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Doctors and pharmacists telling me their empirical experience. The lower front teeth are those where I needed work on so many times, that's where you hold the damn pill/saliva+suboxone for 20-30-40 minutes depending on what you prefer. It's directly related to Canadian Suboxone, which are white, not orange, I assume the Orange pills were orange tasting and thus had a higher pH. I cannot speak for things like strips, those blotter like 1mg squares would've made getting off bupe easier with the possibility of going down by 1mg, not a possibility here, 2mg and 8mg pills, same with the generics. Bunavail was rejected by our equivalent of the FDA and apparently it aint great and my sub/methadone doc never heard of Zubsolv, although I hear good and bad things about it, plus the pills are apparently tasteless.
Those strips likely aren't acidic like white brand name and some generic canadian suboxone pills...my american opi bros can tell me. I was smoking cigs still then, that didn't help I guess, I stopped the smokes since april 2014, vape very low (6mg) nicotine juice. But that stuff makes me get a lot of mucus in my throat no matter if they're cheap vapes or good ones like say Kangertech.
I'll take those people's knowledge first, don't take it personally. The one pharmacist I like the least at my pharmacy, some holier-than-thou redhead, when I was switching to subs told me, brush your teeth even more, i've already seen 4 patients since Suboxone is paid for by government med insurance, it gives cavities on the long term.
Another reason not to use bupe on the long term but for 3 month detox max, notwithstanding the likely opiate receptor damaging effects of very long use of an agonist, no matter how partial, sticks to those mu receptors more than almost anything else, had to have a script for Abstrals before and after surgery (400ug) with Kadians 200mg (morphine XR) so I would feel actual real opiate effect, after not taking bupe for 52 hours when that happened, man was I glad to get it again.
Now I get it all the time with the generic oxy-CR 60s but man the road I travelled, 7 years later and they managed to get my tolerance higher even after getting off bupe, an Oxy 40 would wreck me before I got in, methadone made me gain 110 pounds in 10 months and suboxone ate away the enamel of my frontal lower teeth like crazy, it's amazing I don't need partial dentures, my dentist's pretty good and patient for sure.
It's different for a lot of people but that's a definite trend, like, we're getting a blood sample taken every 6 months for liver enzymes, because bupe fucks with some people's liver so bad, apparently, 2 girls who did not drink with their bupe told me how quickly they went back to 'done and one since she had a bunch of pain issues, even more than me, was telling me that health canada was looking up her application for pharma heroin ampoules, both ended up in the ER with their liver extremely large and painful, I thought it was a rare thing but it's more common than I thought.
Yet when I spoke about this years ago around here 'merkins were all "wow, that's nonsense, they likely were lying and looking for other stuff"..which is kinda dumb, I had to go to the clinic during a nurse strike, so the nurses did the very minimum and didn't take the sample rightt away and gave me 3 or 4 times over 2 years (it was a 3 year pressure means strike) a sheet for bloodwork like my GP would give me give me with all tthe things one can be checked for with boxes checked and only one liver enzyme test was checked, everything else was blank, so it's def real.