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Unread 10-14-2007, 10:52 PM   #1
sage
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Hello Everyone,
I have been reading this forum for about 3 months now and planning my Sub treatment with my doctor. I just returned home from a 1300 mile trip to have back surgery.....long story made short, didn't have surgery, came home to try other methods w/o opiates and start Sub. Last Thursday I stopped using Durgsic patch (fentenyl) and the plan is to take 1 40mg Oxy tomorrow (Monday)and thats it no more and start Sub Tuesday 9:00am. Question is, is that long enough to be off Oxy's?
Thanks,
Chuck
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Unread 10-14-2007, 11:01 PM   #2
NancyB
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Hi sage, nice to see you back.

The time is not important in waiting to start bupe. It's your withdrawals. You must be in mild-to-moderate withdrawals before starting.

This is our precipitated withdrawal sheet. http://www.naabt.org/documents/NAABT_PrecipWD.pdf
The times given are just guidelines as you know your withdrawals best.

And from it:

Long-acting Opioids / OxyContin (Taken Orally)
Discontinue use for at least 24 hours prior to induction. A minimal score of at least 5 to 6 on the COWS is recommended, although some physicians prefer scores of 15 or higher.


Page 2 is the Clinical Opiate Withdrawal Scale (COWS).

I hope this helps and let us know if you have more questions.
Nancy
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Unread 10-14-2007, 11:07 PM   #3
Stacey
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Chuck

How are you feeling off the patch so far? Are you feeling any withdrawal symptoms yet? Considering what you were on, you should have a high enough score on the COWS scale and if you don't, the doctor may not/should not start the process. If you are seeing an addiction specialist or someone doing this for a while, they have the experience with oxy's, hopefully, since they are a commonly abused med. (meaning your situation is not unique)

I know you are probably nervous about this whole process, and it's totally understandable, but sometimes you have to put it in someone elses hands. As long as you don't have questions on the doctors abiltiy, trust the directions you were given. Keep posting your questions here and I'm sure you will get answers reinforcing your doctor. Good luck!!

Stace
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Unread 10-14-2007, 11:44 PM   #4
sage
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Hi Guys,
Thanks for the input! I have total trust in my doctor (dr. is an addiction specialist, thats all she does). Yes, have had some w/d's since removing the patch, but the oxy's seem to be helping there. also accupuncture (sp) is helping too. I'll try and keep you posted...tomorrow might be not so good, but Tuesday should be better!

Chuck
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Unread 10-14-2007, 11:46 PM   #5
equinewelder
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Hi Chuck, good for you for going the Sub route. Works great for a lot of people me being one of them. My only comment is to please be sure you are in withdrawal enough before you take that first sub. Use the COWS sheet and be honest with yourself. I had precipitated withdrawals when I switched from Methadone to Sub and I waited 72+ hours after my last done dose. I was taking 40-50 mg of methadone per day and had been for years. I didnt feel very bad but of course I was anxious to switch so I did despite all that I had read. Even so the withdrawals were bad but I made it through ok the worst only lasted 12 hours. Most people make the switch fairly easily as long as you are in withdrawal. Youve been given some good information here and only you really know how you feel. Good Luck got my fingers crossed and be sure to keep us in the loop.

Mark
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Unread 10-15-2007, 01:03 AM   #6
sage
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Thanks Mark,

I'll keep you posted with my progress! (am a little nervous though)
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Unread 10-15-2007, 03:50 AM   #7
Sandy23
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as long as ur sick u should be allright taking sub
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Unread 10-15-2007, 05:20 PM   #8
Stacey
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HI Sage

Just checking to see how your day is going. Tomorrow is the big day!!

Stace
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Unread 10-15-2007, 06:26 PM   #9
pedenter1
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Hi Chuck,

I'm a bit confused, because from your email it sounded like you were on short acting meds (Oxycodone)?? However, I'm assuming since you mentioned 40mg. Oxy that it's the Oxycontin. I would imagine, considering the amount of meds you've been on that you should be close to sufficient WD's with your plan. Of course, you also have to bear in mind that you have the pain issue, that can cause "a lot" of anxiety in this situation. It did with me - much more than the actual WD. I took my last Percocet at 4pm the day prior to my induction, which was at 8a.m. and was not in sufficient WD's, but I was not on a lot of long acting stuff and most of my "issues" were really a lot of anxiety.

But my doctor was great. I just went home and came back at 11:00 a.m. and was probably at the lowest part of the scale to start, but it was enough. And it was a relief, mainly because I got some immediate pain relief, which helped a great deal. So don't forget you're fighting two battles, and pain can make you more anxious than the actual WD's. Just try your best to get through that part and I pray that Sub works as well for you in terms of pain relief as it has for me. Hope you have a smooth ride tomorrow.

Best, Pat
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Unread 10-15-2007, 07:52 PM   #10
Stacey
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Percocet and OxyContin are both oxycodone, with the -contin being long acting formulation.

I think the key is not to overthink this whole thing. You will be fine.

Stacey
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Unread 10-15-2007, 10:44 PM   #11
Pearl
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Good Luck Chuck! Sorry, couldn't resist ;}

I was on Oxycontin and the Dr. that inducted me wanted to get me on shorter acting opiates prior to my induction so he put me on morphine sulfate to replace the longer acting Oxycontin. That was just my experience. The key to me in your post was your trust in your Dr. For me, that is a huge benefit. It sounds as though you understand that too. The chronic pain is definitely a whole different animal. I want to wish you only the best and a good day! ;}
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Unread 10-15-2007, 11:04 PM   #12
NancyB
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Hi sage, good luck tomorrow. Let us know how it goes.
We'll be thinking of you!
Nancy
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Unread 10-16-2007, 01:32 PM   #13
Stacey
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Hi Sage

Today is the day...let us know how it went!!

Stace
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Unread 10-16-2007, 08:10 PM   #14
najohn
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I know I want to know how you're doing sage? Keep all posted??......najohn
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Unread 10-17-2007, 11:00 AM   #15
Stacey
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sage?

Check in, OK?

Stacey
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Unread 10-17-2007, 04:54 PM   #16
CTCheryl
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Hey Chuck,

Stacey gave you good sound advice, beware of the know it alls with this recovery and keep it simple. As she said, don't over think it, if you follow the guidelines it will go smoothly for you.

We are wondering how your induction went? When you get a chance, give us an update.

You've given yourself an amazing chance here.
Cheryl
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