Precipitated Withdrawal

Hi all, first time posting. Thanks for reading. I have been on suboxone (will call SB bc I don't like "bupe" or "subs"... they just sound like using talk to me and I'm trying to avoid that, nothing against anyone, just my thing...) So today I woke up, took my spironolactone, wellbutrin, abilify, adderall, provigil, and 2mg SB bc I'm trying to taper off. Then I remembered I'm out of the armor thyroid that I switched to about 6 months ago, so I took my levothyroxine. I then took 2 tylenol, had black coffee, green tea with splenda, and toast. A couple minutes later I used the off brand monostat for a yeast infection I'm sure I have, but haven't been to the md yet, and some hydrocortisone. I also smoked about 1/4 of a cigarette... after a few minutes ...

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I stopped taking opiates in 2001...was on methadone until a year ago when I switched to subs... I've been on Subutex 2 months.... Well yesterday, for a reason i don't quite understand, I relapsed. I have been thru precipitated withdrawals and they TERRIFY ME.... MY QUESTION IS...HOW LONG UNTIL I CAN TAKE MY SUBUTEX AGAIN? I HAVE TO GO TO A MOTHER'S DAY TEA WITH MY SON TODAY (HE'S 5) AND I CAN'T RISK BEING IN PW/D.... PLLLEEEAAASE ANYONE? ## Just as when you first started it, you need to be in full withdrawal, before taking your Subutex, again. The FDA classifies this medication as an opiate that is most commonly used to treat drug addiction, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and co...

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I started out with pills and eventually led me to to the all mighty H that was laced with fentanly. All I want to know is if it's possible (because it happened almost 24 hours ago). If I'll go into immediate withdrawals again? ## Hello, Lost! How are you? What are you asking about? You didn't mention any particular drug, nor did you post this in any particular medication forum. Can you please post back and clarify, so I can help you? Thanks!!! ## I went through withdrawal from norcos for two months. I filled it at Walgreens and it just so happens that they are getting sued. At the same time I have several things wrong with my back and hip. I have reasons to take pain meds, not to feel high. I almost died. I prayed for Jesus to take me. I don't believe in suicide but if I...

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Does anyone have experience switching from large doses of Kratom (25g a day) to a Butrans patch? Is the Kratom strong enough to give precipitated withdrawals? The Butrans is for pain. ## That's an interesting question because it's usually the other way around, with patients switching from prescription opiates to Kratom. Having taken Kratom myself, my opinion is that I don't think it'll stop Butrans from working altogether, but if your opiate receptors are already filled by Kratom then Butrans may only add to the level of cross tolerance if I'm not mistaken (and affecting drug efficacy from a tolerance standpoint / not enough receptors to fill?). Some feedback I've read also suggests taking a short break from Kratom during the transition to allow other opiates to ...

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I was on suboxone 45 days, to help, with withdrawal if methadone. I had completely tapered myself off of methadone but, the withdrawal s was just to much to function... So I had almost an entire script of suboxone 8 milligram strips left. I taper down to .25 milligrams. My doctor told me it would be ok to start naltrexone 3 days after I stopped the suboxone. He said to take 1/4 of a 50 milligram pill. WOW that was cray it sent me straight into precipitated withdrawal... Now I don't know what to do. PLEASE HELP. ## Have you informed your doctor of what happened? Usually, they do have you wait 72 hours, which means a full 3 days, taking nothing until the 4th day. What types of symptoms are you having? The FDA lists the typical side effects of this medication as possibly including naus...

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You don't have to be in withdrawal to take subutex. Been on it for 6 years. I always read this garbage from people that don't have a damn clue, passing on info they are just regurgitating. ## Hello, tmoney! How are you? That is correct and thank you for posting. Sometimes, people may feel minor withdrawal symptoms, because Buprenorphine tends to be stronger in gripping onto the opiate receptors, so it kicks out other stuff someone may have taken. But, if doesn't cause the dangerous precipitated withdrawals, in most cases, that people can experience if they take Suboxone too soon, due to the Naloxone that's in it. The FDA classifies this medication as being a narcotic that is most commonly used to treat drug addiction, so it has the potential to be habit forming and may c...

