How Suboxone Works Part Two

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Buprenorphine, the active ingredient in Suboxone, has a unique action at the receptor that puts addiction into remission. This video explains how buprenorphine differs from opiate agonists like heroin, methadone, and oxycodone.

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25 Responses to “How Suboxone Works Part Two”

  1. SuboxDoc Says:

    I am usually accused here of being ‘discouraging’, so I may not be the right person. Opiate withdrawal stinks; I wish every doc who prescribes opiates was forced to go through it! The problem is that while every addict thinks that he’ll be fine once he gets through withdrawal, in reality the addiction tends to return over and over for years. In my OPINION, a person needs meetings forever, or a maintenance treatment forever. The withdrawal is miserable with or without bupe unfortunately.

  2. MultiChocolatediva Says:

    i’ve been watching these videos all morning and they are very intresting. I am a vicodin and soma abuser trying to become free of these drugs for good but without the painful withdraws. I do have a couple of suboxones to help assist me in quitting. Do you request anything or can you say anything just to assist or encourage me to stay opiate free, Thank you in advance to this matter.

  3. Panik303 Says:

    I felt like SHIT coming off subutex.

    I tapered down SLOW, and jumped off at 0.2mg/day.

    The withdrawal was no different than heroin – a 2 week death trip.

  4. SuboxDoc Says:

    See my post on Suboxone Talk Zone in a few minutes…

  5. SuboxDoc Says:

    Good news– I’m just about to post to Suboxone talk zone on some news you won’t want to miss!

  6. willyD200 Says:

    When is the price of Suboxone going to drop?
    I know it’s a relatively small price compared with the alternative, but without Insurance this gets quite expensive. I’m going to reduce myself down to 4 mgs. a day from 12 mgs. every 24 hrs.
    It must be physiological, the need for more than 4 mgs. It would cut the costs down considerably .

  7. rta417 Says:

    Ok, im on suboxone an it is the reason i am alive today. I just dont understand why it has to cost so much?? My opinion about the price is that, the people that need it most are probably the people who cant afford it, otherwise they wouldnt have a problem paying for there opiate habit. I know many people that would kill for the opportunity to take suboxone,but they cant afford it. The goal is not to use drugs/opiates, why make it nearly impossible for some people to pay for it?Thank God i can!

  8. SuboxDoc Says:

    The active ingredient, buprenorphine, has been around for 30 years. There are no long-term side effects that we know of at this point. In my opinion over ‘whether to stay on it’ is a moot point for many addicts, as there is no other option for them. Many, perhaps most, current opiate addicts cannot stay clean if they are not on Suboxone… and we KNOW the long-term harm of active using- if the person lives ‘long-term’!

  9. SuboxDoc Says:

    Opiate blockers do block alcohol cravings– naltrexone is sold as a tablet and as a long-term injection to treat alcoholism. A generic is now on the market so hopefully the price will come down. Hopefully.

  10. downfan1 Says:

    After being on suboxone for almost 3 years the difference I see in the milligrams is when your on 16mg or whatever you can go longer without dosing, and when your down to like 4mg or 2mg you feel the withdrawal quicker and need to dose sooner.

  11. cliffyknight Says:

    i just had my one year free from opiates and I know suboxone saved my life.

  12. cenabite Says:

    Ive been on soboxone for almost a year and honestly believe it saved my life!

  13. yippittydoda Says:

    this stuff seemed to have an anti-jones effect. cravings for EVERYTHING stopped. i thought it was me.. unfortunately, when i stopped, the cravings came back. but this stuff is so cool. i don’t know why it has to cost as much as it does.

  14. testdummy22 Says:

    how long can someone be on suboxone? or how long should they be on suoxone iv been taking it for almost a year i only take half of a 8mg pill a day and i have to say it has helpd me become normal again i found a intrest in photography had a kid got married but i do fear having to take this forever is coming off the drug as bad as heroin or opiets??? how long could someone take this drug and be safe healt wise does it have long term effects

  15. SuboxDoc Says:

    Thanks Pompeii– I wonder about chrissy’s comments myself, since a doc is limited to 30 patients his first year of prescribing Suboxone, and 100 patients after that. No matter the size of the clinic, it is 100 patients per doc– at ALL of his practice areas. So maybe she sees 3000 patients at her clinic, but only 100 of them are treated with Suboxone. That’s one more reason that so few docs get certified– if you don’t have some special feeling about treating addiction, it isn’t worth it.

  16. Pompeii222 Says:

    Think about how horribly in debt most docs are when getting out of med school, I mean we’re talking hundreds of thousands of dollars. If someone was only concerned about making money addiction medicine wouldn’t even be an option.

  17. Pompeii222 Says:

    I’m really sorry you’ve been so misled I would really suggest you look into how much Docs make that work in addictionology compared to other much, much more profitable fields like dermatology. The majority of docs who work in addiction medicine really pretty much have to do it because they care, I mean seriously who would volunteer to put up with addicts behavior all day and make the least amount of money compared to other fields in medicine.

  18. c3contact123 Says:

    i used to use it for oxy dependence after intense surgery, but now use it as maintenence for arthritis pain. works like majic.

  19. SuboxDoc Says:

    the location of the ceiling depends on the efficiency of dosing. I rarely see withdrawal in people tapering from 24 down to 4 mg– where the w/d really starts. Good luck at staying clean– no sarcasm intended.

  20. SuboxDoc Says:

    see my comments below.

  21. SuboxDoc Says:

    Wow– thanks man-
    JJ

  22. SuboxDoc Says:

    Some programs, including one in the city where I live, never give more than 4 mg for that exact reason. I think that some docs give in the the sensation all of us addicts have– that we ‘need more’. Higher doses might reduce cravings a bit more effectively- the jury is still out on that. They also provide a stronger block of agonists, so the addict can think ‘what’s the point of using– it won’t work anyway’ (you CAN overcome lower doses with high doses of agonists).

  23. downfan1 Says:

    So doctor, what is the point of even taking a dose higher than 4mg? My doctor started me at 16 and 2 1/2 years later I’m still on the same amount, and now it seems like it isn’t “holding” me anymore.

  24. ron196 Says:

    There is no success rate here.I moved back a couple of years ago(I had cancer cells in my urine) I won that battle thank God, I was gone for 16 yrs when i left there was no narcotic problem, now that is thee biggest problem heremany of my friends are on pills alot of them want to get off of them your videos are the best i will spread the word on subox and your blog site and youtube i am going on subox next month…thankyou for taking your personnal time to help people you are a true healer.

  25. ron196 Says:

    thankyou for this educational info. I live on a reservation in montana, there is an enormous problem here with pills along with alcohol and street drugs …we have IHS as the health provider or i should say pill provider and no education on how to deal with getting off narcotics ihs tries to deal with it the same way they deal with an alcoholic if you go to the treatment facility they give you valium to detox you for three days in the hospitol side then off to the treatment side for 28 days…

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