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Unread 08-29-2011, 11:01 AM   #1
paradycelove
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Default sick on strips..

i recently went to my suboxone doc whom ive been seing since 2008, we rarely have any issues and he has always been polite but rather short with me ecause lke many pain mgmt clinics he is extremely over crowded and he can only alot 15 min 4 each patient.. he wrote out my prescription as always for 84 (8mg 3a day) i dropped off my prescription and to my dismay when i picked it up they had filled my scrip with films.. i have been on tablets and have successfully obstained fron opiate use for 3 years.i knew there was nothing i could do cause my doc office was going to b closed with no one on call for 8 days.. i had them fill 2 weeks worth to try out til my doc came back in town and have been sick ever since .. it started with bad headaches and stomach problems , i have bern depressed ,overly tired and quite honestly im angry .. my docs receptionest finally returned my call yesterday and informed me that my doc was switching his office to films because of some tn state law that i have researched and doesnt exist.. i am angry with my doc for not even discussing that he was switching me or giving me any say n the matter he gets $300 a month from me and i feel i deserve to know whats going on and not be lied to about some bogus tn law.. they r now bak in town and i need to know the best way to discuss this with my doctor..im afraid all my sobrierty is going togo down the drain cause he wants to push the strips bc the pharmecutical company is pressuring him .. please tell me whats my best course of action..im to the point of hysterics that i ca
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Unread 08-29-2011, 12:37 PM   #2
NancyB
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Hi paradycelove, welcome. I'm sorry your doctor didn't at least take the time to let you know that you were being prescribed the strips instead of the pills. There is no law anywhere about the strips versus the pills. Government cannot tell doctors what to prescribe to who.

From the symptoms you're having, it sounds as though your dose could be too high. Many people get better absorption from the strips versus the pills and have had to lower their doses when they switched over. Just wanted to let you know that right off the bat in case your doctor is adamant about you staying on the strips.

Would you be able to get him to actually listen to you and what is going on? I think that if you just tell your doctor that you feel incredibly horrible on the strips and request to go back to the pills because you fear your recovery is at risk might be one way to approach it. If he doesn't agree, please don't get over anxious. You can try to reduce your dose like others have done and see if that works out while you try to find a new doctor who will work with you.

Let us know what happens.

Nancy
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Unread 08-29-2011, 01:45 PM   #3
AbbyNormal
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paradycelove,

It is not fun when you get surprised without any warning. But have you done any research on the films?

Just like Nancy said, they tend to be stronger than the pills so mostly the complaint is too high a dose which may be your problem. Me? I love the films vs the pills, but that is only me and I know others prefer the pills.

So take Nancy's advice and maybe cut down your dose a bit and see if that helps. The best thing about the films is the ability to taper. You can fold them, cut them, measure and cut them, whatever way works for accurate tapering.

I originally started with three 8mg pills. A few months later I was switched to the film thinking they were just going to stop making the pills. But it was so strong I tapered down to 16mgs with no ill effects. Then to 12 and then to 8, which I stayed on for most of a year.

Today I am down to 1.50mgs and have never felt any withdrawals. Tomorrow I will go down to 1mg and see how that goes. I can always up my dose a little if I feel bad.

So see if you can adjust your dose to feel okay before your next office visit. You might be pleasantly surprised at how well the films do work.

But yes, that was not nice to do to you without discussing it first. Maybe you can find another caring doctor?