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I was on 45mg methadone and waited 72hrs after the last dose. Doctor started me on 4mgs of suboxone twice a day. Just took first dose in the AM. Sick as hell. Put me in withdrawal. Should I take the next dose?? ## Hello, Samson! How are you? If you weren't in full withdrawal, yet, then you shouldn't have taken the Suboxone. Taking it too soon can cause you to be thrown into precipitated withdrawals. Have you consulted your doctor? It would be best to do so, in order to be sure of what you should do next. The FDA classifies Suboxone as an opiate that is most commonly used to treat drug addiction. It carries the risk of being habit forming and may cause side effects, such as nausea, dizziness, headache, dry mouth and constipation. Has anyone else done this switch?

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SOMEONE plez give me something to go by.I feel like crap but I'm scared to take the suboxone after the terrible precip w/d I went thru .How long should I wait to dose again.Any insight would be greatly appreciated for sure!!!!!!!thanks ## You must already be in full withdrawal from whatever drug you were abusing, before you can take Suboxone. When has your doctor instructed you start it?

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I'm trying to stop using H and I have the 54 411, round, white, subutex pills. Do I have to wait 24 hours from my last usage to take one or can I take it right away? I don't want to get withdrawal symptoms from taking it too soon. But I don't want to wait 24 hours because I start feeling sick much sooner than that. ## Hello, Timetoquit! How are you? This is an 8mg sublingual Buprenorphine tablet, a generic for Subutex and since this does not contain the Naloxone that is used in Suboxone to neutralize other opiates, you do not have to be in full withdrawal to start this one, it shouldn't throw you into precipitated withdrawals. Thus, you should take it according to your doctor's instructions. This is a narcotic analgesic, so it has the potential to be habit forming an...

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My name is painter I quit buprenorphrine 16 MGS daily for 4yrs cold turkey I'm day 9 skin crawl few times a day with RLS anxiety then goes away but biggest problem two hours sleep is all I can get I'm commercial residential industrial painter I have to be able to go really fast for very long period of time any suggestions PS I can't call my bup Dr promise to family they think he money hungry I pay cash ## Hello, Painter! How are you doing? Precipitated withdrawals are very severe and dangerous withdrawals withdrawals that occur when one medication blocks the effects of another, as defined by the NIH. Thus, that is not what one is experiencing just from stopping a medication cold turkey, though such withdrawals also carry the risk of being dangerous. In reality, your health a...

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So, I had a terrible opiate problem. Tried to quit cold turkey, was too sick, and had to do a 4 day taper. Anyway, I'm getting the naltrexone implant tomorrow, I'm only 3 days off my taper. Anyway, my question is, my doctor wants me to start with a 1/4 pill so its in my system. Now, I know I'm going to get even more sick. I've accepted that. My question is, how long will I be sick before it starts to feel better? Is it like Suboxone and after 1-2 hours, you're feeling quite a bit better, orrr...? Thanks! ## Hello, Kristen! How are you? Generally, about 3 days is the recommend time frame, to avoid severe precipitated withdrawals, so in theory, things shouldn't get much worse, but we are all different, so there are no guarantees. And no, it has little effect on opi...

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I knocked about 2 weeks worth of dilaudid down my sink by accident when I was brushing my teeth yesterday morning. I saved 4 pills. I take 4mg-4x per day and was switched last month from morphine to fentanyl 25mcg patches every 72 hours. I have been on the dilaudid for 5 months. I'm very concerned about the withdrawal I'm going to go thru without my meds. Do you think the patch and a few leftover morphine pills from last month will help my situation? Will they make the withdrawal go away faster? I also have 2 subutex pills that are older. Should I take the subs or will they put me in a precipitated withdrawal with the patches? I don't see my doctor for 13 days. Any advice would be greatly appreciated. Please help. ## Please be careful with the fentanyl. I'm going thru so...

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My Dr. switched me from the pain patch 75's changing it every three days. To Embeda 50 mg once a day. Now I am about to die from withdrawal effects. I don't understand because they are both opiate meds why switching from one to the other should matter. Please help !!! ## Hello, Mark! How are you feeling? Did he have you just directly switch from one to the other, with no break in between? If so, that's likely what's created the problem. Embeda contains Morphine and Naltrexone and, if you aren't already in full withdrawal, the Naltrexone can throw you into dangerous precipitated withdrawals. The FDA classifies this medication as a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mout...

