Pharmacist Refusing To Fill My Script Of Suboxone. What Do I Do??? (Page 13) (Top voted first)

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I wet to my doc 7 days early because of running out early. I took my new script to pharmacy and said, this is early so I won't be using insurance. My doc said you can call him if necessary. Well no one wanted to. They filled two per day for three days. On the third day I asked to fill the rest on insurance for the next day. I was one day early. When I called the next morning to have my daily two filled the pharmacy manager said no we won't be filling it for another 5 days. Go to the ER for your withdrawals but don't come here because I won't give it to you. Has this happened to anyone else????

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35

Terisita, You didn,t say how much you take a day. As you probably know, subs have a long halflife. A lot of people don,t start feeling withdrawalls for 2-3 days after stopping because of this. You could cut your subs in thirds and take a third a day. I,m not saying you won,t feel anything. I,m saying it won,t be like a full oxy or whatever withdrawall. Ash, I,m down to 1mg/day myself. I,ll have a day here and there where I take more. With me its the addiction behavior (taking more than the one mg.) Gonna stay on the 1mg for 2 week then go to .5mg for a week. Then I,m gonna jump. I,ve been on subs before and the last dr. had me taking dose once a day. This dr. has me on twice a day. I wish I had been dosing only once a day because now I,m used to that second dose in late afternoon. It,s gonna make it harder to jump when time comes. The first sub dr. I had told me this and I think he may be right. Oh ya, I jumped off subs at .5mg the first time and it wasn,t as bad as I thought it would be. I relasped obviously so I,m back on them. Also, I take u.a every month at sub dr. office. I havn,t told him I,ve been tapering. He,s totaly against it. He hasn,t said anything about my u.a results. I think this dr. is just in it for money. The first dr. I went to really seemed concerned and at my first appointment with him he worked out a 3 month taper plan for me. He was all booked this time so I found this other guy. Happy New Year!

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58

I've been on subs for 6 yrs. My pharmacy won't fill my subs which I got a script from yesterday. . Says I have to wait 3 days. ... I've been offered a little methadone to take got the 3 days just a bit to get me by but I'm scared! ! Is it OK to take a quarter of teaspoon of methadone 2 times a day? My normal dose is 2 8 films a day.. help. . Freaking out! !!!

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69

Ash, yes I did. Thanks for letting me know. Well it'll be there when u get the phone I guess. Lol hope its not a crazy reason ur getn or eating on a phone or crazy as to why ur locked out. Hope all is OK with u

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70

No Google being anul and always telling me to back up my account with security codes via text, day before I lost my phone I was meaning to check the box to stop it but of course I forgot! I'll look below and reply with another if you wanna fwd it there!

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104

Hi. I've seen so much ignorance in this thread that I can't help myself.

First, Suboxone is a mixture of Buorenorphine and Naloxone (8mg/2mg ratio). The Nalexone is a pure Opiate "antagonist". If has saved MANY OD victims, by ripping the H (or whatever) off their opiate receptors, and taking their place. That's great if you're not breathing, but if given to an addict will immediately cause a serious "precipitated withdrawal". But Buprenorphine is a mixed "agonist/antagonist", there are a lot of strong analgesics in this category. Buprenorphine binds VERY strongly to your opiate receptors, and has a MUCH longer half-life than its Nalaxone component, so I've heard that inj. isn't really being thwarted. But that's neither here more there; if you are taking it Sublingually the Nalaxone isn't an issue.

Suboxone, given to someone physically addicted to a full agonist opiate, which is all the a usable ones we all know, will kick all of the agonist off, and replace it with Suboxone. Because Suboxone can't take the place (in your body), of a full agonist, it will can cause a VICIOUS precipitated withdrawal. Especially someone REALLY physically addicted to large daily dosages OD strong narcotics like H, Morphine, Dilaudid, Methadone, Oxycodone, and even Hydrocodone. I put "really" in caps because Suboxone is powerful, very addicting itself, and I see 3-4 Vicodan/day people get out on 16mg/day of Sub. Now the have a REAL monkey on their back, believe me.

