If you are feeling that badly, and can not stay awake your best bet is the ER. In my unprofessional opinion , you are on too high a dose of suboxone. When it is used to help a patient withdraw from medications, without an addiction problem, it is not generally used at doses higher than 2 mg over the course of a day. 8 mg of suboxone for a vicoden withdrawal is a lot of suboxone for what is a very minor pain medication on the oral pain medication scale.
I would contact your PM doctor to discuss this dosing. Usually it is given over the course of a few days to a week to get the pain patient off of pain medications, and not for more than 2 weeks at the most. Seems to me that your detox doctor gave you a dosing schedule for treating addiction, not a simple withdrawal problem.
Suboxone has a long half life, which is probably why you are so sleepy still , because you still have some level of sub left over from yesterdays dose and then the additional medication that you took today.
Can I ask why you went inpatient for this withdrawal instead of doing it at home? How much vicoden were you taking and for how long?
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.
Avascular necrosis of left wrist- maybe hips too