How to get on Sub?

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jlifeson

Member
Joined
Sep 6, 2011
Posts
53
Hi all,

With all the stuff (tram especially from Singapore) now drying up online, Ive been thinking about possibly trying to get on subs. How is this usually done? Find a doc and make an appointment? Or is it like a clinic? There are some big issues for me...we (especially my wife) know and work closely with the local "healthcare community" so that is a huge concern that it will get out, HIPAA or not. Do you need to give "samples" each week and how is that done? I own a very busy business and work many hours a day. Sitting in a grimy cattle call clinic with 50 other people waiting all day to pee isnt going to work for me. I just dont have time to do something like that. I thought about going to a neighboring town so that I wouldnt know anyone so that may work. But I wonder how the sample process works?
 

Azzamean

Honorable member
Joined
Mar 26, 2011
Posts
471
Hi all,

With all the stuff (tram especially from Singapore) now drying up online, Ive been thinking about possibly trying to get on subs. How is this usually done? Find a doc and make an appointment? Or is it like a clinic? There are some big issues for me...we (especially my wife) know and work closely with the local "healthcare community" so that is a huge concern that it will get out, HIPAA or not. Do you need to give "samples" each week and how is that done? I own a very busy business and work many hours a day. Sitting in a grimy cattle call clinic with 50 other people waiting all day to pee isnt going to work for me. I just dont have time to do something like that. I thought about going to a neighboring town so that I wouldnt know anyone so that may work. But I wonder how the sample process works?
Hey,

Sort of depends on your area and doctor. I have one friend who gets his at the same clinic he was getting his methadone. He has been doing it so long though now I think he only goes like once a month. Always sounds sort of like half a day event for him. Random drug testing.. but not too bad. I know at first it was hell though because he complained about it literally every day.

Your best bet may be to find a doctors office that specializes in it in a suburb area. Those will be more expensive but less of a pain in the ass.
 

De Large

Member
Joined
Sep 21, 2015
Posts
43
Make an appt. with an appropriate doctor. The only pre requisite is that you have an opiate/opioid addiction. I never had to test more than once per month, though they may test you weekly or something. o

It takes a day because in order to take your first dose , or "be inducted" as the terminology goes, you just have to come to the doctor sick or in withdrawal. It's not hard, there's a thing called precipitated withdrawal that can happen to those who has huge tolerances, but don't worry, just come in sick on the day the doctor will induct you. They usually give you one tablet, or write a script for one or two tablets and you come back to the office to dose. It's not a big deal

Most "sane" Suboxone doctors write you a month's supply once you're inducted and stable and that's it.

The fact that most of them only take cash, that's the problem for me.

Suboxone also really really raises your tolerance and is a nightmare to stop, but you may never need to stop it. but it's a small price to pay to not be sick.

As far as privacy, it's not ran like a methadone clinic. You test montly or weekly, and you get your Rx filled whereever you want . Speak to the doctor about how to go about replacement therapy and stay under the radar.

There are some very good Suboxone communities online as well, check into them for buprenorphine specific advise
 

Azzamean

Honorable member
Joined
Mar 26, 2011
Posts
471
Make an appt. with an appropriate doctor. The only pre requisite is that you have an opiate/opioid addiction. I never had to test more than once per month, though they may test you weekly or something. o

It takes a day because in order to take your first dose , or "be inducted" as the terminology goes, you just have to come to the doctor sick or in withdrawal. It's not hard, there's a thing called precipitated withdrawal that can happen to those who has huge tolerances, but don't worry, just come in sick on the day the doctor will induct you. They usually give you one tablet, or write a script for one or two tablets and you come back to the office to dose. It's not a big deal

Most "sane" Suboxone doctors write you a month's supply once you're inducted and stable and that's it.

The fact that most of them only take cash, that's the problem for me.

Suboxone also really really raises your tolerance and is a nightmare to stop, but you may never need to stop it. but it's a small price to pay to not be sick.

As far as privacy, it's not ran like a methadone clinic. You test montly or weekly, and you get your Rx filled whereever you want . Speak to the doctor about how to go about replacement therapy and stay under the radar.

There are some very good Suboxone communities online as well, check into them for buprenorphine specific advise
Yea this needs mentioned again and with emphasis... The reason why I don't take suboxone. Once you are on the stuff, realize just how "powerful" it is and how addicted you will be. It stays in your system so long and so strongly that if you ever decide to come off of it, it will make your life hell for months... so I have been told... by dozens of sub users. So if you go into it, know it is a path that MAY have no return.
 

De Large

Member
Joined
Sep 21, 2015
Posts
43
I use kratom, it's a much better option than bupe because of how much stronger bupe is. I would HATE to be forced onto it again.
 

dmp336

Lapsed Senior Member
Joined
Nov 5, 2011
Posts
167
I would just recommend one thing if you go the suboxone route: most docs prescribe WAY too high of a dose, and basically just maintain you with no taper plan. The whole point of suboxone was so it was NOT like methadone, which many people choose to stay on for life. Suboxone should be used for a maximum of two weeks. The doc probably will prescribe two 8 mg tablets per day. One tablet is usually plenty enough (half strip/tab twice a day). And then taper down by 1 mg everyday until a literal crumb should be all you need to get through 2-3 days. I have used suboxone myself, and know many many people on suboxone who work work in the health field to keep things more confidential.
I have seen it work miracles. But I have also seen people who take the dose prescribed by the doctor, and two years later they are still on suboxone and it is harder to get off of than most other opioids.
 

