HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Withdrawal Symptoms Of Suboxone

default
Posted on Mon, 18 Sep 2017
Question: I have been takining 8mg of wu ozone forn7 years. Inrecently participatedn in medical study to detox me from suboxone and swith me to vvivitril. It's days seven with out suboxone. I'm still withdrawing and have severe restlessness when I try to sleep. How long can expectnthis to go on and what sleeping medicine do you rccommend for the insomnia. In detox I was on 100'mg of trazadone. Which did not work at all. I talked to someone else who works acetic facility for opiates and he said there protocaol is to use seraquel. I desperately want to slleep but don't want to become addicted to a sleeping pill. What do you recommend.
doctor
Answered by Dr. Dr. Antoneta Zotaj (3 hours later)
Brief Answer:
Some treatment options and advices given

Detailed Answer:
Hello,
Thank you for asking at healthcaremagic.
I carefully read your question and understand your concern, especially with need to sleep bu avoiding dependence.

The first 3 days are the most difficult ones and after the first week normally sleep seems better. In a month sleep is much better but depression might be very obvious and might affect sleep also so sometimes antidepressants (like amytriptiline or seroquel) are recommended for a few months to help with sleep short term and depression in longer term.

It is true that benzodiazepines like diazepam can cause dependence but this is mostly a risk for patients that use also alcohol and if you take them regularly for more than a week. I would say that you might try to use diazepam every other night for 10 days to help you sleep a while as you wait for the effect of the withdrawal to fade.

Trazodone is a good medication also but if it didn't help than other options should be used.

Some other options are amitriptyline at night, it helps with sleep and this you should take regularly and slowly decrease it if you would like to stop it. it does not cause dependence but you need to gradually cut down before you stop it or you might have problems with sleep.

Seroquel is a medication that might help, as you were advised, and it does not cause dependence, so you might go for that also.

Please talk this with your doctor and decide with him what to do as you will need close monitoring of the effects and side effects and decisions made based on this. It might not be safe to try more than one drug at a time, and each drug needs its own time to work the effect and most of them need to gradually be cut down before stopping, even if they don't cause dependence.

If you have thoughts to hurt yourself or others these might be due to nervousness from withdrawal and you need urgent help, don't allow those thoughts to rest on you but share them with your family and doctor and seek help.

I hope this is helpful and answers to your question but please feel free to reply if anymore clarifications are needed on this.

Kind regards,

Antoneta Zotaj, MD
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4435 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Withdrawal Symptoms Of Suboxone

Brief Answer: Some treatment options and advices given Detailed Answer: Hello, Thank you for asking at healthcaremagic. I carefully read your question and understand your concern, especially with need to sleep bu avoiding dependence. The first 3 days are the most difficult ones and after the first week normally sleep seems better. In a month sleep is much better but depression might be very obvious and might affect sleep also so sometimes antidepressants (like amytriptiline or seroquel) are recommended for a few months to help with sleep short term and depression in longer term. It is true that benzodiazepines like diazepam can cause dependence but this is mostly a risk for patients that use also alcohol and if you take them regularly for more than a week. I would say that you might try to use diazepam every other night for 10 days to help you sleep a while as you wait for the effect of the withdrawal to fade. Trazodone is a good medication also but if it didn't help than other options should be used. Some other options are amitriptyline at night, it helps with sleep and this you should take regularly and slowly decrease it if you would like to stop it. it does not cause dependence but you need to gradually cut down before you stop it or you might have problems with sleep. Seroquel is a medication that might help, as you were advised, and it does not cause dependence, so you might go for that also. Please talk this with your doctor and decide with him what to do as you will need close monitoring of the effects and side effects and decisions made based on this. It might not be safe to try more than one drug at a time, and each drug needs its own time to work the effect and most of them need to gradually be cut down before stopping, even if they don't cause dependence. If you have thoughts to hurt yourself or others these might be due to nervousness from withdrawal and you need urgent help, don't allow those thoughts to rest on you but share them with your family and doctor and seek help. I hope this is helpful and answers to your question but please feel free to reply if anymore clarifications are needed on this. Kind regards, Antoneta Zotaj, MD