Tapering Off Suboxone: How to Get Off Suboxone

Suboxone (buprenorphine) creates a physical dependence in the brain. Stopping cold turkey usually leads to withdrawal symptoms.  By slowly taking less and less of the medication, patients can come off Suboxone (or Subutex) within weeks or months without unpleasant symptoms.

Suboxone Withdrawal Symptoms

Suboxone and Subutex are partial opioids, so withdrawal symptoms are similar but milder than withdrawal from opioids like prescription pain medications or heroin.

Physical Symptoms of Suboxone Withdrawal

A tapering schedule reduces or eliminates these symptoms. No reduction in medication should be attempted until all physical withdrawal has subsided from the last dosage reduction.

Mental Symptoms of Suboxone Withdrawal

The most common mental symptoms of withdrawal are anxiety and depression.

That is why it’s so important to keep up with MAT individual and group therapy sessions. Treating all the behaviors and emotions that are unique to you will make a lasting and successful recovery possible. It is also helpful to maintain a healthy diet and a good daily routine or work schedule; exercise can be very beneficial as well.

Suboxone Taper & Relapse

Another side effect of a Suboxone taper is relapse. Suboxone was used to stop opioid receptors in the brain from sending craving signals for opioids. If cravings become intense after tapping from Suboxone, Vivitrol may offer a safety net.

While you may want to move off Suboxone quickly, being so uncomfortable in a taper that relapse occurs is the opposite of the goal.

The Standard Dosing Guide for Suboxone Taper

It is best to work with your doctor to create a tapering schedule that is most effective for your total recovery and based on the Suboxone clinic requirements

Everyone is different, but in general, a gradual reduction in the total daily dose (e.g., no more than 10% to 20% every one to two weeks) can be successful.

Suboxone Taper Chart

Suboxone Dose Reduction Schedule
Source: The National Alliance for Buprenorphine Treatment

How to Taper Off Suboxone: According to Patients

"The best advice I can give is to start with a plan, listen to your body and take your time.  I found after reducing 2 mg to 1mg to 0.5mg, it became more difficult. But, keep taking your time. You’ll get there."

"I was a heroin user back in the day. Then, I was on 8mg of Suboxone for 5 years. I tapered very slowly and paid attention to what my body was telling me. I had to go back to my original does a few times. Like others say exercise and lots of water helps."

"I recommend tapering down very slowly. You will eventually get off, and you will be able to avoid feeling so sick."

Medications to Get Off Suboxone

Most patients tapering off Suboxone want to get off addiction-related medications, but withdrawals lead some to look for alternatives.

Suboxone to Sublocade

If the biggest frustration with Suboxone is the daily dosing, transitioning to Sublocade could be a good option.  Sublocade is a long-acting injection of buprenorphine that is given only monthly.

Some patients cite side effects improve on Sublocade, and it helps with the daily cycles that can come with daily dosing.  Sublocade should be continued for a few months but seems to give minimal withdrawal symptoms when stopped.

I was on Suboxone for 10 years and stated the switch to Sublocade at 300 mg. Then, I dropped to 100 mg of Sublocade for two more months. It’s been 12 weeks since my last shot, I haven’t any withdrawals yet, hoping to never get any!

Suboxone to Kratom (Don't Do It)

Kratom is often cited by the non-medial community as a “natural” treatment to detox off of opioids or Suboxone. 

In reality, kratom activates opiate (mu-opioid) receptors in a similar way as opioids like heroin. It causes similar withdrawal symptoms and cravings as opioid use.

Research shows:

Kratom is more dangerous and addictive than Suboxone and is illegal in many other countries.  Using Kratom to counteract Suboxone withdrawals is likely to cause a setback rather than stopping medication use. 

"I got addicted to Kratom after being clean off heroin for 2 years. The next thing I know I’m back on heroin."

Suboxone to Vivitrol

While Vivitrol can’t be used during the Suboxone taper, it can offer a level of security to know there is a non-addictive option to help with cravings after getting off Suboxone.

Vivitrol is given as a monthly shot after fully weaning off Suboxone. The injection contains naltrexone, which is not an opioid.

Vivitrol doesn’t involve withdrawal symptoms when stopped and comes with limited to no side effects. It is a great option to ease the transition of opioids. 

(Learn more about the transition from Suboxone to Vivitrol).

Need Help Tapering Down from Suboxone?

Our Medication-Assisted Treatment (MAT) doctors actually listen and can help you taper off Suboxone quickly without withdrawals.

