The way we do Methadone switches is to microdose Suboxone to 12 mg and then stop Methadone. There’s various microdosing schedules that we’ve been trying. We been initially cautious taking 14 days to get to Suboxone 12 mg, however we’ve been experimenting with doing this faster. In Vancouver, they have been microdosing bid and getting to Suboxone 12 mg in seven days.
We had previously did the Methadone switch by microdosing Suboxone to 4 mg and then tapering Methadone by 10 mg/day
It’s now much easier stopping Methadone all at once at Suboxone 12 mg. We’re getting daily walk-in requests to switch from Methadone to Suboxone. And we continue to look for Primary Care Physicians & Nurse Practitioners to take over ongoing treatment
Ken Lee (London RAAM Clinic)