Bumblebee25

Senior member
Joined
Feb 10, 2014
Posts
66
Question... when you go to a Suboxone doctor is it completely confidential or is your primary doctor notified and is it listed in your medical history? How does that work?
 

Brianna9

Eminent member
Joined
Mar 1, 2014
Posts
1,724
Ya, that is the only reason I never wanted to do it. If ur primary knows then it’s on ur record. Every time u have surgery or something that is painful they will give U Tylenol
 

jlifeson

Member
Joined
Sep 6, 2011
Posts
53
Ya, that is the only reason I never wanted to do it. If ur primary knows then it’s on ur record. Every time u have surgery or something that is painful they will give U Tylenol
Oh yeah, thats (another) reason I am hesitant about subs. If I get into a car accident, or something bad, I want meds and will deal with the aftermath later. I am unsure of what to do and I kick myself because about this time last year i was off (vendor was way behind and so was shipping so it ended up being about 2.5 weeks) and I was starting to feel much better. I used Kratom and small does of serataline to help with the depression/anxiety. But I had an order coming and ended up going back on. If I did get on subs I would like to do it for a shorter period of time and then taper down slowly but it scares me that I could end up with a much bigger monkey on my back.
 

dmp336

Lapsed Senior Member
Joined
Nov 5, 2011
Posts
167
I’m pretty sure every state is different, but where I live, you go to some dr that’s just in it for the money, and it is cash only. Basically proctologist by day, and addiction specialist at night. I’m pretty sure it is a shady operation, but our area was gettting so bad, they had to give drs approved to prescribe it. So I really recommend using a cash only dr who I doubt puts any sort of mark on your record. If it’s documented, you can say you saw him for a specialist of something or whatever the sub Dr has a normal daytime job as some sort of specialist.
 

De Large

Member
Joined
Sep 21, 2015
Posts
43
I've seen several Suboxone doctors since it came out in 2002 or so, I think I got a script the very first week it was out. I *wanted* it as I already had a problem. Some are shady, and some are not. Any MD or Nurse Practitioner can get the permit.

I crushed a bone while on Suboxone. I was not at all denied pain management, but I had to suffer greatly for at least 24 hours so the measly 7.5mg Lortab they gave me at the ER to work. Once the Sub is out of your blood you're just left with the huge tolerance.

To become qualified the doctor pays a fee and attends a lecture of so many hours on the "ins and outs" of prescribing Suboxone , and then they're given the waiver to treat 100 patients. They can get a waiver for more patients if they so wish but most are limited to having 100 patients on Suboxone

The doctor who ran the clinic I was at last was an older anesthesiologist who also ran a pain clinic in TN. Many psychiatrists Rx bupe, and yes a proctologist can also. Any MD with a permit

Lately I've really been hurting, thus my presense here, but I still would not make a move to get a Suboxone Rx unless I could not get kratom any longer. I can maintain with that, not have a huge tolerance, and still have some pain management. The last time i tried to come off bupe was 25 days of laying in bed before I gave up, realized I'd always have a habit, and got some kratom. The withdrawal is very bad compared to other substances. I've had a habit for a long long time though,

Oh , edit, here's the Physician Locator

Some doctors have a waiver but are not listed. Also, any physician or NP can Rx an emergency three days supply of Suboxone.
 
Last edited:

Bumblebee25

Senior member
Joined
Feb 10, 2014
Posts
66
Thank you all so much, great information. I always wondered how that works in case I ever need to go that route. I think I will give Kratom a try first, I've heard a lot of good things about it.
 

jaders

Eminent member
Joined
Feb 1, 2012
Posts
1,879
Thank you all so much, great information. I always wondered how that works in case I ever need to go that route. I think I will give Kratom a try first, I've heard a lot of good things about it.

I agree. Having something that's both legal and available to take at my discretion is much more appealing. The thing that puts me off the very most from the maintenance routes, is having some other human controlling my intake of a med I rely on. I trust myself more than anyone else. Why they have to "protect us from ourselves" when it comes to certain "deadly substances" but not others baffles me daily...:cautious:
 

phatboy

Senior member
Joined
Mar 12, 2012
Posts
199
i always just try to get on 3-4 a day so i can stock up. just call and set something up, if u have an opiate in u they will prescribe usually. also they usually do test u when u go monthly n see what's in ur system. some docs are cool some not, with suboxone the dynamics are much greater whether they actually want u to get off something or stay on stuff
 

jlifeson

Member
Joined
Sep 6, 2011
Posts
53
Thank you all so much, great information. I always wondered how that works in case I ever need to go that route. I think I will give Kratom a try first, I've heard a lot of good things about it.

I agree. Having something that's both legal and available to take at my discretion is much more appealing. The thing that puts me off the very most from the maintenance routes, is having some other human controlling my intake of a med I rely on. I trust myself more than anyone else. Why they have to "protect us from ourselves" when it comes to certain "deadly substances" but not others baffles me daily...:cautious:
The part of it being both legal and most importantly, available, is what is drawing me to it. No more running out and feeling like crap until something ships and all the BS that goes with it, especially now with laws changing. But, I would like to be entirely off of opioids at some point and worry that it will be alot harder to get off subs than trams. Well that, and what I originally posted...people i know finding out and spending all day in a clinic to give urine samples.
 

De Large

Member
Joined
Sep 21, 2015
Posts
43
I had SO many Subs saved up, I was actually a month and a half ahead, I messed up and lost the last script I was holding. Oh well. I got three a day and took only one
 
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