Tom
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Unread 08-29-2011, 01:52 PM   #4
paradycelove
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thanks so much nancy . this anxiety has bn building over the week ive been on the strips and although im n good standing with my doc as far as passing all drug screens never missing appointments ans such the fact that he has his receptionist responding to peoples requests by lying about a stare law makes me fearful to approach him...i pray that it was a simple mistake that can b easily fixed. its not a good feeling when a doc who sees 30 patients a day has my fate in his hands.. i was waiting for some responses to my post b4 i went to see him .. now i feel a lil more confident hopefully it will b as easy as requesting the change back to what im comfortable with ..keep ur fingers crossed for me..
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Unread 08-29-2011, 01:57 PM   #5
paradycelove
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a caring doctor sounds nice unfortunately in my city it seems impossible.. suboxone clini are looked at as harshly as the roxy and oxy pill mills n florida.. its like take ur number sit n line we will collect ur cash at the door smile and quickly escort u out so we can stay on schedule.. it brings tears to my eyes jus to have a few ppl who understand respond to my post.. thank u so much!!
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Unread 08-29-2011, 02:50 PM   #6
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paradycelove, I spent a day calling the area hospitals that have addiction recovery units. I talked to the nurses and asked for a list of drs they refer their patients to for subs who do private practice. Then I called their private offices and found that they would give me some doctor names who were internists for example who have the license. Anyways I wound up with a list of 9 doctors I wouldn't have known about otherwise. I didn't switch because none had everything I was looking for (mental health, subs, take insurance, close to home) They were all really nice and helpful. If you are nice on the phone and don't sound too crazy lol and let them know you're not just taking a survey they should help. I get so sick of these doctors who operate the "mills". They took an oath to treat their patients with warmth, kindness and understanding (I looked it up)and they're taking advantage of what is pretty much a captive audience. And thinking they're helping us poor addicts out all the way to the bank. I figured it up once and if my doctor is keeping his 100 patients (I'm sure he is because there aren't but 2 doctors in a 30 mile radius here on the websites) and what he charges (250 a month) he's making over 250,000 a year. And he only works 2 days a week. Sorry about the tangent. Anyways its worth a try. Good luck and don't give up. :]
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Unread 09-04-2011, 10:39 PM   #7
paradycelove
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Default new info

apparently in tn tncare law has changed they only cover 2 strips a day for 6 mo and 1 strip a day for 6 months.. which i understand and wont fight, however if i choose not to use my insurance and am willing to pay out of pocket y cant i have tablets?? im still feeling crappy on strips and my doc tefusing to prescribe the tablets no matter what .. thats not to me, but everyone.. can someone pls help me find a doc in the tri- cities (johnson city, tn) that will sit down with a 3 year patient whos never missed a appt, never been short on cash and passed all drug screens and give me a chance to continue my success with my sobriety on tablets .. i would be greatful.. in the mean time i will pray .. i dont u.derstand y my doc is doing this , i have spoke to my insurances pharmacy co. and hv bn ensured they will cover tablets as long as thats whats prescribed.. help me understand y!!!!
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Unread 09-04-2011, 10:58 PM   #8
NancyB
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Hi paradycelove, sorry to hear what's going on with Tenncare and your doctor.

This thread has a bunch of different ways to find a doctor, including the matching system:
http://www.addictionsurvivors.org/vb...ad.php?t=21259

Hope that's helpful.

Nancy
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Unread 09-05-2011, 01:21 AM   #9
alanw
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You have been on the strips for 5-6 days now, the same amount of the active ingredient is in both froms of suboxone, unless you were snorting the pills I see no need to make such a fuss about the strips. Although I do hope you figure things out, but in the mean time please do yourself a favor and take it day by day, I too made the switch from pills to strips, and in my opinion they are the same if not better, I realize the same may not be said for you, but its the same thing as having a glass of water instead of a bottle.

Also, maybe you still have are fixated with pills, I don't know you well enough, but I'm not trying to offend you.

Goodluck and take it day by day!!
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Unread 09-07-2011, 11:04 AM   #10
paradycelove
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Default thank u

