cliffchuff wrote:
I’m a drug worker and work with people prescribed subutex. and have had training in its use.
it is a partial agonist, if their are opiates in your system it will kick them off, sounds like your friends are already clucking mildly (the herion has stopped working) as heroin only stays active for a short time (up to 12 hours) herion taken at night will be out of the system by morning.
when titrating people we ask them not to use heroin for 12 hours prior.
if they try the same pattern ofuse with a dose of methadone (higher doses taking longer to loose effectiveness) they will get a fucking nasty surprise.
all this is of course dose dependant. with 16 ml of subutex giving about 90-95% blockage of other opoids and 8ml giving 50-65%
lower doses have lower blocking effects this is why when it is first prescribed you start on 2 ml and work up to the required dose over a few days.
as a partial agonist subutex will stop other opiods working and make anyonetaking them sick(physically) again only if higher doses are used lower amounts will allow the corresponding amount of high by not covering all the opoid receptors in the brain.
methadone is a full agonist but gives no high, subutex gives a partial high, the company reps say 50% but they are selling the suff innit because of this it should also be 50% easier to come off or withdraw from…
Is this the very same CliffChuff I got in touch with on another site?
e_babes
PS – very true what he’s saying and what I know and experienced from Drug workers and Subutex itself I cant agree more.
Cliffchuff, as a question from my part, I was on 30mls of methodone and switched to Subutex. I was asked to stop using methodone for 36 hours prior to taking my first dose. You can imagine what “surprise” I got from a 8ml dose! Lets just say I was red raw from sitting in a scoulding hot bath for about an hour trying to warm up with constant gut rot and shivers and the shits to say the least.
I ended up using and using and using until I stopped being ill (which was only 2 hits on a ten pound joey and never went back (second time I tried Subutex this is). Some feedback for you – In my opinion I think that no one with a low pain tollerance like myself should switch to Methodone from subutex at such a high doseage. Something for you to take to work my friend. I dont know if your practice would allow such a switch at high doseage, but mine did. Totally regretful and made my situation worse. Also the “clarity” in my head and being use to the “dull” feeling from methodone was not great. I so wanted to be prescribed Valium but aparently this is dangerous for your heart on Subutex.
Being a depressive, someone who likes depressants to those who need further clarity, I enjoy my methodone, I enjoyed (past tense) my heroin and valium, my klonopins and other wonderful benzos.
Some treatment works for some, and not for others. It must be a tough choice to assist someone with – how you do it is beyond me. Being a potential patient of yours im sure I would have pissed someone off to the max. Your braver than most in your choice of work.
Elliot
