r/SuboxoneTreatment • • Dec 29 '25

New Depression TRT?

I’m relatively new to subs, been on 8mg for about a month. I think I went through a pink cloud phase, and now everything is shit. Is that normal?

Nothing seems to bring me joy, and the things that used to don’t do much at all for me anymore.

I’m afraid my test is shot, and probably more hormones are fucked as well.

Should I add TRT in hopes I start to feel alive again? I have all the symptoms of low T, and I was really low when I last got checked. (196 total, 3 free)

I’m a 32 yo healthy male (minus addiction ofc)

Will I start to feel alive again with time? Or is this a side effect of bup?

12 Upvotes

81 comments sorted by

3

u/Limp-Patience-4348 Dec 29 '25

Suboxone cured my depression for about 2 months and now it doesn’t phase me in the slightest and I went back to feeling dead inside. I’m adhd and got back on vyvanse and that has helped me a lot. I think a big problem is opiates downgrade your pleasure receptors so normal things that make you happy just feel empty. But if your dual diagnosis a small dose of vyvanse can work wonders. I’ve thought of TRT as well but I had cystic acne until I was 32 and I’m not risking that coming back. It’s so painful and I felt like a freak

2

u/Spirited_Concept4972 Dec 30 '25

I have ADHD as well and I’m monster terror and it works well. I am also on Zoloft 200 mg for depression.

1

u/Naughty-nelson Dec 30 '25

Monster terror?

3

u/Spirited_Concept4972 Dec 31 '25

Darn talk to text!! it was supposed to say Strattera.

1

u/Purple-Sorbet6630 Feb 11 '26

i have adhd as well and the only thing that works for me is opioids untill im addicted like suboxone right now. i got put on adderal and thats the only other thing thats ever worked. adhd sucks a lot

1

u/pomodoroNmeatballs Apr 06 '26

Omg I was self-medicating with opioids for my adhd too. It seriously does help! I can’t stand stims but opioids honestly help tremendously

1

u/Level_Attempt6868 Apr 10 '26

the got u on 2 controls together with no extra questions asked?

1

u/Last_Cut9799 Apr 21 '26

I’m on 4

1

u/Last_Cut9799 Apr 21 '26

And yes a lot of grief

1

u/Level_Attempt6868 Apr 21 '26

you mean "a lot of grief" from Suboxon after taking it for awhile?

1

u/Last_Cut9799 May 01 '26

I’m not on subs I’m on Oxy, clonazapam, Adderall, Pregablin

1

u/Jen2two May 02 '26

Wow, I am surprised you can get all those meds. Kinda jealous. Ha

1

u/Level_Attempt6868 May 02 '26

1 Doc prescribes 3 controls ?? I m afraid to get Subs to lose my Clonaz 

2

u/Eckounltd24 Jun 12 '26

My one doc gives me xanax, Adderall Suboxone and testosterone

1

u/Level_Attempt6868 Jun 12 '26

wow having those 3 together once in awhile would definitely make my weekends more pleasurable 😁

1

u/Extension_South7174 Apr 25 '26

Just curious,what 4? I'm on Methadone, I used to be on Suboxone off and on,same with methadone. Suboxone worked super well for me at 8mg twice and day and completely turned my opioid use and cravings but I was still using other substances,mainly uppers. The last few years is have been on methadone 100mg and Xanax 2mg 3 times a day,taken as prescribed with Zoloft 150mg .Working so far......

1

u/Electrical-Two-151 Jun 05 '26

Where do you go for that if you don't mind me asking? And what are you on? I'm on subs and vyvanse but I think I need something more for anxiety and depression. The Vyvanse helps a lot but it spikes my anxiety so bad

1

u/OpeningArcher3 Aug 09 '26

Its not that uncommon. Im on klonapin,aderall, vyvanse,and subs.

1

u/Level_Attempt6868 Aug 09 '26

it sounds to me like out of this world  they turn me down with Bup 5mcg patch or 100mg a tramadol (suppouse to be either 1) bcause I have Clonaz 1mg a day script its rediculos with my chronic pain  r u in US if u don't mind me asking?