no offense taken and truly i may have been fixated o the pills but i wasnt snorting them .. i found that just as many of u advised , the strips were absorbing into my system differently and it took a while to get used to them .. my 2 main issues now are with my doc , he has lied to all of his patients about several things one of those being y he cant prescribe tablets.. because he chose not too follow the guidelines set by dea, such as hw many patients he can treat, not drug testing ppl like he ws supposed to and so on .. my 2nd and main fear is that next year on sept 1 when my insurance wont cover my meds nemore, will i b ready to b off my suboxone or will i seek old answers.. yhe last place i want to b is bak on pain pills .. when i started with my sub doc i was up to 3 oxy 80s a day.. 4 me suboxone allowed me not only to obstain drom opuates but from alcohol abuse as well.. it has bern sych a blessing in my lige in allowing me to stay sober, im afraid to lose it .. but for now im living one day at a time and cant worry about what might happen when i dont have my subs.. ne advice, well wishes and prayers are welcome.. im so happy to be on a site where we can b open and honest about our pasts and futures without fear of judgement .. its been a huge help..
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Unread 09-07-2011, 02:57 PM   #11
NancyB
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Hi paradycelove, good to hear you're becoming acclimated to the film now. Have you thought about looking for a different doctor that you'd feel better about seeing? It might not hurt to see who else is out there.

Try not to project so far into the future. Keep working on things you need to work on to stay in addiction remission. If you're not ready next September, you might be able to get the doctor to write a letter explaining why you need more time on it. There is the generic Subutex that is much less expensive. But concentrate on the present and see how you feel in a year and what progress you have made.

How much of the film are you currently taking, were you able to reduce your dose at all? What dose did you start out at? Obviously, if you end up paying cash, it would be better if you were on a lower dose. Many people reduce their dose as they get further into treatment, and I'm just curious to see where you're at with your dose.

But for now, try to relax about a year from now.

Nancy
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Unread 09-21-2011, 09:10 PM   #12
sub hi
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I was on the pill formula taking as directed from my doctor and they worked great. I felt good and was loving my drug free life. Since then I've been forced on the films for probably 6 months now and I've not felt good since I've been on them. It takes my hours to get going in the mournings and I'm tired all the time it seems. I just don't feel good on them and have got down on myself. I hear alot of people happy on them and wish I was one of them. This is just my experience and I wish you the best in your recovery.
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Unread 09-21-2011, 09:28 PM   #13
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Hi sub hi, one thing that you might do is try a dose reduction. Many people have that they absorb the film better than the pills and were able to feel better once they reduced their dose. One common sign that a patient may need a dose reduction is when they are very tired all the time for really no reason. What dose are you currently taking?

Nancy
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Unread 09-21-2011, 11:12 PM   #14
sub hi
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Quote:
Originally Posted by NancyB View Post
Hi sub hi, one thing that you might do is try a dose reduction. Many people have that they absorb the film better than the pills and were able to feel better once they reduced their dose. One common sign that a patient may need a dose reduction is when they are very tired all the time for really no reason. What dose are you currently taking?

Nancy
I'm on 16mg now Nancy. As you read in my other post my doctor didn't work with me at all really. I think you very could be right that my dosage isn't correct. With starting a new doctor that cares about my recovery I'm sure we will get it adjusted correctly soon.

I've been reading alot tonight on here and I love this site. Theirs alot of great knowledge on this forum. Thanks again for the advice the last few days. it's been a great help to me.


Joe
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Unread 10-10-2011, 02:14 PM   #15
eastaries
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Default Hello......

Quote:
Originally Posted by paradycelove View Post
i recently went to my suboxone doc whom ive been seing since 2008, we rarely have any issues and he has always been polite but rather short with me ecause lke many pain mgmt clinics he is extremely over crowded and he can only alot 15 min 4 each patient.. he wrote out my prescription as always for 84 (8mg 3a day) i dropped off my prescription and to my dismay when i picked it up they had filled my scrip with films.. i have been on tablets and have successfully obstained fron opiate use for 3 years.i knew there was nothing i could do cause my doc office was going to b closed with no one on call for 8 days.. i had them fill 2 weeks worth to try out til my doc came back in town and have been sick ever since .. it started with bad headaches and stomach problems , i have bern depressed ,overly tired and quite honestly im angry .. my docs receptionest finally returned my call yesterday and informed me that my doc was switching his office to films because of some tn state law that i have researched and doesnt exist.. i am angry with my doc for not even discussing that he was switching me or giving me any say n the matter he gets $300 a month from me and i feel i deserve to know whats going on and not be lied to about some bogus tn law.. they r now bak in town and i need to know the best way to discuss this with my doctor..im afraid all my sobrierty is going togo down the drain cause he wants to push the strips bc the pharmecutical company is pressuring him .. please tell me whats my best course of action..im to the point of hysterics that i ca


