Posted by pseudoname on November 19, 2005, at 16:47:59
In reply to Do not despair » pseudoname, posted by ed_uk on November 17, 2005, at 15:52:06
> I guess your pdoc is not familiar with buprenorphine.
For sure! Until 10 minutes before she wrote my script, she did not know she had the legal authority to prescribe bupe. (A common misperception in the States.)
But she is willing to try it when no others would, so I can certainly put up with a learning curve.
> 2mg/day is not a suitable starting dose for an opioid-naive...
I second that.
> Here is what I recommend....
In fact, pdoc asked me as we discussed the situation, "Well, what do your online sources say about it?" (!!) So she is using your recommendations as guidance. You international influence, you. She suggested Reglan (metoclopramide) to work against both the vomiting and the anticipated constipation, however.
I'm not supposed to try the bupe again until after I have my scheduled physical exam on Monday (and pick up the Reglan), but I took what I guesstimate is 0.1 mg today anyway because I'm impatient and it's the weekend (no driving or machinery-operating). Three hours later and I have no problems like I had with the "Day 1" dose – except slight dizziness for which I will lie down. :)
If my dosing is going to be consistently in the one-tenth-of-a-tablet range, I may need some advice on cutting & measuring tiny crumbs of brittle, oval-shaped pills.
Ed, thanks again for the detailed advice – which I'm printing to give to her in case she tries bupe with anyone else.
poster:pseudoname
thread:579345
URL: http://www.dr-bob.org/babble/20051119/msgs/580461.html