[{"doc_id": "doc_42_Tanzia", "id": "dvq9he", "event-label": "taking-moud", "post": "Anyone wake up like this every morning?. Ihave severe bouts of butterflies, or anxiety, crippling me every single morning, this lasts till about an hour after my dose, its very very weird, and is driving me mad. Treatments???", "comment": "Yeah the w'ds in the mornings definitely come as you taper. I find its usually the worst around the 20-24hr mark, right before you take the next dose. You could maybe try timing your dose a bit later, so you dont wake you with withdrawals. I found splitting the dose 12 hrs apart to help as well, but I waited till I got very low to do that", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual altered treatment due to withdrawals", "implicit"]], "effects": [["Withdrawals in the mornings", "scattered"]], "treatment": [["Timing dose later", "implicit"], ["splitting dose 12 hrs apart", "scattered"]]}, "type-specific-arguments": {"medications": [["Suboxone", "implicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["orally", "implicit"]], "frequency": [["20-24hr", "explicit"], ["sometimes 12hr", "implicit"]], "timing": [["null", ""]], "purpose": [["Avoiding withdrawals", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["withdrawals", "explicit"]], "severity": [["worst", "explicit"]], "start-time": [["in the morning", "explicit"]], "side-effect-duration": [["null", ""]], "intervention": [["splitting dosage and changing frequency", "implicit"]]}}}, {"doc_id": "doc_12_Joey", "id": "q4n28n", "event-label": "taking-moud", "post": "Reducing my use. Hi I\u2019m current on 4mg (2mg twice daily) and keen to keep reducing. My problem is that I\u2019m only able to get 8mg tablets. How do I spilt these tablets accurately considering they crumble very easily?", "comment": "Either crush it into a powder and get a 0.001g scale (a 1mg scale +/- about 5 if you're weighing at least 100mg), or make a volumetric solution. Volumetric dosing is easier via nasal/rectal use, but if it's concentrated enough normal sublingual use should work too. I'm at 5mg/day subbed (or 2.8mg/day snorted/plugged) and have been dropping down by 0.1mg every 3-4 days.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual seeking advice on splitting tablets", "implicit"]], "effects": [["null", ""]], "treatment": [["Reduced dosage", "implicit"]]}, "type-specific-arguments": {"medications": [["subs", "implicit"]], "dosage": [["4mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["per day", "implicit"]], "timing": [["null", ""]], "purpose": [["reducing dosage", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_94_Omar", "id": "C_M664", "event-label": "relapse", "post": "Literally just quit percs. Getting a suboxone script on Friday. Gonna have to suck it up and deal through the next 36 hours. Anyone have any suggestions on how to make it a little less shitty? I\u2019m honestly kind of terrified. Also, do you think this is enough time to avoid precipitated withdrawls? Praying this this whole suboxone thing works for me.", "comment": "Don't think about it. Hot soaks, Imodium, distractions, walks.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual quitting percs", "scattered"]], "relapse-event": [["null", ""]], "resuming-moud-after-relapse": [["getting suboxone", "scattered"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["percocet addiction", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["null", ""]], "relapse-substance": [["percocet", "implicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["started taking suboxone", "scattered"]], "waiting-time": [["36 hours", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["percocet addiction", "implicit"]], "side-effects": [["withdrawal symptoms", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Hot soaks", "explicit"], ["Imodium", "explicit"], ["distractions", "explicit"], ["walks", "explicit"]]}}}, {"doc_id": "doc_43_Joey", "id": "wq6v86", "event-label": "taking-moud", "post": "Opinions needed. What are your guys\u2019 thoughts on snorting your subs? I\u2019m on the strips and I hate the taste. I do snort it sometimes mix it up with some warm water and it does the trick. Just want your thoughts on it.", "comment": "How is it compared to just taking it sublingual? I've been curious about this but could never find a firsthand account of someone trying it", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual hating taste of strips asking about snorting", "scattered"]], "effects": [["null", ""]], "treatment": [["on subs strips", "implicit"]]}, "type-specific-arguments": {"medications": [["subs strips", "implicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["sublingual", "explicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_106_Omar", "id": "T109", "event-label": "tapering", "post": "Going down in dose. Advice needed. As above, I\u2019m on a daily dose of 32mg and want to go down, what is the best way, is it okay to cut by 4mg a day or what would be best? Yes I know ask my Dr but they\u2019re shit and really need advice please? Can I do it quicker or should I go slower?", "comment": "Give any taper two weeks to stabilize. If you hit a point where you've cut too much too fast, go back up a bit and remain there to stabilize, if needed. Edit:typo", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual going down daily dose of 32mg", "scattered"]], "effects": [["null", ""]], "tapering-event": [["going down from 32mg", "scattered"], ["wants to cut by 4mg a day", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["desire to reduce dosage", "implicit"]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["null", ""]], "initial-dosage": [["32mg", "explicit"]], "current-dosage": [["null", ""]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["two weeks", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["give taper two weeks to stabalize", "scattered"]]}}}, {"doc_id": "doc_7_Madhu", "id": "q8uzm5", "event-label": "tapering", "post": "Need help tapering. I got my sub usage down to 2mg every 3 days. I take 2 mg, I sleep that night, and the next 2 nights fine. Then 3rd night the rls kicks in and I cave and take another 2mg. I tried taking 1 mg and it only lasts me 2 days instead of 3. Anybody have any advice? I only have like 5 whole subs left.", "comment": "So 2mg lasts you 3 days? So that\u2019s about .67mg a day. Try just making 2mg last 4. Which is basically what you did with 1mg lasting two days. That would be .5 a day.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual trying to taper off sub usage", "implicit"]], "effects": [["Restless leg syndrome", "implicit"]], "tapering-event": [["Reducing subs dosage from 2mg every 3 days to 0.5mg daily", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["suboxone", "implicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["2mg every 3 days", "explicit"]], "goal-dosage": [["0.5mg a day", "scattered"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Restless leg syndrome", "implicit"]], "severity": [["null", ""]], "start-time": [["day 3 of taper", "implicit"]], "side-effect-duration": [["null", ""]], "intervention": [["suggested to make 2mg last 4", "scattered"]]}}}, {"doc_id": "doc_75_Joey", "id": "P_T77", "event-label": "tapering", "post": "Another drop So today I made my drop from 0.5mg to 0.25mg. I\u2019ve had a couple of sneezing fits but other than that I\u2019m ok so far. I know someone on here had a bit of a tough time stabilizing at 0.25 so I\u2019m expecting some discomfort but it hasn\u2019t hit yet. I\u2019m at work today so I won\u2019t have time to dwell on it. Good luck to everyone with their tapers this week!", "comment": "Kats botanicals kratom is the best I've ever found. I was able to jump from .7 and 1.4 alternating days with alot of weed, red vein and white vein kratom, phenibut hcl (only taken if absolutely needed) , and low doses of benzos, adrafinil, choline, and noopept. I kinda come from a harm reduction background and I realize some people may have issues with any of these substances but for me im 156 hours in and it really hasnt been so bad.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual expecting discomfort for tapering", "implicit"]], "effects": [["sneezing fits", "explicit"], ["discomfort expected", "implicit"]], "tapering-event": [["drop from 0.5 mg to 0.25 mg", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["today", "explicit"]], "type": [["self-tapering", "implicit"]], "taper-medications": [["null", ""]], "initial-dosage": [["0.5 mg", "implicit"]], "current-dosage": [["0.25 mg", "implicit"]], "goal-dosage": [["null", ""]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["sneezing fits", "explicit"], ["discomfort effected", "implicit"]], "severity": [["low", "explicit"]], "start-time": [["today", "explicit"]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_22_Madhu", "id": "iv9cvq", "event-label": "tapering", "post": "Snorting suboxone to get off?. A friend of mine swears he got off subs by snorting them. He said it only works if it\u2019s the subs with naloxone. His reasons seemed considerable. He said that he was able to quit after a month of snorting the 1/4 in the morning and 1/4 in the evening of the 8/2mg. Said when you snort the naloxone becomes active and so does the bupe. They kinda cancel each other out. You don\u2019t feel bad but you don\u2019t feel great and your body gets used to this. Almost like your not taking anything but not going into withdrawal. Has anyone else ever done this ? What are people\u2019s thoughts ?", "comment": "Your friend may have successfully quit, but naloxone had nothing to do with it. I've snorted my subs plenty, and you get a higher bioavailability and catch a lil buzz, but the naloxone doesn't even apply. I think this may be a good way to taper when you get down below 0.5mg a day, but using 4mg intranasal is gonna cause some problems down the road. For one, sub is super acidic. Another issue is all that gummy junk in your sinuses.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who snorted suboxone with naloxone to quit", "scattered"]], "effects": [["Able to quit suboxone", "scattered"]], "tapering-event": [["snorting suboxone to quit", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["suboxone with naloxone", "implicit"]], "initial-dosage": [["8/2mg", "explicit"]], "current-dosage": [["0mg", "implicit"]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["1 month", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["male", "implicit"]], "conditions": [["null", ""]], "side-effects": [["feeling ill", "implicit"]], "severity": [["minimal", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["quitting suboxone and snorting", "scattered"]]}}}, {"doc_id": "doc_54_Joey", "id": "raqi00", "event-label": "taking-moud", "post": "Smoking strips?. Has anyone tried putting a little corner in a bowl and smoking it? Would it do anything? Or say a dab banger and heating it from cold till it smokes? Idk just curious", "comment": "Jesus dude.....no you can't smoke a fucking sub strip", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual curious about smoking strips", "scattered"]], "effects": [["null", ""]], "treatment": [["strips", "explicit"]]}, "type-specific-arguments": {"medications": [["strips", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["curiosity", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_35_Madhu", "id": "vusheb", "event-label": "relapse", "post": "Interested in starting the Bernese Method.. I\u2019ve heard good things about this method and I want to try it to get off fentanyl (using around 10-15 strong pressed 30\u2019s daily). How do I start and what would you recommend for a dose? (22, Male, 110/115lbs.)", "comment": "I got off the blues a year ago and did the Bernese Method. Start with a super small dose of Subs like smaller than .5mg or 1/16 of a 8mg strip. Slowly increase the Subs daily. Once you are at 16mg per day on subs, you technically can't get high off of the blues so you will stop the blues at this point and then slowly taper off of the Subs. Take 10-14 days to get up to 16mg per day. If you start with too much Sub dose you will start sweating and go into WDs. Good luck!", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["22 years old male addicted to fentanyl", "implicit"], ["wants to start Bernese method", "implicit"]], "relapse-event": [["using around 10-15 strong pressed 30\u2019s daily", "explicit"]], "resuming-moud-after-relapse": [["wants to start Bernese method", "implicit"]], "effects": [["possible sweating and withdrawal symptoms if dose is too high", "implicit"]]}, "type-specific-arguments": {"condition": [["fentanyl addiction", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["subs", "explicit"]], "relapse-substance": [["pressed 30s", "implicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["Bernese method", "explicit"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["22", "explicit"]], "gender": [["male", "explicit"]], "conditions": [["Fentanyl addiction", "implicit"]], "side-effects": [["sweating", "explicit"], ["withdrawal symptoms", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Bernese Method", "explicit"], ["gradual increase of Subs", "scattered"]]}}}, {"doc_id": "doc_55_Madhu", "id": "tpz5n2", "event-label": "relapse", "post": "worried about tomorrow I see my doctor for first time. here short story why.. Was on opiates and benzos prescribed for 10 years. 33yo atm. Was on 80mg methadone and 6mg clonazepam. Quit those had a few years clean. Benzo wd leaves me totally unfunctional. Currently relapsed taking on 6mg xan Kratom, subs, oxy, diluadin occasionally of street mainly Kratom. Just very sick of Kratom. Just worried. I feel I need more help with benzos than s Suboxone. Just being honest hoping for the best. Or at least help. Wish me luck please.", "comment": "Ask your doctor if they can help you taper down the benzos. I had to see an addiction specialist, and I switched from etizolam and RC benzos to diazepam and then came down using the Ashton method. Hopefully your doc is understanding and can help.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual relapsed on with multiple substances", "implicit"]], "relapse-event": [["Taking kratom", "scattered"], ["subs", "explicit"], ["oxy", "explicit"], ["diluadin", "explicit"]], "resuming-moud-after-relapse": [["Hoping to get more help than suboxone to quit Benzos", "scattered"]], "effects": [["Feeling very sick from Kratom", "scattered"]]}, "type-specific-arguments": {"condition": [["Was on opiates and benzos for 10 years", "scattered"], ["then methadone and clonazepam", "scattered"]], "trigger": [["Benzos withdrawal", "scattered"]], "existing/current-medications": [["suboxone", "explicit"]], "relapse-substance": [["Kratom", "explicit"], ["oxy", "explicit"], ["diluadin", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["33", "explicit"]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["withdrawal", "implicit"]], "severity": [["high", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["suboxone", "explicit"], ["oxycodone", "implicit"], ["diliduan", "implicit"]]}}}, {"doc_id": "doc_23_Madhu", "id": "tiwpt0", "event-label": "taking-moud", "post": "Post Acute Withdrawal with suboxone after tramadol?. So I see a lot of conflicting information about if tramadol will work when you\u2019re on suboxone. I have tooth infection and the tooth needs to be extracted (probably as a result from 15 years of suboxone). My dentist prescribed me tramadol and I\u2019m wondering if I need to wait a certain about of time to take the suboxone after the tramadol. I feel like it shouldn\u2019t throw me into post acute withdrawal since tramadol seems to work definitely compared to other opiates.", "comment": "No you can mix tramadol with buprenorphine, i used to do it all the time before i got suboxone prescribed", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual seeking information on tramadol and suboxone use", "scattered"]], "effects": [["null", ""]], "treatment": [["Suboxone for 15 years", "implicit"]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["15 years", "explicit"]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["Tooth extraction", "implicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_19_Joey", "id": "vjq2kk", "event-label": "relapse", "post": "When to induct?. Was on 8 mg suboxone daily for a year. Last suboxone use was about 5 days ago, used about a gram of fent over 3 days. Knowing what i do about fent analogues, i bridged the gap for 24 hours with 4 15 mg percs (pharma) to make the first 24 hours bearable. So ive been off fent for 26 hours, and took my last 15 mg about an hour ago. when should i start to take subs?", "comment": "That's kinda a tricky one imo. If you have only been off the 8MG for 5 days ,you still would have bupe in your system. You may have an easier time switching back. But tbh I would wait till I was feeling pretty shitty at LEAST another 24 hours. Taking those 4/15mg pills just delayed your induction imo. Wait till then and then start off with just 1mg and wait ....it's definitely like flipping a coin. And the odd kinda suck.