Switching From Loperamide To Suboxone
Through mostly anecdotal reports, I confirmed what I had suspected: loperamide did indeed have potential. Opioids had always been my favorite way to abolish a hangover. Suboxone has a long half life, and high binding affinity, therefore redosing in the short term will not likely increase effects, known as a ceiling effect.
The reason for the ceiling effect isn't just the high binding affinity, it is the partial agonism. Patients on low doses of methadone (3040 mg per day or less) generally tolerate transition to buprenorphine with minimal discomfort, whereas patients on higher doses of methadone may experience significant discomfort in switching medications. Suboxone withdrawal is long enough of an affair.
I believe that my use of Loperamide over four or five days only protracted the withdrawals. I also did experience some constipation this time due to the repeated dosing but it was on par with constipation experienced regularly by any opioid user. With an infant to care for, I opted for suboxone treatment which Ive been taking since.
Well, about a year ago I ran out of subs and started taking loperamide to help bridge the gap between my sub scripts. Thought I found the cure. I bounced back and forth between subs and lope.
What this means is that if you're already on Suboxone, the effects of your drug of choice (DOC) will be seriously diminished; and when on doses of Suboxone above ~6mg, full-agonist opiates' (FAO) effects will be blocked entirely. I am checking into detox tonight and I know that I will have to wait 24-36 hours from my last full agonist dose before I can start a suboxone taper to avoid PWD. You do when you take it as a replacement therapy; like suboxone or methadone.
I am not using it as a quick fix to escape some withdrawals; I'm using it just like I would subs or dones to get completely clean. If switching from Suboxone to methadone is quite straightforward, then vice versa could be tricky. In this article, we will answer the main questions regarding Methadone to Suboxone transition.
I know it sounds foolish to switch to an even more addictive drug but like I said, I was desperate to get off the loperamide. I have considered ditching the suboxone and continuing the loperamide taper as well but not sure I can bring myself to take it ever again.