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I took one Contrave and my regular dosage of Tramadol and wound up in the ER with such horrific withdrawals I wanted to pass out. My question is, how long after taking one Contrave before I can resume my regular Tramadol dosage? ## It can block opiates from working for you for about 3 days, or so. Was the prescribing doctor aware that you'd be taking both? Usually, according to FDA warnings, it is not safe to take a medication such as Contrave, until you are in full withdrawal from all opiate medications, or it creates the risk of your going into dangerous precipitated withdrawals. One of the ingredients in Contrave neutralizes opiates, it is often used to treat opiate overdoses, or prevent someone from abusing opiates, while being treated for addiction.

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I qwent to my drug store to get my prescribed Hysingla, wrong spelling, but I went on Friday, the day I was due and they took my script, and then we won't have this until Monday. What can I expect in the way of withdrawal if any? Would it be safe to take Suboxene for one day until I can get my regular meds? Any info would be greatly appreciated. ## Yes, you may experience withdrawals, which the NIH lists as possibly including nausea, dizziness, fever, chills, rebound pain, anxiety, and diarrhea. You should not take Suboxone, unless your doctor approves, because it can block all other medications for 72 hours, and taking it, when you aren't already in full withdrawal could cause you to go into dangerous precipitated withdrawals, according to FDA warnings. Did you try a different ...

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I'm on 75mg methadone maintenance. I accidentally took a 500mg cipro. Just one. Will I go into withdrawels ## I've never heard of cipro causing withdrawals. Cipro is an antibiotic used for a number of different infections. Have you read about cipro and methadone? I mean, read about them not interacting well together? I've never heard or read this before and I have been a nurse for 24 years. I will have to look this one up. Now, a med called naltrexone will cause withdrawals.... called precipitated withdrawals.....if taken too soon before actual Withdrawal from narcotics starts. Are you confusing these two meds, maybe? ## While cipro will not cause withdrawls it CAN cause methadone toxicity. You seem to be ok now but please do not take cipro with methadone.....there are far b...

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Wanted to say I just came out of precipitated withdrawal! What holy hell! I have been on methadone for 6 years taking 115 mlg daily & got myself down to 50 mlg for 2 weeks, waited more than 72 hours, then took 2mlg suboxone. I was fine. Not better, just not worse. Following my doc's orders, I took another 2mlg 90 mins later. Ok, then took another 2mlg after 90 min and oh my god. Almost instantly threw me into precipitated withdrawal! This was to say the least horrible ×1000. Don't want this to happen again but determined to switch to subs. When can I try again without going through hell?! Please help! ## Unfortunately there is really no specific time frame as everyone is different. The best way to tell when your body is ready is to make sure you are in full blown withdr...

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Will going straight from 40mg Norco daily to a Butrans patch cause precipitated withdrawals? ## Yes, it may, since Buprenorphine takes a stronger hold on the opiate receptors than the Norco, so it tends to kick it out, so to speak. The FDA classifies this medication as an opiate, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation. Did you doctor instruct you to switch immediately? ## I'm waiting for her instructions still and all of the info online is confusing. On their website it says if you're on the equivalent of 30mg morphine or less that you don't have to taper down, but other sites say totally different.

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My adult son took 1/4 of a 50MG naltrexone last night and is going through precipitated withdrawals now. He asked me to post the following question. What would happen if he took the another 1/4 later in the day? He is bound and determined to making his doctor's appointment tomorrow afternoon for a vivitrol shot. ## Hello, BuckOwen! How is your son doing? He'll likely keep experiencing severe withdrawals. However, the thing you need to be aware of is that precipitated withdrawals can be very dangerous, possibly life threatening. He could even suffer seizures from them. Other typical PW symptoms, as listed by the FDA, may also include fever, chills, vomiting, diarrhea and insomnia. What did his doctor tell him to do, before starting the shot? ## Long ago but I hope he is well. Yea...

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Would taking Tramadol before the Vivitrol shot put you into precipitated withdrawal? ## No. Tramodol is a central analgesic not an opioid or synthetic opioid or even semi- synthetic opioid. That’s why it’s trash as a medical treatment. ## Yes, Vivitrol can block Tramadol, and cause precipitated withdrawals, the same is true of other opiates, as well. Mixing them is not advised. Vivitrol may cause side effects, such as nausea, decreased appetite, muscle cramps, and weakness. Ref: Vivitrol Information Is there anything else I can help with?

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