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Addiction & Recovery board

Suboxone and other pharmaceutical opiates are perhaps better than street drugs, but the resulting addiction is the same. My experience has been that there is no true Recovery until one is clean and sober. Constant drug use, even with no apparent euphoria, blocks at a minimum spiritual development.

That said, DWD I think you have done a great job tapering off, as have others who have posted here. Personally, I would advise against the crutch of suboxone for any longer than two weeks to detox, because beyond that period it causes its own addiction, as you all have found out most painfully.

As far as using NalTREXone (brand name: TREXAN in the U.S. to detox, this is the medication that is a pure opiate antagonist. In fact, part of the contents of Suboxone are already Naltrexone. Naltrexone has a half life such that it works in the body for up to 48 hours. What it does is tightly bind to the opiate receptors and kick off any opiates that might be present in the CNS.

In practical terms, for a clean addict, this guards against relapse. Once Naltrexone takes hold ingesting an opiate will have no effect. For example, injecting heroin would be the same as injecting plain water - nothing would happen at all.

Now, taking Naltrexone while opiates are in the system will throw the addict into instant detox. In fact, this is what is given to addicts in rapid detox centers - naltrexone.

During this period the addicts goes through hell. One or two weeks of withdrawals are combined into 12 - 24 hours. It is a shortcut, but a painful one. This is why many patients are kept medicated with drugs such as valium or even kept unconscious during rapid detox.

So, to answer your specific question, since you are taking Suboxone you are already getting a small amount of Natrexone. Since your dose is already so low, I would recommend kicking Cold Turkey. You could go on like this for years, and from past observations of others more than likely your dose will end up increasing if you stay on. I already noticed that in your early posts you mention you were down to 0.2mg, then mentioned 0.1 to 0.2mg, and your latest post - 0.2 - 0.3mg. Do not kid yourself. Suboxone is a wolf in sheep's clothing and very hard to get off once you have been on it for any length of time.

The question is, do you wish to remain an addict for life, or do you really want to get clean? If your willingness is there, getting off will be difficult, but quite possible. To stay off, you will need some sort of Recovery Program to fill the void that was occupied with drugs, such as Twelve Step meetings or Smart Recovery.

There are all shades of Recovery and I do not mean to imply that I have all the answers. But in my experience there is no true Recovery until one is clean and sober, and use of any drug in the long term leads to increased use and almost always a return to the original drug of choice.