm scared to death of pwd

  • @Findingrealloveonline
    @Findingrealloveonline 2 роки тому

    Please help me

    • @Thecatnamedkiwi
      @Thecatnamedkiwi Рік тому

      Call a help line or google addiction help. People on UA-cam aren’t going to be able to help you…. This should be common sense

    • @Killmaisy
      @Killmaisy Рік тому +1

      ​@@ThecatnamedkiwiI have found more facts in the youtube comments section than I can get out of asking my doctor, who has zero experience with taking any opiates 😂