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Day 5 of Bernese Method taper. Unsure how to proceed. Does anyone have any experience with this.?
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So my wife and I took the jump to try and get clean again. Last time we took subs we both went into horrific precipitated withdrawals, so unfortunately we've been putting this off for a long time.

Recently we switched from tar to fent blues (not by choice, unfortunately) and it fucked us, hard. We used to split a gram between the two of us every day on a schedule like clockwork, but the fent presses just escalated our tolerance so high so fast it's unsustainable. And I read that most of these fent analogues are lipophilic, we're doubly screwed.

So 5 days ago we started with a 0.33mg dose once at night.
Day 2 we took 0.25mg x3. Day 3 jumped to 0.5mg x4.
Day 4 we did 1.0mg x4 and started running into issues. Day 5, today, we scaled back to 1.0mg x2 so far. We have been concurrently taking fent the whole time, but have scaled back use dramatically.

The problems on day 4 started after about the 3rd 1.0mg dose. It felt like we were starting to go into PWs and they were not remedied well by dosing fent. In the morning, we were able to stretch 3 pills for about 10 hours, which is incredible, considering we had peaked at 12 -15 a day. But after a 4th 1.0mg dose late in the night my wife started having more severe symptoms (sneezing fits, restless legs, etc) while I still felt kind of okay.

She had to take a larger/repeated dose of fent in the early morning to come out of it and was afraid to redose suboxone. We eventually took a 0.5mg dose and managed to stretch the morning dose for about 12 hours without redosing suboxone until the 12th hour and again took 0.5mg. However, this time I started having more severe withdrawal symptoms around the 8th hour whereas she felt generally okay.

So the question here is how to proceed.

Do we continue to scale back and take minimal sub dosages? Or do we try to get back up to 4mg of suboxone a day and continue increasing up to 8 -10mg? Ideally we'd like to be able to jump off the fent completely by Wednesday, as that was the original plan, but stepping backwards today night have ruined that.

TL;DR: started Bernese suboxone induction 5 days ago. Ran into PW problems increasing dose today. What do we do?

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4 years ago