How To Get Off Suboxone (Top voted first)

Im Marina Im 24 years old and a mother of 2 beautiul little boys. From the years 2006-2007 i was heavily addicted to Oxy 80 and eventually started doing herion. I got help in sep.2007 at a methadone clinic, it worked for as long as i was on the methadone i had NO relapse's. In June 2009 i was completly off of the methadone that first day that i was on 0Mgs I went through extreme withdrawls i went through things that i would never wish upon my worst enemy! i stayed that way for a day and a half and decided to go to a suboxone doctor. He put me on 32 mgs a day which i thought was pretty high of a dose but he explained to me that methadone withdrawls was worst then any other withdrawls. so i trusted him. Now when i go to see him every month i pretty much beg for him to start the weining process and start lowering me and he pretty much refuses. After months of being on 32mgs a day he finally started tapering me down slowly, i never really thought any thing of it till now but i realized he's keeping me on the suboxne for as long as posible so that he can get my $200.00 a month. all he is, is a legal drug dealer bc now im highly addicted to the suboxone. I recently had to go a few days with out my suboxone bc i didnt have the money to see him and i went through hell. i thought methadone withdrawl was bad OMG there is no comparison. i wanted to either use which i havent done in years or rip my face off lol its funny now but it definatley wasnt funny a few days ago while i was feeling that way! So i spoke to a good friend whos going through the same thing and he told me that they just came out with a new pill to get you off suboxone. I just want to know if that's true. I tryed googleing it but i cant find any thing. If you have heard of this new pill please respond or if you even have a good way to get off soboxone as painless and posible... thanx

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To help u out ma'am I'm in the military and they do things a little different the problem with posts like this is most people only find them if they are in the same needs that u are. The way the government contributes to helping get their soldiers off of what they got them addicted to (mostly post (multiple)surgery pain killer addiction) is by giving suboxone for a maximum of 6 months then ur sol if u can't be good then. Now I'm gonna tell u of something to take and this might be your wonder ddrug its called tramadol. This is a nonnarcotic drug that has to be prescribed for pain by a doctr. If u can get some tramadol take it at a low dose for about a week and then if u need to take no more than 2mg of suboxone for up to three days folowing ..max. the tramadol works on the same receptors however it is not an opiate god bless I know your pain sometimes u have to grab life,and fate by the balls and beat its ass right back like it did to u.we are all strong enough to overcome this addiction..this disease.. and live amazing happy lives with the people we love . I know its hard to find the strength sometime but its there somewhere,trust me..you just have to find it. Good luck

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I went through at least 7 years of dependency from fyntenol-morphine-etc all opiate related prescription pills for a shoulder injury in a car accident. I ran from them all and got on Suboxone which helped make my life somewhat normal however it shouldn't be a longterm medicine due to the side effects and I trully believe inhibits the individual to only be 80% of what you should be in life, work, family and overall potential. After 4 years of being on suboxone I was very afraid of the withdrawls and effects getting off of suboxone. I'm sure many of you young professional can agree, we don't have time to take 7-10 days off life to "detox". If someone is seriously interested in getting off Subs/opiates i'm happy to tell you the way to getting off very quickly.

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@Kimberly, i've been addicted to opiates since i was in high school (Class of 05) until 2010. I'm now 24 years old and i'm still kind of battling the suboxone dependency. There isn't another pill to get you off of suboxone unfortunately. All you can do is taper yourself down to the lowest possible Mg and then just quit cold turkey. It will be hard at first but i've done it and if i can do it i think anyone can. It's all in your head. Goodluck & Godspeed to Sobriety.

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HELP.....Would love to know your advice!!! I am serious about quitting, but I am in the medical field and CANNOT be out of work. Any info. would be appreciated. ASAP please!!!

