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re: Suboxone is as bad or worse than true opiates

Posted on 4/11/18 at 2:13 am to
Posted by Num1TigerSpam
Member since Mar 2018
245 posts
Posted on 4/11/18 at 2:13 am to
It's not about the recreational effect. Obviously the drug mimics that of an opiate.

It not only inhibits the abuse potential of opiates when in use and is an alternative method of administration (not educated on whether it reduces abuse potential that way), BUT opiates modify and damage the brain in ways that are built upon and irreversible.

Opiates also contain Acetaminophen(Tylenol) to discourage abuse because of its added negative effects from overdosing. Generally, opiate abusers will disregard that only leading to more severe overall damage to their health.

One of my favorite things to consider is "if I can't keep the high forever, I don't want it at all."
Posted by supadave3
Houston, TX
Member since Dec 2005
31816 posts
Posted on 4/11/18 at 2:27 am to
quote:

Sorry, but I can’t consider taking a drug willingly an epidemic. An epidemic is a disease that can be contracted uncontrollably like cancer, flu, chicken pox, etc.


What about paranoid schizophrenic? do you consider that a disease?

What are your medical qualifications before I decide whether or not I give a shite about what you think???
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 4/11/18 at 4:23 am to
Honest question:

Wouldn’t it be better to do medically supervised detox than to substitute one addiction for another?

I understand addiction and am not denying it. But is suboxone a half measure worse than withdrawal in the long run?
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 4/11/18 at 4:31 am to
quote:

Some people who work with asbestos get lung cancer and mesothelioma. Some do not. T


And we banned asbestos in the 70s, despite it being an enormously useful product.

So why not ban opiates now, or seriously restrict them to, say, terminal patients. Is preventing pain worth the epidemic of addiction?
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
30036 posts
Posted on 4/11/18 at 4:31 am to
quote:

Opiates also contain Acetaminophen(Tylenol) to discourage abuse because of its added negative effects from overdosing.


Do you even cold water extract, baw?
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
30036 posts
Posted on 4/11/18 at 5:12 am to
quote:

Are you really claiming you spent 18k per month on opiates?


Can you imagine rolling out of bed about 3pm grabbing a handful of pills off the night table, washing them down with a stale warm beer from the night before and the next thought in your head is "frick, I gotta get up, all those dicks aren't going to suck themselves"?

In all seriousness, while it is the OT and I am
going out of my way to TRY to be funny I do have sympathy (fortunately no option for empathy) for those addicted to opiates. Huge numbers of them get hooked just relieving pain. I do have empathy for the pain suffers, I spent most of my life never having pain a handful of aspirin or naproxen sodium wouldn't fix but a few years ago I got a toothache on a Friday night that was like nothing I had ever felt, while I got into my dentist on Sunday AM the roots on the wisdom tooth were long enough and angled in a way that neither my dentist or her husband (also a dentist who came in with her that morning) were willing to extract so I had to live with it until Tuesday AM for an oral surgeon to get the damn thing out of my head. By Saturday night with no sleep in over 40 hours and no escape from the pain I would have shot heroin if I had had it (100% serious), had it been chronic I guarantee you I would be eating pills all day err day.

One of the greatest victories of medicine will be the discovery of a pain killer (masker) that has no addictive properties and can be used long term with little to no ill effects on the body.
Posted by tidalmouse
Whatsamotta U.
Member since Jan 2009
30706 posts
Posted on 4/11/18 at 6:52 am to
Anything that can bring a person out of Heroin WDs is pretty strong.

To my knowledge no one has OD'd and died from Suboxone.

It's got that going for it.
Posted by Upperdecker
St. George, LA
Member since Nov 2014
32758 posts
Posted on 4/11/18 at 7:10 am to
So why did you have to take suboxone in the first place? Edit he already said
This post was edited on 4/11/18 at 7:13 am
Posted by VABuckeye
NOVA
Member since Dec 2007
38283 posts
Posted on 4/11/18 at 7:31 am to
quote:

Worst part of my job everyday. At least 50 calls a day trying for early refills on narcotics. Good luck with your continued recovery but suboxone is nowhere near as bad or worse than full opiate agonists.


A buddy is a back pain management doc. The people wanting pain medication drive him nuts.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 4/11/18 at 10:14 am to
quote:

Opiates also contain Acetaminophen(Tylenol) to discourage abuse because of its added negative effects from overdosing.



Tylenol is not added to opiates as an abuse deterrent. It is synergistic with opiates to relieve pain and a pretty good pain reliever when taken appropriately and in moderation. There was actually a lot of complaints when Hydrocodone/Tylenol switched the Tylenol portion from 500mg-->325 (when Lortab was replaced by Norco) from patients who took it for pain that it was less effective.

On the same note, it does make recreational use less safe, but that was never the intent behind the addition of Tylenol to opiates.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 4/11/18 at 10:18 am to
quote:

Wouldn’t it be better to do medically supervised detox than to substitute one addiction for another?



Detox is good short term to prevent withdrawal.
Buprenorphine long term allows the hesitant to quit person a better chance at staying clean when they gradually wean themselves down safely and make the decision to quit rather than. Quitting cold turkey.