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual asking for timing to take subs after relapse", "implicit"]], "relapse-event": [["relapse to fent and percs", "implicit"]], "resuming-moud-after-relapse": [["subs", "explicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["Recovering from opioid use disorder", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["sub", "explicit"]], "relapse-substance": [["fent and percs", "implicit"]], "relapse-duration": [["3 days", "explicit"]], "relapse-intervention": [["Switching back to suboxone", "implicit"]], "waiting-time": [["26 hours after last fent", "implicit"], ["1 hour after percs", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["wait 24 hours", "implicit"], ["start off with 1 mg", "scattered"]]}}}, {"doc_id": "doc_58_Tanzia", "id": "M256", "event-label": "taking-moud", "post": "Questions Have heavy past experience with opioids my body is 100% cleaned out. I have a 8mg film. Have seen friends with no tolerance take these and end up throwing up all night. What is a good starter dose that won\u2019t make me sick", "comment": "A \"square\" is sold in jails and prisons in Tennessee for up to $50. It's about 1/12 of one. Figured that's good info, maybe.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual wants to start taking suboxone", "implicit"]], "effects": [["Potentially getting sick", "implicit"]], "treatment": [["8mg suboxone", "implicit"]]}, "type-specific-arguments": {"medications": [["Suboxone", "implicit"]], "dosage": [["8mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["orally", "implicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Potentially getting sick", "implicit"]], "severity": [["low", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_6_Joey", "id": "wp0s8p", "event-label": "taking-moud", "post": "From methadone to subs. Hello everyone! i\u2019m at 30mg of methadone, so i can switch to subs. please can you guys help me trough it is it worth to switch to subs? thank you!", "comment": "I jumped from 30 mg to subs, I used kratom for a week then got on the sub. I only switched to suboxone because I was sick of going to the clinic, I ended up getting back on methadone 6 months later because I was having to dose suboxone 2 times a day and it wasn\u2019t helping my cravings I felt like I was on the brink of relapse. I was having a few more side effects from suboxone then I did with methadone. Personally if you taper methadone slowly you will have a painless detox. This is just my expierence.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual switching from methadone to subs", "scattered"]], "effects": [["null", ""]], "treatment": [["30 mg of methadone", "scattered"]]}, "type-specific-arguments": {"medications": [["methadone", "explicit"], ["subs", "explicit"]], "dosage": [["30 mg methadone to 2 times sub", "scattered"]], "treatment-duration": [["6 months", "explicit"]], "manner": [["null", ""]], "frequency": [["per day", "implicit"]], "timing": [["null", ""]], "purpose": [["helping cravings", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["brink of relapse", "explicit"]], "severity": [["null", ""]], "start-time": [["6 months after switching", "implicit"]], "side-effect-duration": [["null", ""]], "intervention": [["methadone", "explicit"]]}}}, {"doc_id": "doc_22_Joey", "id": "njlic0", "event-label": "taking-moud", "post": "How Do You Know The Dose You\u2019re Really Taking Under 2 mg When Cutting Film?. I\u2019m at .66 (I think),but really not sure since I cut them myself from 2 mg strip. Also, I\u2019m doubting the medicine is spread on the strip evenly anyway. Am I missing something? I\u2019m trying to quit slowly, but I don\u2019t think I\u2019ll ever know what dose I\u2019m really taking, dose to dose. Cutting these little strips is tough.", "comment": "Doesn\u2019t it suck they don\u2019t just make smaller doses?", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual asking about cutting strips", "scattered"]], "effects": [["null", ""]], "treatment": [["Cutting 2 mg film into smaller doses(0.66)", "scattered"]]}, "type-specific-arguments": {"medications": [["null", ""]], "dosage": [["0.66", "implicit"]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_9_Omar", "id": "r7djqv", "event-label": "taking-moud", "post": "What would happen you take double your dose ?. like, I take 8mg everyday since october and took 2 of em so 16mg total. I have poor memory lol and the second one was about an hour later but am I going to be sick or something ???", "comment": "Nothing. Could get a headache or extra tired after but you\u2019ll be fine.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who accidentally double dosed", "implicit"]], "effects": [["headache", "explicit"], ["tiredness", "implicit"]], "treatment": [["16mg every day since October", "scattered"]]}, "type-specific-arguments": {"medications": [["null", ""]], "dosage": [["16mg", "explicit"]], "treatment-duration": [["since october", "explicit"]], "manner": [["null", ""]], "frequency": [["per day", "implicit"]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["poor memory", "explicit"]], "side-effects": [["headache", "explicit"], ["tiredness", "implicit"]], "severity": [["low", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_0_Joey", "id": "vbjekw", "event-label": "relapse", "post": "How to relapse using Bupe patches?. I recently started using Bupe patches, 10mg of it, and I had bought a morphine prescription prior to that and it\u2019ll be on my hands on 23rd of June. Will I be able to enjoy it? If not, what can I do with the Bupe patch I\u2019m wearing?", "comment": "Yeah he\u2019d have to wait 5 days for the morphine to even have a chance of working. As if he\u2019s wearing a patch it\u2019ll continuously displace the morphine", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["individual eager to enjoy relapsing on bupe patches", "scattered"]], "relapse-event": [["relapsing with morphine soon", "scattered"]], "resuming-moud-after-relapse": [["possible use of current bupe patch", "scattered"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["morphine prescription", "explicit"]], "existing/current-medications": [["bupe patch", "explicit"]], "relapse-substance": [["morphine", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["male", "implicit"]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["wait 5 days for morphine to work", "scattered"]]}}}, {"doc_id": "doc_89_Madhu", "id": "M1382", "event-label": "taking-moud", "post": "Any oral version?? I was just wondering if theres any buprenorphine tablets made to take orally instead of let disolve sublingually or buccal", "comment": "I think you'll get a really sore stomach from oral bupe, try swallowing the spit once you've dissolved it on your tongue if you don't believe me haha.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivudal looking for oral buprenorphine", "scattered"]], "effects": [["Potential stomach soreness", "implicit"]], "treatment": [["Taking buprenorphine", "scattered"]]}, "type-specific-arguments": {"medications": [["buprenorphine", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["ublingually", "explicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["sore stomach", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_65_Madhu", "id": "T196", "event-label": "tapering", "post": "Looking for a list or old post... I seen a post someone made that had a list of comfort meds and supplements to have on hand when jumping off. Can anyone help me find it? Or may know of another source? TIA", "comment": "Never touch diphenhydramine. It's in most otc sleep aids", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual looking for medication to ease quitting", "implicit"]], "effects": [["null", ""]], "tapering-event": [["plans to taper", "implicit"], ["wants medication to help", "implicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["diphenhydramine", "explicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["null", ""]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["diphenhydramine", "explicit"]]}}}, {"doc_id": "doc_10_Joey", "id": "tkxf2n", "event-label": "taking-moud", "post": "Difference between Strips and pills?. I let my friend have a couple of my pills til he went to the doctor. He payed me back but they were strips. I used them the same way I use the pill but now the doctor said my levels were off. Can a drug test/blood test tell the difference in which form you take, is there some kind of difference?", "comment": "That's weird. Did you take the strip properly? The only thing I'm thinking is you didn't let it sit long enough or ate/drank after? That could make your levels low", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual asking for difference between strips and pills", "scattered"]], "effects": [["levels were off", "explicit"]], "treatment": [["used strips instead of pills", "scattered"]]}, "type-specific-arguments": {"medications": [["pills/strips", "scattered"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["orally", "implicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Low levels", "scattered"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Proper use of strip", "scattered"]]}}}, {"doc_id": "doc_82_Omar", "id": "M1163", "event-label": "taking-moud", "post": "Is it a good idea to try stretching my supply by boofing it? Im on 1mg and I have 15 doses left. I'm cutting it a little close here so I thought boofing them might make them last a bit longer. What's the rectal bio-availability of bupe? How much up my ass would equal 1 mg under my tounge?", "comment": "I\u2019m sure you could dissolve it in water and use a syringe without a point. Use some creativity.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual considering boofing bupe", "implicit"]], "effects": [["null", ""]], "treatment": [["taking bupe", "implicit"]]}, "type-specific-arguments": {"medications": [["bupe", "explicit"]], "dosage": [["1mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["Dissolve in water and use syringe", "scattered"]], "frequency": [["daily", "implicit"]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["dissolve it in water and syringe it", "scattered"]]}}}, {"doc_id": "doc_53_Tanzia", "id": "w21zqu", "event-label": "relapse", "post": "So my question is if I took 20 mg of oxycodone this morning, how long do I have to wait to take 2 mg of sub and get back on the sub train? I only did percs last night and this morning. And I only take 2 mg of sub a day. Please and thank you", "comment": "I don't think you have to wait at all. From my understanding you'd have to be physically dependent on oxycodone to go into PWD after taking Suboxone. Since you took subs yesterday (I think) it was still on your receptors and at least partially blocking the oxy, so I don't think ripping oxy off the receptors is going to be any big deal. You could hedge your bets by taking 1 mg or even less of subs and seeing how you feel before taking the other 1 mg or whatever. Are you SURE it was pharma oxy? Because the wait isn't all that long, even if you were physically dependent on oxy. Less than 12 hours and I've heard of people successfully inducing 8 hours after last oxycodone use.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual relapses with oxycodone and percocet", "implicit"]], "relapse-event": [["20mg oxycodone this morning", "scattered"], ["percs last night and this morning", "explicit"]], "resuming-moud-after-relapse": [["taking 1mg or less of suboxone and gaging feeling before taking the other 1mg", "implicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "existing/current-medications": [["Suboxone", "explicit"]], "relapse-substance": [["oxycodone and percocet", "implicit"]], "relapse-duration": [["two days", "implicit"]], "relapse-intervention": [["taking suboxone again", "scattered"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Taking less subs and observing how you feel", "implicit"]]}}}, {"doc_id": "doc_56_Joey", "id": "tb6iua", "event-label": "relapse", "post": "Anybody else find themselves teeter tottering on the edge between H and subs ?. Been trying to induce subs for a few weeks now", "comment": "Yes I used to switch back and forth. I one day made up my mind to quit and was able to with support group help. It helped that good heroin disappeared and shitty fentynal replaced it, but watching my brother in law being zipped in a bag and carried off with no more emotion than the emt's would show cleaning up after their dog at a dog park is probably what did it.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["person quitting H with support group help", "implicit"]], "relapse-event": [["back and forth between H and subs", "implicit"]], "resuming-moud-after-relapse": [["subs", "explicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["back and forth between H and subs", "implicit"]], "trigger": [["shitty fent replacing good H", "implicit"]], "existing/current-medications": [["subs", "explicit"]], "relapse-substance": [["heroin", "explicit"], ["fentynal", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["quitting with support group help", "scattered"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["quitting with support group help", "scattered"]]}}}, {"doc_id": "doc_84_Madhu", "id": "C_M659", "event-label": "taking-moud", "post": "Literally just quit percs. Getting a suboxone script on Friday. Gonna have to suck it up and deal through the next 36 hours. Anyone have any suggestions on how to make it a little less shitty? I\u2019m honestly kind of terrified. Also, do you think this is enough time to avoid precipitated withdrawls? Praying this this whole suboxone thing works for me.", "comment": "Please start low on your dosage when you start. I repeatedly see people suggesting they took 4mg (and even more!). This is the way to go into precipitated withdrawals. Start out as low as you can possibly go, 0.25mg is ideal. I really wish you all the success! Take back your life!", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivudal who just quit percs fearing suboxone treatment", "scattered"]], "effects": [["Precipitated withdrawals", "explicit"]], "treatment": [["Suboxone prescription", "scattered"]]}, "type-specific-arguments": {"medications": [["Suboxone", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["To quit percs", "scattered"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["Percocet addiction", "implicit"]], "side-effects": [["illness from precipated withdrawls", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Starting with low dosage of Suboxone", "scattered"]]}}}, {"doc_id": "doc_28_Omar", "id": "upj2nd", "event-label": "tapering", "post": "Anxiety after quitting suboxone. My girl helped me through it but I turn, her anxiety has been cranked up as well as mine? Any suggestions? I feel so flippin bad for her but I want her to get some sleep! Does Kratom help with sleep or anxiety? Not a chance of abuse just need something to get us some sleep, tone down our anxiety, I know time is what we need most but, we are grabbing at straws right now lol", "comment": "Kratom works for those exact symptoms but you gotta be careful with that shit\u2014I was taking it every day for sleep due to rls/insomnia and I became physically dependent on it. It\u2019s actually pretty hard to kick depending on how long and how much you take, but the biggest warning I wish I had heard about kratom is: it can really really fuck up your liver. Kratom almost destroyed mine, but thank god it was able to heal after I quit that yucky stuff. I also didn\u2019t intend on abusing it but it was so helpful for my insomnia and at the time I didn\u2019t realize that it was possible to become quite physically dependent on it.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual and their girlfriend suffering from anxiety after tapering", "implicit"]], "effects": [["insomnia and anxiety", "implicit"]], "tapering-event": [["quit suboxone", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["null", ""]], "taper-medications": [["kratom", "explicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["0", "implicit"]], "goal-dosage": [["0", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["recovering from suboxone & kratom", "implicit"]], "side-effects": [["Physical dependency to kratom", "implicit"], ["ruined liver", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["taking caution using kratom", "implicit"]]}}}, {"doc_id": "doc_81_Omar", "id": "C74", "event-label": "relapse", "post": "Tomorrow morning I start subs, from over 100gpd of kratom I'm scared, but it is what it is. I have been trapped in this cycle of addiction for 5 years...I am done. I want off this effed up ride. Currently high dosing thc, waiting with 2mg of subs in my bedside table. It's gotta be better than this.", "comment": "You gonna need more than 2mg. That\u2019s good for a first dose but like 4 hours later you gonna need 2 more mg.