Coming off subs - comfort meds to ask for from primary care?

I am about to stop taking subs in a few days. Currently on 2 mg per day. Have been on for ~ 2.5 years. I am heading to primate care on Monday to ask for meds which will ease the process (sleeping, discomfort). The ones I'm asking for now are ones that I learned about when in detox and inpatient treatment for opioids. Here they are: Flexeril, Clonidine. The two over the counter ones I'll buy are Benadryl and melatonin.

Any other suggestions (OTC or prescribed)? Thanks.

Posted Jan 11, 2020, 8:26 PM UTC

118
Br1ngTh3Ruckus•

2mg is a high dose to be jumping off of. Also, I recommend staying away from Benedryl as it can make RLS much worse if that is one of the symtoms you encounter. The comfort meds I find most useful are Clonidine and Gabapentin. Clonidine helps with anxiety, sleep, and temperature fluctuations. Gabapentin helps with most symptoms but especially RLS, anxiety, and sleep.

3
BusyAssistantOP•

Yea it is high but I am motivated to stop now. I have experienced that with Benadryl in the distant past but not recently. I was thinking about asking for gabapentin.

I have read a few posts about the vitamin C thing on here, so idk I night try that too.

2
Poopcity123•

Do u know why benedryl does that w rls? Its freaking terrible. If i take benedryl for more than like a week i get rls so bad. Bizarre

1
Br1ngTh3Ruckus•

Yeah it makes my RLS x100 worse which us a nightmare when you're trying to sleep.

Apparently the reason for this is not very understood. According to William Ondo, M.D., "We don't yet understand why sedating antihistamines worsen restless legs syndrome, but we do know that non-sedating antihistamines do not affect the symptoms as much because they do not enter the brain as easily," Ondo said. "It's very frustrating for my patients when a sleeping pill like a sedating antihistamine doesn't help them sleep, so I advise them to seek other allergy relief options, such as nasal sprays and decongestants."

1
unbitious•

I second your advice about benadryl! It will make rls SO much worse! Use melatonin, OP. And I also agree 2 mg is at least 8 times too high a dose to jump from.

1
BusyAssistantOP•

Well I'm gonna give it a week or 2 and if it's unbearable then I will adjust and continue tapering.

1
unbitious•

Ok, good luck. Please don't push yourself too hard and end up relapsing; sub is always better than dope.

1
BusyAssistantOP•

Yea I won't. Thanks. Will keep the sub posted and I really want to be clean and done with subs.

1
600675•

Gabapentin

Edit- I jumped from 4mg so .. its gonna suck. It's not impossible though. Kratom was super helpful for me for a few months but if you do decide to use it, respect it.

2
gringo2260•

How low of a suboxone dose b4 I can get pain relief from an oxycodone???

Serious pain history,,, too much to list.

Just looking for insight.

1
idontlikeposting03•

I also jumped from 2mg 16 days ago. I used clonidine 0.1mg twice a day, but the morning dose made the Lack of energy even worse. So maybe just take it before bed. The holy grail is gabapentin. I use 400mg 3x a day and it made everything sooo much easier, I couldnt believe I waited so long to get off those little orange shits. I second everyone stating benadryl makes the rls worse while your in acute w.d. I am 16 days clean and use benadryl now every night and it helps me sleep. Gabapentin can easily be abused Nd have their own nasty withdrawals if you take them for too long so be careful. I wouldnt go near kratom because that too has horrible withdrawals if you dont tread carefully. 16 days since I jumped and I still have diarrhea and a lack of energy and motivation. Other then that I'm sleeping, eating, able to do things. You can do this, if you have any questions let me know. GO JUMP OFF AND JOIN THE GOOD SIDE.

1
BusyAssistantOP•

Thanks very helpful

1
BusyAssistantOP•

Hey thanks for the comment, I have some more questions. I was unable to get the Clonidine or Flexeril but did get Gabapentin...what should my dosage schedule be? My Dr wouldn't prescribe so I had to get from my friend. I want to avoid wds from these like you said. And also why do you say it's the holy grail? Does it actually relieve the RLS? Cause I hate that the most. Thanks.

1
idontlikeposting03•

It most definetly relieves the rls along with elevating ur mood, helping u sleep and even controlling the hot flashes. If I was you I'd start with 600mg of gabapentin and since you have never used it before you will feel better from that. I wouldnt go over 900-1200 mg a day. You can take 600 at once when u start to feel the w.ds coming in.

1
BusyAssistantOP•

Ok thanks. I have 40 600 mgs so that should last me a while.

1
idontlikeposting03•

It most definetly relieves the rls along with elevating ur mood, helping u sleep and even controlling the hot flashes. If I was you I'd start with 600mg of gabapentin and since you have never used it before you will feel better from that. I wouldnt go over 900-1200 mg a day. You can take 600 at once when u start to feel the w.ds coming in.

1
c0mm0nSenseplz•

2 mg is going to be painful. You can also ask for "Gabapentin". If you have PTSD nightmares like me, ask for "Prosazin". Do not take Benadryl until at least 2-3 weeks after you get off.

1
ChicagoColecoChick•

My doctor prescribes something called Lucemyra when people are tapering or discounting Subs. I haven’t personally used it but it’s supposed to ease discomfort of withdrawal symptoms

1