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Ive been on suboxone for almost 6 months now and desperately want to get off of it. Ive been attending 12 step meetings throughout this process but i cant help feeling that because i take something to get out of bed in the morning that I'm not completelysober. I have struggled with addiction for half my life and i had 3 years of sobriety without anything and i want to have that again, is there an inpatient detox center where i can safely detox in a short amount of time? i have tried to taper myself down but I just cannot do it, it is waaay too painful for me, as I also suffer from major depression that i am being treated with by taking prozac. I also feel that every time I see my sub doc and ask to go down he looks at me like im crazy. I was on 3.5 8mg films and went down to one, but even just the one through me into a tailspin so I'm now back up to 2 8mg films per day. I feel so lost and confused about what I should do because ive also gained a tremendous amount of weight and i fear that the subs may b a part of that, i dont know. All i DO know is that sobriety is number one in my life and i would like to wake up every morning feeling good rather then struggling in pain to get my first dose in me, its no way to live and im close to giving up. I have an apt with my sub doc tonight so I will ask him if there are any treatment centers but i doubt he will help becuase he wants his 200 a month, anyway, ANY gentle advise would be greatly appreciated, I want to get back to my career and build some self confidence, and being addicited to these subs have been a weight on me for too long, thank you to anyone who takes the time to read this, ive never posted anything before so go easy on me :)

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Kimberly
I can so relate to you with your suboxone addiction. I was addicted to tramodol for 10 years then was perscribed suboxone. So now I'm addicted to suboxone. I'm trying to gradually get off the stuff. I have about 20 pills left from a script. I take one third of a pill a day. It's so hard. I feel relief after taking the pill for about an hour then I have w/d like crazy. I get depressed, agitated, unmotivated, I basically feel like doing nothing. Any ideas out there???

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I went down to .25, you just have to cut your strip into 8 pieces and then cut each of those squares into 4. I would cut the strip into 32 pieces because I really don't think you can get it down further than that. I am not sure how you guys got it down to .05, that is not really worth taking. It took me about 3 solid months to get off this, I was on this since 2005 and just finally got off 2014. It was hard but you really have to stay busy because when you are sitting still you think about it too much, a lot of it is in the mind. I think when you we go through even a little WD we have flashbacks to H WD's or whatever your DOC was.

Working out really helped me as well, it helped with the sleeplessness, I only really had a couple weeks of struggling with sleep but it was nothing compared to coming off H. Also I took many supplements to help as well. You can go to your nearest whole foods or health food store and they have people that will help you. I took many... I am a shower person but at night I took hot baths and that also helped with the restless leg and helped me sleep. Lastly you need someone that is close to you that will encourage you each day cause if you don't have that positive influence it is difficult to stop. I tried several times before and this was what killed it for me, once I had someone encouraging me I was able to push through. I pray you guys can find what works for you and I hope you stick to it, what worked for me may not work for you but I hope this helps! Good luck

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I've been on suboxone for close to 3 years! AND attended the same FDA seminar that docs do for certification and their DEA Sub #. DEA has warned dr's NO ONE is to take more than 3 8 mg per day, they have cracked down hard, sending out every sub doc a letter informing them individual evals will be done.... without appt. Where the DEA will sift through ALL patient files and personal info! If a dr is found in violation, he will loose sub priviledges. I Started at 3 /8mgs per day, then after 6 mo down to 2/ 8 mg per day. Because I was pregnant, my ob and sub doc didn't advise lowering my dose until my daughter was born, the risk of relapse was too high and more dangerous. Suboxone is also used as a maintenance program not just for immediate detox! Dose should be lowered evey other month at the MOST! Until u settle on the lowest dose possible and thats your maintence dose (ex: 4 mg per day, 2 mg per day). The other med is subutex..... both are harder to detox from than any opiod, but risks are less, risk of od is less, risk of physical damage is less. Its the less of 2 evils game. Sorry! There's nothing specific to help u kick sub's besides in-patient detox!

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Hi feliciano,
All you can do is taper slowly down to as small a piece as you can. Don,t rush your taper. Let your system get used to 1.5mg for a week then 1mg for week then .5mg for week then .25mg for week then jump off. I got this taper schedule from a suboxone doctor a couple years ago. It works. I just didn,t stay clean. I,m doing this taper again myself. Theres gonna be a couple rough days when you stop completely but its not that bad. As that sub doctor told me before " slow and steady wins the fight with getting off subs comfortably" Good luck and let us know how your doing.