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who wants to start subs", "implicit"]], "relapse-event": [["high dosing thc", "explicit"]], "resuming-moud-after-relapse": [["starting subs tomorrow morning", "implicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["kratom and thc addict", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["subs", "explicit"]], "relapse-substance": [["thc", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["kratom and thc addict", "implicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["need more than 2mg of subs", "scattered"]]}}}, {"doc_id": "doc_10_Omar", "id": "vt8jmy", "event-label": "taking-moud", "post": "Do you think I\u2019ll be good ?. I took 90 mg of insta mg addys at my boys wedding on Sunday. I\u2019m young , 155 lbs fast metabolism, got my appointment pushed back till Friday. Think I\u2019ll have them out of system by then? And also since somas aren\u2019t a controlled substance do you think they test for them?", "comment": "Spit because it will absorb through veins under tongue. If you swallow you're just getting naloxone.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["individual taking 90mg addys", "scattered"]], "effects": [["null", ""]], "treatment": [["split out the substance", "implicit"]]}, "type-specific-arguments": {"medications": [["naloxone", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["absorbed through veins under tongue", "scattered"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Spit instead of swallow", "scattered"]]}}}, {"doc_id": "doc_13_Omar", "id": "vgxght", "event-label": "relapse", "post": "Switching clinics. I am switching clinics because I missed an appointment and my previous clinic said I have to wait three weeks to renter the program. I want to do subacade at the new clinic but they say I have to do Suboxone with them for a while. I can\u2019t get started until next week because I had a few beers on Father\u2019s Day. Has anyone tapered with Subacade? How does that work? Any issues?", "comment": "Are you having problems sticking with the rules or stay sober? So your original place would make you wait 3 weeks and do a re-entry for a missed appointment. And now this new one is making you wait an entire week because you had beers yesterday? It\u2019s very normal to have to do Suboxone for a week atleast prior to Sublocade. But you don\u2019t seem worried about being without meds for a week at the least, and both these programs seems extremely strict. Pretty unheard of really. I wouldn\u2019t even bother with or deal with them unless you\u2019ve been a problem child and you deserve it.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual relapsed with beers and wants to taper with subacade", "implicit"]], "relapse-event": [["Relapsed with beer on Fathers Day", "scattered"]], "resuming-moud-after-relapse": [["planing to take subacade", "implicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["drank alcohol", "implicit"]], "trigger": [["Fathers day", "implicit"]], "existing/current-medications": [["suboxone", "explicit"]], "relapse-substance": [["alcohol", "implicit"]], "relapse-duration": [["one day", "implicit"]], "relapse-intervention": [["wants to start subacade", "implicit"], ["switching clinics", "explicit"]], "waiting-time": [["one week", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["male", "implicit"]], "conditions": [["alcohol", "implicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["switching clinics", "explicit"]]}}}, {"doc_id": "doc_31_Joey", "id": "qwa7gm", "event-label": "taking-moud", "post": "Methadone Suboxone switch!. Yo, I was on 7mg of methadone took last dose on Saturday, did a suboxone home induction on Monday took 1mg of sub felt great. Tuesday took .50mg felt awsome Wednesday took .50mg I felt impaired?? Is there a methadone hangover? I might take .25mg on Thursday?? Will i feel differently as more time passes and the methadone is all gone from my system? Been 9n methadone for 12 years.. Cheers", "comment": "Hey. I\u2019m about to do the same jump. How\u2019s it work out for u? How\u2019d u feel Thursday and afterwards? Did u end up taking the .25?", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual switching from methadone to suboxone", "scattered"]], "effects": [["feeling impaired", "implicit"], ["possible methadone hangover", "scattered"]], "treatment": [["suboxone for three days after methadone for twelve years", "scattered"]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"]], "dosage": [["1 mg on monday", "scattered"], ["0.50 mg on tuesday and wednesday", "scattered"]], "treatment-duration": [["3 days", "implicit"]], "manner": [["null", ""]], "frequency": [["per day", "implicit"]], "timing": [["null", ""]], "purpose": [["switching from methadone to suboxone", "scattered"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["feeling impaired", "implicit"]], "severity": [["null", ""]], "start-time": [["Wednesday", "explicit"]], "side-effect-duration": [["<1day", "implicit"]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_26_Tanzia", "id": "vm6sw2", "event-label": "tapering", "post": "Trying to get off subs all together. I have been taking the lowest dose of meds daily (less than a qt) and I\u2019m just wondering how bad the withdrawal symptoms will be when I finish the last 2 pills I have? I have been on subs daily for 5 to 6 years now. Any advice would greatly be appreciated- thank you \ud83d\ude4f", "comment": "Need help tapering down from 6mg I have plenty of subs trying not to go threw detox", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual needs help tapering", "implicit"]], "effects": [["null", ""]], "tapering-event": [["Starting with 6mg", "implicit"]]}, "type-specific-arguments": {"condition": [["Taking 6mg of subs", "scattered"]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["Suboxone", "implicit"]], "initial-dosage": [["6mg", "explicit"]], "current-dosage": [["6mg", "explicit"]], "goal-dosage": [["null", ""]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["detox", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_91_Madhu", "id": "M_T53", "event-label": "tapering", "post": "Opened Suboxone I am trying to do a full taper with about 90 subs and lately I am down to about 3 mg from the original 24 mg and sometimes more prescribed but my question is this: I have alot of subs already opened because I was cutting them up for smaller does and now they are dried out but, I need to know if I can still use them ?", "comment": "Yeah I did when I was tapering myself. I just managed to get back on. Careful out there. We are often defenseless against that first drug and don't even realize what's happening until it's too late", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual wanting to taper from suboxone", "implicit"]], "effects": [["null", ""]], "tapering-event": [["Went from 24mg suboxone to 3mg", "implicit"]]}, "type-specific-arguments": {"condition": [["Taking 24 mg of suboxone", "implicit"]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["suboxone", "explicit"]], "initial-dosage": [["24mg", "implicit"]], "current-dosage": [["3mg", "implicit"]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_69_Madhu", "id": "M387", "event-label": "taking-moud", "post": "Suboxone high I took 8mg of sub today would it be fine to take 4mg more", "comment": "If you don't have a tolerance, you get more euphoria from lower doses... Once you take 8mg you won't get any more euphoria from taking more...", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who got a high from suboxone and wants to take more", "scattered"]], "effects": [["Getting high", "implicit"]], "treatment": [["8mg Suboxone", "scattered"]]}, "type-specific-arguments": {"medications": [["Subxone", "implicit"]], "dosage": [["8mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["Withdrawl symptoms", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Feeling high", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_65_Joey", "id": "M_P162", "event-label": "taking-moud", "post": "Is there a way to Seperate/Remove the Nalaxone from suboxone? I am not asking this for abusive intentions, I am simply curious how pure bup would effect me without naloxone. I have heard off naloxone being responsible for headaches and other side effects which I experience. I am aware of subutex. But is there a way to isolate the bup? If not is there a way to decrease the bioavailability/absorption of naloxone without affecting the bup? I have heard that not swallowing the sub will not let the naloxone absorb as much.", "comment": "Yeah let soak in mouth for like 5 minutes after it dissolves. Try to avoid teeth and keep it on gums/under tongue/under lip. Spit and then rinse with water. That's about as good as it gets.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual willing to remove nalaxone from suboxone to avoid withdrawals", "scattered"]], "effects": [["headaches and other side affects", "implicit"]], "treatment": [["suboxone", "explicit"]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["oral/sublingual", "implicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["headaches", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Avoid swallowing the sub", "implicit"], ["rinse with water", "explicit"]]}}}, {"doc_id": "doc_6_Omar", "id": "s5a31y", "event-label": "tapering", "post": "don\u2019t listen to people online about quitting. i was so scared. 40 years old granted i\u2019m in really good shape. been on subutex for 20 damn years because I thought I couldnt quit. i\u2019m 7 months clean now and I can promise you anyone can do it as long as you\u2019re really motivated to stop. ask me anything", "comment": "What made you want to want it? Not a typo", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["40-year-old who quit subutex for 20 years", "scattered"]], "effects": [["null", ""]], "tapering-event": [["7 months clean", "explicit"]]}, "type-specific-arguments": {"condition": [["on suboxone for last 20 years", "implicit"]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self tapering", "implicit"]], "taper-medications": [["null", ""]], "initial-dosage": [["null", ""]], "current-dosage": [["null", ""]], "goal-dosage": [["Quit or 0mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["40", "explicit"]], "gender": [["null", ""]], "conditions": [["subutex dependence", "implicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_75_Madhu", "id": "C_P46", "event-label": "relapse", "post": "Will using Kratom reset withdrawal? I took about 3g of Kratom around my 80 hr mark and I kind of feel \"too good.\" Now I'm worried that I'll have to go through everything all over again. Anyone have experience with this?", "comment": "It is easier to come off of- the withdrawal from it is still a withdrawal, but it\u2019s not remotely as bad as sub withdrawal. I have a bunch saved to hop off to if needed. Great tool!", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["indivdual took kratom during withdrawal treatment", "scattered"]], "relapse-event": [["Took 3g of kratom", "scattered"]], "resuming-moud-after-relapse": [["Following withdrawl procedure again", "implicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["Withdrawal from substance", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["null", ""]], "relapse-substance": [["kratom", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Feeling good", "implicit"]], "severity": [["high", "implicit"]], "start-time": [["80 hours ago", "implicit"]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_67_Tanzia", "id": "P_T429", "event-label": "tapering", "post": "I dont feel withdrawal? I haven't taken my 12 mg of suboxone since thursday, my last opioid was friday but i still feel fine, my nose is runny and I feel like a 8/10 but i'm functionning. will it kick in? I have 6mg in case", "comment": "It's not like kicking heroin. I feel tired and anemic but really nothing compared to h. If you're fine after 3 days, then I wouldn't expect it to get worse. If you do start to feel it. Just exercise and it will counter balance it.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual just quit suboxone", "implicit"]], "effects": [["Runny nose", "implicit"]], "tapering-event": [["From 12mg to 0mg", "implicit"]]}, "type-specific-arguments": {"condition": [["Subject was taking 12 mg of suboxone and opioids", "scattered"]], "trigger": [["null", ""]], "start-time": [["Thursday", "explicit"]], "type": [["self-tapering", "implicit"]], "taper-medications": [["Suboxone", "explicit"]], "initial-dosage": [["12mg", "scattered"]], "current-dosage": [["0mg", "implicit"]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Runny nose", "implicit"]], "severity": [["low", "implicit"]], "start-time": [["Since Friday", "implicit"]], "side-effect-duration": [["Since Friday", "implicit"]], "intervention": [["Taking 6mg suboxone or exercising", "implicit"]]}}}, {"doc_id": "doc_79_Madhu", "id": "C_T50", "event-label": "tapering", "post": "Will a rapid taper of subs help me get off a low dose of oxys? It\u2019s been 5 years of 10-20 mg of oxys daily and now I want out! Based on such a low dose I\u2019m trying to determine the best way to get clean and minimize withdrawals; wondering if CT or a rapid sub taper would work, any info would be super helpful!", "comment": "Do not get on subs for that - take pretty much everything else that will help BESIDES subs", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual wanting to do a rapid taper to quit oxy", "scattered"]], "effects": [["null", ""]], "tapering-event": [["Planning either a rapid sub taper or just quitting", "implicit"]]}, "type-specific-arguments": {"condition": [["Taking 10-20mg of oxy daily for 5 years", "scattered"]], "trigger": [["Wanting to quit oxy", "scattered"]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["Suboxone", "implicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["null", ""]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["oxys addiction", "implicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_31_Madhu", "id": "vg9wdf", "event-label": "tapering", "post": "I have an appointment tomorrow that could lead to my 1st time taking this.... And I just need some info. How long normally do people take this to stop opioids addiction? I don't want to trade one for another and hearing so many different opinions on this. I'll definitely follow whatever schedule to taper off and I think that should be good? Like I've seen a week, month and 3 to 4 months on subs. I want to do this once and be done with it.", "comment": "Most doctors won't prescribe without a verbal commitment to a year or two. If you're addicted to opiates, it takes time to rewire your brain and form new healthy habits. Tapering should be done as slowly as possible to as low as possible before stopping.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual seeking infromation on when they can quit suboxone", "implicit"]], "effects": [["null", ""]], "tapering-event": [["Looking for tapering schedule", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["Just beginning suboxone", "implicit"]], "start-time": [["null", ""]], "type": [["self-taper", "implicit"]], "taper-medications": [["null", ""]], "initial-dosage": [["null", ""]], "current-dosage": [["null", ""]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_79_Joey", "id": "P_T968", "event-label": "tapering", "post": "If I'm in 24 mg of subs daily and stop cold turkey, how long until withdrawal hits? Not only that, how bad will it be?", "comment": "When your wake up in the third day is when your start to really feel it. You might think your sick before then, but your most likely just gonna have a little nose running and might be a little colder than usual.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["patient going cold turkey", "implicit"]], "effects": [["sick", "explicit"], ["little nose running", "explicit"], ["little colder", "explicit"]], "tapering-event": [["cold turkey from 24 mg daily", "implicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["three days ago", "implicit"]], "type": [["self-tapering", "implicit"]], "taper-medications": [["subs", "explicit"]], "initial-dosage": [["24 mg", "explicit"]], "current-dosage": [["0 mg", "implicit"]], "goal-dosage": [["0 mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["sick", "explicit"], ["nose running", "explicit"], ["colder", "explicit"]], "severity": [["low", "implicit"]], "start-time": [["three days ago", "implicit"]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_32_Omar", "id": "w3mzuw", "event-label": "relapse", "post": "What\u2019s a better taper schedule. I\u2019m trying to sub taper off dirty 30s 1-3 a day habit for 7months. I have 16 8mg subs , 30 gabapentin 800mg 12 Xanax bars and 20 muscle relaxers. I can take off for 4 days after the sub taper. Would a 7 day or 14 day taper be better using subs to come off?", "comment": "You need a regular supply of subs. It doesn't really work as a rapid detox tool.