I had (get this, it still disgusts me), a 300mg+ (never lower) Oxycodone (Mostly via chewed OxyContin) habit. I spend well over $100,000 on it. In 2000, it could be obtained fairly cheaply from Mexico. Western Union or mail money order, and Fed Ex to your door. Then EVERYONE discovered MY favorite drug, and I just paid what I had to. I actually kicked cold turkey over a king Christmas Vacation (I'm an engineer, and had no job problems, as long as I didn't quit). I didn't know about PAWS, and I'm prone to depression anyway, so I relapsed, but got into a Methadone Clinic almost immediately. It was right near work, 75mg/day for 5 years. LUCKILY for me I had a dirty UA, or I would have been eligible for 30day "take homes", and I'd have been on it for life. So back to daily visits, I said f* this prison I'm in, and talked to the Shrink I was seeing about Sub. He was a Sub. Authorized doctor too. He wanted me to jump immediately, but I'd read a lot of recommendations to taper Methadone down to 30mg/day before you jump. This because 1)Methadone has a VERY long half life --like Sub. -- and you have to be EXTRA sure you are really in moderate+ withdrawal, which might take 5 days, and 2) No amount of Sub. can replace a high Methadone dosage. I jumped over at 39 mg of Meth., and had no problems. EXCEPT, during my really rapid taper, I got to feeling really down, and got back on anti-depressants for the first time in years. My doc said he thought I was underestimating the mental effects of my taper. He was right.

I started on 24mg, but 16mg would have been fine. Withdrawal went magically away before 16mg, but I didn't feel RIGHT, so I took it to 24mg. I still didn't feel completely as "my normal on Methadone", and my doc said it was because of The "ceeling effect" of the Sub., it could never equal 75mg of Meth., which my body had been accustomed to. Time was all that would help. The ceiling effect is REAL AND DRAMATIC. I literally forgot I had taken my once/day morning dose, and took it AGAIN! 48mg of Sub.! And I didn't even notice. I counted the next day and figured it out. BEWARE: The "LESS IS MORE", stuff you hear is true. The normal dose internationally where Buprinorphine is prescribed as "Temgesic" for pain is 0.3mg!! It is VERY powerful in opiate naive (i.e. no tolerance). Remember that!!! It will kill someone! I'll never EVER forgive myself, but I gave 1/2 of an 8mg tablet to a friend (an luckily he broke it in half, so 2mg) who wanted to feel high. He got cold sweats, threw up, and dry heaved all night. 2mg, and I was taking 24mg, and had taken 48mg with no noticeable effect. Medicine chest raiders, would fall in droves, but they probably just swallow it, if their ignorant, where your digestive tract will destroy most of it.

Suboxone has a very powerful "blocking" effect to normal opiates like Oxycodone or H. If you are on Suboxone, and you take Oxycodone, you WON'T go into precipitated withdrawal. Even in fairly large doses the other opiate won't have hardly any affect. It's only the other way around, regular opiate, take Suboxone, where precipitated withdrawal is a problem.

Here is stuff I didn't see mentioned here but is huge. If on a narcotic for a long time, and tapering, (even temporarily because you ran out), you can cut your dosage in half, without major trouble. You won't feel great, but it's very tolerable. So take half doses to stretch things if you see you are going to run out early. I've been on Suboxone for over 5 years now. After a couple years, I started tapering and got to 1mg EASY! A16mg to 12mg cut will be NOTHING. But I stopped and have been sitting at 1mg for 2+ years. Why? Because I'm honest with myself. I love opiates! I'll relapse for sure. But even at 1mg/day Sub. has a
Owner full blocking effect. I cheated for a recent HS reunion, and took 4 30mg "Roxys", and felt "in a better mood". LOL. That was it. I had been seeing him for so long, I wasn't sick enough for my first induction (which I vigorously pointed out), so I did it 24 hours later, on a Sat., at home. I also got to skip the "group therapy" sessions, and got multiple months at a time. He knows me like a book.

Where I was headed is that if you are tapering 1mg to 0mg is the TOUGH part. Same with Methadone, same with tranquilizers. It's when you get to such low doses a normal person might not feel them, does it get tough. Sub., is VERY physically addictive and the withdrawal is prolonged. 0.25mg is too high to drop from comfortably. Start to skip days, then go to 0.125mg 7 days per week, start skipping days and jump from there. I've heard that works.