Hi, sorry im new to this site so forgive me if I speak out of the way!! Im from Jc, TN but moved to NC a yr ago. I mysel just now went to a Sub doc here i NC and my state ins. pas for it ALL...unlike TN CARE.... Everyone over there has told me TN CARE DONT pay for ANY of it!!! And I myself have also heard from ALOT of ppl that goes to the Sub doc over there that ALL theTN docs are saying they Aint making the Pill Sub anymore and EVERYONE has/ had to be changed to the Films!!! Well....im here to tell u.... my 2nd cuz IS a Phara. Rep with a HUGE Phar. company and Rechitt Benckises IS NOT stopping the make of the Tablets!!!! However another company IS soon coming out with the Generic Tablet form of Sub.!!! And also u CAN call ANY Pharamacy and ask them if the "PILL FORM" is being takin off the market and thy will also tell u NO!!! The ONLY reason behind the Strips IS..... the Number/ Bar cod on the Back of the package....If a person RESELLS them....THAT # CAN BE TRACED BAC TO THAT PERSON!!!! Here in NC this is my 4th wk....they started me of on the Film (doc actually told me they were Stopping the makeof the Tablet....LOLLOL....) and i had a VERY SERVERE Reaction to the Strips so I went bac to my doc a wk later (after talkin to my cuz and 5 Pharmacys) and told and showed the doc the BAD REACTION I was having from the Films and also told him I KNEW THE TRUTH about the Tablets (NOT being taking off mrk or NOTbeing made aymore..... that I knew FOR A FACT it ISNT true) and he switched me to the Tablets and didnt say a word...... Girl I wish u the very best!!!
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Unread 10-10-2011, 03:08 PM   #16
soveryblessed
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You know, eastaries, you bring up an interesting point. Although I am stable and happy with my treatment, I have been lied to along the way by one doctor in particular and a couple of pharmacies. The important thing is to not let it be an excuse to use again. My first sub doctor told me that he only uses suboxone because its not addictive and subutex is. Love that one. And also that the DEA had been cracking down on all the sub doctors and that was the reason I had to take ua's twice a week..would it have been so hard to just say I don't trust you because I barely know you so I want you to take ua's for awhile? Also that doses higher than 4mgs a day have a higher relapse rate so he wouldn't raise my dose even though I was still in wds all the time 4 months into treatment (I still don't know why he only prescribes those low doses...wonder what his patients' relapse rate is?) He would not switch me off suboxone even though under my tongue was completely raw and my tongue was swollen and cheeks so swollen my eyes were half shut. And my throat was always sore and swollen as well. As soon as I switched doctors (which I only did because of the driving distance I didn't know any better about treatment I had not found this site yet) he said I was allergic to suboxone and put me on subutex tablets, 8 then 12 and now 16mgs a day which is making my recovery a whole different level of successful. In the past I have also been lied to by pharmacies...when there was a huge price increase Walgreens wouldn't admit that THEY had raised the price, said they switched manufacturers (it was the same as the previous 2 months) I think thats just their stock answer to anyone who questions a price so they sound like they're real knowledgeable. Also one time I wanted to pick up my prescription like 2 days before I was due to and they were really busy I could tell they were just looking for an excuse so they said my insurance requires pre-authorization. I told them I already had that and told them they could call the ins co and they said they don't do that. I said CALL INSURANCE COMPANIES?? You don't do THAT? She said no, we don't. I said well could I just pay for 4 days worth so I have time to straighten this out? She looked and said I can't fill this anyway the law says I can't fill it until the day you start...Long story short, I called the manager the next day and it didn't go thru the insurance because they entered it as SUBOXONE which I had told them I was allergic to. I told him that I knew when I walked in they were looking for an excuse to not fill it so they could have saved me 45 minutes of waiting around to find out they weren't going to do it anyway and just told me up front. He apologized, but I switched pharmacies anyway and now am dealing with a mom and pop instead of a corporation. Simpler. And there's no law that says you can't get it filled until the day of. It's pharmacist discretion to a certain point and if insurance pays it then it shouldn't be a problem. I told Walgreen's I'm trying so hard to do the right thing I just don't need the aggravation. I'm really strong in my desire to stay in recovery but if I was already on a thin rope I could have just said screw it. My own personal experience is adversarial with pharmacies/doctors anyway - just trying to stay a step ahead of the withdrawal monster all the years I was on the pain management treadmill. I was never happy with my medical treatment or my pharmaceuticals. I didn't realize til I jumped into sobriety that it was just as much my problem as it was theirs. Probably more mine. My pharmacist now goes out of his way to encourage me and help me stay on the right track. He even says congratulations when I bring my script in. Just needed to get that off my chest. I wish you all the best also
:]],
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Unread 11-09-2011, 04:48 PM   #17
sub hi
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Hey Nancy you recommended earlier in this thread that a reduction may help my side effects. I did a pretty fast reduction and it wasnt bad at all. It got a little tougher around 4mg, im stable now at 2 and wanting to get even lower when I can. I must say you were 100% correct. I have very little to no side effects now and I feel so much better. I just feel physically like my old self. I always wondered when people said less was more with subs but im starting to agree. Thanks for the advice it was the starting point to doing a reduction. I did work with my doctor and she gave my the ok to do it although honestly I know I went to fast but im stable today and glad I got it down. I just feel so much better and wanted to tell you thank you for the excellent advice.
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Unread 11-09-2011, 05:02 PM   #18
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Hello sub hi! Thanks for reporting back about your successful taper. Yup, it is indeed true, with sub, less is more. Glad you are feeling so much better!