Get Help With A Suboxone Taper

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PATRICK
PATRICK

You will get so much anxiety the first week. I almost started something else, but I saw myself just trading one addiction for another. When you can’t sleep, watch a movie or take three showers. I’m a big ass baby and I did this, so EVERYONE on this page can and will make it. REMEMBER that withdrawals are THE LAST PART OF PHYSICAL RECOVERY. I truly can’t believe I’m here, and it was reading these posts that pushed me. I needed them and want to see you all make it!

Andy Clark
Andy Clark
Reply to  PATRICK

I have a clean date of 10/8/2012. Been on suboxone for almost ten years. (1 8mg strip a day). I’m in a custody battle for my son, and the court said suboxone is holding me back. I tried to taper myself in 2018, and it was bad. I told myself whenever I come off I need to be medically detoxed. That’s what I did. 12 days total in detox. Today is day 47 off Suboxone. I’m still restless and sore. Not sweaty or feeling bad just restless knees, sore elbows, plus yawns like crazy. Averaging 3 1/2 hours of sleep at night. Some days I nap an hour or so. Some days I can’t. I hope it doesn’t last much longer. It’s rough. It’ll be worth it in the end tho. And, everyone hating on ten years, you’ll get there too if you don’t stop now lol. Trust that we… Read more »

Catttt
Catttt
Reply to  Andy Clark

I’m thinking of going to detox. How did you feel after detox? Were you sick when you got out?

Andy Clark
Andy Clark
Reply to  Catttt

I went to detox for 12 days. Def glad I did it, but wish I stayed longer. I took my last taper Friday and left Tuesday. I didn’t get sick till Tuesday night (5 days after my last taper). It would have been easier in a detox setting for that part. I’d recommend staying at least 15-20 days. Idk how long you’ve been on them but if your story’s anything like mine, that’s what I wish I did. Good luck tho. Hope the best for you!

Shelley
Shelley
Reply to  Andy Clark

Did they give you any ‘ comfort meds’ at detox? If not what is the point to being there?

Andy
Andy
Reply to  Shelley

I got a 8 day taper on subutex and blood pressure medicine. It’s the setting to. If I’m in a controlled environment, it’s easier to not use, if I’m sick and home w my phone, I’m gonna use.

Darrell Clark "DC"
Darrell Clark "DC"
Reply to  Andy

Hey Andy I’m on a low dose of Suboxone 4 mg a day.
I’ve been on it for a year now and I’m wondering if the low dose is going to be less of a problem for me as I taper any input would be appreciated thank you

Frankie
Frankie

I have to say no. I actually stayed on 2mg for a year, and it’s still a challenge. If you look at updated tapering charts (not the one on this page), you’ll see that 2mg is closer to halfway than it is to the end. From 2mg to zero still involves weeks, and tapering. The old thinking was that you could taper to 2mg, then from there to zero. I’m here to tell you that’s not true, and more importantly, the experts say the same thing. Don’t take my word for it, do some research. I’m stuck on 1mg at the moment. The other thing to remember is that everyone is different, and the tapering charts are a guide. That’s why counseling is highly recommended, because this is both physical and mental in nature. I think at low doses the counseling is even more important, because you have your own… Read more »

Darrell
Darrell
Reply to  Frankie

Where’s the updated tapering chart your referring to?
I wasn’t able to get off completely as I had a new plumbing service call job I had to start before being able to get off of it completely.
I’m still at the 4 mg a day,
Thank you for your time and response.
Respectfully, Darrell

Anne
Anne
Reply to  Frankie

agree w/Frankie and would add that length of time on bupe does not seem to make much of a difference in terms of w/d severity. Once you are physically dependent, you are kinda fucked. Yah, yah, i know everyone is different but basic physiology applies here.

Jennifer
Jennifer
Reply to  Frankie

I started on 24 mg a year ago. I haven’t had a very good experience w it. I chose to taper down. It’s been 1 year and I’ve tapered to 1mg a day. What next tho? I feel 100% that I won’t relapse i felt so bad then and now ..I just don’t. But I’ve been on 1 mg for about 2 weeks. I usually tapper 2 every 2 -4 weeks depending on how I’m feeling. Occasionally after a few days I’ll need 2 mg, and that’s only for when I start feeling REALLY bad. But like…what now?! Where do I go from here? Should I try 1 mg every other day for awhile and see how that works? What do ya think?!?!

Skye
Skye
Reply to  Andy

I’ll pray for you and I’m proud of all your prorobly busy trying to do like get custody. And honestly soboxen shouldn’t have made any difference. I e been a H. Addict in my younger years. I stopped an started soboxen. Im now trying to get of that without making myself crazy cause I’m a momma too. Blessed be I send u huge hugss. Let’s just keep it day to day. So far so good no temptations at all. This whole time. Just tired of a bowl & chain and judgements. Who cares what people think.🤔 But at times it does bother me. All well bless us all. Skye

Kathie
Kathie
Reply to  Andy

That’s Catpress they gave you.. it’s duel medication

Mike
Mike
Reply to  Andy Clark

Ive been on subs for three months now i take 4 mg sub i need to know the schedule for tapering off of that much

Jorge
Jorge
Reply to  Andy Clark

Which detox did you go to? I can definitely relate. I’m taking 1-2mg per day and tried quiting cold turkey smh first 2days is no big deal its after the 3rd day the withdrawals get real so I’m thinking of going to detox to get help with the beginning process im sure once im there ill push thru it.