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual aiming to taper dirty 30s", "implicit"]], "relapse-event": [["null", ""]], "resuming-moud-after-relapse": [["regular use of subs", "implicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "existing/current-medications": [["Subs", "explicit"], ["gabapentin", "explicit"], ["Xanax", "explicit"], ["muscle relaxers", "explicit"]], "relapse-substance": [["dirty 30s", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["habit of using dirty 30s", "scattered"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["regular supply of subs", "explicit"]]}}}, {"doc_id": "doc_100_Omar", "id": "M_P281", "event-label": "taking-moud", "post": "on 8mg a day ! why do I always want more Iam always thinking about taking my dose if I have a bad day I feel like I need more not sure how to manage this so I can eventually taper I need to maintain my daily dose any suggestions?", "comment": "We are addicts. It\u2019s been programmed in our brains that since taking this medication is good, more must be better. I\u2019ve done it a ton of times. I\u2019ve overtaken my meds every month even though I never felt anything more. It was all in my head. But I did it every month. You have to come to terms with your addict brain and find a way to ignore it.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who always wants to take thier subs", "implicit"]], "effects": [["addiction", "implicit"]], "treatment": [["taking 8mg subs daily", "scattered"]]}, "type-specific-arguments": {"medications": [["subs", "implicit"]], "dosage": [["8mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["dailyl", "implicit"]], "timing": [["null", ""]], "purpose": [["to manage addiction", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["addiction", "implicit"]], "severity": [["high", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["ignore addict brain", "scattered"]]}}}, {"doc_id": "doc_91_Joey", "id": "P_T737", "event-label": "tapering", "post": "Almost there I\u2019m at.125 or so, I try to go without, but the sneezing, yawning, and INSOMNIA, which is the worst. I\u2019ve tried sleeping medicine with no luck. How much longer do you think I\u2019ll have to deal with that if I just stop?", "comment": "It\u2019s controversial, but weed or benzos worked for me with the sleep. Phenibut also worked wonders. But you have to be very careful with both. I used them like every 3 days to get a full nights sleep when going through wd in the past. Basically only when it got to the point where I was insane from the insomnia. Good luck!", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["patient quitting opioid", "implicit"]], "effects": [["sneezing", "explicit"], ["yawning", "explicit"], ["insomnia", "explicit"]], "tapering-event": [["attempting 0.125 mg to 0 mg", "implicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["null", ""]], "initial-dosage": [["null", ""]], "current-dosage": [["0.125 mg", "implicit"]], "goal-dosage": [["0 mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["sneezing", "explicit"], ["yawning", "explicit"], ["insomnia", "explicit"]], "severity": [["worst (insomnia)", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["phenibut/weed/benzos", "implicit"]]}}}, {"doc_id": "doc_26_Joey", "id": "hl5r04", "event-label": "tapering", "post": "Headache and neck pain after dosing. I\u2019m currently tapering off Subutex and am on 1mg daily. Every day about an hour or 2 after dosing I always end up with a horrible headache and pain in my neck. It started about 5 or so days into dropping my dose to 1mg. Does anyone else have this issue? I was thinking maybe I need sinus meds but it only starts after I dose. Really considering jumping off because I am having a hard time getting stable at 1mg. I am getting so tired of feeling bad all the time.", "comment": "Sinus sounds about right. This time of year depending on your location can be really bad for allergies. If you're decreasing dose, your sinuses will be a bit angry regardless. I'd try netty pot, and taking some ibuprofen or acetaminophen before you dose. Even things like electrolytes, or diet could be contributing. The normal headaches from suboxone come from the nalaxone, and you're on the generic so that won't matter here./ I'd say you're correct in attacking the sinus treatment route! Happy 4th", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual tapering off subutex and  struggling from side effects", "scattered"]], "effects": [["headache and neck pain", "explicit"]], "tapering-event": [["tapering off subutex on 1 mg/day", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["Self-tapering", "implicit"]], "taper-medications": [["subutex", "explicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["1 mg", "implicit"]], "goal-dosage": [["0 mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["headache and neck pain", "explicit"]], "severity": [["horrible", "explicit"]], "start-time": [["5 days of dropping to 1 mg", "scattered"]], "side-effect-duration": [["null", ""]], "intervention": [["netty pot and ibuprofen/acetaminophen before dosing", "scattered"]]}}}, {"doc_id": "doc_37_Madhu", "id": "r0h9z1", "event-label": "taking-moud", "post": "16mg a day..tapering myself down to 8 a day.. How long should i stay at a dropped dose until i am there?", "comment": "IMO and personal experience , you can make large dose reductions without any noticeable effects until you get to 2mg. At 2 screech on the breaks. Then almost micro cuts and stay until you are completely stable before micro cutting again. Time at each cut depends on how you feel not how much time has passed", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual tapering medication dosage", "implicit"]], "effects": [["null", ""]], "treatment": [["16mg unnamed medication daily", "implicit"]]}, "type-specific-arguments": {"medications": [["null", ""]], "dosage": [["16mg a day", "explicit"], ["tapering to 8mg", "scattered"]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["daily", "implicit"]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["micro cuts and stay stable", "scattered"]]}}}, {"doc_id": "doc_82_Tanzia", "id": "M_P77", "event-label": "taking-moud", "post": "Does anyone else find their dose doesn\u2019t last 24hrs? When I was on 6mg or above my dose would normally last around 22/23hrs. But now I\u2019m on 1.4mg I\u2019m finding it only lasting 20hrs I\u2019m waking up early with aching legs and really uncomfortable. I\u2019m on subutex (no naloxone) anyone else have this problem?", "comment": "I split dose. So, no. I\u2019m good", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individuals dose not lasting", "implicit"], ["experiencing side effects", "implicit"]], "effects": [["Waking up early with aching legs", "explicit"]], "treatment": [["1.4mg suboxone daily", "implicit"]]}, "type-specific-arguments": {"medications": [["Suboxone", "implicit"]], "dosage": [["1.4mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["daily", "implicit"]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Waking up early with aching legs", "explicit"]], "severity": [["low", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_76_Madhu", "id": "M1107", "event-label": "taking-moud", "post": "Spit out saliva after it dissolves? Will I get my full dose if I let the pill dissolve and sit with it in my mouth for 15-20min and then just spit it all out or do I have to swallow every time to get the bupe ? Thanks!", "comment": "You can spit it. Many people (myself included) seem to have fewer side effects like headaches and GI upset when spitting instead of swallowing. Cant prove it though. Either way i dont feel any diferent with regards to the amount of bupe absorbed.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual wondering if they get full dose of suboxone", "implicit"]], "effects": [["null", ""]], "treatment": [["Taking oral Buprenorphine", "implicit"]]}, "type-specific-arguments": {"medications": [["Buprenorphine", "implicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["Orally", "implicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["Treat withdrawl symptoms", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Spitting out after dissolving in mouth", "scattered"]]}}}, {"doc_id": "doc_20_Joey", "id": "vjq2kk", "event-label": "taking-moud", "post": "When to induct?. Was on 8 mg suboxone daily for a year. Last suboxone use was about 5 days ago, used about a gram of fent over 3 days. Knowing what i do about fent analogues, i bridged the gap for 24 hours with 4 15 mg percs (pharma) to make the first 24 hours bearable. So ive been off fent for 26 hours, and took my last 15 mg about an hour ago. when should i start to take subs?", "comment": "That's kinda a tricky one imo. If you have only been off the 8MG for 5 days ,you still would have bupe in your system. You may have an easier time switching back. But tbh I would wait till I was feeling pretty shitty at LEAST another 24 hours. Taking those 4/15mg pills just delayed your induction imo. Wait till then and then start off with just 1mg and wait ....it's definitely like flipping a coin. And the odd kinda suck.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual previously on 8mg suboxone daily", "scattered"], ["recently used fent and percs", "implicit"]], "effects": [["null", ""]], "treatment": [["8 mg sub daily for a year", "scattered"]]}, "type-specific-arguments": {"medications": [["sub", "explicit"]], "dosage": [["8 mg", "explicit"]], "treatment-duration": [["one year", "implicit"]], "manner": [["null", ""]], "frequency": [["daily", "explicit"]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Switching back to Suboxone", "implicit"]]}}}, {"doc_id": "doc_55_Joey", "id": "f8lksl", "event-label": "taking-moud", "post": "Less is more? Anecdotal report. Interestingly, I\u2019m prescribed 4mg a day of subs, but I find that I feel it much more if I just take 2mg either between my gums and lip or plugged (don\u2019t really do that anymore bc it\u2019s more bioavailable and so it\u2019s more than what the other method does). Does anyone else find this to be true? I tried taking 6mg with just a 2mg tolerance and I didn\u2019t feel anything more but when I stay at 2mg and sometimes take them both in a day but spaced out a lot, it works better and I feel kinda warm and fuzzy like I can feel it like Kratom.", "comment": "I'm on it for addiction. I had spinal fusion, denied pain management afterwards, , found oxycodone on the streets for 5 months, , failed 7 day subutex detox,, got on suboxone after trying detox. Here I sit after 7 mos suboxone treatment,,no relapses. I made a bad mistake, had 11 years in AA. I just want my abstinence back.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Person feeling better with lower doses", "implicit"]], "effects": [["feeling warm and fuzzy like kratom", "implicit"]], "treatment": [["switching from 4 mg subs to 2 mg", "implicit"]]}, "type-specific-arguments": {"medications": [["null", ""]], "dosage": [["2 mg", "implicit"]], "treatment-duration": [["null", ""]], "manner": [["between gums/lips/plugged", "implicit"]], "frequency": [["per day", "implicit"]], "timing": [["null", ""]], "purpose": [["feeling warm and fuzzy like kratom", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["spinal fusion", "explicit"], ["denied pain management", "explicit"]], "side-effects": [["failed 7 day subutex detox", "explicit"]], "severity": [["high", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["11 years", "explicit"]], "intervention": [["suboxone treatment", "explicit"], ["AA", "explicit"]]}}}, {"doc_id": "doc_67_Omar", "id": "q5y1so", "event-label": "taking-moud", "post": "After 11 days of kicking I took a .5mg of sub strip. Did I reset my progress?. I know I fucked up. Please tell me this doesn\u2019t start me totally over. Please tell me this doesn\u2019t put me at day 1 of detox again. I want to be done.", "comment": "11 days is amazing and you\u2019re doing a great job. Try to be easy with yourself. Guilt and remorse can be vicious and counterproductive.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who took suboxone after 11 days of quitting", "implicit"]], "effects": [["worrying about detox", "scattered"]], "treatment": [["took a 0.5mg of suboxone", "implicit"]]}, "type-specific-arguments": {"medications": [["suboxone", "implicit"]], "dosage": [["0.5mg", "implicit"]], "treatment-duration": [["11 days", "explicit"]], "manner": [["orally", "implicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["detox", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_96_Madhu", "id": "C209", "event-label": "relapse", "post": "Anybody else find themselves teeter tottering on the edge between H and subs ? Been trying to induce subs for a few weeks now", "comment": "Well the obvious question is, is it really heroin. Inducing from heroin is supposedly much easier that switching from fentanyl. But I haven't done either, so I have no firsthand experience to share.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual trying to switch from heroin to suboxone", "implicit"]], "relapse-event": [["Taking heroin", "scattered"]], "resuming-moud-after-relapse": [["Plans to get on suboxone fully", "implicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["Heroin use disorder", "scattered"]], "trigger": [["null", ""]], "existing/current-medications": [["Suboxone", "implicit"]], "relapse-substance": [["Heroin", "explicit"]], "relapse-duration": [["Few weeks", "explicit"]], "relapse-intervention": [["Taking suboxone", "implicit"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_51_Omar", "id": "q0w2v2", "event-label": "relapse", "post": "Relapse. I've been on 8-12mg a day for about the past year. I relapsed yesterday and today and haven't taken my Suboxone dose since Friday night. Am I able to continue with it like nothing happened or will I go into PWD if I don't wait to take it?", "comment": "I'd honestly think you would be fine and if it were me I'd probably change it but I don't wanna advise you one way or the other for certain and be wrong. Best of luck though", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who relapsed after being on suboxone for the past year", "scattered"]], "relapse-event": [["havent taken suboxone since friday", "scattered"]], "resuming-moud-after-relapse": [["continuing suboxone", "implicit"]], "effects": [["concerned about precipitated withdrawal", "implicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "existing/current-medications": [["8-12mg suboxone", "implicit"]], "relapse-substance": [["null", ""]], "relapse-duration": [["yesterday and today", "explicit"]], "relapse-intervention": [["continue taking subs", "implicit"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["precipitated withdrawal", "implicit"]], "severity": [["medium", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["planning to change subs dose", "implicit"]]}}}, {"doc_id": "doc_59_Tanzia", "id": "P_T837", "event-label": "tapering", "post": "Please help. Im trying to taper I'm trying to taper off of suboxone. I've made it down to .5 without to many problems. But jumping to .25 is killing me. I've been trying for 4 days now and it's looked more .25, .35,.25, .30. I get this really bad stomach/ bladder pain after 12-20 hours from my last dose. Does anyone have any tricks to help?", "comment": "Kratom may help. If you have access to a smoke shop you could always try to see if they sell kratom. That plus any benzos help a lot", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual tapering off suboxone experiencing side effects", "scattered"]], "effects": [["Stomach/bladder pain", "implicit"]], "tapering-event": [["From .5mg suboxone to .30mg", "implicit"], ["attempting to jump to .25mg", "implicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["Trying tapering to .25 for 4 days", "implicit"]], "type": [["Self-tapering", "implicit"]], "taper-medications": [["Suboxone", "explicit"], ["potential future kratom/benzos use", "implicit"]], "initial-dosage": [[".5", "explicit"]], "current-dosage": [[".25-.30", "implicit"]], "goal-dosage": [[".25", "explicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Stomach/bladder pains", "implicit"]], "severity": [["medium", "implicit"]], "start-time": [["12-20 hours from last dose", "implicit"]], "side-effect-duration": [["null", ""]], "intervention": [["Kratom and benzos", "implicit"]]}}}, {"doc_id": "doc_40_Omar", "id": "dg3m9e", "event-label": "taking-moud", "post": "Preference?. Of those whove tried different generic brands of bupe with and without naloxone,i.e, Rhodes, Roxanne (west-ward),hitech (akorn),alvogen,Dr. Reddy,etc. Can I please get some feedback positive and negative? I've been on suboxone and subutex for 3 years and 3 months and tried most but have yet to find as good as brand ox. Anyone agree? Thx for your replies and aplogize if this has been overasked.", "comment": "Just like anything else people make mistakes and make bad batches and I believe I've had some bad batches with low miligram doses,just a thought", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual on suboxone and subutex trying to find a better brand", "scattered"]], "effects": [["null", ""]], "treatment": [["suboxone and subutex for 3 years and 3 months", "explicit"]]}, "type-specific-arguments": {"medications": [["subs", "implicit"], ["subutex", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["3 years and 3 months", "explicit"]], "manner": [["orally", "implicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_90_Joey", "id": "C_M_P141", "event-label": "taking-moud", "post": "Help me off da bluezz I\u2019ve been taking fent for a few months and I\u2019m trying really hard to get off them. If I don\u2019t wait long enough after the last time I take fent to take a sub I get super sick, so I know I need to wait 24-36 hrs before I take my subs. Problem is with this fent I start getting sick after like 8 hours, can I take Kratom to get me to the 24-36 hour mark? Or will mixing them not work?", "comment": "I give y\u2019all props for answering the same question over and over and over", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["patient want to take kratom to get off of fent", "scattered"]], "effects": [["mixing kratom and subs may not work", "implicit"]], "treatment": [["take subs after 24-36 hours", "scattered"]]}, "type-specific-arguments": {"medications": [["suboxone", "implicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["oral/sublingual", "implicit"]], "frequency": [["null", ""]], "timing": [["24-36 hours after fent", "implicit"]], "purpose": [["get off of fent", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["bluezz", "explicit"], ["sick", "explicit"]], "severity": [["high", "implicit"]], "start-time": [["24-36 hours after subs", "implicit"]], "side-effect-duration": [["null", ""]], "intervention": [["take kratom to wait 24-36 hours before subs", "scattered"]]}}}, {"doc_id": "doc_80_Madhu", "id": "M_P296", "event-label": "taking-moud", "post": "on 8mg a day ! why do I always want more Iam always thinking about taking my dose if I have a bad day I feel like I need more not sure how to manage this so I can eventually taper I need to maintain my daily dose any suggestions?", "comment": "You are chasing a high you will never get. It\u2019s going to take strength but you got this.