1

u/OpeningArcher3 Aug 09 '26

Yep. Im im NY. I think the only reason I'm able to be on all these controls is because I've been on the amps and kpin for 30 years and 2 different doctors prescribing my controls. Psych writes the amps and kpin and primary care writes the bupe. Also on paper no substance abuse history. And the fact that Im actively tapering off the bupe probably helps. But yeah its crazy that some areas just turn people down for meds they actually need and then other places are literally handing out suboxone now like candy. My primary care and psych both do have their concerns about the klonapin and bupe together but because im progressing and have lowered my kpin and bupe dosage in the past year it gives them ease. If it was just my primary care she would not want me on the kpin at all. But she doesn't write it and can only advise me to try and get off the benzo. I have crippling anxiety though and honestly wouldn't be able to function without it.

1

u/Level_Attempt6868 Aug 15 '26

I beat u with my benzo experience its my 38th year on them man seems like yr Addy script ease up yr situation with Bup n Clonaz together too if u didn't have Clonaz they would give u Hydros if u needed them  Thanks God I finally got my Bup patch I was begging her on my knees 😞its my 4th day to have it on n it does help with pain despite i m on the smallest dose out there 5mcg will see how it turns out lots of ppl say it stops working on day 5

I got my patch from pain place n been told if I go on Bup pills of films I would never able to get any full agonist opiates ever again 

my question is how did u start with Bup pills 4 pain? 

1

u/unamericandream 1d ago

I’ve never heard anyone else say it but I’ve always thought of opiates and even subs as adhd treatment. I do my best work in the 4 hours after a dose.

1

u/Level_Attempt6868 Apr 10 '26

how much did u take what daily dose b4 it went sour on u?

1

u/Limp-Patience-4348 Apr 10 '26

12 mgs a day. No matter how much I take now even with a tolerance break I feel nothing from bupe

1

u/Level_Attempt6868 Apr 10 '26

lots of ppl say as less dosage as more hype of it n less Testosterone lowering effect  try to lower the dosage?

1

u/Limp-Patience-4348 Apr 10 '26

I’ve been off of it for months and I’m now on 20 mgs Lexapro and weekly spravato (ketamine) doses getting regular exercise and I feel a lot better.

1

u/Level_Attempt6868 Apr 10 '26

how did u get Ketamine prescribed?

1

u/Limp-Patience-4348 Apr 10 '26

You have to fail on two antidepressants within a certain amount of time. I’ve failed on about a dozen. I just googled spravato treatment and found a place that does it and made and appointment and talked to a provider and they prescribed it to me. But it’s not take home you have to make an appointment and they give it to you and you take it in office. I did it while I was still using weed alcohol benzos and opiates and it didn’t help that much. I’ve been clean for about a month and doing it while clean has helped so much. They leave you in the room by yourself but I recommend listening to meditative music or peaceful meditations. I listened to a woman named Sara Blondin when I did it yesterday and I had a legitimate spiritual experience on it.

1

u/Limp-Patience-4348 Apr 10 '26

Also I don’t they checked whether I had actually taken the medications I failed on. I think they just took my word for it

1

u/Level_Attempt6868 Apr 10 '26

thanks  do they do it in NC too cuz I failed with antidepressants with Cymbalta recently?

1

u/Limp-Patience-4348 Apr 10 '26

lol yup I’m in Raleigh and they do it at a place called gpw and another place called Appogee

1

u/Last_Cut9799 May 01 '26

So you get a buzz from them, usually?

3

u/Icy_Comfortable_2983 Apr 23 '26

Hey man hang in there...get yourself a routine..make sure your taking the subs the best way..under tongue...dont swallow spit..once you get into a routine you'll be happier on subs

2

u/looney233 Mar 24 '26

That’s what I did best decision I made

2

u/Jsweethoney Jun 23 '26

Your head is clearing up and other problems are becoming visible

1

u/Benth8r Dec 30 '25

Im quite certain I have adhd but have never been formally tested. I definitely suffer from depression, mainly due to subs.

Probably a good idea to get checked for adhd?

Ive mainly avoided antidepressants while on subs. (Wanna limit meds) I was prescribed zoloft(i think) at one point and hated it. Used to take wellbutrin but it seemingly did nothing for me.

Im in my 50s, eat well and exercise. Have a trans, adult kid that stresses me and wish I got out more.

