Author: hatmaker510
Posted: Sat Jul 09, 2011 5:50 am
I agree that you should tell the doctor the truth. I’m sure he’s heard it before. Many others have come here in your same situation and decided to tell their doctor that they, too,were getting sub off the street. It didn’t interfere with their doctor prescribing their suboxone at all.
Marie explained the ceiling effect pretty well. The ceiling is generally accepted to be at or around 4 mg. At that point the receptors should be saturated, but one maintained on sub should be comfortably above the ceiling to KEEP the receptors saturated at all times. Doses vary from there based on what each individual person needs in order to stifle their cravings. For some, 8 mg will do, for others that’s 16.
If a person on sub maintenance is under the ceiling, the receptors are not saturated and the person will feel highs and lows because they don’t have a steady level of bupe (sub) in their system.
I hope this helps. If you have more questions on this or anything else, just ask us. Good luck at your appt early next week!