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual addicted to treatment seeking advice", "implicit"]], "effects": [["cravings", "implicit"]], "treatment": [["trying to maintain 8 mgs dose daily", "scattered"]]}, "type-specific-arguments": {"medications": [["null", ""]], "dosage": [["8mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["daily", "explicit"]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["craving for higher dose", "scattered"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_12_Omar", "id": "e02c70", "event-label": "tapering", "post": "This will probably get downvoted but here goes. I really don't understand the posts of people using kratom to help with sub WD... don't they see the glaring issue? You're still acting like an addict! There is no easy way out. You need to fix why you used, if you don't want to unlock the monster. Yes you'll WD no pain no gain. Hopefully with a proper taper and after care you will succeed. I'm not trying to be a dick, just think about the insanity of using again. Edit. Let me add this is just my opinion. I personally don't think it's a good idea for me. If you can do it for a while and walk away, I'm nobody to judge", "comment": "I used kratom to get off a 7 year suboxone habit, used kratom for 5-6 weeks Kratom physical WD = 1-7 days depend on how long, Paws up to 90(with long term use) Suboxone WD = peak physical day 6 to 14, physical ends about day 21-27 , paws upwards of 90 days. Dont believe me documented everything. been clean from subs almost 90 days, been clean from kratom 35 days. [", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual using kratom to taper suboxone", "implicit"]], "effects": [["null", ""]], "tapering-event": [["used kratom to quit suboxone", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["suboxone taper", "implicit"]], "start-time": [["90 days ago", "implicit"]], "type": [["self-tapering", "implicit"]], "taper-medications": [["kratom", "explicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["0", "explicit"]], "goal-dosage": [["0", "explicit"]], "target-duration": [["5-6 weeks", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["7 year suboxone habit", "explicit"]], "side-effects": [["physical withdrawals", "implicit"]], "severity": [["medium", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["1-7 days", "explicit"]], "intervention": [["used kratom to get off suboxone", "implicit"]]}}}, {"doc_id": "doc_29_Joey", "id": "qaaipk", "event-label": "relapse", "post": "Need an answer please. Hello I am currently doing fentanyl and I want out . I was thinking of taking kratom for a couple days to avoid pw. Do I have to wait to take the sub while on subxone or will it not effect it ?", "comment": "i waited 3 days after my last dose of fent to start subs. precipitated withdrawal is even worse than normal cold turkey withdrawal. BUT, it is possible to taper off fentanyl at the same time as consuming suboxone. it\u2019s called \u201cthe bernese method\u201d i suggest you look it up. it was the only thing that worked for me. it was too much to cold turkey it for 3 mf days before i got any relief. hopefully this works for you. cheers to getting clean and living a better life", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual quitting fentanyl", "implicit"]], "relapse-event": [["relapsing on fent after cold turkey withdrawal", "scattered"]], "resuming-moud-after-relapse": [["Bernese method with sub", "implicit"]], "effects": [["cold turkey withdrawal", "explicit"]]}, "type-specific-arguments": {"condition": [["fent", "explicit"]], "trigger": [["cold turkey withdrawal", "explicit"]], "existing/current-medications": [["subs", "explicit"]], "relapse-substance": [["fent", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["Bernese method", "explicit"]], "waiting-time": [["three days", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["cold turkey withdrawal", "explicit"]], "severity": [["too much", "explicit"]], "start-time": [["null", ""]], "side-effect-duration": [["3 days", "explicit"]], "intervention": [["bernese method", "explicit"]]}}}, {"doc_id": "doc_7_Omar", "id": "t3pylb", "event-label": "tapering", "post": "Tips for getting off Sub?. I am just now starting my taper to get completely off sub and all other opiates. Can anyone share some advice on what helped them adapt to the wds. I know exercise is supposed to be helpful. Any other things that has helped yall combat the wds?", "comment": "This might be looked down upon, but get some short acting, low dose opiate/benzos for the worst of it. I mean you spend 4 days awake restless legs uncomfortable, and a .5mg klonopin/5mg hydro or 100 tramadol goes a long way for getting a few hours of sleep in and easing off the suffering, and its still too small of a dose to get you high or feeling good, just some relief. I\u2019m talking limited amounts too, like 5-1mg benzo of choice and 500mg tramadol total to get through the worst of the first couple weeks. Other than that try and be as healthy as possible, look at natural sleep aids, vitamins, etc", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual looking for advice to taper subs and opiates", "scattered"]], "effects": [["awakeness", "implicit"], ["restless legs", "explicit"], ["discomfort", "implicit"]], "tapering-event": [["Taking subs and wants to quit", "scattered"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["Desire to quit opiates", "implicit"]], "start-time": [["null", ""]], "type": [["self tapering", "implicit"]], "taper-medications": [["opiates", "explicit"], ["benzos", "explicit"], ["klonopin", "explicit"], ["tramadol", "explicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["null", ""]], "goal-dosage": [["quit all opiates", "implicit"]], "target-duration": [["within few weeks", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["opiate addiction", "implicit"]], "side-effects": [["insomnia", "implicit"], ["restless legs", "explicit"], ["discomfort", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["tramadol", "explicit"], ["exercise", "explicit"], ["natural sleep aid", "explicit"], ["vitamins", "explicit"]]}}}, {"doc_id": "doc_3_Tanzia", "id": "u5cns7", "event-label": "relapse", "post": "how long after my last dose of Suboxone can i use an opioid?. Edit- the answer seems to be at least 72 hours, right on yall for the help.. bums", "comment": "You can use opioids right away or at the same time without anything bad happening. It will not cause PWD. However if you are asking how long the bupe will block the opiate, or asking about breaking through the bupe, then it really depends on your sub dose and how long you have been on subs. That being said the 72hr time in your edit is a good general window. Another factor is what opioid you are using, as some stronger meds might break through.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual asking about using opioid after Suboxone", "scattered"]], "relapse-event": [["Using opioids after last dose of Suboxone", "scattered"]], "resuming-moud-after-relapse": [["null", ""]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["opioid", "explicit"]], "trigger": [["null", ""]], "existing/current-medications": [["Suboxone", "explicit"]], "relapse-substance": [["opioid", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["72 hours", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_44_Joey", "id": "waq6nv", "event-label": "relapse", "post": "Been off Subs 7 days, going back on tomorrow- how much?. As said, been off 7 days- 20mg/daily prior for 6 months. It was a financial necessity but rather uncomfortable now and cash flow has improved. My concerns are: don\u2019t want to hurt myself taking too much and do not want to get the daily dose that high again. I was thinking start with 4mg am, 4pm and hope it\u2019s enough to relieve wd symptoms, then adjust up carefully if need be. any thoughts appreciated. Prior it was the dirty 30s that did me in, about 90mg/day for a year.", "comment": "No one else lives in your body, only you know what you need to stay clean and live your life. Your plan of 4am and 4pm seems perfectly reasonable to me, though. Edit:typo", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual restarting subs", "implicit"]], "relapse-event": [["null", ""]], "resuming-moud-after-relapse": [["Plans to start subs with 4mg am", "implicit"], ["4pm", "explicit"], ["null", ""]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["off of subs for 7 days", "scattered"]], "trigger": [["null", ""]], "existing/current-medications": [["subs", "explicit"]], "relapse-substance": [["null", ""]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["7 days", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["wd symptoms", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_18_Joey", "id": "wc9e8z", "event-label": "relapse", "post": "Suboxone for Kratom dependency?. Hi has anyone out there gotten on Suboxone for a kratom dependency? I\u2019m supposed to do the induction but I\u2019m on the fence my sub doctor keeps telling me that I\u2019m going to get sick for two days because of the naloxone in the Suboxone will affect the kratom and throw me into precipitated withdrawing anyone else or have any experience with This? I\u2019ve looked all over Reddit but what I can see Suboxone will not throw a person into precipitated withdrawal even if they start the Suboxone an hour after they dose kratom could someone knowledgeable tell me", "comment": "Please don't do this. I was on Kratom for over a year and was doing anywhere between 22-30 grams a day and quit cold Turkey. The withdrawals weren't bad at all compared to other opiates. I'm on subs now because I eventually relapsed for a year on h and fent but if I could go back in time I never would of gotten on subs. Imo it's just trading one addiction for the other. Just tuff it out for a few days it will be better in the long run trust me", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual quitting cold turkey for kratom dependency", "implicit"]], "relapse-event": [["h and fent", "explicit"]], "resuming-moud-after-relapse": [["subs after a year", "implicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["kratom", "explicit"]], "trigger": [["cold turkey withdrawal", "implicit"]], "existing/current-medications": [["subs", "explicit"]], "relapse-substance": [["h and fent", "explicit"]], "relapse-duration": [["one year", "implicit"]], "relapse-intervention": [["subs", "explicit"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["withdrawals", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["for a year", "explicit"]], "intervention": [["quitting cold turkey", "implicit"]]}}}, {"doc_id": "doc_57_Joey", "id": "tw7aig", "event-label": "taking-moud", "post": "Using a Sub to break from Opiates. My question: this morning I took a quarter of a sub- which is a 8mg bup/2mg naloxene sub and might take a quarter more this evening. I've been on Tapentadol for a week and got up to five 100mg a day and was worried that my tolerance was too high. My plan is to take nothing at all tomorrow and go back on Wednesday to using Tap responsibly. Would there be any contraindications with that or issues? For reference, its been a few weeks since I've had any Suboxene so my system should be fresh.", "comment": "Oh my I miss Tapentadol. \ud83d\ude15 I\u2019d think you should be good, but I\u2019m really here just to add that.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Person using sub as a break from opiates", "scattered"]], "effects": [["probably high tolerance", "implicit"]], "treatment": [["8mg bup/2mg naloxene sub", "explicit"], ["5 100 mg tapentadol a day for a week", "scattered"]]}, "type-specific-arguments": {"medications": [["Suboxone", "implicit"], ["tapentadol", "explicit"]], "dosage": [["8mg bup/2mg naloxene sub", "explicit"], ["five 100mg Tapentadol", "scattered"]], "treatment-duration": [["a week", "explicit"]], "manner": [["null", ""]], "frequency": [["sub twice a day", "implicit"], ["Tap 5 times a day", "implicit"]], "timing": [["null", ""]], "purpose": [["To break from Opiates", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["Opiate addiction", "implicit"]], "side-effects": [["probable high tolerance", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["suboxone", "implicit"]]}}}, {"doc_id": "doc_87_Madhu", "id": "C_P313", "event-label": "relapse", "post": "If I snorted 8mg of subconscious with barely no tolerance will I be ok How much suboxone do u have to take before you overdose Edit if ur the low life piece of shit who reported this for self harm go duck urself ur a piece of shit", "comment": "No man, this is actually quite dangerous. One mg with non tolerance will normally cause someone to throw up and nod out. Do you have narcan on hand? I know this was posted 4 hours ago now. Give us and update bud, hope you\u2019re okay Edit - fuck I just took a look at his post history and dude seemed to be pretty scared. He hasn\u2019t posted in hours", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual who snorted suboxone in fear of overdosing", "implicit"]], "relapse-event": [["Snorted 8mg suboxone", "scattered"]], "resuming-moud-after-relapse": [["null", ""]], "effects": [["Possible overdose", "implicit"]]}, "type-specific-arguments": {"condition": [["Suboxone use with low tolerance", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["suboxone", "explicit"]], "relapse-substance": [["Suboxone", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["Suggested to use Narcan", "scattered"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["non tolerance", "explicit"]], "side-effects": [["throw up and nod out", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["suggested to use narcan", "scattered"]]}}}, {"doc_id": "doc_50_Joey", "id": "uqew0w", "event-label": "relapse", "post": "I relapsed and subs aren't working now. Hello all, First time posting here. I have been on suboxone since August of 2021 and I screwed up bad a few weeks ago and have been doing oxy 30s but I'm pretty positive they're fakes/fentanyl. I am trying to get back off of the oxy and just take the subs but they're not working at all. All of my normal withdrawal symptoms are still present even after taking my full dose of 22mg for the day. I'm wondering if anyone else has had a similar experience after relapse and if so, did the suboxone ever start working properly again or am I screwed? I'm scared to reach out to my doctor because I fear he will drop me.", "comment": "Going to subs from fentanyl/fentanyl analogues can be trickier than with regular opioids. Look up the Bernese method for switching, a lot of people on here have found it effective. Otherwise you might have to endure a couple of days of WD before the subs work.