Anne
Anne
Reply to  Andy Clark

Andy: wow! you are really doing well considering….I am afraid of exactly what you described – it is LONG and DIFFICULT. i have detoxed several times and the not sleeping really exacerbates the ordeal – no respite, so you can enjoy every effing minute of agony. Pulling for you, really!
oh, and what did they do in detox? lower ur dose by 1-2mg a day? Even the “experts” don’t seem to get the obvious, ie, bupe has a 36 hour half life so if they dose daily – albeit a lower amount, they are actually increasing the amount in your system. That is why I would really appreciate if you could share how they did it with you. Am wondering if they are still doing this kind of asinine taper. thanks and best wishes, Anne

Janice
Janice
Reply to  Anne

I just want to know if your energy ever comes back? I’m on day 18, it’s so hard to work.

David Popp
David Popp
Reply to  Andy Clark

I’ve been on it 20 years so. I can’t wait for this ride. October 15 is going to my last day.

Justin
Justin
Reply to  David Popp

Hey,
Let me know what your doing?
“Asking for a friend” he has been on subs for 10 years plus
And about 7 years of 4mg a day.
Any recommendations for him:)

slm
slm
Reply to  Andy Clark

congrats on ten years, Andy!!! 10-8-22

Britten
Britten
Reply to  Andy Clark

It is hard man! That’s where I’m at rn I been on it four years and i don’t wanna be on it for ten. I went to a detox and they tapered me down to .5 then sent me home… like I didn’t even detox bc I didn’t go off the last .5. So that discourages me from going back. Plus they wouldn’t give me any meds for the withdrawals and this detox center is where my doctor is that prescribed the medicine. I’m gonna do it though!

Hillary
Hillary
Reply to  PATRICK

I’m one week off subs cold turkey from 2mg!! My lower back is really hurting it’s encouraging to read this

Gabriela
Gabriela
Reply to  Hillary

I’m also 1 week cold turkey off subs and the hot flashes and insomnia is driving me insane.

Rose
Rose
Reply to  Gabriela

Has anyone mentioned Trazadone at night yet? I’m currently tapering off 2mg slowly after being in sub for years. I still wake up at night usually but the Trazadone from my doctor really helps. Good luck!

Angie
Angie
Reply to  Gabriela

Try cbd oils

HJB
HJB
Reply to  Hillary

Day 3 of 1 mg a day , tapered for 6-8 months , 2nd Time,60 years old.sux ass, hit,cold..achy.NOT QUITTING

Shawn
Shawn
Reply to  PATRICK

Thank You reading that helped calm my fear of… it all!

blake
blake
Reply to  PATRICK

wow that means more than you know, im a baby and if i can do it you can is my mentality so thank you. thank you so much

Annelize
Annelize
Reply to  PATRICK

Hi! So I’ve been using for less than a year, I’m about to start my Suboxone treatment … But my question to you is, if I haven’t been using for super long and I’m going to short term use Suboxone, will my withdrawal symptoms from the Suboxone be major ?

Tabitha
Tabitha
Reply to  Annelize

Mine weren’t I actually had none at all. I don’t believe I ever gave my body a chance to get used to it.

Scott
Scott
Reply to  Annelize

Just use the suboxone for 3-5 days and stop you will be just fine. I use to do that and get clean with no withdrawals. Suboxone is long acting so if you only use it a few days it will taper out of your system slowly and you won’t have discomfort.

Annelize
Annelize
Reply to  PATRICK

My plan is to use the Suboxone to get through my opiate withdrawal, then slowly taper off the subxone within a weeks time (all suggested from a doctor)

Duane Brown
Duane Brown
Reply to  PATRICK

Awesome I’m scared to death 13 months on 12mg I’m weaning down I’ve had 6 mg the last week feeling ok gonna taper again tomorrow to 4 mg so unfair this drug it suks

Britten
Britten
Reply to  PATRICK

Thanks man for the encouragement! I have been tryna get off this crap for over a year and I’m down to 1 mg but I’ve tried and tried to get off the last little dose and it was the worst. I gave in instead of just fighting through the withdrawals. Well it was most the anxiety that got me the worst. I know I’m going to get there though! I want it. I’m so over being on this drug like you said I traded my addiction for suboxone which is also addictive. I’m just ready to do it without medication assistance.

