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Unread 07-17-2016, 03:14 PM   #1
4randk
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Posts: 13
Default NEED HELP!!! - taking 2 much subs, dr has no clue

Hi everyone ,
Hoping someone (Nancy) can help me. I'm pretty sure I am taking too much subutex. One reason being I don't have a set schedule when I take them. I take about 4mg, 4 times a day. 16mg from all I've read is too much. I'm tired all the time, and yet still have cravings... been on this amount for about 4 weeks.

How can I get back on track.
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Unread 07-17-2016, 06:41 PM   #2
NancyB
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Hi 4randk, are you having cravings or urges? There's a big difference in what you should do, depending on which one it is.

Generally, people can distract themselves if it's an urge. If it's a craving, no matter what you do, you still 'need' more.

Longer explanation. From:
http://www.naabt.org/glossary.cfm

Craving: Powerful desire for a substance that cannot be ignored. Unnaturally strong desire/urge for a substance. An overpowering urge that people are ill-equipped to control through will. Usually it cannot be suppressed indefinitely and results in taking the substance. Cravings are a symptom of the abnormal brain adaptations of addiction.
Craving (formerly called psychological dependence ) is an intense desire to reexperience the effects of a psychoactive substance. Craving is the cause of relapse after long periods of abstinence.(N Engl J Med 2003;349:975-86.)(see urges)

Urge: Unlike cravings, urges can usually be suppressed by willpower. Urges are less powerful than cravings. Urges are often passing and temporary. Cognitive skills can be learned to effectively suppress urges. Urges can usually be traced back to a source like stress, depression, anxiety, etc. which provides motivation for the escape or comfort of the substance, while cravings may have no external source and the person may have no idea why they are craving and may actually not want to take the drug at all. (see cravings)

One thing you can start doing is taking it once a day. That gets you into the routine of not thinking about it after you take it. Taking it throughout the day can mimic active addiction causing you to think about your next dose, think about when you'll take, watching the clock, expecting a 'reward' from it after you take it.

Take a look at your pupils in normal light, are they big or small?

Nancy
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Unread 07-18-2016, 01:38 PM   #3
Tsaravitch
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Post moved to new thread:

http://www.addictionsurvivors.org/vb...ad.php?t=30448
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