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iSpine Discuss Pharmacist Steve pls if you have time in the Main forums forums; "coming down" from any opiate needs some supportive measures. prescribers have to be certified to prescribe Suboxone and ...

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Old 11-23-2010, 03:47 AM
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"coming down" from any opiate needs some supportive measures. prescribers have to be certified to prescribe Suboxone and can only oversee up to 100 patients at a time. The cramps that you are experiencing is typically one of the first issues to deal with trying to get off a opiate. There is no way that you are going to do a slow taper with oral tablets... might get your doc to prescribe the liquid and you do the taper with a dropper/syringe... so that you can cut the dose by ...say.. 5% at a time... dropping from 10mg to 7.5 is a 25% drop... the next step 7.5 to 5 is going to be a 33% drop and the next is going to be 50%. How long it will take between each step is individualized.. just like the intensity of your pain can only be determined by you... and only you can determine if you are ready for the next step-down and if your "guess" of being ready is wrong.....you should be able to step back up and try again at a later date and/or do a partial step up to see how things go. that should keep the need for other supportive measures to a minimum.
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Old 11-23-2010, 04:03 AM
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Pharm.Steve,
For the suggestion of the oral drops ~ I never thought of that. That does sound like a much simpler/better way to decrease with precision and not so drastically or apparently drastically to my system/mind/body.

I see my PM tomorrow so will inquire with regard to the liquid form. Maria
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