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I trully feel that only those on suboxone and those that have gotten off or tried to get off trully understand the complexity, difficulty, and discipline it requires. For those out there I am happy to share my experience of getting off and give hope to those that have reached the point that they need to get off. I do believe suboxone has its purpose and is terrific for for that cause however there is a point that it needs to be discontinued in ones life.... To get off is very dificult with the information out there but I promise it can be done and it's worth it. I was able to do it and i want to help anyone that is ready to get off. Real life is amazing and is not that many days away for any suboxone user.

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The claim that our Chemical/Hormonal makeup won't ever return to balance/normal is one of the biggest fallacies being passed on from Doctor to Patient..Patient to Patient..and now integrated throughout the Opiate dependent community.. that statement alone makes a slave of everyone that believes it and dependent. Most people are built with a inate desire to have control of their lives have pride deep down inside that will eventually kick in that being a slave to anything is not natural..
The previous statement is false and the reason it's such a travesty is that Opiates are hard enough to kick with all of the support and desire in the world (which is rare). Take a more normal situation now with varying support, a body/mind that is scared to death of life without the "medicine" and add to it a Empirical fact that your hormonal system will never recover and you will be addicted dependent for life until you die... No matter what. This is a huge factor in people chose the harder illegal dirt that ruins millions of lives and eventually kills many of them.
The Great news is that your system can and will get back to normal. Your synapses can be retrained. Your hormones stabilized and balanced with Nutrition, Diet, exercise,, consulting, and the major factor (and most difficult/painful)...TIME being clean letting your body fix itself.
Our body's through years and years of improvement is the most amazing machine conceivable, divinely originated and still very misunderstood.. A great example is for the last 100 years it was a known fact brain cells could regenerate and once you killed them by drugs, etc they will never regrow... It's now proven that brain cells can and do regenerate!!!!!
This is not an attempt to motivate everyone to get off opiates right away. Everybody does respond differently to recovery and the time that it takes for it to be back to "normal" be it 6 months, 12 months,.. years.. Everyone is at a different stage in their dependency and if you aren't trully ready (in so many ways) trying to quit can throw you in a much worse direction.
Basically the moral of this drawn out story is that Our bodies, at a cellular/hormonal level can and will recuperate with time and there is light at the end of the tunnel which is a hope of regular and normal drug free life.

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I know many are gonna disagree with me but I've been off subs for 32 days now and I used tramadol for about a week after I tapered down to about .125-.25mg.....I was on Subs for over 5 years at 8mg a day....I was lucky and never felt any WDs from tapering down....I tapered all the way down to .25 with no issues and stayed at the mg for months....I had 10 50mg tramadols from a surgery I had long ago....I took 2 the first 2 days....then 1 the next 5 days then a half the last 2 days....I only took them at about 5:30am before work and I was fine for the entire day....I felt a little down for a couple days but I DID NOT get sick and WD....I'm sure many are going to disagree with me about the tramadol but it 10000% worked for me....I didn't take more than 100mg in a day and ONLY took them for about a week and a half....they can be extremely dangerous and addictive if you start eating them a lot....they also cause seizures if you WD from them so be careful and if you have tramadol give it a shot if u feel comfortable....but make sure u taper down from the subs first!! Good luck everyone and stop listening to all these insane "horror stories" they don't help with getting off subs....all they do is put s*** in ur head....

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please tell me the quickest way to get off...I am trying to right now, I am taking 1mg-1 1/2mg a day and my muscles ache and I am yawning...I have been on it for 5 years. The highest dosage I have ever been on is 8mg...then 4mg,

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You know that is a shame. I've been reading up on all the poor people with legitimate pain issues who can't get prescribed Narcotics! That was sort of what led me to get off them. I am happy to say that I am down to less than 1/2 to 1/4 of a 2mg Subutex daily. It took several weeks to get there but I still am hopeful to get off. If only people really knew how hard it is to get off this stuff!! I can't fault anyone for continuing to use Suboxone as it does help with pain etc. Good luck and as my Doctor says, he doesn't use it for that because trying to get off of it is too hard. Also, he along with any other Suboxone doctors are limited to only 100 patients at a time, federal statute for now...For the one with only a few strips left, read up on Kratom powder on earlier posts as it may help...

