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Subutex/Suboxone withdrawal after long term use, HELP!!!

I am in day 4 of Subutex withdrawal. I was on it for 5 months. The first 4 at 4mg a day, the last month gradually tapering down to .5 mg.

I am in withdrawal HELL. No energy, I take vitamin B supplements, which help very short term. I am taking clonidine, which helped some as well. But the RLS is driving me insane. HOW can I stop this? And when will I start to feel better. Can long term sub users who have gone through withdrawal please help me?

I was always told the withdrawal would be very mild, and this is a miracle drug. I will say, my life and habits have changed. I have no desire to use any pills at the moment, and I don't expect that to change. I was abusing hydros after 2 shoulder surgeries. Counseling and support from friends and family (who I was deathly afraid to talk to) has been amazing. My best friends wife came over and took my hydros from me, and basically helped save my life. I am lucky to have them.
179 Responses
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199177 tn?1490498534
welcome ,
the fourm is alittle slow on the weekends , people will post so hang in there . I think that it is going to be very much like the withdrawl from hydros...... I am hoping you will start feeling  better soon , my only concern is the half life is sooo much longer so it may take longer to go threw withdrawl. I am glad you are posting ,we have a few people here on sub that have been told they wont have much along the lines of withdrawl when they go off of it . If they taper .... I had heard withdrawl could be pretty bad . I have heard if you stay on it for no longer the 21 days you can bypass the withdrawl.......
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Avatar universal
Im freaking out here. I wanna puke, I am having makor hot flashes, sweating. THIS IS HELL.
I thought I could do this, but I am in so much damn pain right now. I dunno what to do.
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199177 tn?1490498534
I so feel you . YOU CAN MAKE IT THREW THIS.... when you are not having the hot flashes .an electric blanket can be great for the aches and pains .
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435467 tn?1297545035
Hello
the RLS does get better in time  thats hard to hear I think it is different for each person,
you say that you have no disire for any pills yet I think you said your taking clonopin ( I still take them myself  wish I didn't)
and I think  there is s slight difference between Subutex/Suboxone  but it can be life saving for people like myself who had a long term methodone addiction  which is hard to kick but it can be done .
Stick with it .
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Avatar universal
Actually it is Clonidine, it is used to lower blood pressure, but does provide some relief for opiate withdrawal. It is not addictive, or at least that is what the doctor told me. But she told me the withdrawals would be mind too!

And Subutex and Suboxone are the same. The only difference is Suboxone has an ingredient added called Naloxene to prevent crushing the tablet and injecting it. I never used IV drugs, so they gave me Subutex. I definetely agree the drug is a life savor to help people stay off the bad stuff.

I do thank you for your comments though.
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Avatar universal
Thank you for all of your suggestions and support. It is helping.
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Avatar universal
Thank you so much for the reply. I did not see the PM :( I am really new here, and am still trying to figure things out.
I am going to avoid taking it and work through this. I was given the option to start skipping days, but i declined.
I guess I just had an epiphany last Sunday and made the decision that it is time for me. I am having a very difficult time, but I have a piece of paper above my monitor that says. "What doesn't kill you will make you stronger, and YOU WILL GET THROUGH THIS" I know it may sound corny, but honestly I stare at it sometimes and it gives me a vision of a life without pills, and dependence.
Basically it is just my time. I know this may last 2 weeks, and honestly, I was ready to cave in today, but I am staying strong. I have to. It has to end sometime for me. I have lost so much, and am not the same person I was before this injury. (Like many others, this started with a horrible shoulder injury and broken collar bone almost 2 years ago). I am going to get my life back, and I hope this is a life lesson I can share with others, and make myself a better person.