Daniel
Daniel
Reply to  PATRICK

Thank you for encouraging me and anyone else. I’m starting to taper but I’ve been on it for awhile and the worst part is I’ve been hiding my use from my wife and daughter and I just can’t do it anymore. I don’t want to lie to them and I want to be free. Thanks again and I hope you’ve been doing well since quitting.

Dan
Dan

Hi there! My name is Dan and I have a great story to tell you with much hope. I had an oilfield accident 15 years ago. To keep working, I started on mild painkillers. After a while, my body built tolerance and the doctor upped the dose. I was on eight OxyCotton 80s per day when I said enough is enough. A friend gave me a couple of the 8mg Suboxone strips and told me to take a whole strip the first day and a half of strip the next. Right there I was off oxycodone and started a new life with Suboxone which lasted 5 1/2 years. I am now off that too for the last 14 days. It is totally achievable guys so listen to me. First, you have to get down to 2mg per day. If you’re taking an 8mg strip, cutting back only 2mg per month… Read more »

Nick
Nick
Reply to  Dan

Congrats bro. You wanted to do it and you are doing it. I’ve been messing with oxys and subs for a while now. Too long. I’ve read everything about weaning off subs just like everyone probably has.

I’ve been taking 8mg for almost 2 years. The other day, I cut the strips into quarters and I’m on 2mg a day down from 8mg. I haven’t had any real side effects. I took melatonin last night and slept the whole night. I just took another 2mg. I’m going to stay on the 2mg for a few weeks at least then cut back to 1mg, then .5mg, and so on slowly cutting the strips down smaller. Not going to push it, going to see how my body feels, and push through it. Taper, Taper, Taper.

Dani
Dani
Reply to  Nick

I’ve been on Suboxin since 2011. I’ve been at 4mg since 2019. I get 8mg but fold it in half A couple of months ago (5-2022) I went to put the 4mg film under my tongue and got frustrated with myself. I do not need this anymore. I’m just afraid of what I might feel if I stop taking it. Emotions, withdrawal, whatever, I’m sick of my addiction controlling shit. So, I started folding the 4mg in half. Starting this month (7-22) I’ve been cutting my 8mg film in 4 sections. I take out the 8mg/2mg film and hold it horizontal, fold it in half and cut it. Then I fold each half and cut that in half. I try to keep it as close in size as possible. I hate that it’s all a mind set for me. As long as I know I “took” my Suboxin that morning… Read more »

Bobby
Bobby
Reply to  Dani

Thanks Nick, I can hear some of that desperation that I had in your story. These comments are the only place online you’ll find the “whole story”. Everything else you read is from a doctor’s perspective.

Dan
Dan
Reply to  Nick

That’s right Nick you are doing just fine my friend and I am so proud of you. Taper is correct and don’t hurry it. I took 1/12 of a strip for 6 weeks and still had minor withdraws for a week or so but it subsides quickly. Keep up the good work. Dan

Raquel
Raquel
Reply to  Dan

So I was on 8 mg 3x a day and I was like I’m done I want off it is killing my liver they don’t tell you but it’s one of worst drugs for liver anyway I cut back I’ve took 1sub a day for 2 weeks so should I cut back to like 3/4 a sub for 2 weeks my body hurts pretty bad but not intolerable mostly at night I just don’t want to relapse but I been on them 7 years enough is enough I said to self

Jeremy
Jeremy
Reply to  Raquel

Definitely a battle, for me just getting down to a single strip was step 1. Afterwards, about 6 weeks later, I cut the strips in half and did that for roughly 3 weeks. Then I cut the strip into ⅛ or 8 equal pieces and took 1 for another couple weeks, switching to 1 every other day, then every 3 days etc. and from there I threw away all but 1 strip, cut it into super tiny pieces and kept 5 of them. I made up my mind that I was DONE and that is key to being successful. You can’t do it for anyone but yourself, it just doesn’t work (majority of times) I decided that I would only take one of those when I felt full on withdrawal and couldn’t hack it. Been almost 6 months since I had suboxone in my body and I’m finally able to… Read more »

Carly Clark
Carly Clark
Reply to  Jeremy

the depression is serious. now that two of my children are in school i literally sleep all day and only have any real energy for dinner and bed. i just started my taper off of subutex 2mg. i am so sick of not being there emotionally for my family. ive done it before and rememeber all the feelings and emotions coming back when you start to withdrawl and i am kind of excitedso to speak for this part, just need to balance them during the withdrawl. ive got my hubby on my side nd told him i may not be worth anything for the next week or so but it gets worse before it gets better. i may be more than usual useless but it will be better than being depressed and tired all the time when its done

Anne
Anne
Reply to  Raquel

Hi Raquel: see my reply above with an article that can TOTALLY GIVE YOU A TAPER SCHEDULE – tailored for you. and great info.
btw – whoever rx’d 24 mg day is incompetent or just trying to placate you. bupe has a “ceiling effect” at around 8mg. so additional is not necessary. no matter what amount of whatever opiate you were taking.

