Yes ,I was on high dose hydromorphone ( Dilaudid) ,having been on lots of other opioids over the years. Continue to be the only things that work , sadly.
But I want to be off , so the latest plan we are trying has been a Suboxone ( Bup + nalox) micro substitution . I think it’s a relatively new concept. Gradually have been able to decrease the hydromorphone dose significantly by adding very small incremental doses of Suboxone.
Plan is to completely switch to the Subox soon.
Being a longer acting drug , it also has unique characteristics that make it easier to wean . I am currently doing this as I wait to see if I will get into the PRC. One the added benefits of being on the suboxone is that it seems to have blocked the tolerance effect and my dose of both meds have stabilized , rather than needing more opioid for the same effect. This micro-substitution method has worked better for me than the traditional switch method , when you do it all at once . This method requires a Dr with specialized knowledge and experience in this area , and is not for the standard primary care physician I would think .
Hope that explains things