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Pregnant, suboxone, can I jump?
  1. #1
    Becky3884 is offline New Member
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    Default Pregnant, suboxone, can I jump?

    I’ve seen SO many helpful threads on here regarding pregnancy and suboxone use. I’m hoping someone could help me, please. I just want to be done with this but I’m worried I’ll harm my baby.

    I’m only 5 weeks. I’ve been taking 1/16 of a 8mg strip daily, (0.5mg) not prescribed, for a little more than 6 months. I want to know if I can jump off from this safely. The last few days I’ve been cutting 1/8 into three sections instead of 2, as equal as I can get them, with good results. I’m not scoring on COWS at all. I’ve read you can jump from 0.25. Is that the case? Would 2/3 days of 0.25 be alright before stopping? These smaller doses are really hard to get right off my 8mg strips but that’s all I have available. I have enough to get through my first trimester, but really don’t want it to take that long. I’m afraid my OB will find out. And I’m a working professional. As such I’m familiar with COWS, etc. I’m wondering, as long as I’m not scoring too high, my pregnancy should be safe? I’d love to be off of this before my 8 week appointment. I’m not worried about my symptoms, only keeping this pregnancy. Thank you anyone that’s read all this!!

  2. #2
    Ricky71 is offline Platinum Member
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    Quote Originally Posted by Becky3884 View Post
    I’ve seen SO many helpful threads on here regarding pregnancy and suboxone use. I’m hoping someone could help me, please. I just want to be done with this but I’m worried I’ll harm my baby.

    I’m only 5 weeks. I’ve been taking 1/16 of a 8mg strip daily, (0.5mg) not prescribed, for a little more than 6 months. I want to know if I can jump off from this safely. The last few days I’ve been cutting 1/8 into three sections instead of 2, as equal as I can get them, with good results. I’m not scoring on COWS at all. I’ve read you can jump from 0.25. Is that the case? Would 2/3 days of 0.25 be alright before stopping? These smaller doses are really hard to get right off my 8mg strips but that’s all I have available. I have enough to get through my first trimester, but really don’t want it to take that long. I’m afraid my OB will find out. And I’m a working professional. As such I’m familiar with COWS, etc. I’m wondering, as long as I’m not scoring too high, my pregnancy should be safe? I’d love to be off of this before my 8 week appointment. I’m not worried about my symptoms, only keeping this pregnancy. Thank you anyone that’s read all this!!

    Becky, you wouldn't score anything on the COWS worksheet because you are not in withdrawals! Suboxone is a really strong opiate with a very long half-life, it could take a few days from your last dose to start feeling any withdrawal symptoms? You need not to concern yourself with the COWS worksheet anyway! The COWS worksheet is used to determine the severity of a patients withdrawal symptoms in order to safely start the sub induction process in order to avoid precipitated withdrawal!

    If you are currently at .50mg/day then you can reduce your dosage by 25% to 37.5mg/day. Stay at that dose until you are stable (stable means very little to no withdrawal symptoms), usually 4-7 days on average? DO NOT make a reduction under any circumstance unless you are stable! Then you can make your next 25% reduction to .25mg/day, rinse and repeat! Most people reduce all the way down to .125mg/day before jumping off, the lower in dose when jumping the softer the landing will be!

    It's VERY IMPORTANT to take your dose at the same exact time everyday and it's also VERY IMPORTANT to make sure your dose is as accurate as possible!

    Watch the following video on how to accurately cut the suboxone strips courtesy of ddc member HarrySmooth - https://m.youtube.com/watch?v=ttZ5ATKb-LE

    You have plenty of time to safely and comfortably get off the suboxone! Do not rush this process or you can cause unnecessary problems for you and/or your child! Keep us updated on your progress? God bless us all!
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  3. #3
    Becky3884 is offline New Member
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    The closest I can approximate to cut is the 0.33 I did today, so I will do that for the next 5/6 days, then 0.25 for 4/7 days, then half that at 0.125 for 4/7 and then I can safely jump? I’m just hoping my calculations of cutting the strip are correct.
    Is there a time when you’d increase back to the last step? No right? In a few weeks I feel it will be hard to distinguish w/d symptoms and pregnancy symptoms, and don’t want to increase for no reason. At those steps no matter what I’m feeling I should be safe to just push through pregnancy wise? Thank you so much for taking the time and your help! I will be sure to update. I do wish I could just jump now but I will do my best to be patient and go through the steps!
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  4. #4
    Becky3884 is offline New Member
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    Ahhh silly me I just found the part in the video for 0.375. I think I may stick with 0.33 for now and hope that works out for the week. That video is very helpful thank you!!