Andria
Andria
Reply to  Anne

Help me please. I’m being prescribed 20mg a day. Stopped cold turkey last Thursday. Monday at 3am I was so sick I couldn’t function at all. Had to take 4mg today because I was feeling I was losing my sanity in withdrawal. Found out that is an insane dose to come off of all at once.Any constructive advise on tapering now would be great. I’ve been so sick that my nutrition has consisted basically of smoothies & thc

Darrell Clark "DC"
Darrell Clark "DC"
Reply to  Andria

Don’t try and quit cold turkey.
Taper of 2mg a month and you will find it a lot easier.
I’m on 4 mg a day and reading these testimonys of tapering has helped with my anxiety about it.
Don’t let a Dr prescribe Xanax.
Ask for valium instead. It’s easier to take that as you need it, xanyx has its own addictive component valium not so much.
Good luck and God Bless.

Preston
Preston
Reply to  Andria

You are prescribed 20mg a day. Each 8mg tablet is equal to 120mg of oxy. Just put your extras back for a rainy day, to help someone else in the future, yourself, etc. I had a habit of 270-300mg of oxy a day, two years ago doc put me on 12mg a day. For the past 11 months I’ve been at “around”2mg a day, still prescribed 12mg a day, since I don’t have insurance the only thing being over-prescribed does is help save money on appointments. Also, take into account that if you are trying to only take 4mg of suboxone a day, you need a 4mg strip. Don’t take a 8mg strip or pill and cut it in half like thousands of people do thinking you just took 4mg. The Buprenorphine isn’t distributed evenly and some doctors haven’t even thought about that and since the half life is so… Read more »

Preston
Preston
Reply to  Andria

Also I don’t know how old your comment is but if you need someone to talk to about dosages, tapering, conversions, tips, reach out please.

Dan
Dan
Reply to  Raquel

Hey Raquel, very slow cutbacks at least 6 weeks for each one. Get yourself to 2 mgs and then cut back slowly from there. I got myself down to 1/12 of a strip for 6 weeks the pieces were so small I could barley see them sitting on the tip of my finger. Subs are powerful and work on your mind as well as your body so take it slow to get yourself down to 1/12 of a strip for 6 weeks and you are ready to jump ship and least that was the winning formula for me and it worked. I am so proud of your cutbacks and you are heading in the right direction. Keep up and you will win your battle of addiction and being a Sub prisoner. You can do it stay strong. Dan

Andria
Andria
Reply to  Raquel

I’m starting to taper from 20mg a day. Tried to stop cold turkey, got so sick I could Not function. I was off for 4 days before the withdrawal hit at 3am Monday. Took 4mg an hour ago, and feel semi-human. Anybody else on high doses of 20 mg have tips for success on tapering & not relapsing?

Darrell Clark "DC"
Darrell Clark "DC"
Reply to  Raquel

I quickly realized that when I drank alcohol it really messed with me so under under forced circumstances I arrived at just not drinking and that really helped.
I just thought I’d share that with you God bless and take care know that you’re being prayed for

Steven
Steven
Reply to  Dan

I was in jail and have been on 2 strips for 3 yrs. They gave me my subs, in JAIL! But they weened me off with a ridiculous “taper”. I was so sick. I got out after two weeks of cold turkey from 1 sub every other day. Withdrawal did not even really start until day 5. So, I get out and they gave me two subs so I didn’t go to the alternative and die and not make it BK to court. I got BK on two, but I got sick of it. Yesterday I took 1 and a half. I was fine and I work HARD. So, today I am taking 1 and I will stay on that for a week or two and go dn to half. I don’t know how long I will stay at half but I do know I have never gone below that.… Read more »

Anne
Anne
Reply to  Dan

totally agree, see my comment above re: the stupid way they dose every 24 hrs with a drug that has a 36 hr half life. byw, your doctor s/b reported – that is crazy! 8 80’s per day? jeez, is s/he just stupid or what?

