wanting info on starting Subutex after using Heroin

[peanutpete]

how long before i take subutex should i wait after taking my last dose of heroin,realistically

[johnep]

The drug agency will tell you this.
johnep

[PHARMAC1ST]

The first dose
The timing of the first dose is important..

If you are taking heroin - you take the first dose of buprenorphine at least eight hours after taking your last dose of heroin.


The reason for these timings is because, for buprenorphine to work well, you need to take it when your body has low levels of heroin or methadone. So, the aim is to take the first dose only when you feel some withdrawal symptoms starting. This tends to be about eight hours after the last dose of heroin, and longer after the last dose of methadone. If you take buprenorphine sooner, it can actually cause withdrawal symptoms suddenly to develop.

[El-loco]

I have noticed two or three (there may be more) topics like this one where members of the public post questions that are replied to by pharmacists on the forum. I cannot imagine any problem with the advice given here but with a couple of the others there might be (advice on safe injecting of buprenorphine springs to mind).

Would it not be advisable for the forum admin to post a disclaimer stating that Pharmacy-Forum cannot be held responsible for the content of any post made by its members nor for any harm that may result from members of the public acting upon such advice.

Just a thought.

[johnep]

Good idea. See it all the time after posts made by MOCs etc.
johnep

[castle606]

If using methadone, leave a space of 24 hours at the very least (preferedly36) or you'll go into withdrawal and be pretty unwell. With actual smack not as long but still as long as you could possibly bear it, I would suggest at l;east 12-14 hours. howevever its very likely you'd feel a whole lot better if you could leave it to 18-20 maybe even 22 hours. Under no circumstances use while using subbies as you will again just feel pretty unwell. In fact subutex should be given some respect and used to the letter. Anything less will result in you experiencing the worst cluck you could imagine coupled with the fact you could'nt remedy the situation for at least 24 hours. Be careful and good luck. CASTLE606.