  5. #5
    Ricky71 is offline Platinum Member
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    Quote Originally Posted by Ricky71 View Post
    Becky, you wouldn't score anything on the COWS worksheet because you are not in withdrawals! Suboxone is a really strong opiate with a very long half-life, it could take a few days from your last dose to start feeling any withdrawal symptoms? You need not to concern yourself with the COWS worksheet anyway! The COWS worksheet is used to determine the severity of a patients withdrawal symptoms in order to safely start the sub induction process in order to avoid precipitated withdrawal!

    If you are currently at .50mg/day then you can reduce your dosage by 25% to 37.5mg/day. Stay at that dose until you are stable (stable means very little to no withdrawal symptoms), usually 4-7 days on average? DO NOT make a reduction under any circumstance unless you are stable! Then you can make your next 25% reduction to .25mg/day, rinse and repeat! Most people reduce all the way down to .125mg/day before jumping off, the lower in dose when jumping the softer the landing will be!

    It's VERY IMPORTANT to take your dose at the same exact time everyday and it's also VERY IMPORTANT to make sure your dose is as accurate as possible!

    Watch the following video on how to accurately cut the suboxone strips courtesy of ddc member HarrySmooth - https://m.youtube.com/watch?v=ttZ5ATKb-LE

    You have plenty of time to safely and comfortably get off the suboxone! Do not rush this process or you can cause unnecessary problems for you and/or your child! Keep us updated on your progress? God bless us all!

    Sorry, I didn't realize my misprint! It's .375mg (.25mg piece and a .125mg piece) not 37.5mg, I'm quite certain you knew what I meant? If you need any help with how to get to certain dosages or have any other questions and/or concerns please let us know? Follow the plan, DON'T rush it! God bless us all!

  6. #6
    Bwaldridge03 is offline Member
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    Becky I know exactly what you’re going through trying to cut those 8mg strips. I was cutting them into 1mg pieces and having a hard time keeping up with them I couldn’t even tell if I was getting them under my tongue half the time. Instead of cutting them up so small try to start skipping a day. Like take .5mg one day take nothing the next day. Take .5 again the 3rd day. Or take your .375 until you’re stable and start skipping every other day. If you’re good skip two days and so on
    Last edited by Anonymous; 04-27-2019 at 07:17 AM.

  7. #7
    Becky3884 is offline New Member
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    So relatable! I might try again to skip days. I tried once before at 0.5 and the longest I made it was about 36 hours. That was before I was pregnant though. I just have to keep telling myself how long this stuff stays in your system. I sat with a screen shot of that video and cut one into 0.25 and 0.125’s last night, yes absolutely knew that you meant 0.375! Hopefully my last one to open! Triangles! Why didn’t I think of triangles! Haha.

    Luckily I think the most I ever did was 1mg, that’s where I started with them. But I’ve been on them so long. And 20/30mg oxy/hydro so long before that, almost 2 years. I know I’m lucky to have stayed to fairly small doses compared to some, I never increased, only kept w/d symptoms away, but it’s just knowing mentally that even though I haven’t felt high, I haven’t been completely sober for years either and that really scares me. It was hard to find information for people starting with smaller doses, I was hoping I could just jump off and grit through it. But I see the merits in taking my time. I’ve found some studies that have shown the combo suboxone strips just as safe and effective in pregnancy as those that are switched to mono therapy through a treatment program. I was really worried about that as the strips are all I have on hand and I don’t have any further access. So that eases my fears about continuing to taper.

    If I can stick to a week or less per step I can be done in 3 weeks by my 8 week goal. That’s really exciting!

  8. #8
    Ricky71 is offline Platinum Member
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    Quote Originally Posted by Becky3884 View Post
    So relatable! I might try again to skip days. I tried once before at 0.5 and the longest I made it was about 36 hours. That was before I was pregnant though. I just have to keep telling myself how long this stuff stays in your system. I sat with a screen shot of that video and cut one into 0.25 and 0.125’s last night, yes absolutely knew that you meant 0.375! Hopefully my last one to open! Triangles! Why didn’t I think of triangles! Haha.