You could detox and quit, but the recurrence rate is higher than being on a "maintenance" therapy and slowly weaning yourself as you learn to cope with a life without opiates. This could be done in a supervised detox setting, but the cost to society and to the individual to remain out of society and in the detox center for months at a time is typically far too high.
Posted by Bama and Beer
Baldwin Co, AL
Member since Oct 2010
84798 posts
Posted on 4/11/18 at 10:51 am to
Oh the DTs are bad man. I went on a 6 day bender a while ago and drank 4 liters of vodka and I don't know how many beers. About 6 hours of the last drink started throwing up violently and after all day of throwing up everything in my body the shakes started. I threw up so much, the acid from my stomach burned the roof of my mouth to the point of hardly being able to eat for a solid week. The cold sweats started that night and I barely slept a wink. That time I didn't have any hallucinations but I've had them in another bout of withdrawals and my God it scared the shite out of me. Another time of "withdrawals" I had been drinking a fifth + 6-10 beers a day for about 2 weeks straight and it finally came crashing down. I threw up so much it reached the point of me throwing up a lot of blood. I actually had to go the hospital that time to make it stop. I'm sure I had alcohol poisoning but it was never stated to me that's what it was. My typical experiences with withdrawals are just the shakes in the hands, cold sweats at night, and lack of sleep. I commend those who have put it down whether it be booze, pills or whatever. It hasn't whooped my arse enough I guess

Posted by dawgsjw
Member since Dec 2012
2114 posts
Posted on 4/11/18 at 11:04 am to
It is all a scam by big pharm. All the supposed opiate treatment medications of methadone and suboxones have worse withdrawals and at some clinics you can pick what dosage you want to take. Wtf. A buddy went to a methadone clinic and was bragging about getting to choose how much to take as he was getting fricked up. He learned real quick about withdrawals from running out and not getting any until the next day or two.

If you quit your opiate addiction it usually takes a week or two for the major withdrawal to pass. Methadone and suboxones can take much longer.

The best alternative is Kraton which is a tree leaf that you take and help curb withdrawal and cravings. It can cost $100 a kilo and it only takes 2-10 grams per dosage to work. So you can see how it is a threat to big pharm. And now the DEA is trying to ban it and had a temp ban in place in late 2016.
Posted by Triple Bogey
19th Green
Member since May 2017
6572 posts
Posted on 4/11/18 at 11:21 am to
quote:

I can’t BELIEVE you were able to do that! Crazy! You must be super man. Had to be tough.


I stopped the Tuesday before Memorial Day weekend thinking that by the time the following Tuesday rolled around I would be good to go back to work, but I was wrong. I went through a period of getting hammered drunk for awhile because it was the only way I could get anything resembling sleep. Restless legs were awful. I tried every fricking OTC thing you could buy for it. After all of the binge drinking my wife encouraged me to get back on them. I said no, and ended up going to an outpatient rehab place for awhile to try and moderate my drinking. Its still an ongoing struggle.
Posted by gamatt53
Member since Nov 2010
4934 posts
Posted on 4/11/18 at 11:37 am to
quote:

Started with 5mg norco. For two blown out elbows. Simple, honest need. Until my months supply was up in 8-10 days, then it was up in 4-5 days etc. had to hit the streets. That’s how it happens. And it happens a lot. A whole lot.


So you didn’t follow your script and then you went to an illegal source. How is that the doctors fault or the pharm companies fault?

The only “epedemic” I see here is that you decided getting fricked up was more important than following your prescription.
This post was edited on 4/11/18 at 11:40 am
Posted by Displaced
Member since Dec 2011
32990 posts
Posted on 4/11/18 at 12:05 pm to
quote:


The best alternative is Kraton


It's still an opioid
This post was edited on 4/11/18 at 12:05 pm
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27591 posts
Posted on 4/11/18 at 12:18 pm to
Good luck man.

Yep. You traded one dragon for another basically. Shitty that people in your situation were told different.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 4/11/18 at 12:19 pm to
quote:

The only “epedemic” I see here is that you decided getting fricked up was more important than following your prescription.


Sort of. But opiates are too fricking easy to get. A dentist offered me pain meds after a cleaning. Really.

My family has a history, so I knew never to take them. I refuse them every time. Luckily it has never been so bad that I had too.

We have reached the point where drug companies advertise meds for opiate constipation. That means you have taken so many pain killers you can't take a shite. And they will sell you one for that too. Clearly something is amiss.
Posted by deanwelles
EBR Parish Prison
Member since Mar 2008
179 posts
Posted on 4/11/18 at 12:44 pm to
quote:

What else would you call someone that does the same thing over and over despite destructive consequences every time. It’s insanity. Insanity is a mental disease.


I just can't endorse this line of thought. By that rationale, overindulgence of anything is a disease; be it smoking (which tOT hates), eating fatty foods, driving too fast, being in debt, engaging in criminal behavior, the list goes on... These actions all have known negative consequences, yet people continue to do them. Where do we draw the line and say that there's some level of personal responsibility that goes into decision making?
Posted by Nawlens Gator
louisiana
Member since Sep 2005
5946 posts
Posted on 4/11/18 at 12:59 pm to

I and a lot of people I know have taken oxy for specific reasons such as for post op surgery pain and I don't know ANYONE who became addicted.

We are all goal oriented adults and the oxy side effects cause people to quit as soon as possible.

I just don't opiate addiction as a huge deal.

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