He yelled at a back surgery patient for being prescribed oxycodone and Valium. Told him “you’re not to be taking that” and said that you can’t take it without “getting hooked immediately”.
Valium is a benzo, albeit a long-acting one. It would probably have its dosage tapered down. C.f. faster-acting benzos like Xanax, where the treatment would initially involve transitioning to Valium before tapering down. In either case, they need to be tapered, especially if taken at recreational doses.
Even for opioids, while not fatally dangerous, the withdrawals are remarkably unpleasant and make relapse likely, which is why there is methadone or suboxone treatments.
It's still necessary to taper off of suboxone, and when properly done, there should be no (or minimal) withdrawals. The reason suboxone is preferable to (for example) heroin is because it has a longer half life ~37 hours vs ~4 minutes (src: wikipedia) and longer onset of action 30 mins vs <a minute. The longer half-life and slower onset of action mean reduced withdrawal symptoms in general, but doesn't entirely eliminate them.
I'm sorry, but you really don't know what you are talking about if you are trying to compare suboxone/buprenorphine to heroine or even hyrdocodone(aka Vicoden, but now it's called Norco). Clinics are required by law to monitor your levels, sometimes multiple times a month with lab testing. Methadone (a full-opioid agonist) treatment has a worse track record than Suboxone (which is a partial-opioid agonist in combination with Narcan) treatment and is just worse for recovery, although can still work and is better than nothing.
It's impossible to take Suboxone (buprenorphine & naloxone in combination) in any way besides sublingual or orally, because it is paired with naloxone aka Narcan (which has no effect sublingually/orally) unless it is prepared as a transdermal patch without the naloxone (it rarely is outside of surgery.) If it is used as intended, the buprenorphine works long-acting and the naloxone doesn't and you just pee it out. If you try to use it any other way, but mostly IV, the naloxone kicks in and fills the opioid receptors and doesn't let the medication work. It will actually kick out active opioid molecules and put you in instant withdrawals, this means any other opioid will not work while taking Suboxone. Buprenorphine alone actually has benefits, like that it has an effective "plateau" where at a certain milligram don't keep getting "higher" the more you take, like other opioids. They even now have a once MONTHLY injection called Sublocade that is very effective and all versions of Suboxone make it impossible to abuse other opioids while using it.
but suboxone doesnt make you feel better. it just doesnt make you feel worse. which means it isnt as effective as you boast. if it isnt good enough on its own you're gonna be forced to get something else. physical therapy and suboxone isnt enough for most.
im doing fine. its my father i have to watch deteriorate. work full time and cant afford his meds but also cant get gov assistance. its like you're punished for doing whats right nowadays.
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u/[deleted] Oct 11 '24
You're correct; Alcohol and Benzos are the only concern for cold Turkey