buprenorphine transdermal (patch) dosis
Posted: Mon Feb 05, 2024 1:03 pm
I am starting the opioid journey.
I am at a point where I rarely sleep more than 5 hours in multiple one-hour sessions and have RLS also during the day. I also had numerous sleepless nights in the past 12 months. I take 450 mg pregabalin before bed. However, it doesn’t work well or help during the day. Also, going to 600 mg has little added effect.
So now I want to try opioids. I want to try buprenorphine because it is long-lasting and appears to have less severe side effects and issues at the low dose I hope to need.
I got a prescription for a transdermal patch at the lowest dose available (in Switzerland) at 35 mcg/h. After the first night, I immediately removed it as the dose was way too strong. I was sick for two days (dry mouth, need to vomit, difficulty walking and talking, intense dizziness). I was out for 24 hours and bad for the second 24 hours.
I decided to start very low and slowly increase. I now take 1/8 of a patch, about 4.4 mcg/h. As it is long-lasting, I must wait for the dose to build up, but I can sense it will not be nearly enough.
So my question: for those who take a buprenorphine patch, what is your dose? Also, is it possible to relate the patch dose to a sublingual or film dose?
I am at a point where I rarely sleep more than 5 hours in multiple one-hour sessions and have RLS also during the day. I also had numerous sleepless nights in the past 12 months. I take 450 mg pregabalin before bed. However, it doesn’t work well or help during the day. Also, going to 600 mg has little added effect.
So now I want to try opioids. I want to try buprenorphine because it is long-lasting and appears to have less severe side effects and issues at the low dose I hope to need.
I got a prescription for a transdermal patch at the lowest dose available (in Switzerland) at 35 mcg/h. After the first night, I immediately removed it as the dose was way too strong. I was sick for two days (dry mouth, need to vomit, difficulty walking and talking, intense dizziness). I was out for 24 hours and bad for the second 24 hours.
I decided to start very low and slowly increase. I now take 1/8 of a patch, about 4.4 mcg/h. As it is long-lasting, I must wait for the dose to build up, but I can sense it will not be nearly enough.
So my question: for those who take a buprenorphine patch, what is your dose? Also, is it possible to relate the patch dose to a sublingual or film dose?