Dan
Dan
Reply to  Anne

Hi Anne, I was getting my regular script of 4 per day and buying the rest on the black market and I almost killed myself taking so much but you don’t realize how fast your body makes a tolerance to it, it’s amazing what the human body can stand. When I decided to quit I switched to Subs and they were a life saver for me at that particular time. After 6 years on that I decided enough was enough and made a plan to quit and thank goodness it worked and if folks follow my advise it will work for them too. Thanks for your reply I am here to cheer the willing on and give positive encouragement. Dan

Kris
Kris
Reply to  Dan

That’s awesome. Good for you! Ganna try that

Darrell Clark "DC"
Darrell Clark "DC"
Reply to  Dan

I was on oxycodone for 3 years and that was turning into a nightmare so I went on to Suboxone for a year and now I’m wanting to get off of it I’m only on 4 mg a day so I’m wondering if doing exactly what you said and cutting that half a film up into pieces as I go is the right thing to do any input would be appreciated thank you

Preston
Preston

If you are taking 4mg a day and you are wanting to actually get off of it and you don’t have OUD, instead of cutting up pieces of a strip that aren’t distributed equally, see about getting the 2mg tablets or strips. Most pharmacies will work with you on that particular substance and will help you however they can when your only asking to decrease & help yourself.

Nikki
Nikki
Reply to  Dan

Hey there, Ty for sharing your stories. It’s so discouraging because I’ve tried to come off of suboxone cold turkey a few times, using Keaton to help withdraws etc. none worked. Recently my old doctor put me on lucmerya which almost killed me. Cold turkey on suboxone and right over to lucmerya which they felt was totally fine. I fainted 3x, I couldn’t move. Not sleeping and restlessness is terrible. I had to stop and go back on suboxone. I have an enlarged liver and really need to stop. I saw a glimpse of my emotions and clear head come back while detoxing on lucmerya which really shed some light on what this stuff does to our bodies. I’m honestly going to start tapering. Cutting the strips like you said even if it takes 6 months. I have a couple auto immune things going on which Makes the detox really… Read more »

Patrick
Patrick
Reply to  Dan

Hey Dan, I’m heating it’s going to be tough to get off of Suboxine! I started on a 2.0 mgs tab the first day and got sick so lowered to to half’s twice in a day! Still feel sick! I’m not going back to Oxys but this sucks!! I’m using the AA program because I have 27 years of alcohol! But tapering off Suboxone is not easy! I wish they told me this up front! Not sure if I want to go to a detox for a few days or just toughen up and get through the withdrawals! Does Advil or Motrin help???

BobL
BobL
Reply to  Dan

Great post, really encouraging. FWIW, I get that feeling a lot of folks are considerably younger than me (I’m 67). I’ve had 2 major back surgeries from work related injuries. I got into a smack habit because I jokingly said it would be easier to get heroin than a Rx for pain meds and it was. I felt pretty stupid using at my age and pretty soon (about 14 months) the source dried up and wham, I realize I’m actually hooked (lied to myself about that). So I get on a telelmed Subox program believing that it’ll be a breeze to come off the street drugs but almost a year into this I’m realizing it might have been faster to just go through heroin w/d’s. (which BTW I tried to taper off to no avail). I’m surprised at the lack of info in the medical community about this. I feel… Read more »

MC
MC

I’ve been on 16mg a day for about 10 years, one day I decided I dont want this ball and chain anymore. I haven’t had cravings in years and don’t take more than directed. So I decided to taper. I went down a 1/4 every time. When I felt I could lower another 1/4 I would and I’m now at 2mg. I’m going to have my doctor call in 2 mg strips now and I will cut those in the pieces and go down until I’m ready to jump off. I haven’t noticed any bad symptoms yet. Infack I get in a better mood each time. I’m excited to be honest. Maybe a little discomfort for a day but honestly it’s nothing to stress about. Just do it. It’s so much easier when you want to
.

M C
M C
Reply to  MC

So the transition from 4mg to 2mg was a little rough. Lack of energy, neck and shoulder pain, drippy nose, anxiety, ect. That lasted 11 days. Then I felt great. Now from 2mg to 1.75 mg it was flawless I felt no change. Same all the way down to 1mg. When I just recently decided to go to .5mg a day, I felt clammy kinda cold and low energy. I didn’t really have any pain or aches this time, but the RLS I experienced in my legs and arms kept me up off and on for 5 nights until I took 1mg an the 5th night to sleep, and boy did I sleep. The next night I waited until bed time to take my .5mg rather than a .25 in the morning and a .25 at night. Which was last night. I slept well but I’m sure it’s because. Of… Read more »

Andria
Andria
Reply to  M C

I am on ropinirole, 2mg, and it seriously stopped my RLS. I inherited RLS from my maternal side of the family. It is supposed to be safe for long- term use. I am grateful for its help. Or I wouldn’t sleep.

Peter
Peter
Reply to  MC

I was on 4mg of suboxone per day for pain mgt. I tried tapering on my own and I had severe restless leg syndrome. So I relapsed. I went to a inpatient detox. I was put on a 5 day subutex detox with restless legs meds. Hopefully it works.