Again, it means a lot to know I am not alone, and I am very thankful for every reply I get. I hope I can make some friendships here. This forum is getting me through the day.
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Avatar universal
do you have your profile set up here?
if not go to "my medhelp" at the top of the page...you should see all of your options there, along with any PM's that have been sent to you...
and you can set up your profile from there, if you want to...
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401095 tn?1351391770
Hats off to you....not as familiar with this detox as W2Long and others...they will be here tomorrow and W2L is here now...just want u to know I am praying and plugging for you...keep posting
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Avatar universal
I,ve done tons of research on suboxone, as I was kinda thinking about going down that road, but after finding out that it does have some drawbacks that mimic methadone, or any other drug, I changed my mind. The withdrawals can last somewhere up to two weeks maybe more, but from what I,ve heard, if you taper down low enough they are mild, but from what your saying I now question that therory to? Wow, whats a person supposed to believe? Lots of Luck, Penelope
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Avatar universal
Well it is Sunday, and day 5. I think I feel a little better. I have also been taking the Clonodine every 6 hours as prescribed, so that may be a big reason. I was able to sleep pretty well thanks to that.

I ate about a dozen bananas yesterday, lol,  and took a potassium supplement, and the RLS seemed to be a little less. I guess it really does work.
I am still very, very tired, been taking vitamin b energy "shots". By shots I mean the the little bottles of energy drinks that have all of the vitamin B, plus other pick me ups. It does seem to help.

One new symptom today is a horrible headache. I know my doc said headaches are part of it. I took some advil, so hopefully that will be help.

We shall see how the day goes, the bad stuff seems to come in waves.

Thanks again for all of your help and answers.
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Avatar universal
there really is a HUGE difference between methadone and suboxone/subutex, the 2 are totally different drugs,
methadone is a FULL AGONIST,
suboxone is a PARTIAL AGONIST....
going cold turkey off methadone, even at the dose i was at 20-30 mgs daily i was looking at up to 6 weeks of withdrawals, even when tapered down and jumping off at 2 mgs, it was PURE HELL...methadone is similar in make up and compared to heroin in its addictive qualities and how hard it is to come off..and never mind if your have been on it for an extended tome, you CAN suffer PAWS for up to 3 years, which is another reason people USUALLY do not obtain success when coming off methadone completely, the withdrawals are NOTHING compared to any other withdrawals i have ever felt, worse than heroin, percocets and oxycontins, thus my reason for switching to suboxone.
suboxone is nothing like this, it is not to be compared to methadone, i have been on both and the difference is HUGE. although i am still on suboxone, i WAS at 32 mgs daily (because sub wasnt even strong enough to over ride the WD symptoms of methadone completely until 6 weeks was over) when my 6 weeks was up, i immediately tapered to 10 mgs, with NO ISSUES AT ALL, no withdrawal symptoms at all. i HAVE gone up in dose to try to combat chronic pain and it does help SOME, but not all pain is diminished.
when it is time for me to come off suboxone, i will go as low and as slow as i can, no rush (and if it takes me months to do it properly, than i will), and i KNOW it will be nothing compared to methadone at all. there are plenty of success stories of people coming off long term maintenance of suboxone with mild discomfort...that i can do, this is attainable ...
methadone i couldnt.
they really should not be compared with each other, unless your talking about how they both over ride WD symptoms of other opiates and are used to treat addiction.
another thing...i could get pretty blitzed of methadone...suboxone i dont and cant.
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437415 tn?1211829556
This is my first comment in this forum I just signed up so I am new as well.  I had an injury 15 years ago and was injured badly 5 years after that.  I've been a pill popper this entire time and even had a two year dependency on heroin within that time period.  I've never been a big drinker and the only other drug I had this problem with is Xanax, and even though my run with that wasn't as long it wreaked havoc on my body and nervous system.  I have also battled depression the entire time I have been addicted to opiates, which I don't know is or is not related to my addiction.  I tried several times to quit c/t, to taper off, and went to rehab 6 years ago.  I had resigned to the position that I was forever going to take narcotic painkillers, that I would eventually die and be free from my addiction and pain, and I believed 100% that nobody else could understand opiate dependency but me.  Not only is that incredibly stupid, but it is no way to live.