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Person struggling to get back to subs after relapse", "scattered"]], "relapse-event": [["Took oxy 30s/fentanyl", "scattered"]], "resuming-moud-after-relapse": [["suboxone", "explicit"]], "effects": [["normal withdrawal symptoms despite full dose", "scattered"]]}, "type-specific-arguments": {"condition": [["been on suboxone since August of 2021", "explicit"]], "trigger": [["null", ""]], "existing/current-medications": [["suboxone", "explicit"]], "relapse-substance": [["oxy 30s/ fentanyl", "scattered"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["Trying to switch back to Suboxone", "scattered"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["normal withdrawal symptoms", "explicit"]], "severity": [["null", ""]], "start-time": [["few weeks ago", "explicit"]], "side-effect-duration": [["null", ""]], "intervention": [["bernese method", "explicit"]]}}}, {"doc_id": "doc_43_Tanzia", "id": "tzz7lj", "event-label": "tapering", "post": "Vitadone. Anyone ever taken vitadone? I guess it is a vitamin to help with opiate withdrawal. My brother is in methadone and taking it, says it helps. I\u2019m on sublocade but I wish I would have known about it when I was going thru suboxone wd. If I feel sick with my shot I will buy some. Just wanted to suggest it on here for anyone going thru wd or planning to jump off soon.", "comment": "It looks like a sham. even worse it could possibly have an unlabeled opiate in it. Just take a multivitamin from a reputable brand, try to get some rest, and eat even if you don't feel like it.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual suggesting vitadone for those going through withdrawals or quitting", "implicit"]], "effects": [["null", ""]], "tapering-event": [["null", ""]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["null", ""]], "initial-dosage": [["null", ""]], "current-dosage": [["null", ""]], "goal-dosage": [["null", ""]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_21_Omar", "id": "qqob8j", "event-label": "relapse", "post": "I sent myself into PWD.. help. I relapsed on fent 30\u2019s for a few days. I last used at like 11:30 last night and woke up at like 6:30 took my sub bc I felt sick and never got relief. I took some more throughout the day. Hoping it would help but now like the past hour my knees are aching and hurting so bad. I\u2019ve taken like 10mg now w no relief what should I do?", "comment": "Everyone saying take smaller doses, but when I went into detox I was in pwd and they gave me more subs to get out of it and it worked, tho they did give me a bunch of other comfort meds as well lol", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who relapsed on fentanyl 30", "scattered"]], "relapse-event": [["relapsed at 11:30pm last night", "implicit"]], "resuming-moud-after-relapse": [["took sub at 6:30am", "scattered"]], "effects": [["sickness", "implicit"], ["achy knees", "implicit"]]}, "type-specific-arguments": {"condition": [["recovered from fentanyl 30s use", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["subs", "explicit"]], "relapse-substance": [["fentanyl 30", "implicit"]], "relapse-duration": [["several days", "implicit"]], "relapse-intervention": [["taking more subs", "implicit"]], "waiting-time": [["7hrs", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["fentanyl addiction", "implicit"]], "side-effects": [["sickness", "implicit"], ["achy knees", "implicit"]], "severity": [["high", "implicit"]], "start-time": [["an hour ago", "implicit"]], "side-effect-duration": [["1 hour", "implicit"]], "intervention": [["more subs", "explicit"], ["comfort meds", "explicit"]]}}}, {"doc_id": "doc_43_Omar", "id": "ugydc2", "event-label": "taking-moud", "post": "Suboxone Wd Help. I started Suboxone 6 months ago at 16mg to help me stay off a bad fentanyl habit. I\u2019ve tapered to around 4mg to 2 mg a day depending on how I feel, but I can\u2019t kick the subs after countless attempts. The farthest I get is like 20 days then I cave and get back on it. I take the orange pills and they taste so bad I put myself into wd for absolutely no reason. Am I dropping from too high of a dose? - also use kratom and lyrica for the wd and still struggle Bc my panic disorder comes back in full force.", "comment": "Yeah, that\u2019s too high. However, if you\u2019re able to get to 20 days, I don\u2019t know\u2026. I\u2019m currently stuck at 1.5mg strips. I\u2019m trying to go lower but I get terrible anxiety attacks that last all day. You could try and drop to 1mg for a month or so then to .5mg for a month then jump", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who started suboxone to quit fentanyl", "scattered"]], "effects": [["addicted to subs", "implicit"], ["cant quit", "implicit"], ["withdrawal", "implicit"]], "treatment": [["reducing dosage to 1mg then .5mg", "scattered"]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"], ["kratom", "explicit"], ["lyrica", "explicit"]], "dosage": [["4mg to 2mg", "implicit"]], "treatment-duration": [["null", ""]], "manner": [["orally", "implicit"]], "frequency": [["daily", "implicit"]], "timing": [["null", ""]], "purpose": [["to quit fentanyl", "implicit"], ["manage withdrawal symptoms", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["anxiety", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["drop to 1mg for a month then .5mg for a month then jump", "scattered"]]}}}, {"doc_id": "doc_42_Madhu", "id": "x3838c", "event-label": "taking-moud", "post": "Sleep pattern?. So iv been taking 2 8mg films for about a year, I take them both in the morning at about 5:30am. And for the past year i get up all night usually about every hour, wide awake. I get up go for a smoke and then fall back asleep for another hour just to wake up again and do it all over again. But yesterday, I only took 1 film in the morning instead of 2, and it\u2019s the first time in a year that i slept through the night. Even slept past 6am for the first time in years. Now my question is, did I sleep better because I took less medicine? Is the 16mg a day causing irregular sleep patterns? If anybody els experienced this please comment. THANKS!", "comment": "Yes. It\u2019s affecting how your body feels good. You wake up in the middle of the night because your body is like hey I feel right. But something is not normal. I\u2019m not right am I. You\u2019re liying to me. I\u2019m not right! But you are so you go back to sleep. Methadone keeps me asleep. I noticed that too while on suboxone. I would always want to take my dose at night. Bc It would make me feel like ok I\u2019m dosed I\u2019ll sleep now. Methadone I take at night but I noticed I slept better than on heroin", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual taking film daily and having irregular sleeping issues", "scattered"]], "effects": [["Wake up every hour", "implicit"]], "treatment": [["8mg films 2x daily", "scattered"]]}, "type-specific-arguments": {"medications": [["null", ""]], "dosage": [["8mg", "explicit"]], "treatment-duration": [["About a year", "explicit"]], "manner": [["orally", "implicit"]], "frequency": [["twice daily", "implicit"]], "timing": [["Morning", "explicit"]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Sleeping difficulty", "implicit"]], "severity": [["high", "implicit"]], "start-time": [["1 year ago", "implicit"]], "side-effect-duration": [["1 year", "implicit"]], "intervention": [["taking less prescription", "implicit"]]}}}, {"doc_id": "doc_79_Omar", "id": "C_P180", "event-label": "relapse", "post": "I\u2019m on suboxone and need help sleeping\u2026 I\u2019ve been on suboxone for a few months now but have been continuing to use fent for sleep\u2026 I\u2019ve tried melatonin, seroquel, trazadone, Zoloft, etc and just can\u2019t sleep at night. Weed used to help but now that my tolerance has gone up for weed, there is no chance in weed knocking me out. Please help me\u2026 it\u2019s stressing me out and i just want to stay clean\u2026 i need to sleep\u2026", "comment": "How do you feel the fentanyl on subs? What worked for me is OTC sleep meds, ambien (if you really want to knock), or any benzo. The beginning on subs is always the worst with sleep. Try taking the sub in the morning (nothing after 2pm) & no caffeine.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual on suboxone who used to use weed but now uses fentanyl for insomnia", "scattered"]], "relapse-event": [["use fentanyl for sleep", "scattered"]], "resuming-moud-after-relapse": [["taking suboxone while relapsing", "implicit"]], "effects": [["sleep troubles", "implicit"]]}, "type-specific-arguments": {"condition": [["weed and fent addict", "implicit"]], "trigger": [["insomnia", "implicit"]], "existing/current-medications": [["suboxone", "explicit"], ["sleep meds", "explicit"], ["ambien", "explicit"], ["benzos", "implicit"]], "relapse-substance": [["fentanyl", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["use sleep meds", "scattered"], ["ambien", "explicit"], ["benzos", "implicit"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["insomnia", "implicit"], ["substance dependence", "implicit"]], "side-effects": [["insomnia", "implicit"]], "severity": [["medium", "implicit"]], "start-time": [["few months ago", "implicit"]], "side-effect-duration": [["months", "explicit"]], "intervention": [["take sleep meds", "scattered"], ["ambien", "explicit"], ["benzo", "explicit"]]}}}, {"doc_id": "doc_66_Omar", "id": "vicg97", "event-label": "relapse", "post": "Sub strips and pills. How does one get ahold of suboxone as I am trying to get off or fent?", "comment": "Google doctors in your area, or I have seen a lot of people use telehealth to get prescriptions. Look around at some previous posts of people in the same boat and you should find good information. Make sure you read up on being is complete withdrawal before taking subs as I have heard horror stories from people taking subs for the first time and not being in Ed enough and it gets bad but once you make the switch you will definitely get your life back and not be chasing down the next hook up every few hours", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual trying to quit fent", "implicit"]], "relapse-event": [["null", ""]], "resuming-moud-after-relapse": [["wants to start suboxone", "scattered"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["fenta addiction", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["null", ""]], "relapse-substance": [["fentanyl", "implicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["using suboxone", "scattered"]], "waiting-time": [["wait until in Ed enough", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["get suboxone from doctors in area", "scattered"]]}}}, {"doc_id": "doc_38_Tanzia", "id": "v5l4fh", "event-label": "relapse", "post": "brief short relapse.. I relapsed on heroin for under a week. Like 3 to 4 days. Am i good to take a small piece ?", "comment": "I know everyone\u2019s already said it it\u2019s the Bupe That will cause precipitated withdrawals it\u2019s a bully it will knock everything off your receptors and bind tightly Which will cause you to go into precipitated withdrawals the naloxone is dormant unless you attempt to abuse the Suboxone i.e. shoot it up etc. but yeah it\u2019s The bupe So it doesn\u2019t matter if you use Suboxone or Subutex you\u2019re still risking precipitated withdrawal", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual relapsed on heroin for 3-4 days and aims to resume MOUD", "scattered"]], "relapse-event": [["Relapse on heroin for 3-4 days", "scattered"]], "resuming-moud-after-relapse": [["Considering taking a small piece of MOUD", "implicit"]], "effects": [["Precipitated withdrawals", "explicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "existing/current-medications": [["Subs", "implicit"]], "relapse-substance": [["Heroin", "explicit"]], "relapse-duration": [["3-4 days", "scattered"]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Precipitated withdrawals", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_19_Madhu", "id": "x1q17y", "event-label": "taking-moud", "post": "subutex 10hours after binge with ox no pw. Wantedto throw this out there. Been on subutex for a few years recently went on a binge of pharm 30s. Waited 12 hours and no pw after 4 weeks of oc use. Then another binge with 15s and maybe 8 hours later 2 mg of tex and no pw ... wanted to throw thisout there see if anyone else has had this.. also is there a morining dose that will allow one to take oxy at night and feel effects? use is for multipel spinal fusions . God Bless.", "comment": "For IR pharma pills, there\u2019s really no risk of PWD after 8-12 hours. It\u2019s easy to take your last dose before bed, sleep in as long as possible, wake up in withdrawals and induce subs. As for the balancing act of doing so daily, as much as it sucks you\u2019re really just going to confuse the shit outta your brain for very little pain relief. Sure it can be done, but you\u2019ll likely be stressed every morning and as the subs build in your body it\u2019ll just be a waste of oxy.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["null", ""]], "effects": [["null", ""]], "treatment": [["null", ""]]}, "type-specific-arguments": {"medications": [["null", ""]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_87_Joey", "id": "C81", "event-label": "relapse", "post": "Can you drink while taking Suboxone? Title says it. Can you drink while taking ? I am only taking approx 4-6 mg for the entire day.", "comment": "I asked this same thing a couple months ago and got different answers. I think it varies by person. For me personally I could still get drunk but it would take significantly more alcohol to do so also the drunkness wasn\u2019t as enjoyable", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["patient asking about drinking on suboxone", "scattered"]], "relapse-event": [["drinking on suboxone", "scattered"]], "resuming-moud-after-relapse": [["suboxone", "explicit"]], "effects": [["requires more alcohol to get drunk", "implicit"], ["less enjoyable", "implicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "existing/current-medications": [["suboxone", "explicit"]], "relapse-substance": [["alcohol", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["more alcohol to get drunk", "implicit"], ["less enjoyable drunkness", "scattered"]], "severity": [["low", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_24_Joey", "id": "u8ajjg", "event-label": "relapse", "post": "Using oxy as bridge from fent to subs?. My boy has a prescription for 75 pink percs and he\u2019s getting rid of them (not for free duh) i was thinking about buying a bunch so i can get off the fentanyl for a few days to get on subs, i do maybe a gram or less of fentanyl a day (i can get by on only like a bundle or two a day if that) i was wondering how many 10 mg Oxys i should buy to hold me over? This might be my only chance.", "comment": "good plan. get a lot. I did this to get from fentanyl/methodone to subs. took about 200 mg oxy everyday for 6 days then nothing for 22 hours then subs. could not have had a better experience.