Anne Westrup
Anne Westrup

Most/All? taper schedules – right off the bat – seem to overlook an obvious fact – Bupe has a 36 hour half life but are dispensed every 24 hours so even if the dose is decreased, you are still actually INCREASING the amount of bupe in your body. DUH! Also, no one should be on more than 12 mg/day. It is not needed, the receptor is covered so using more is pointless – known as the “ceiling effect”, i suspect a doc will rx a higher dose just to placate a patient (using it more like a placebo) because extra bupe will essentially just bounce off the already covered receptor, like a force field altho i am not sure if more bupe would further slow respiratory rate. I found a great taper schedule – not in a professional periodical – but as a long time user of bupe it sure… Read more »

Nick
Nick
Reply to  Anne Westrup

Yes Anne that’s what I read last week, about your receptors being maxed out at certain level. People that are cutting back from a real high dosage that’s the easy part or easier, it’s once you get down to the lower mg where it becomes harder, and you need to slow taper. Not sure how many people seem to understand that part and think they can just stop. 2-4mg is where the real work begins and your just beginning the taper. As far as the half life I was wondering the same thing. Exactly you actually have more in your body then you think because of it. Do the math, and you want to jump ship from 2-4mg? Absolutely not in my opinion. I think people think because they tapered from a high dosage they can speed up this process, when in fact you haven’t even begun the taper. Anne… Read more »

BUNNyBUNN&SPIRITFAMILY
BUNNyBUNN&SPIRITFAMILY
Reply to  Anne Westrup

Depends on the person’s metabolism, they did a test on me that I think they call the peak and troph or something like that, where you take your regular dose and they test your levels imediatly to see where they are and then test you again and again every few hours to see if your metabolizing the medicine out to quickly causing sickness before your next dose! Mine prooved this was happening and i had to start spit dosing to even sleep well. So with respect you literally can’t say that! And others out there need to know this because I know I’m not the only one who knows this to be true and that should be honored! All our body chemistries are different some people withdraw for 2 days or maybe a week, while others like me can go a little over a month and still be sick! And… Read more »

Chris
Chris
Reply to  Anne Westrup

I agree with you. Am currently going through an extended withdrawal from Buprenorphine and it just keeps going – now on day 14 since taking last dose of about 1mg from 8mg tablets so I’m not exactly sure of the dose. I only had about 5 tablets when I started to taper and let me tell you it wasn’t enough. I really didn’t have a choice – no money to pay provider to extend my supply. The worst part about Buprenorphine withdrawal for me is the psychological aspect (anxiety, fretfulness). It’s the long half-life and the pharmacology of it that is responsible for my anguish/suffering. I think the synthetic or semisynthetic opiates like methadone and oxycodone are harder to get off than heroin or morphine. Of course that’s my opinion but unfortunately I have quite a bit (too much) experience. Thank you for sharing your story.

Jeremy
Jeremy
Reply to  Chris

Absolutely the synthetic opiates are way harder. I had a professional tell me that it would be better on my body and mind to get back on heroin vs staying long-term on subs. She wasn’t referring to the inherent dangers of illegal drugs and everything that comes with it, she was referring to the chemical properties and the havoc they cause on the body and brain

Shannon
Shannon
Reply to  Anne Westrup

Hi Anne, can you tell me where to find the taper schedule that you used that sounds exactly like what I’m looking for. We are on 4 mg a day right now me and my husband and we want to be off of these things. Thank you so much for your help.

Steven
Steven

I did just like you and at the 2mg morning and 2 mg evening point, I cut out the pm dose and just took the am dose then I got a milligram scale ($24 on amazon) and weighed my 2mg piece I was taking and after two weeks after my body adjusted I cut that in half and I kept doing this until I was taking a small amount of dust once daily and I could no longer half the amount. Then I did the dust for two weeks and then totally stepped off! NO WITHDRAWAL AT ALL! All in all I was on Subs a year and didn’t start tapering for 6 months and just took it slow like I just described. Worked like a charm, good luck!!

Iffyme
Iffyme
Reply to  Steven

I take 4mg a day, 2mg morning 2mg afternoon and have been on subs for almost a yr but I want off so bad. I panic at the thought of withdrawals, so what do you suggest I do?

Andria
Andria
Reply to  Iffyme

Educate yourself, take your time, don’t try cold turkey

Dan
Dan
Reply to  Steven

Do not follow this guys formula unless you are a short term user like poster here. No disrespect Stephen but you were a very short term user and I am glad you jumped. But you were only on strips for a year almost still green to most of us longer users. Have to remember this crap gets in your brain 🧠 and into the bones and releases very, very slowly. Takes at least 6 months after you get down to 1/12 of an 8 mg strip. Take 1/12 for 4-6 weeks and jump. It worked for me with minor withdrawals in leg and backbone and 3-4 days of constant visits to the toilet. After 5-6 days you’ll start feeling much better and you get stronger by the day. Get strong 💪 and good luck you can do it.