I had never heard of suboxone until 5 weeks ago when I entered treatment again.  This time I did it because I had a husband that cared about me.  He was very distressed over my addiction and on and off bouts with depression, so he finally spoke to our family physician about it who then referred me to a doctor that I am so blessed to know who specializes in pain and opiate addiction.  I spent 1 week in the hospital detoxing from darvocet, percocet and xanax.  I learned so  much in that one week of time.  Toward the end of my stay he prescribed suboxone to me and my life has changed in a million and one ways.  I have energy, I get things done, I am not in pain all of the time and even when I am in pain I deal with it.  My husband, kids and other family members have someone they can depend on now, who is there and not in "la la land" (as my mother put it) all the time.  I take 12 mgs. a day right now.  I'm still fresh in to this so I'm not looking to wean off any time soon, but I have been reading some of your entries here and it has been really encouraging.  You are all very brave and generous to help people by telling your stories.  It gives me hope which is a very new word in my vocabulary I'm using a lot of lately.

I do have a few questions if someone wouldn't mind answering:

What does RLS stand for?
What is PAWS?
How do you get to the point where you know when you're ready to start coming off of suboxone, because I'm not feeling even close to that point yet?
Helpful - 0
Avatar universal
RLS is restless leg syndrome. Basically while laying in bed you shake them and can't stop. Very annoying!!
PAWS is Post accute withdrawal syndrome. I am not familiar enough with this to give you an answer. If you do a search in the forum, I am sure you will find alot of info.

As far as when to come off of it, it is up to you. For me, I just decided it was time. Everyone is different. You and your doctor can figure it out together. The best thing about sub,. is it allows you to do the things you need to do to be pill free. I was unable to do that on hydros.
I have a support system built around me right now. This weekend I am literally on the phone once an hour talking to friends and family. But this is my story, you will have your own success story to write, and I wish you the best. Please keep sharing.
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Avatar universal
PAWS.. post acute withdrawal syndrome...go to greatgreebos profile, she has a lot of information posted in her journal there about PAWS....
although generally from what i hear, PAWS doesnt happen with suboxone, could be wrong though...
in short paws is when you have some clean time under your belt, and 30 days, 60 days, 90 days or even a full year later you will feel like you are having withdrawal symptoms, even though you have no logical reason to be having them because of the amount of clean time..it can cause relapse for some without them really knowing why they were feeling this way...it is EXTREMELY common with methadone....that i know.
i have been on sub since may...IT SAVED ME!
good to see you post, and congratulations on getting your life back!!!
it feels good doesnt it?
if you ever want to chat, send me a private message ANYTIME!!!
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Avatar universal
Hey mate let me know how ur doing now as its my day 5 and i was shocked that i seemed to get no withdrawl at first (half life) but since if i didnt take my reg dose in the morning i would get it normally after sometimes only 8-10 hours which must have all been in my mind - i think! I was on 4ml daily now (or before i quit 5 days ago) down to 2ml unfortunatly ive had to obtain it through a friend so havent had any other help other than family coming off the stuff. I found the clinic wasnt able to suit me as i have worked at jobs through all my addictions even Crack and Heroin times, and i wouldnt be able to make an app so boom i miss 2-3 days worth of Subs. Anyone else found that when ur working a full time job which is shift work these clinics who promote "Back to work" really fall flat on thier faces? Fek the RLS its the worst part, well with the sweating hot/cold bits too.

Do u or anyone know what meds i can get in my local chemist which may help? I read about the vitamin B comment posted above and just cant see that working with this.

Did anyone else kind of come out of thier shell as if a massive blanket had been shrouding them on this?? Maybe its just me but everything seems brighter apart from the night when my leg is all i can think about lol.

All the best Tommm, i think u know as i that ur too far through to give up now mate i mean all this **** which will only be slightly longer or an easy way out back to the beginning to start the pain all over again another day?
GL :)
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Avatar universal
Sorry forgot to mention does anyone know if its worse the longer ur taking Subs 4 as i have been on them for 3-4 years now and just wondered if thats why im still not feeling ok yet??
Cheers
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Avatar universal
Tomm.. just wanted to say that i've been reading your posts and i think you are truly strong, and very courageous. I wish you the very best of luck and a speedy.. "getting-over" of any side effects.. i bet you feel great really, really soon.  Kudos to you for what you've done, and for your courage..

EnDof - from what i know, yes, the longer you take them, the longer the w/d's.. so the slower you can taper, the better.  And good for you too, for getting off all the sh**! And if you meant when you stopped taking street drugs or narcotics the dark blanket lifted - YES!  that's exactly what it felt like for me, too.