    Luckily I think the most I ever did was 1mg, that’s where I started with them. But I’ve been on them so long. And 20/30mg oxy/hydro so long before that, almost 2 years. I know I’m lucky to have stayed to fairly small doses compared to some, I never increased, only kept w/d symptoms away, but it’s just knowing mentally that even though I haven’t felt high, I haven’t been completely sober for years either and that really scares me. It was hard to find information for people starting with smaller doses, I was hoping I could just jump off and grit through it. But I see the merits in taking my time. I’ve found some studies that have shown the combo suboxone strips just as safe and effective in pregnancy as those that are switched to mono therapy through a treatment program. I was really worried about that as the strips are all I have on hand and I don’t have any further access. So that eases my fears about continuing to taper.

    If I can stick to a week or less per step I can be done in 3 weeks by my 8 week goal. That’s really exciting!

    As you can see by the video it's not that difficult to get to the lower doses. You can even get down to .06mg and .03mg if you need to, a strong pair of reading glasses really helps along with tweezers and sharp manicure scissors! I put my dose on the end/tip of my finger then using a mirror I carefully stick the dose under my tongue, you can use tweezers and a mirror as well. I've only lost a dose once or twice that way but if you're careful it shouldn't be an issue? As far as skipping days, that is a process that you can perform when you are on your lowest dose before you jump? You can take a look on how the skip day process works here - https://forum.drugs.com/suboxone-tre...apy-66109.html

    Don't worry, you got this! Take care... God bless us all!
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  9. #9
    Becky3884 is offline New Member
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    Just a quick update, I’m down to 0.125 and struggling. It feels like so little! I haven’t been successful in skipping a day. The air conditioner at work is broken. It’s an on your feet all day customer service type job and I’m just struggling all together. Plan to jump off at my next 3 day weekend, but I’m wondering, what day range can I expect the worst of symptoms? I think knowing when physical symptoms might end may help me push through? Thank you to everyone listening and supporting me!!

  10. #10
    Ricky71 is offline Platinum Member
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    Quote Originally Posted by Becky3884 View Post
    Just a quick update, I’m down to 0.125 and struggling. It feels like so little! I haven’t been successful in skipping a day. The air conditioner at work is broken. It’s an on your feet all day customer service type job and I’m just struggling all together. Plan to jump off at my next 3 day weekend, but I’m wondering, what day range can I expect the worst of symptoms? I think knowing when physical symptoms might end may help me push through? Thank you to everyone listening and supporting me!!

    It's been a couple of weeks since we last heard from you, I was wondering how you were doing?

    Getting down to .125mg/day is great! Remember it's best to take your sub at the same time every day! If you stay on the .125mg/day dose you will eventually stabilize and then you can either taper further, try the skip day process as explained in Robert's sub therapy/taper plan or just jump? Not everyone does the skip day process so that's entirely up to you?

    You asked about withdrawal symptoms? Because of the long half-life associated with subs withdrawal symptoms can take a couple of days before they even start and then a few more days after that to peak? You are on a low dose now so you should expect your symptoms to be on the mild side? It's impossible to say exactly what symptoms you will have, how mild or severe they will be or how long they will last simply because everybody is different? There are so many different determining factors like metabolism, health, diet, age, etc..., there's just no way to know for sure?

    Eat healthy, drink lots of water and get in some exercise whenever possible! You'll want to avoid caffeine and refined sugar especially during the early stages of detox! Don't be a stranger! Keep us updated on your progress? Best of luck to you! God bless us all!
    Last edited by Anonymous; 05-09-2019 at 05:45 PM.
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  11. #11
    Becky3884 is offline New Member
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    I’m 5 days into no meds. That, I suppose, is the good news. The bad is that I lost the baby. Many weeks before I knew it was gone. I hope I can stay away from it, and never have this problem again.

  12. #12
    Ricky71 is offline Platinum Member
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    Quote Originally Posted by Becky3884 View Post
    I’m 5 days into no meds. That, I suppose, is the good news. The bad is that I lost the baby. Many weeks before I knew it was gone. I hope I can stay away from it, and never have this problem again.

    Becky, I'm very sorry to hear about your loss. For long-term success with sobriety you'll need to be and stay active in some sort of 12 step program? It would also help if you would see an addiction specialist/counselor on a regular basis as well! I hope you check in from time to time and leave us an update on your journey? Best of luck to you... God bless us all!

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    Becky, I'm so sorry for your loss. So many times women lose their babies, and it is of no fault to you. I agree with ricky, make sure you talk to someone, even if its every other week, just to explore your emotions. Getting off subs and losing a baby can mess with your mind. We are here for you if you need to vent. Think of when you are ready to try again, you'll be sober already, and that is some good news.

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