re: Suboxone is as bad or worse than true opiates

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You obviously know your shite.

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My experience is limited, but it is probably higher than most people that aren't in recovery on either the healthcare or patient side.

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What’s the difference between suboxone and subutex? I’

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Subutex is buprenorphine, the partial opiate receptor agonist I described above.
Suboxone is that + naloxone. Drugs get swallowed, absorbed, passed through the liver, and then into the body. Many drugs get destroyed by the liver. Some become more active. Naloxone is essentially entirely destroyed by the liver when taken orally, so it goes mouth --> gut--> liver and stops.
One common way of making liver-metabolized drugs give more effect faster is to give them in a vein- going from vein-->heart-->brain (being simple here) and only to the liver later on (or really in smaller amounts at a time, because it depends on how you're distributing your blood between your organs at that time).
So, the naloxone is actually a super effective opiate ANTAGONIST. Meaning it is the antidote for overdose and gives instant withdrawal when given. When you take the pill, it has no effect. When you crush the pill up and snort or inject it, you actually ONLY get the naloxone effect- the opiate can't work! It's a pretty neat example of pharmaceuticals designing a drug with certain patients in mind- it's more difficult to abuse.

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It seems that treatment centers prefer to give subutex when detoxing but I don’t know why.

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Probably cheaper and when being administered and witnessed, the anti-abuse potential of the Suboxone is less than crucial. I don't really do this sort of work though, so take my opinion as to why with a grain of salt.

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Sorry, but I can’t consider taking a drug willingly an epidemic

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The biggest problem with addiction is the persistent behaviors despite consequences, typically without a willingness to actually do them and usually with a willingness to quit.

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An epidemic is a disease that can be contracted uncontrollably like cancer, flu, chicken pox, etc.I’m not addicted to opioids because I made a personal decision to never use them.

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Most exposure to opiates is initially appropriate. Many people who take them get off of them after the broken arm heals, stitches come out, etc. It's actually very much like what you describe, though, except for the personal decision part.
Some people are prone, somewhere in the BioPsychoSocial model to be prone to certain exposures. Some people who work with asbestos get lung cancer and mesothelioma. Some do not. Their willingness is irrelevant.
Some people who are exposed to the influenza virus, or even HIV develop disease from it. Others do not. Their willingness is irrelevant.
Whether you believe it or not, what is also true is that some people who are exposed to opiates- for justified reasons or not- are prone to developing addiction. Others are not. Their willingness can play a part, but it is not the only thing.

Yes- their is stigma around it. Yes- there are some generally bad people who also take opiates. But addicts are just people with a disease. Stigmatization of the disease only worsens the cycle.

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disease

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Nope

From Merriam Webster:

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a condition of the living animal or plant body or of one of its parts that impairs normal functioning and is typically manifested by distinguishing signs and symptoms

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Opiate addiction fits that definition quite well. Rest assured, though, your opinion does not really matter to the CDC, psychiatrists, adolescent and addiction medicine, family medicine, and internal medicine doctors or their patients who deal with the disease on a daily basis.

I do hope that it never shows up in you or anyone you love's life.

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Jack Daniel

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You are really really dumb.

Go back to the rant.

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lol, Jesus Christ dude. You couldn’t be anymore wrong. Heroine and pill physical symptoms last for a week or so. The long half life of subs makes it last much longer with the same intensity

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I've never experienced a withdrawal from subs. Opiate withdrawal is hell though. But thats the only thing I've ever used subs for, they're too nasty for me to ever want to do recreationally. I also know plenty of people who use subs and none have ever mentioned withdrawing from them.

But I also only ever used them in an effort to get completely sober, so maybe that mentality instead of going to subs just because its cheap or just because you dont want to be sick helped me to not want to keep using them.

I’m thankful that I have a natural aversion to opioids.. it’s unfortunate that doctors have been put in such a difficult position the last few decades. They need to see more and more patients and prescribed drugs legally while being unable to follow patients as closely with what we are learning.. Our society looks for scapegoats and the docs and pharmas are the easy target but the real issue is our overall healthcare industry.

5 years off opiates myself. I was on suboxone back when it was a orange flavored pill with a dagger imprint.

The suboxone made me feel like and idiot. Seriously it was like my brain was firing at 1/4 capacity. The withdrawls from suboxone are actually worse and longer lasting than common opiates.

I had to take my licks and just quit. Best decision I ever made. It wasn't as bad as you might think. Once the bad effects wear off its almost like being clean is a new form of high. If I had all the money back I spent on that shite I could go buy a Ferrari.

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Worst part of my job everyday. At least 50 calls a day trying for early refills on narcotics

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I’d imagine that gets extremely frustrating. I’m sure you’ve heard every excuse in the book.