Good luck to all...
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Avatar universal
Thanks to everyone. Today starts day 7!!! I can hardly believe it! A week ago today I took my last sub..... Wow.
Anyways, I woke up very tired today, which has been usual. Once I took my vitamin B drink, I got some energy, and got ready for work. As I sit here now, I remember how I felt Friday when I was typing on here. It is a world of difference. I feel so much better. I still feel these withdrawals, and it still comes in some heavy duty waves, but it about half of what it was last week. I just hope that I can be a lesson that long term sub use does have withdrawals, and they can be severe. And this in my story.

Wait2long, thank you for asking the tough questions. As addicts, we have to do that. When asked how I will know if I can staff of the hydros,  guess my answer is my strength in God, and the fact I can have the life I once lived back again. I miss my old happy self. And so do my friends. When Gina came and took my hydros away from me last august I HATED her, WHO does she think she is? Well she is my angel for God. This is the wife of my best child hood friend who saved my life.

Thank you everyone else as well. I have a long way to go. I know that being free of pills is really only a tiny beginning. I can make up as many excuses as I want. "oh, I won't do that again, I beat this", or "well maybe just one pill to take the edge off", or my latest urge of "I will have my energy back if I go back on hydros' See??? This is my mindset. I go to NA tomorrow, and my friends and family are on top of me.

And I look forward to hearing all of your stories.
Thank you all again.
You are all angels from God. This site got me to today, I swear I wold not have made it this far without the support of some of you. you know your value to help those who want it.

I still have a major battle ahead, but I will win.
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Avatar universal
YES!!! you WILL win this!!! your doing great hun...
stay strong!!
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Avatar universal
good morning. this is my first post as i just found this site. i am on day 5 of cleaning out from subutex. i am sort of ok during the day. not much overall strength but manageable. i am finally eating ok. pretty well actually and holding it down. no more diarrhea either. that was a horrible 2 days. my first 2 days clean i slept almost nonstop and couldnt keep my eyes open. now i am awake nonstop and cant sleep.
i do pretty good all day but i can tell its not really me yet. then at night, i cant sleep. i dont get RLS. or maybe I do but it is in my arms and shoulders. i feel very edgy and almost "creepy-crawly" in my shoulders and arms. my legs are alright though. i only sleep 45 minutes at a time and have very strange dreams.
my last shot was saturday morning at 730am. (i did Sub different, which i wont explain becuase i dont want anyone to do anything as completely stupid as I did. but basically i was able to turn it into an injection from the pills and took it frequently in small doses)
but since then, no sub. i threw it in the trash and threw the trash into a dumpster. plus i left town for a company retreat for a week!
Someone, please, can anyone tell me how long this may go on? How long before I can get through a night of sleep? How long before I can walk more than a block and not have to stop and breathe heavy? When does the w/d really stop? I just want to be normal again.
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401095 tn?1351391770
u sound determined....and I know u will be fine....keep moving forward
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Avatar universal
Dude ur so lucky u havent got RLS but unfortunately i heard injecting can be a little more addictive when u mix the sub with water and put direct into a vein, i am on day 8 and had to go home from work today but i feel ok at this exact time. I wouldnt advise this as it can be worse but i got a small amount of diazipam and tamazipam however even that doesnt help with my sleeping. Im hoping im at the last stage and have been taking 4 mil Sub for 3-4 years b4 i quit and had got down to 2-3 mil when i did quit which is still pretty high to come off it straight away. How much where u on if u added up all ur injections daily?
Good luck man!
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Avatar universal
I dunno when the withdrawals stop completely. Like someone said, the longer you are on sub, the longet the w/d's. This is day 8 off of sub for me. I can honestly say the worst IS behind me. Still have RLS pretty bad at times. Still have chronc fatigue. and from what I have read, the fatigue can last a long time. But the other symptoms are gone. Oh except I still get pretty bad headaches. No more creepy crawls, shakes, hot flashes.


Also, if you ever feel you have to go back on sub, tell your doctor to give you suboxone, you cannot inject that. Well you can, you will just get very sick.
But you are doing awesome so far!!!!! If you stick with it, it will get better, it will just take time.
KEEP GOING!!!!!
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