Taking Buprenorphine

[thorp]

I am currently on 200 microgram Buprenorphine sub lingual.

I am still getting up three or four times a night to walk so i am seeing my GP on Friday to ask for another 200 microgram Buprenorphine

Hopefully she will agree to give it to me

How should I take it?

Now I take 200 at 2300 and go to bed 2330.

Should I take 2 x 200 at the same time at 2300.

Or should I take one 200 say at 2230 and the other 200 at 2300?

Or at some other times?

I would be very grateful for any advice from this great forum

[Joolsg]

200mcg is extremely low. The average dose according to the Mayo ClinicAlgorithm is between 1 and 1.5mg.Dr Winkelman's opioid study shows the average dose is 1.2mg.

I take 0.2mg (200mcg) at 9pm and 0.2mg at midnight.

I split the dose to avoid evening RLS between 7 and 9pm the next day.

So ask for another 0.2mg and take it just before you sleep.

You can try 0.4mg in one dose and if you get any RLS the next day or evening, you can then try 0.2mg 2 hours before bed and 0.2mg just as you fall asleep.

[thorp in reply to Joolsg]

thank you. most useful

[4Curiousosity]

I found that if I only take it at bedtime it doesn’t work. So I’ve tried taking it at midday and at bedtime and it works great

[thorp in reply to 4Curiousosity]

thank you