Buprenorphine Induction: Your Journey Toward Recovery with Dr. Watson
Congratulations! You’ve Taken the First Step
You’ve completed your initial visit with Dr. Watson and have been prescribed your medication. Now, it’s time to begin your journey toward recovery.
The first crucial step is the induction process, where you transition from your current opioids to buprenorphine (Suboxone).
Understanding the Risks
What is Precipitated Withdrawal?
Precipitated withdrawal can occur if buprenorphine, which has a high affinity for mu receptors, replaces other opioids you may have been using. This can cause severe withdrawal symptoms.
How to Avoid Precipitated Withdrawal
Ensure Adequate Withdrawal: Wait until you’re in moderate withdrawal (COWS > 12) before initiating buprenorphine.
Start Low: Begin with a lower dose of 2.0mg/0.5mg to 4.0mg/1.0mg.
Reassess: Wait 30-60 minutes before taking additional medication.
If done correctly, you should go from feeling bad to feeling better.
Timing Is Key
Long-Acting Opioids (e.g., Methadone): Wait 48-72 hours after last use.
Short-Acting Opioids (e.g., Heron): Wait approximately 12 hours after last use.
Fentanyl: May require more than 12 hours.
Assessing Your Symptoms
You’re the best judge of when you’re ready for induction. You should be experiencing symptoms similar to having the flu.
What is COWS score?
The COWS (Clinical Opiate Withdrawal Scale) score measures acute opioid withdrawal. A score of 13 or higher indicates that you’re ready to begin induction.
Direct Physician Care with Dr. Watson gives you access to a precise and focused route to recovery. This streamlined approach eliminates distractions, providing the best opportunity for a successful and enduring recovery.
If you begin to feel worse after the initial dose, do not take more, as it can exacerbate your symptoms. The only cure for precipitated withdrawal is time.
Congratulations! You’re on your path to recovery. If you have any questions, Dr. Watson is just a call away.