INPUT ARTICLE: Article: Buprenorphine, the active ingredient in both Subutex and Suboxone, is dangerous to take too soon after taking opioids such as heroin, methadone, or codeine. If you do not wait long enough before taking buprenorphine, you will go into precipitated withdrawal. The term "Precipitated Withdrawal" is used to describe a Super Withdrawal Syndrome which is the result of an antagonist (naloxone) or partial antagonist (buprenorphine) being introduced into an opioid tolerant individual. Precipitated withdrawal is related to the immediate delivery of a buprenorphine dose rather than the cumulative effect of the dose. Precipitated withdrawal can be, under certain circumstances, a thousand times worse than normal opiate withdrawal so you must make sure you don't introduce Subutex or Suboxone too early. There are time guidelines, but these can be misleading as everyone's different. Some people, for example, feel methadone withdrawals 24hrs after their last dose, but some people don't feel any withdrawal symptoms for days. Play it safe and make sure you're not too early. It's always best to play safe and wait at least 18 to 24 hrs after short acting drugs like heroin. If you are on a methadone program you must be down to at least 30 milliliters (1floz) of Methadone daily and you must be off methadone at least 48hrs before starting subutex or suboxone treatment or you may go into precipitated withdrawal. Precipitated withdrawal has a higher risk of happening if you are coming off Methadone, Fentanyl Transdermal Systems, or another long acting opioid. If you have a predisposition to panic then the almost immediate onset of precipitated withdrawal can throw you into a panic attack. These drugs work best as part of a comprehensive program. For best results, seek research-based counseling or behavioral therapies from medical professionals at the same time. The drug itself should be prescribed by a professional who has received training in how to supervise its use. Buprenorphine typically begins with the "induction phase." Your first doses will be administered by a doctor or other trained professional, while your reaction is monitored. Medication-assisted treatment (MAT) centers are a great resource for prescriptions, support, and monitoring while you receive your treatment. They are increasingly common across the United States. If you are prescribed a film you place it under your tongue or between your gum and cheek and let it dissolve. Wet the area first with your tongue. Again, remember: If you take buprenorphine while physically addicted to an opiate you will go into precipitated withdrawal. You should: Not grind the tablets or cut, tear or chew the film Not swallow the medication Not place multiple films on top of each other Not take them in any other way Not eat or drink anything until they have dissolved This way there is less chance of precipitated withdrawal happening. Do not take more than prescribed. Do not double your dosage if you miss one. If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, then just skip the dose you missed. The dosage will be set by a doctor according to the condition that you are being treated for and the strength of the medication. Adults are frequently prescribed one of the following: 12 to 16 mg of Subutex (buprenorphine) to be taken daily. Daily dosages of Suboxone which amount to 4 to 24 mg of buprenorphine and 1 to 6 mg of naloxone. Suboxone maintenance is all about getting your life in order and breaking free from old behaviours and negative patterns. Simply take the Suboxone the way you've supposed to, under your tongue, then forget about it. Add new things into your life like N.A or groups where you are mixing with new people who are in the same boat as yourself. When you successfully detox, things will automatically fall into place for you. If you're well motivated and do the right things, there is every chance you can change your life for the better. While it's beneficial to chat about your Suboxone treatment and get other people's views and experiences on it, it's not a good idea to constantly visit websites where the main topic of conversation is scare talk about the terrible withdrawals from Subutex or Suboxone. If you keep doing this you may get caught up in a vicious circle and be terrified of ever coming off the drug. You may be clean and free from your drug of choice, but you will become stuck in a rut and still have the negative thinking you had when you were previously addicted to drugs. Prescription medications, over-the-counter medications, herbal remedies, dietary supplements, and vitamins can all interact with medications. Do not drink grapefruit juice while on these medications unless your doctor says you can. Talk to your doctor before taking any new medications or supplements, particularly: Antihistamines, allergy, or cold medications. Sedatives, tranquilizers, or medications to help you sleep. Prescription medications for pain. Narcotics. Seizure medications. Barbiturates. Muscle relaxants. Anesthesia. Tell your doctor or dentist that you are taking this medication before undergoing any form of surgery. The first goal of Subutex or Suboxone treatment is to eliminate your cravings, stop or greatly reduce your use of the problem drug, and reach the point where you experience few to no side effects. Once you are at this stage, talk to your care providers about the possibility of adjusting your dose. In this "stabilization phase," some patients can lower the dose or switch to a dose every other day.

SUMMARY: Make sure you are in moderate withdrawal from other opioids before starting treatment. Seek comprehensive addiction treatment. Take Subutex or Suboxone by placing the tablet under your tongue allowing it to dissolve. Take either drug 2mg at a time, every two hours, until you are stable. Keep yourself occupied with other things. Do not take other medications unless your doctor says it is ok. Track your progress.

INPUT ARTICLE: Article: Pour the olive oil into a large saucepan and heat it over medium heat. Add the onions and saute them until they turn soft, about 3 minutes. Peel the garlic first, then mince it as finely as possible. Add it to the saucepan, and cook it for 30 seconds, stirring occasionally. Peel the potatoes, then cut them into small chunks; this will help them cook faster. The potatoes need to be soft and tender, almost falling apart. Depending on how small you cut the potatoes, this should take between 10 and 15 minutes. For a thinner soup, use 3 cups (700 milliliters) of vegetable stock. For a thicker soup, use 2 cups (475 milliliters) of vegetable stock. Don't worry about chopping the spinach just yet. You will be pureeing everything later on. Stir everything together to combine. Try to use fresh lemon juice, if you can, for best taste. Transfer the soup into a blender or food processor, and puree until everything is smooth. If the ingredients are not blending smoothly, use a rubber spatula to push down any unblended soup down towards the bottom. There should be no lumps, clumps, or chunks. Once the soup is smooth, give it a quick taste. If you need to, add some more salt or cayenne pepper, and stir to combine. The soup will taste the best while it is still hot, but you can also serve it chilled as well.

SUMMARY:
Saute the onions with the olive oil in a saucepan over medium heat. Add the garlic and cook for 30 seconds. Pour in the vegetable stock and the potatoes, then simmer until the potatoes become soft and tender. Add the spinach and cook for 2 minutes. Add the lemon juice, cayenne pepper, and salt. Puree until smooth in a blender or food processor. Adjust the seasonings, if necessary. Pour the soup into bowls and serve it. Finished.