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Unread 11-09-2011, 05:58 PM   #19
NancyB
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Hi sub hi, glad it worked for you. Even if you think you went a little fast, the only thing that matters is that you're stable now and feeling good!

Thanks for the update!

Nancy
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Unread 11-09-2011, 10:32 PM   #20
amber.4.14.11
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good for you, sooo great to hear you are feeling better!!!
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Unread 11-10-2011, 11:55 PM   #21
sub hi
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Thanks so much. I just wasnt feeling right on a high dose like I was on the pills so I new I had to do something. I did go to fast but it was worth it. Ive hit a wall now and cant seem to get any lower but thats alright. I feel good here so im gonna ride it out for as long as it takes. Thanks again.
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Unread 11-19-2011, 09:28 AM   #22
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Hi Sub hi,
Can you tell me how you got to a lower dose??? I keep reading that less is more but can't seem to get lower. I am on 12 and for a two days got to 10mg then yesterday took 12mg. My son wrecked his new car and my daughter is having surgery next week. It just seems such a quick reaction to take more suboxone when I feel anxious or un comfortable. If I stay on 12mg I don't go up but if I try to go lower it seems I ALWAYS find a reason to go back up. I just wondered how so many others on long term maintenance Suboxone got to a low dose. I am not ready to get off completely but just a lower dose. So the question is how do you NOT reach to take more suboxone when something un comfortable happens??? I am so happy I found this site. I cant thank you all enough.
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Unread 11-21-2011, 11:56 PM   #23
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LS, I just really wanted to get to a low dose because I new or figured id feel better. Everybody swears that less is more and I can now tell you its true. I didnt have to much of a problem dropping a half mg every 3 or 4 days. I just also no from experience taking more when im stressed didnt make me feel any better. It was all psycological with me anyway. I even dropped a mg. at a time alot and it didnt bother me enough to wanna take more. When you get down to about 4 mg it gets a little harder. I had to cut my drops to just a quarter of a mg then. Getting to a lower dose has made me more energetic and I just feel a ton better. Id try dropping a mg every 3-4-5 days and if it seems to much take a half of a mg that way atleast your going down. Nancy or somebody else may have a better plan but this worked for me with little trouble. Let me no how it works out for you and I wish you the best.
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