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual switching from fent to subs using oxy", "scattered"]], "relapse-event": [["null", ""]], "resuming-moud-after-relapse": [["null", ""]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "existing/current-medications": [["null", ""]], "relapse-substance": [["null", ""]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_26_Omar", "id": "u9yc6h", "event-label": "relapse", "post": "Does Suboxone block the cocaine high? Plz help?! Wtf is going on?!. I\u2019m doing the Bernese method to get off of fentanyl and on to Suboxone. I\u2019m only on day 2 and did coke today and don\u2019t feel ANYTHING. I\u2019ve taken more and still don\u2019t feel it but don\u2019t want to take anymore and get sick or OD bc I can\u2019t feel anything\u2026. I only did .25 mg twice yesterday (.5mg), and .25mg three times today (.75mg) so I feel like I BARELY even have Suboxone in my system\u2026 Does Suboxone block the cocaine high?? ! How do you explain what\u2019s happening to me??? Please help?!", "comment": "I\u2019ve also experienced kind of a neutralizing or nullifying interaction with Suboxone and both coke and adderole, I tried to find any type of corroborating evidence or others having a similar experience. Best I could come up with was that it\u2019s possibly psycho-sematic.. idk", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Patient whose use of suboxone blocks cocaine high", "scattered"]], "relapse-event": [["used coke and adderole while on suboxone", "scattered"]], "resuming-moud-after-relapse": [["null", ""]], "effects": [["cant feel cocaine high", "implicit"]]}, "type-specific-arguments": {"condition": [["fentanyl addiction", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["suboxone", "explicit"]], "relapse-substance": [["cocaine", "explicit"], ["adderole", "explicit"]], "relapse-duration": [["one day", "implicit"]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["fentanyl addiction", "implicit"]], "side-effects": [["cant feel cocaine high", "implicit"]], "severity": [["null", ""]], "start-time": [["today", "explicit"]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_33_Joey", "id": "qyjv11", "event-label": "tapering", "post": "Am I going to withdrawal?. I was stupid and didn\u2019t do enough research about subs. I\u2019ve been taking them for 4 days for dirty 30 withdrawals. Starting at 6mg a day (too much I know) down to 3/4 mg today. Am I good to stop all together? I have some kratom if I need. I have work all week don\u2019t want to be sick", "comment": "My advice would be your in the time frame that a lot of us who have been on subs Was In and we decided to continue to use subs and now years later still on subs but clean from any street drug The mental part of it is going to come in to play more than the physical it\u2019s not the physical that\u2019s going to get you so my advice would be to get off the subs and if you\u2019re serious change your habits you might have to go to a program best of luck", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual tapering on subs", "implicit"]], "effects": [["possible withdrawal", "scattered"]], "tapering-event": [["6 mg a day to 3/4 mg in 4 days", "scattered"]]}, "type-specific-arguments": {"condition": [["Taking subs for dirty 30 withdrawals for 4 days", "scattered"]], "trigger": [["null", ""]], "start-time": [["4 days ago", "implicit"]], "type": [["orally/sublingually", "implicit"]], "taper-medications": [["kratom(if required)", "scattered"], ["subs", "explicit"]], "initial-dosage": [["6 mg", "scattered"]], "current-dosage": [["3/4 mg", "explicit"]], "goal-dosage": [["0 mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["withdrawal", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["4 days", "explicit"]], "intervention": [["get off subs/go to a program", "implicit"]]}}}, {"doc_id": "doc_54_Omar", "id": "v0qnzu", "event-label": "relapse", "post": "Answer me. I\u2019m currently on a 12 blues n 2 bars a day w/o ice when I ice in morning 16 blues n 31/2 bars sometimes 4 additional blues n the additional 1/2 bar How much Suboxone would I need to start off on and how to go down m Same with methadone how much to start off on ?", "comment": "Should be able to start at no more than 24mg, but take as little as possible, wait as long as possible between doses. The first month is hard, but afterward it gets easier to manage on 8mg or less and function normally. Benzos are a different animal and you will be tested on subs, so try to get a script. My teledoc allows 30mg Valium in addition to the subs. It\u2019s imperative you don\u2019t cold turkey from benzos. Alcohol will hold you over, but better under medical supervision. Obviously meth is off the table and counterproductive here.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual taking substances and wants to start suboxone", "implicit"]], "relapse-event": [["taking blues", "implicit"], ["bars", "explicit"], ["and ice", "implicit"]], "resuming-moud-after-relapse": [["wants to start MOUD", "implicit"]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["using blues", "implicit"], ["bars", "explicit"], ["and ice", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["null", ""]], "relapse-substance": [["blues", "explicit"], ["bars", "explicit"], ["meth", "explicit"], ["ice", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["wants to start MOUD", "implicit"], ["start at 24mg", "scattered"], ["no meth", "implicit"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["take 24mg for the first month", "scattered"], ["then 8mg or less", "implicit"], ["alcohol can help but no meth", "implicit"]]}}}, {"doc_id": "doc_84_Tanzia", "id": "M_P53", "event-label": "taking-moud", "post": "Subs and orgasms.. So I just got back on suboxone after relapsing on pain meds and my sex drive is normal but I can not reach an orgasm with my dude or myself and it is beyond frustrating! Has anyone else experienced this? I am hoping after my body gets use to the medication that this problem will go away. I am on 8mg twice a day. I have been on subs before but didnt have this much of an issue. Its driving me crazy!", "comment": "Definitely normal. As other person said try cutting dose. 16mg is unnecessarily high for many people and could be the culprit since you didn't have this issue before", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual taking 8mg twice daily experiencing anorgasmia", "scattered"]], "effects": [["Anorgasmia", "implicit"]], "treatment": [["8mg suboxone twice daily", "implicit"]]}, "type-specific-arguments": {"medications": [["Suboxone", "explicit"]], "dosage": [["16mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["orally", "implicit"]], "frequency": [["twice daily", "implicit"]], "timing": [["null", ""]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["Relapsed on pain meds", "implicit"]], "side-effects": [["Anorgasmia", "implicit"]], "severity": [["medium", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Suggested to cut dose", "scattered"]]}}}, {"doc_id": "doc_39_Joey", "id": "tezm8k", "event-label": "relapse", "post": "I got approved through QuickMD to get Buprenorphine tablets.. 8mg twice a day. Have questions about potential precipitated withdrawals. So I went through the service QuickMD and I just wonder....i havent slept in... idk how many hours right now....i havent done any or slept since like 7:30 am monday morning. But anyway do you all think I would experience precipitated withdrawal if I took part of one? Would you recommend dissolving it under the tongue ? I do have chronic pain from a car accident that happened in 2015. I had been doinng okay on kratom, eventually i found some actual H...but anyway I hope someone can help me I am very scatterbrained.", "comment": "I\u2019m sure they advise you wait 24 hours after your last opiate use then start Suboxone not trying to change your mind but you might wanna think twice about it it\u2019s very hard to get off of I was only on it for one month and spent a year and withdrawal fighting my way off", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual anticipating precipitated withdrawal", "scattered"]], "relapse-event": [["kratom", "explicit"], ["H", "explicit"]], "resuming-moud-after-relapse": [["buprenorphine tablets", "explicit"]], "effects": [["possible precipitated withdrawal", "scattered"]]}, "type-specific-arguments": {"condition": [["Opiate use disorder", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["buprenorphine", "explicit"]], "relapse-substance": [["Kratom", "explicit"], ["H", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["quickmd", "explicit"], ["buprenorphine", "explicit"]], "waiting-time": [["24 hours", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["chronic pain from car accident", "implicit"]], "side-effects": [["lack of sleep", "implicit"]], "severity": [["null", ""]], "start-time": [["7:30 am monday morning", "explicit"]], "side-effect-duration": [["null", ""]], "intervention": [["Wait 24 hours after last opiate use", "scattered"]]}}}, {"doc_id": "doc_18_Omar", "id": "uhf0f0", "event-label": "tapering", "post": "Can you get off subs without interrupting life?. I want off but I\u2019ve never been through WD before and I don\u2019t know how bad it is. I\u2019m a single mom and work full time and have little support. Has anyone successfully gotten off without taking time off work while taking care of small kids? Or am I just going be on this forever?", "comment": "Look into getting the shot probably your best bet.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Single mom", "explicit"], ["who works full time", "implicit"]], "effects": [["null", ""]], "tapering-event": [["null", ""]]}, "type-specific-arguments": {"condition": [["single mother who is working full time", "scattered"]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["null", ""]], "initial-dosage": [["null", ""]], "current-dosage": [["null", ""]], "goal-dosage": [["0 mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["female", "implicit"]], "conditions": [["single mother who is working full time", "scattered"]], "side-effects": [["withdrawal", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["getting the shot", "explicit"]]}}}, {"doc_id": "doc_72_Madhu", "id": "M280", "event-label": "taking-moud", "post": "when safe to pop 2mg bar after 8/2 subliminal as title says any help please that shit makes me anxious af", "comment": "Talk to your doctor about non-addictive treatments for anxiety that are safe to take with Suboxone.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual seeking advice on when to take dosage after sublinimal", "implicit"]], "effects": [["null", ""]], "treatment": [["Taking 8/2 suboxone", "implicit"]]}, "type-specific-arguments": {"medications": [["Suboxone", "explicit"]], "dosage": [["8/2", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["Help withdrawl symptoms", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Anxiety", "explicit"]], "severity": [["high", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Taking 2mg bar", "implicit"]]}}}, {"doc_id": "doc_96_Omar", "id": "C253", "event-label": "relapse", "post": "Do you believe Kratom actually helps withdrawals? A lot of people claim this to be true. If you do not think so, explain your reasoning below \ud83d\udc47 [View Poll](", "comment": "Literally used it to get off of subs. It was extremely easy for me. I had no idea it even existed until a friend did the same to get away from subs. Best thing I ever did", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual wondering if kratom helps with withdrawals", "explicit"]], "relapse-event": [["used kratom to get off subs", "implicit"]], "resuming-moud-after-relapse": [["null", ""]], "effects": [["withdrawals", "explicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["to get off subs", "scattered"]], "existing/current-medications": [["subs", "explicit"]], "relapse-substance": [["kratom", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["withdrawals", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["use kratom", "implicit"]]}}}, {"doc_id": "doc_87_Tanzia", "id": "C_P_T111", "event-label": "relapse", "post": "Am I going to withdrawal? I was stupid and didn\u2019t do enough research about subs. I\u2019ve been taking them for 4 days for dirty 30 withdrawals. Starting at 6mg a day (too much I know) down to 3/4 mg today. Am I good to stop all together? I have some kratom if I need. I have work all week don\u2019t want to be sick", "comment": "You prob won\u2019t feel 100% and might have paws from the dirty 30s, but you haven\u2019t been using sub long enough to really have wd from it. You can stop and see how you feel after a couple days, if your symptoms come back really bad you can always hop on a lower dose of sub and quickly taper down to something low like .5 or .25 and that should help reduce any discomfort", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual wants to quit from .75mg suboxone", "implicit"]], "relapse-event": [["Dirty 30s and potential use of kratom if needed", "implicit"]], "resuming-moud-after-relapse": [["null", ""]], "effects": [["Might have paws from the dirty 30s", "explicit"]]}, "type-specific-arguments": {"condition": [["Recovering from dirty 30s addiction", "implicit"]], "trigger": [["Wanting to quit suboxone", "implicit"]], "existing/current-medications": [["Suboxone", "implicit"]], "relapse-substance": [["Kratom", "explicit"], ["dirty 30s", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["dirty 30 withdrawals", "explicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_75_Tanzia", "id": "C_T76", "event-label": "relapse", "post": "Kratom for withdraw of suboxone What is the best kratom to use when trying to taper/jump from suboxone? What is the best website to order the kratom from?", "comment": "There are Kratom forums that may be more helpful to you. I haven\u2019t bought Kratom in a long time and I can\u2019t help you, sorry.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual intending to use kratom to taper and avoid side effects", "implicit"]], "relapse-event": [["null", ""]], "resuming-moud-after-relapse": [["null", ""]], "effects": [["null", ""]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["withdraw of suboxone", "explicit"]], "existing/current-medications": [["Suboxone", "explicit"]], "relapse-substance": [["Kratom", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_91_Omar", "id": "M566", "event-label": "taking-moud", "post": "time of day to take Suboxone What is the best time to take Suboxone in the morning or at night?", "comment": "I've been on the medication for years and around 10-11 is the way to go, definitely before lunch. Drink coffee wake up get going then take the sub", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual wondering when to take subs", "implicit"]], "effects": [["null", ""]], "treatment": [["taking suboxone", "scattered"]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["orally", "implicit"]], "frequency": [["daily", "implicit"]], "timing": [["morning", "explicit"]], "purpose": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["take subs around 10-11am", "implicit"]]}}}, {"doc_id": "doc_16_Madhu", "id": "x2p03u", "event-label": "taking-moud", "post": "Help! First time taking suboxone. I\u2019ve been taking 20mg oxys (not prescribed but get it from someone it is) been taking them for 2 years now and I\u2019m now at about 30-60mg a day. I do take hydromorphone (30mg) and Percocet (30mg) on the days I don\u2019t have oxys. Now I\u2019m so tired of this that I asked a friend of mine for suboxone. He gave me 10/2.5mg pills (the ones that dissolve under the tongue) I\u2019m scared to start taking any of it because of pwd. So my question is, if I took 40mg of hydro with 20mg of Percocet the day before (9hours) when can I take the suboxone and how much? Should I just take one tablet??", "comment": "Time isn\u2019t as much of a concern as withdrawal symptoms. Use the COWS scale. There\u2019s plenty of websites you can use to help you determine how far you\u2019re into withdrawal. Some people may be 10-12 hours and some may be 20-24 hours.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual taking different kinds of opioids looking for information on using suboxone", "implicit"]], "effects": [["null", ""]], "treatment": [["null", ""]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["daily", "implicit"]], "timing": [["null", ""]], "purpose": [["to manage withdrawal symptoms", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["Opioid dependence", "implicit"]], "side-effects": [["Withdrawal symptoms", "explicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Suggested to use the COWS scale", "scattered"]]}}}, {"doc_id": "doc_71_Joey", "id": "C_M_P182", "event-label": "relapse", "post": "Starting my intake and need someone to talk to I made it 20 hours after my last dose of heroin and just took my first 2mg. Was it too soon? It doesn\u2019t seem to be helping. I\u2019m still sweaty, skin crawling, can\u2019t sit still. I\u2019m just going out of my mind. Somebody talk to me", "comment": "Did u sleep? I usually took my last dose around 6om, slept and in morning/afternoon would take mine, but not 2mg. First dose I would take at least 4.:", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual starting intake after last heroin dose", "scattered"]], "relapse-event": [["patient relapsing on heroin", "implicit"]], "resuming-moud-after-relapse": [["MOUD intake after waiting for 20 hours", "implicit"]], "effects": [["sweaty", "explicit"], ["skin crawling", "explicit"], ["cannot sit still", "implicit"]]}, "type-specific-arguments": {"condition": [["null", ""]], "trigger": [["null", ""]], "existing/current-medications": [["suboxone", "implicit"]], "relapse-substance": [["heroin", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["2 mg MOUD", "implicit"]], "waiting-time": [["20 hours", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["sweaty", "explicit"], ["skin crawling", "explicit"], ["cant sit still", "implicit"]], "severity": [["high", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["20 hours", "explicit"]], "intervention": [["MOUD intake", "implicit"]]}}}, {"doc_id": "doc_102_Omar", "id": "C_M503", "event-label": "taking-moud", "post": "Precipitated Withdrawal I was advised to post here. How long do I need to wait to start Suboxone if switching from fentanyl if one isn\u2019t a heavy user but still gets withdraws after about a day. I have heard horror stories about how tricky it can be.", "comment": "You need to wait at the very least 48 hours.