Wanda Tintorri
Wanda Tintorri
Reply to  Dan

Hey Dan I’ve been on subs for about lil over 3 years now my drs no longer gonna take insurance cash only for office visit which is 200.00 bucks which is hard to come by and most suboxone clinics are cash only here in Illinois so even though I just started taking 4 mgs a day from 8mgs twice a day how long should I stay on taking the 4 mgs for ? And what’s the best way to tapper off and how to keep cutting the tablets in the right milligrams? I’m scared to death of withdrawals I have many chronic pain issues and deal with depression n ptsd I have anxiety too. I have a friend willing to help me pay for the office visit until I am completely off the subs I know I have to do this slowly and starting in September I will have pay… Read more »

Dan
Dan
Reply to  Wanda Tintorri

Hi Wanda – Patience is the key. Cut back to one strip a day once you get there without withdrawing you are ready to follow the formula posted earlier. A lot of fear is embedded in our heads of withdrawal is something we all have and had. It kept me from making up my mind for several years because I didn’t want anything to do with that. Don’t let fear control you and you can and will be successful if you want to. I am here to encourage and cheer on those who realize Subs keep you prisoner for life if you let them. Cut back slowly and listen to your body it will tell you if you are going too fast. Of course, to be successful you have to be willing to experience some discomfort for each cutback for a few days but I promise you it will subside… Read more »

Danielle
Danielle
Reply to  Dan

Dan, what should I tell my husband who has been on subs for 12yrs? 4 8mg/2mg a day, he thinks he can just take the 4 for 2 days and drop top 3 for 2 days and then 2 for 2 days then 1 for 3 and get off of them. He is very stubborn and doesn’t listen to me, he is just trying to get off as fast as he can, but I feel he is going the wrong way with it. I really need help, I have spoken to doctors who said that is ok, he’s already having the restless nights, sweats, aches. I just think he is going to fast.

Dan
Dan
Reply to  Danielle

Hi Danielle Please tell your husband that is way to fast. I was stuck on them for 6 years and I can tell you he will suffer tremendously if he goes that route. Subs are many times more powerful than opiates and the withdrawal can and will be vicious. He has to take his time with the cutbacks and doing 4 strips a day is a whole bunch. He needs to cut back very slowly for his system to get used to it. I wouldn’t cut back but one strip every 6 weeks which still may be too quick. Subs stay in your system for a very long time and it’s common for the withdraws to start days later after the cutback. I am not an expert on someone else’s body but he has made the right decision to get off the train and I am totally glad for him… Read more »

Daniel
Daniel
Reply to  Dan

I am currently on 1mg of sub. I am 22 days off heroin. I am really confused as to if my body is now used to the sub and will withdrawal if I jump. I am going to cut my last strip into 12 pieces and jump after that. Just wondering your thoughts and or advice as to what might be best. Thank you 🙏.

Mark
Mark
Reply to  Steven

Steven, I intend to follow a similar plan in order to absolutely minimize the amount of meds in my system at the point I completely stop taking them. In parallel daily exercise seems to be rebooting my natural endorphins.

Dean
Dean
Reply to  Steven

Thanks Steven, this is exactly what I’m doing this time coming off subs I am at 0•4mg per pay and going to break down in the next 2 weeks to nothing until on dust. I already feel my anxiety rearing its ugly head and reading these testimonials is really giving me great advice and support which I don’t even get from my worker. I have been on it for 1 year this time and enough is enough. I don’t want this ball n chain to govern my life anymore. Thanks again to all for the stories. #wedorecover #odaat 🙏🏻🇬🇧

Symetria doctors follow rigorous sourcing guidelines and cite only trustworthy sources of information, including peer-reviewed journals, court records, academic organizations, highly regarded nonprofit organizations, government reports and their own expertise with decades in the field.

A Treatment Improvement Protocol Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction. (n.d.). Retrieved from http://www.naabt.org/documents/TIP40.pdf

Smith, K. E., & Lawson, T. (2017). Prevalence and motivations for kratom use in a sample of substance users enrolled in a residential treatment program. Drug and Alcohol Dependence180, 340–348. https://doi.org/10.1016/j.drugalcdep.2017.08.034

Bin Abdullah, M. F. I. L. (2020). Kratom Dependence and Treatment Options: A Comprehensive Review of the Literature. Current Drug Targets21(15), 1566–1579. https://doi.org/10.2174/1389450121666200719011653

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