Author: Romeo
Posted: Tue Apr 10, 2012 10:27 pm
Going by the COWS (clinical opiate wd scale) is the safest way to avoid precipitated wd. Sodone (Amanda) is right, it’s not really about how long you’ve been off of pain meds, it’s how bad your wd is and you do NOT have to be barfing your guts out and crappin’ all over yourself before you start Suboxone. Mild to moderate wd is all that’s required.
Here’s a link to the COWS scale, the second page explains precipitated wd and how it happens, the first page allows you to "score" the severity of your wd and your score will let you know if you’re ready to start Suboxone.
http://www.naabt.org/documents/cows_induction_flow_sheet.pdf
BTW, I’d say that 90% of us were nervous as hell before we started Suboxone, I know I was, it’s completely normal to be nervous.
