Thursday, January 16, 2014

Precipitated Withdrawal when first started Suboxone

This is in reply to comments left on previous blog post...

Calamity Jane

You are right on point about Naloxone and Suboxone, blocking natural endorphins. The Naloxone really has no point being added to the Bupronophine, aside from trying to keep IV users from injecting the Suboxone. I had one of the worst accidental precipitated withdrawal when I was given my first dose of Suboxone at my Doctor's office. I had been told I must be below 30mg of Methadone & go three days w/o taking any methadone, as well. For Heroin users they ask you to be 48 hours without blast so as not to come in after just using heroin farewell fix, before being administered your first dose of Suboxone. My Doctor failed to mention what would happen if I went in to his office w/o all opiates/opioids out of the opiate receptors in the brain. I was too afraid to go three full days with no methadone or any opiates at all. I was terrified of being in withdrawals for three days. So I was taking only 50mg to stave off withdrawals until I can start Suboxone. 
I took my last two 10mg methadone pills 12 hours before my Doctor supervised first Suboxone dose. I just figured I would have a higher dose of Suboxone than I would had I done the 3 days w/o opiates. 
I was to be at my Doctors office at 9:00am, in withdrawal. I showed up, but wasn't in withdrawal. There were five others starting the Suboxone and they all were almost done Withdrawing. I was the only moving from Methadone to Suboxone. There were two H addicts, and three pain pill addicts. They were craving a fix bad, and filling out the paperwork ASAP so they could get the first 2mg, and up 2mg every 30 mins until the sickness and cravings stopped. 
The Doctor came out with a few orange pills, and a pill splitter. They were 8mg tablets cut into 1/4ths and taken sublingually. I got my first 2mg piece of Suboxone pie, and let it dissolve under my tongue. I started to feel cold, clammy skin, my nose started running. When the Doc gave me the second 2mg piece; I told him how I wasn't feeling better. In fact I was feeling quite a bit worse. The Dr. Told me 2mg was obviously not enough, and handed me another 2mg 1/4 piece. I again allow the nasty tasting citrusy pill to dissolve. It did so rather quickly, and about 15 minutes after the second dose is dissolved things precipitated until  I had to run, not walk to the lavatory. After 3 years of constipation, suddenly my bowels started churning again. My stomach cramped up and  then nausea started my mouth filling with saliva, I was having hot and cold flashes. I pulled my undies and Yoga pants down to my ankles, and sat on the toilet just in time. My bowels exploded and started to evacuate. The shite went from solid to liquid. I kept flushing as often as the toilet allowed, out of curtsy to other whom might walk in. The smell was so foul as my shit that had been in my intestines for weeks if not months. I began gagging until my breakfast of came up and projectile vomit was hitting the stall door, and splashed back at me. 
Just when it seemed I had emptied my body of everything that could be expelled from my body was gone, and I finished cleaning myself, and the stall just got my feminine wipes from my purse to feel cleaner, and I had my yoga pants pulled up. Was washing my hands, splashing my face which was pouring sweat, and my eyesight was messed up, I couldn't focus on anything, my legs were restless, and had were shaking, and flailing about as the pleased. The Doctor brought me into his office, where I begged for some kind of opiate. My hopes dashed when I read the Suboxone pamphlet and found no matter how much
OpiaƄte pills, dope, I took in nothing would take away these precipitated withdrawals except time. 
I had drove to the Dr.'s office by myself, my Doctor had prescribed me Clonidine and depakote (because there is some evidence the Mood Stabilizer helped precipitated withdrawal patients get some sleep) he also wrote me a script for 3 Lunesta sleeping pills, & four 0.5 Xanax to be taken as a PRN. I had to stop  
My Kpins until I could take Suboxone w/o be thrown into rapid withdrawal. I was sick 3 days, and emotional state was fragile, I was so scared when I began Suboxone again, but it worked second time, but I relapsed two months later. 

(I started this post a month ago probably and meant to finish it, but now I'm just going to post it as is.)

Hello Russia!

It seems the country that gave us Gorbachev and Vladimir Putin, along with vodka, and mean blonde boxers who always lose at the end of the movie has taken an interest in my blog, and we cannot forget Leo Tolstoy!
Welcome my Russian friends. What is it you find interesting about my blog? IS the drugs, the sex, the self hatred, the whining that my life sucks and doing nothing to make it better? What is it that is appealing to you? Whatever it is that has brought so you many miles away from your homeland, and over here to United States, where I sit at my tiny desk beside my bed, and with a window to my left with a view of the house next door which isn't very attractive, and the gray skies, white snow, grey brown trees without leaves, I would have to say I would like to see Russia outside my window someday. I don't know if I'd ever want to live there. Growing up during the cold war and all the propaganda our government put out about Russia I would say I am a bit scared to stay anywhere outside of Moscow or St. Petersberg. I do love the Russian Language though. The women are beautiful, and have pretty accents. Plus Anna is rather common name in Russia. I am not sure if I have any russian ancestry. Most of my family hails from either Ireland or today's Czech Republic aka Bohemia and some German. I hate to admit the German part. I would much rather have Jewish lineage but of course I have no Jewish family that I know of.
Anything new with me? Ahh Fuck, there is always something new, but its usually dreadfully boring, and I can't think of it right now. I wish I had my laptop always open and on. I find it's such a pain in my ass to pull my laptop out of its sleeve and it's always upstairs if I'm downstairs, and downstairs if I'm upstairs. On the few occasions I feel like blogging I end up just journaling either in my moleskine evernote journal and then just take photos of it with my phone and put in evernote where it turns into a PDF for me. Which is nice. I now have too many journals, and feel overwhelmed. Too many notebooks as well. I don't know why I feel I must buy every notebook that is attractive to my eye when I have ten more at home just as attractive and not a word written inside. Oh yeah, I gots my period today. Just an fyi.  I have been crying like a baby for few days now and my tits have been hurting. Also I have a yellow discharge coming from one of my nipples. I am suppose to ho see the doctor but I looked it up on the internet and "they" say its almost always just a hormone imbalance, and only be worried if its bloody. If it were sore, and in both nipples, and not just one of the milk ducts but all of them then it would be 100% no big deal, but because its on, one side, doesn't hurt, and is coming from only one place it might be something else. I just don't want to go to the doctor and push on my breast in just the right spot that a thick yellow liquid bubbles up to a yellow speck, and only so much then a few hours later I can do it again. Don't you wonder how the hell I figured out what spot I have to push to get the yellow discharge? We have no family history of breast cancer. Well my grandma, but not until she was in her late 70's to early 80's, and it was the "best" kind of breast cancer you can get if you have to get it, with low death rate, high remission rates. She still has her boobs, and has no cancer that we are aware of. She's almost 90 and is as spry as a spring chicken. Gotta love Grandma Grace.