Sub changed my life though. I longer obsess over taking Oxycodone., or drool when I see someone has some. But I STILL am not "right", Iseem to have a lingering low grade depression, due to damage to my endorphins receptors, that I've read can be permanent, and that my 5 years at that Methdone Clinic, where I thought there was no hurry, might have helped cause this. Oh well, it's not that bad. Good luck everyone. For those on high doses of Sub., keep in mind that a lot less than you'd think, will probably work just as well, and be cheaper. And maybe (I'm not sure), easier to taper from.

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125

Sorry forgot to mention in my long-winded answer that I have now been on Suboxone for nearly three years. We have a great program in Australia, you just need to pick up daily from clinic for about two or three months, providing clean urines that whole time. THen they give you weekend takeaway doses, then weekly, then fortnightly and finally monthly. I see my doctor every 3 months to review my situation, give a clean urine and off I go again. Can't complain at all, we have a great medical system here.

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153

Imbalance of brain chemicals? Can you please explain are you referring to depression or something else so we can all be warned.

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158

Lol ash try to wait a couple more days I dare u to

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168

So then what exactly is your question?

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172

You've ALWAYS got to be honest about drug use to your Drs. They can get in trouble now for writing scripts incorrectly. They don't HAVE to ask you. U know better than to Dr. Shop

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198

What pharmacy does that? I'm on Duragesic and Dilaudid...go to Walgreens, and I'd probably slap someone for acting a Pharm God...but they know I'm a Bail Agent, and always fill my scripts later than the very first day they can get them filled. In also a Certified Addiction Specialist working in Opioid Addiction. When your there, early the first day you can fill them after calling and bothering them...THATS drug seeking behavior. They can report that to your Drs. Just letting you know!!!

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218

Yes and no...im super legit patient but unyol o had my tegilat pharmscy i was always paranoid abt walgreens (people shld boycott them because power hungry ahole pharm) but that happened to a friend of mine, refusal after a partial & i became aware that partials change the nect months refill date when the second part of my partial changed the refill date the next month. Find a mom & pop pharmacy & stock to itbut if there is an insitance issue its on the insurance co

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4

Preventing not running out early is as easy as making sure my 18 month old can't throw them away again. At least that's what I think happened. Me and my other two older children have searched the house inside and out and can't find them anywhere. And I understand laws but I don't see how at this point where they already filled it early that they would just stop. I explained this when I dropped it off. She acts like I'm trying to pull a fast one. I never even tried that in the midst of my addiction. I definitely wouldn't do it now. It's her god complex that gets me. She said I'm doing this for your own good. Which is fine but my response was no my doctor that is treating me wrote it early for my own good. She's just treating me like a junkie which maybe I used to be but now I am a single mother of three just trying to keep my life right. And as of now I am so fearful of a relapse that it shoots my anxiety through the roof. And I can't take my seroquel because my doctor asked me not to. I am trying soooooo hard to fly straight. I just don't know what to do right now.

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136

Hi, my guess is they won't fill it because Suboxone is not commonly used to treat pain. Yes, some people say it does have a pain-killing effect, but it's MAIN function is to stop opiate withdawal. Maybe that's why they won't fill it? Can you go back to you doctor and get him to say it's for addiction instead? BTW, I live in AUstralia, things seem much better and easier here from what I've heard, but I'm just making a guess as to why the pharmacist is refusing to fill.

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15

I don't care if I run out early because for whatever reason I can go four days without taking my Suboxone and not get one single withdrawal symptom. I take 24 mg. a day.

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3

According to federal law, they shouldn't have let you get any early, since this is a controlled substance narcotic. By the edicts of the law, unless your dosage had suddenly been raised to justify your running out early, you are only allowed to get a new prescription on the very day that it's due to be filled.

The pharmacist may already be worried about the questions he is going to have to answer from the government, which is likely why he acted the way he did.

There is nothing your doctor can do to change this or get them to fill it early, unless he raises the dosage.

When are you due for your regular refill?

How are you going to avoid running out early, again?

Discover more Suboxone details here.

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