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Unread 12-21-2016, 03:08 AM   #1
Phillygirl
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Im a 52 yo female heroin user. Recent usage approx 4-5 bags/day. When i last tried to detox with suboxone, went thru PW. I do not know why. I waited approx 18 hrs after my last bag. My COWS number was 8-9. The precipitated withdrawal was the sickest i have ever gotten. Am hestitant to try suboxone detox again. Any sugestions on how to avoid this again? I would like to try to detox again after christmas.
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Unread 12-21-2016, 05:31 AM   #2
NancyB
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Hi Phillygirl, welcome. Since your COWS was 8 to 9, maybe wait longer to get into the 'moderate' level.

(For those who don't know what the COWS is, it's on page 2 of this pdf:
http://www.naabt.org/documents/NAABT_PrecipWD.pdf )

One thing that could be the wild card is if there is any fentanyl cut into the heroin. That has caused problems in the past with people starting bupe. They've had to wait longer because of that; and it was easier when they waited as long as they could.

How much bupe did you take when you started before and got the PW?

Nancy
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