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I first developed the following process during my own personal opiate detox while using subutex. At the time I chose sub therapy I had no available advice that was based on actual experience using the medication. I chose to track my personal results through the process and have since worked with countless people on this forum for years using this regimen successfully exactly as written here. There have been many success stories since. The following plan works the same for using suboxone, subutex or the subutex generic buprenorphine.

I am only sharing my personal experience with what has worked repeatedly on this forum. I am not a doctor and recommend seeking advice from the professional of your choice in all matters that concern you. Drs need to be aware that approximately 15% of all patients taking suboxone react adversely to the naloxone in suboxone and should be placed on subutex rather than suboxone. They will have a much more pleasant experience in this program using subutex.

Sub therapy is rapidly becoming the gold standard for treating opiate addiction. The main problem we see on the forum is the typical sub therapy plan prescribed in the professional medical community is a one-size-fits-all method for treating all patients. Everyone is a little different in reality so it doesn’t work best treating everyone exactly the same way. All too often too much medication is prescribed initially and for far too long of a time resulting in horror stories for many patients. In reality most patients need very little buprenorphine for it to be the most effective.

Patients do best when treated symptomatically. Drs are being advised to prescribe entirely too much medication for whatever reasons according to the success we’ve experienced sharing among ourselves. There are always some exceptions as with any medication, but the exceptions are few and far between. When over-medicated many of these patients under dr's care end up on this forum addicted (for years in many instances) to a medication they were told would aid them in their efforts to end their opiate dependency

Please review this post in detail before asking questions about sub therapy. Many of the most commonly asked questions are addressed here for your convenience.

INDUCTION

The induction is one of the most critical parts of sub therapy. If a person is not inducted properly they often experience ongoing physical and emotional problems throughout the entire sub therapy process. The standard method that many sub drs use of administering anywhere from 16mg to as high as 32mg or more during induction consistently proves to NOT be in the patient’s best interest. These doses inevitably lead to a patient with a physical dependency to the very medication that was supposed to help free them from their dependency.

The purpose of the induction is simply to stabilize the patient ending their w/d symptoms. We find this happens most effectively when the patient is inducted in dosing increments where the patient stabilizes at the †lowest effective dose†. We suggest using an initial 1mg - 2mg dose for those with long term H addictions and long term methadone addictions .(Using 1mg or 2mg is determined by the patient’s using history.) For those with a history of using RX pain medications be it in pill form, fentanyl patches, etc I suggest starting the induction with a dose of .5mg and wait for two hours. This allows the patient enough time to ensure they are receiving maximum benefit from the medication prior to taking each additional increment while stabilizing. After the first two hour period we can add another .5mg if needed but we often find that adding .25mg doses every additional 90 minutes or so will allow the patient to stabilize at doses less than 3mg. This has become the average with most everyone we induct using this protocol. We seldom find it necessary to induct ANYONE at more than 6mg, including those with long-term IV abuse histories. Subs are very powerful and effective when used properly. We have people who have inducted at less than 2mg and we are typically successful with inductions totaling 2-4mg. The people who do best historically are those who begin this therapy at the lowest effective dose. This can only be achieved with an induction process administering minimal amounts of medication at each increment.

The induction process should last for a period of 4-5 days. The first day is when the patient is initially stabilized. On the second day the induction dose is split into two equal doses as this will help with making tapering easier later in the process. At the end of either three or four days we find that the dose used to stabilize the patient can be reduced by 25% on the following day and this becomes the lowest effective dose. Doing all of this takes 4-5 days depending on the individual. This is where the patient’s dose remains until they begin to taper down the dose.

Allowing 4-5 days provides ample time to adjust the induction dose as may be required to maintain the stability of the patient. Those patients who don’t stabilize properly have problems throughout their therapy. That is always the case. The amount used to stabilize doesn’t seem to be as important as using the aforementioned process by which the induction is done up to a point as previously mentioned.