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual wondering how long to wait to switch from fentanyl to suboxone", "scattered"]], "effects": [["withdrawal symptoms", "implicit"]], "treatment": [["switching to suboxone", "implicit"]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["to quit fentanyl", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["withdrawals", "implicit"]], "severity": [["medium", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["wait 48 hours", "scattered"]]}}}, {"doc_id": "doc_24_Madhu", "id": "u8d2vc", "event-label": "taking-moud", "post": "Suboxone vs subutex for Bernese micro induction from street fent to subs.. Can I use Buprenorphine only (subutex) for the Bernese method or does it have to be burp/naltrexone (Suboxone) ?? I only have 24 mg of Suboxone left and 78 mg of subutex so I won\u2019t be able to do a full micro induction of 7-8 days with only 24 mg of suboxone. Wondering if I can start with Suboxone and switch to subutex or if I should just start with subutex and use it the whole time to get me stable on subutex and off fent?!? Make sense?? Wondering what the diff between Suboxone and subutex and which one is best for Bernese method microdosing subs to get off street fent. Please help!? Starting tomorrow!!!", "comment": "Always stay on suboxone so you can cut films not pills to taper", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual considering Bernese micro induction", "implicit"]], "effects": [["null", ""]], "treatment": [["Suboxone and Subutex", "explicit"]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"], ["subutex", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["null", ""]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["getting off street fent", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Stay on suboxone", "explicit"]]}}}, {"doc_id": "doc_72_Omar", "id": "vduioi", "event-label": "taking-moud", "post": "Do we have a chance?. Been doing fentanyl for a year and a half. Tried quitting multiple times. My wife and I have been using about a half gram each a day for the past 3 months. We have 14 8mg subs and a 6 day weekend coming up. Do we stand a chance of quitting? I'm just looking for some advice I guess. Feeling hopeless but we want to stop more than anything. Jobs and bills have gotten in the way of us detoxing for to long. We have to quit. This is our last chance before our lives get really really bad.", "comment": "I just got my 5th shot today and have been trying to find info on this all day. This time the shot hurt Extremely bad. I usually think its mild. And usually there is a lump of the medicine at the injection site (lower stomach). But no lump at all today except thin tendrils going about 3 inches above and below coupled with pain. The lower ones definitely go to my groin. Idk if he went too deep or what. Last time this doc did it too close to the skin and I had really sticky substance leak out, I'm imagining it was some medicine and it got super bruised. It got better but this time I'm kinda freaked out", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual trying to quit fentanyl by taking subs and sub shots", "implicit"]], "effects": [["pain from shots", "scattered"]], "treatment": [["taking 14 8mg subs", "scattered"]]}, "type-specific-arguments": {"medications": [["suboxone", "implicit"], ["sub shots", "implicit"]], "dosage": [["8mg", "explicit"]], "treatment-duration": [["null", ""]], "manner": [["orally", "implicit"], ["shots", "implicit"]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["to quit fentanyl", "scattered"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["woman (wife)", "implicit"]], "conditions": [["null", ""]], "side-effects": [["pain", "explicit"]], "severity": [["medium", "implicit"]], "start-time": [["today", "explicit"]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_20_Omar", "id": "t9wbd8", "event-label": "relapse", "post": "Switch?. So I\u2019ve been on subutex for like 3 years n everything was going great.. 3 8mg a day.. but I relapsed like 6 months ago n have been on like 1.5 g of heroin per day for most of the last 6 months n been getting my subutex the whole time. Ok, so I\u2019m ready to get off heroin again but I just can\u2019t deal with the sickness, plus I have arthritis in my hips really bad. Here\u2019s my question\u2026 will they let me get on methadone? I plan on going to a methadone clinic to get on methadone. I been getting my subutex from my reg dr", "comment": "Curious \u2026 is it actual heroin ? Or fentanyl? If it\u2019s actual heroin what part of the country ? I\u2019m on the west coast and work at a rehab and I haven\u2019t seen someone come in positive for actual heroin in so long it\u2019s depressing. Helps me stay clean tho.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who uses Subutex but relapsed on heroin", "scattered"]], "relapse-event": [["relapsed 6 months ago", "implicit"], ["using 1.5 g herion per day", "implicit"]], "resuming-moud-after-relapse": [["plans to use methadone", "scattered"]], "effects": [["experiencing sickness", "implicit"]]}, "type-specific-arguments": {"condition": [["relapsed on heroin", "implicit"]], "trigger": [["has arthritis", "implicit"], ["doesnt want to deal with sickness", "implicit"]], "existing/current-medications": [["subutex", "explicit"]], "relapse-substance": [["heroin", "explicit"]], "relapse-duration": [["6 months", "explicit"]], "relapse-intervention": [["plan to use methadone", "scattered"]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["arthritis in hips", "implicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["planning to use methadone", "scattered"]]}}}, {"doc_id": "doc_16_Tanzia", "id": "e3vnm7", "event-label": "relapse", "post": "Pregabalin and Buprenophine and Clonazepam. So this morning I railed 2 mg Buprenophine (Subutex), I just now ingested 300mg Pregabalin (Lyrica) and I\u2018m still under the influence of 3mg Clonazepam (Knolopin) from last night. Should I get my affairs in order? The good news here is, I\u2019m over a week free off heroin and have zero wd sysmptoms. The bad news is, I am unable to be responsible with all the meds that were supposed to help me with withdrawals.", "comment": "That's just what us addicts do. We're not very good at moderation. Good luck. You can do this", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual relapses with lots of medications", "implicit"]], "relapse-event": [["3mg clonazepam", "explicit"], ["2mg buprenophine", "scattered"], ["300mg pregabalin", "explicit"]], "resuming-moud-after-relapse": [["null", ""]], "effects": [["zero wd symptoms", "implicit"]]}, "type-specific-arguments": {"condition": [["Recovering from heroin addiction", "implicit"]], "trigger": [["null", ""]], "existing/current-medications": [["Buprenophine", "explicit"]], "relapse-substance": [["Clonazepam and pregabalin", "scattered"]], "relapse-duration": [["Two days (last night", "implicit"], ["this morning)", "implicit"]], "relapse-intervention": [["null", ""]], "waiting-time": [["a couple hours (last night", "implicit"], ["this morning)", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["heroin addiction", "implicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_52_Madhu", "id": "qwi7ou", "event-label": "tapering", "post": "I don\u2019t know what the F to do\ud83d\ude3f. So I accidentally got hooked on fake roxies didn\u2019t even know that was a thing (. I\u2019ve been clean off of opiates for four years got back on them because of declining health issues)...Once I found out what I was taking was bullshit started buying Suboxone strips off the street but I could take her down and be off of them within a month here we are four months later it is not happening I do not have time to go to rehab or takeoff of work any advice", "comment": "Yeah man why keep it your little secret.....your someone who doesn't belong here.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual tapering off suboxone after relapse", "implicit"]], "effects": [["null", ""]], "tapering-event": [["Attempting to taper suboxone for 4 months", "implicit"]]}, "type-specific-arguments": {"condition": [["Took fake roxies after being off opiates for 4 years", "scattered"]], "trigger": [["Wanting to stay off medication after relapse", "implicit"]], "start-time": [["4 months ago", "implicit"]], "type": [["self-tapering", "implicit"]], "taper-medications": [["Suboxone", "explicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["null", ""]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["declining health issues", "explicit"]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_32_Madhu", "id": "v6iip3", "event-label": "tapering", "post": "Tapering. Does anyone feel like suboxone just totally jacked up your brain and body chemistry? I\u2019m down to 2mg a day or less and I feel like I\u2019m coming out of some weird fog or haze. Spikes of anxiety. Don\u2019t really wanna be around people. Brain fog and shit like that. I am so glad to be coming down but it\u2019s a really weird journey. Even existentially things feel different.", "comment": "Dude I am struggling, this shit makes me feel like I\u2019m losing my mind! I\u2019m attempting to get off for the 7 th time. I suck at tapering so jumped at 2 mg I know it\u2019s still high but I have to get off this crap it\u2019s been 8 years to long", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual tapering suboxone and feeling well", "implicit"]], "effects": [["Loss of anxiety", "scattered"], ["less brain fog", "scattered"]], "tapering-event": [["going down to < 2mg suboxone", "implicit"]]}, "type-specific-arguments": {"condition": [["felt ill", "implicit"]], "trigger": [["null", ""]], "start-time": [["null", ""]], "type": [["self-tapering", "scattered"]], "taper-medications": [["suboxone", "explicit"]], "initial-dosage": [["null", ""]], "current-dosage": [["2mg/day", "implicit"]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["clear mind", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_19_Tanzia", "id": "s32zra", "event-label": "taking-moud", "post": "Sublocade. I have been working on a taper for the last several months. Lot of information out there. I have read several accounts of people successfully using sublocade to taper off completely. I do not use any other drugs or drink alcohol and would not want to substitute with (drug testing). If anyone has any experience with this, I would be happy to hear what went well and what could have been done better.", "comment": "My doctor said she\u2019s had a lot of success with the shot. They go in every month for like 3-4 shots and she said many are able to come off withdrawal free. I plan on doing it, but I need proper health insurance, otherwise it could be like 1800 bucks a shot.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual aiming to taper by using Sublocade", "scattered"]], "effects": [["null", ""]], "treatment": [["Monthly shots of Sublocade", "scattered"]]}, "type-specific-arguments": {"medications": [["Sublocade", "explicit"]], "dosage": [["3-4 shots", "explicit"]], "treatment-duration": [["last several months", "explicit"]], "manner": [["injections", "implicit"]], "frequency": [["monthly", "implicit"]], "timing": [["null", ""]], "purpose": [["to taper off completely", "explicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_49_Omar", "id": "wlb34b", "event-label": "taking-moud", "post": "quick help please!. i\u2019ve been on a heroin detox on 24mg of subutex for the past 4 days. a couple hours ago i slipped and used, after already taking 16 mgs of subutex. should i take my third dose of 8mgs tonight? or wait the 24 hours?", "comment": "You should wait until you're in proper withdrawal. Give it 36 hours to be safe Sorry you're going through this. Don't beat yourself up It happens. Just pick yourself up and try to figure out what triggered this so you can avoid it next time Also,in my country ( Canada) Addicts can get heroin prescribed,it's called Diamorphine. I don't know what country you're in but look into seeing if this is an option where you are, it's safer.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual who relapsed on heroin after taking subutex", "scattered"]], "effects": [["withdrawal", "explicit"]], "treatment": [["24mg subutex", "implicit"]]}, "type-specific-arguments": {"medications": [["subutex", "explicit"], ["heroin", "explicit"], ["diamorphine", "explicit"]], "dosage": [["24mg", "explicit"]], "treatment-duration": [["4 days", "explicit"]], "manner": [["orally", "implicit"]], "frequency": [["daily", "implicit"]], "timing": [["null", ""]], "purpose": [["to quit heroin", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["heroin addiction", "implicit"]], "side-effects": [["withdrawal symptoms", "implicit"]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["wait 36 hours", "scattered"], ["get Diamorphine", "implicit"]]}}}, {"doc_id": "doc_94_Madhu", "id": "C_P145", "event-label": "relapse", "post": "Suboxone question You have all been such a help and comfort to me. The pain today is so bad it makes me weep. I did order some Kratom, but will it even work while I\u2019m still on suboxone? Thanks in advance for your help.", "comment": "I personally would steer clear of Kratom. Many people have been put on Subs to get off Kratom. Suboxone may block at least some of the effects of Kratom.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Indivdual in pain planning to use kratom", "implicit"]], "relapse-event": [["Considering using Kratom while on Suboxone", "scattered"]], "resuming-moud-after-relapse": [["Plans to continue treatment", "implicit"]], "effects": [["Suboxone may block effects of Kratom", "explicit"]]}, "type-specific-arguments": {"condition": [["Using Suboxone", "scattered"]], "trigger": [["Pain", "explicit"]], "existing/current-medications": [["Suboxone", "explicit"]], "relapse-substance": [["Kratom", "explicit"]], "relapse-duration": [["null", ""]], "relapse-intervention": [["null", ""]], "waiting-time": [["null", ""]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["Pain", "explicit"]], "severity": [["High", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["Kratom while on suboxone", "scattered"]]}}}, {"doc_id": "doc_1_Madhu", "id": "s2aeon", "event-label": "tapering", "post": "I'm done with subs but need advice. So long story short I'm tired of everything that goes along with being on this shit and with almost 3 years between my last use and being on subs I feel I'm ready to get off of them. I've been taking 24mg a day for about 2 years and I'm about to get my monthly script of 90 8mg on Friday which I intend on making my last one, can anyone give me advice or link to any \"taper chart\" like page? Will 90 8s be enough to taper off if I do it \"properly\"? Thanks for any help in advance and I hope everyone that sees this is doing what's best for them", "comment": "Agree with taking longer to taper. Will still be a pain to finally drop that last dose but you got this!", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual on suboxone for 2 years plans to quit", "implicit"]], "effects": [["null", ""]], "tapering-event": [["Looking to use 90 8mgs to taper off", "scattered"]]}, "type-specific-arguments": {"condition": [["Been on subs for 3 years", "implicit"]], "trigger": [["Tired of being on subs", "implicit"]], "start-time": [["null", ""]], "type": [["self-tapering", "implicit"]], "taper-medications": [["suboxone", "implicit"]], "initial-dosage": [["24mg", "explicit"]], "current-dosage": [["24mg", "explicit"]], "goal-dosage": [["0mg", "implicit"]], "target-duration": [["1 month", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["null", ""]], "side-effects": [["null", ""]], "severity": [["null", ""]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}, {"doc_id": "doc_9_Madhu", "id": "vmyfyk", "event-label": "taking-moud", "post": "Suboxone Dependance?. So basically I was on subs for 4 years about and relapsed on the fent H around for 2 months. I detoxed at home and couldn\u2019t take a sub until day 6. Since I detoxed I realized a few things. 1. My suboxone and my vyvanse make me a zombie. I enjoy nothing. 2. I want to combat depression and CFS (chronic fatigue) naturally. So I\u2019ve been back on my subs for maybe 2 1/2 weeks, same with vyvanse. Is that enough time for my body to be dependent again? I want off this shit.", "comment": "The subs are just putting off physical WD so yes you are dependent the same as if you took another opioid, like H/fentadope, to relieve symptoms. Except WD from subs is longer and less intense.", "ground-truth-arguments": {"core-arguments": {"subject/patient": [["Individual was on Suboxone for 4 years", "scattered"], ["relapsed on fent H", "scattered"]], "effects": [["Dependency", "implicit"], ["zombie-like state", "implicit"], ["depression", "explicit"], ["chronic fatigue", "explicit"]], "treatment": [["Suboxone", "explicit"]]}, "type-specific-arguments": {"medications": [["suboxone", "explicit"]], "dosage": [["null", ""]], "treatment-duration": [["4 years", "explicit"]], "manner": [["null", ""]], "frequency": [["null", ""]], "timing": [["null", ""]], "purpose": [["fight relapse", "implicit"]]}, "subject-effect-arguments": {"age": [["null", ""]], "gender": [["null", ""]], "conditions": [["depression", "explicit"], ["chronic fatigue syndrome", "implicit"]], "side-effects": [["Physical withdrawal symptoms", "implicit"]], "severity": [["extreme", "implicit"]], "start-time": [["null", ""]], "side-effect-duration": [["null", ""]], "intervention": [["null", ""]]}}}]