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If you are taking the subutex that dissolves under your tongue, you should let it dissolve completely under your tongue. Hold the fluid under your tongue for a while after it dissolves completely. Swallow fluid slowly. This will ensure that you get the complete dosage of subutex.
Although there are no food interactions listed for subutex, I would not take it near consuming citrus fruits, or any food if possible for at least 15 minutes. Many drugs will have reduced effects if you take the medication with food.
You should never take tramadol and subutex together. Both are known to lower the seizure threshold, meaning you could have a seizure, especially if you have a tendency to them.
You need to talk to your addictionologist. Usually if the Subutex is not holding you, it means you need a larger dose. If you have not been taking it long your doctor will increase it if you tell them that you are having a hard time in between dosages.
You should have support while on subutex. Even if it is difficult to talk it is good to attend 12 step meetings for support, and to be reminded of the places that drug addiction can lead. If you have some kind of support system for subutex, that would be even better. There may be support online at the drug website.
Here is the website: http://suboxone.com/
I hope this helps. If you have questions, please reply.
Take care, Susan
Don't you have NA or other 12 step groups in the UK - I'm sure there are. You have to make do with the resources that are available. I also gave you a web site that might lead to online support as well. Anywhere under your tongue is fine.
Another excellent suggestion would be for you to get out and do some volunteering. Take some meals to the homeless, many which are mentally ill or have been destroyed by addiction. This will help you to get your mind off of yourself and how you are feeling.
You are blessed!
I'm sorry if you misunderstood me. A 12 step group would be for you. The information that I am giving you is information that could really help you. You feel that it is patronizing most likely because you do not feel like you are the average addict. The disease of addiction treats everyone the same and leads often to the same place - a place of loss and pain.
You have said how hard it is to talk to people. I understand the difficulties of that, but that is one of the most common traits of people that use substances excessively and those types of issues are the type of thing a group of other people with those issues could help you with.
Doing volunteer work with adults, that are where they are sometimes due to being unable to stop using substances, is much different than doing charity work with children (which is a very commendable thing to do).
I do not think you are a bad person. And I am sure you have had more than your share of heartbreaks in your life. This is a common story of those that take of substances to kill their pain. Often addicts have the biggest of hearts when not taking or obsessing over their drug of choice.
But it takes doing things differently than you initially want to, talking steps that are out of your comfort zone to begin to overcome this illness.
I don't want pay for this post, excuse me if the messages go out automatically to you.