It is imperative the patient be in a state of moderately severe to severe w/d at the time of induction. Otherwise it’s likely the patient will experience precipitated w/d. In short they end up deathly sick. This is another primary reason for beginning with the smallest amount of medication initially to make sure the patient will react desirably. The time required to reach severe w/d after stopping different drugs ( pills vs methadone vs street drugs) varies some but the ABSOLUTE best guide is the COWS worksheet which most drs use some form of anyway. COWS (clinical opioid withdrawal scale) Type that in your search engine for the worksheet. If you make sure you're at a 26 or above accumulatively on the worksheet then you will normally do well with induction if the aforementioned dosing procedure is adhered to. The score of 26 on the COWS worksheet is a minimum. This is a non-negotiable factor that not all drs follow hence they administer large doses of medication attempting to cover up the precipitated w/d.

If a patient finds themselves in precipitated w/d for whatever reason the best thing to do is stop taking the subs immediately and redo the induction as outlined above. Wait until the sickness from precipitated w/d has ended and make sure you have reached the 26 again on the COWS worksheet before taking anything else. DO NOT attempt to take additional suboxone or subutex to cover up the precipitated w/d. You are asking for a hospital stay should you pursue this course of action.


USING SUB TO GET PAST THE OPIATE DETOX

I always suggest some type of support /recovery program for maintaining sobriety. Even those who don’t participate in NA, AA, or Celebrate Recovery usually rely on church, family, or a combination of all the above for a solid range of support. Most of us who have survived our dependency and maintain a reasonable amount of clean time will agree it’s almost impossible to do this on our own and stay clean forever. Staying clean of course is the ultimate goal behind my reasoning for sub use. Subs are just a tool to help us get clean. The people who end up STAYING clean would likely have done it with or without the subs. They are just a tool to assist us.

I agree with the medical community that a solid recovery program is nearly imperative with sub therapy as once the sub therapy ends you are on your own. Sub is an opiate. That’s why it’s called opiate replacement therapy. So when we stop the subs our long term chances for staying clean are so much increased if we are involved in a quality program of recovery whatever that program might be for you.

It takes only a matter of about a week, a little while longer with methadone, but the point being it only takes a short time and the original opiate detox is basically past. We are no longer in real need of a medication used to get us past the detox. So this is where we begin to taper down.

There are ongoing arguments regarding how long one should remain on sub that are based on our using history. The success we have seen to date shows best results are overwhelmingly on the side of using sub short term. We have started to taper in as little as four days and hardly ever over one week following induction. People are being inducted and tapering down to nothing in a matter of about eight weeks average. There are no horror stories from anyone using sub therapy on our forum who use it the way we have suggested from day one.Some allowances have to be made sometimes for those who come to the forum for help following poor previous guidance on using subs properly or following abuse of subs.

None of this means that some people won’t do well using sub as a maintenance medication. I just don’t personally promote long term sub use. It’s certainly a better option than breaking the law to obtain drugs. But the purpose of this plan is for helping people free themselves from opiate dependency.


TAPERING


I began tapering down until I reached .5mg. (Some people find it necessary to taper down to a little less such as .25mg or less.) It’s quite basic reducing to a very low dose following the Standard Taper Plan that follows. That can be accomplished by a formula. But getting to 0mg can be a little more of a challenge especially for those who come to this forum having been on sub elsewhere for a long time or have experienced some other type of extenuating circumstance.

Standard Taper Plan
The standard taper I used and promote is that if you will reduce by 25% of the total daily dose and maintain that dose for a period of four full days while experiencing minimal to no w/d symptoms it’s safe to reduce again by another 25% and expect the same results. If you experience any overwhelming w/d symptoms during the four day period you can take a .25 mg sliver (depending on your existing dose) and the w/d symptoms usually dissipate immediately. If you require slivers to remain stable at any level you should start over the next day trying to put four days together again. This allows for the long half life of buprenorphine which can be up to 72 hours for most people.

After I reached .5mg I began a process of skipping days. I would take a dose one day, then skip one day. Then dose again, and then skip two days. Then dose again, and then skip three days. Then dose again, and then skip four days. After four days clean I was finished. The half life has had time to catch up with itself.

We have found some people, for whatever reason, tend to stress out and suffer anxiety when it comes time to skip days. If that is your experience you can continue the standard 25% taper every four days all the way down to zero in lieu of skipping days if that makes you feel better. Again we are all a little different. The idea is to be successful and the skipping days is not written in stone. That is what worked for me and has worked for most others following this taper plan. But if you need to taper down to nothing instead of skipping days that is certainly a viable and acceptable option.

The reason for sometimes feeling w/d symptoms is the long half life of buprenorphine, the main drug that is in sub and the generic now available. To be very simple it can take days before we experience the w/d symptoms from sub. So this is why we wait for four days to allow for the half life which can easily be up to 72 hours depending on some variables. When we make it four days without symptoms we should be fine reducing again.

It’s not uncommon to have some minor side effects from sub as with almost any medication. There can be some depression, sleep problems, anxiety. So we suggest not taking the sub close to bedtime, get some mild to moderateexercise depending on your physical condition, there are things to do that will help lots of things. But stick with the same principles all the way down as far as you are comfortable. We are here to help at that point.

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Butt, im very happy that you made it off the subs well. But to say peoples problems with are bs, thats a bit much and far off. I myself handle pain very well and am very strong minded but find things like this difficult given situations. Everyone is different. I myself having small children to deal with while trying to detox makes it much harder than a person who can sit and do it alone. Being a parent is a around the clock job so like the fatigue you were speaking of, i can only sleep if they are asleep. They raise stress levels and that can make it harder as well. Or if you have a child with mental, physical, or medical issues and you are the only one to take care of them, something like this again would be alot harder. That is just one example that i myself have been in to know how it can complicate things. There are many more and different ones. I still did it being that i am of strong mind but i do know the difference it would have made to do this without those situations. So again, very good for you, im very happy that you made it with ease, you are blessed. But please dont just say peoples issues with this are bs. You dont know what some of them are going through or what state your harsh words could put someone in just looking here for some help. Have a great day!!!

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Today is day 4 of going ct from my suboxone i was on 16 mgs per day for over 1.5 years and due to things i couldn't control i had to ween down very quickly down to 8mgs for a week then2-4 for a few days until i finally ran out i have been very fortunate as of yet my wd have not been so bad that i have gone crazy i have been sick and had some sleepiness i pray i can get passed this soon if i dont feel any worse i can make it the wds are no where near going ct of noraco i was doing 25-30 1000mgs per day was in some very bad shape just ready for it all to be in the past

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I remember that around day 7-10 I,d feel bad then better in the same day. Then as each day went by I,d feel a little less bad and a little more good thruout the day. I suppose everyones a little different. Your doing great, keepgoing!!

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Trina, it's pretty simple - an 8 mg. film can be cut with scissors evenly - 8 times. Imagine cutting the suboxone in 8 small slivers that are about even - each one would be 1 mg a piece. 10 Subs could be enough for 2 people if you lower your dose by a LOT! I was able to jump from 6 mg to 1 mg in just a few days - I take Sam E, L-Tyrosine, and B Complex Vitamins - everyday! These are natural supplements/amino acids that heal the brain - the longer you can heal your brain, the easier it will be. Take them with the subs...no matter what dose, but taking them will help you to feel extremely comfortable when jumping off. When you finally jump off, that's when you increase your dose for everything. Also, try to get a hold of water pills to get it out of your system faster - drink a lot of water at the same time - it all really helps a lot. If you try to get off of Suboxone without this extra helpful stuff, you WILL RELAPSE. I've tried to get off of Subs about 7-8 times before without supplements. I'm doing it right now with the supplements, very very slowly. Yet, I'm finally getting somewhere and have the faith that I'm going to do it this time. I don't feel too bad. Do not move without many many more Subs - or get a doctor when you get to Alabama right away.

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Hi Fresh,
Theres no secret bullet. One thing for sure is you got to taper slowly.
If your at 6mg, drop to 4mg for a week or more.
Some people will drop 1mg per week after that.
When they feel comfortable on 1mg drop to .5mg.
When you feel comfortable on .5mg drop to .25mg.
When you feel comfortable on .25mg jump off.
The trick is to start feeling comfortable with whatever the drop in dose is before you drop again.
Some folks like to skip days when they get down to .5 or .25.
Thats totally aceptable too.
I,ve come off subs twice before doing this and its just not all that bad.
Getting off subs is not my problem, staying straight afterwards is.
Good Luck!

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