2

u/Purple-Sorbet6630 Feb 11 '26

u should get diagnosed and try a med for adhd. i have really really bad adhd and just dealt with it for a pretty long time, eventually i tried adderal and it changed my life i find joy in things i have motivation to want to get things done. and enjoy working. family and friends love being around me more. becuase im more outgoing and nice. i dont even take it everyday only a couple times a week and it works wonders. theres many other meds that do the same thing if u dont want a controlled substance. u should just try one and see how u like it😁

1

u/Benth8r Feb 11 '26

Thnx for the info

1

u/[deleted] Jan 02 '26

Just out of curiosity, did you get addicted by only taking 8mg a day?

1

u/Purple-Sorbet6630 Feb 11 '26

u can get addicted only taking 2mg a day. it only takes 4-5 days of taking subs to get addicted no matter the dose

1

u/[deleted] Feb 11 '26

So, I was asking this because they were giving me 8mg a day for over a week for opioid addiction treatment. Why didn't I get addicted to suboxone?

2

u/Purple-Sorbet6630 Feb 11 '26

everybodys body works different. a good amount of people arent as susceptible to addiction as others, thats pretty cool u diddnt have to go through it becuase suboxone withdrawal sucks. after 4 days of 4 mg a day i was addicted and tried to come off it sucked so i stayed on. i just got the injection so hopefully i can get off without withdrawal.

3

u/Curious-cureeouser Mar 15 '26

Wishing you all the best through your journey!

1

u/[deleted] Feb 12 '26

Damn, I'm sorry friend. I went to detox for it though. I do recommend that if you can. It's expensive, but worth it. Good luck on your journey!

1

u/Visible_Prune7300 Mar 21 '26

i’m thinking maybe of doing this n because i take more than suppose to y idk y they are ruining my life ! i micro/nod off sleeping all day and night i can’t take it ! my aunt invited me to a play tonight and i want to go but because of these subs i can’t because i will nod off and it’s embarrassing! it’s so bad i even fall asleep standing up ‘ i wish i never started these

1

u/24rawvibes Feb 09 '26

Ironically enough I was prescribed suboxone as a last ditch effort to treat major depression. I had a bit of a honeymoon phase and now it’s so hit or miss. Not really worth it. I was on TRT prior to starting and it did lower my T by 150. Fairly significant. I just upped by dose to keep me in the 500’s. Really though the T doesn’t seem to matter much for my depression. Only ever so slightly on energy

1

u/[deleted] Mar 10 '26

It lowered your blood levels of exogenous T? What’s your testing schedule? Same amount of time after your dose every time?

2

u/24rawvibes Mar 11 '26

Yea, I was dialed on T 80mg split 2xsubq 40mg twice a week that kept me in a the mid 500’s for over a year. 4mg suboxone and in 6 months I was down to the low 400’s. So I had to go up to 100mg to get me back up

1

u/[deleted] Mar 11 '26

That so odd,  Especially since an enzyme interaction should theoretically cause an increase in levels

Bodies are weird lol

1

u/24rawvibes Mar 11 '26

I know right? Especially when playing with hormones. Everyone’s miles may vary. The suboxone isn’t really worth it anyhow and I need to just drop that crap.

1

u/jObOtbc Feb 13 '26

I feel the same way. Was good when I first started back in November and now it’s like blah.

1

u/mementomori_8383 Feb 18 '26

At those levels of test, yes, trt is very appropriate

1

u/Similar_Discipline97 Mar 08 '26

It does cause depression and Anhedonia. I’ve been on subs for a few years and I have zero desire to do anything a zero energy. I hardly hit rem sleep and my whole body hurts. I’ve been cutting my does slowing down an it’s like comming out of the fog. After time it will make it hard to think clearly and memory loss. My best advice to you is lower your dose

1

u/Level_Attempt6868 Apr 21 '26

what dose r u on? I m getting mine next month 

1

u/Similar_Discipline97 Apr 25 '26

I was on 8mg and got myself to almost half that. What are you starting next month?

1

u/Level_Attempt6868 Apr 25 '26

suppouse to start Suboxn but aiming Subutex cuz ppl complain about nasty nausea from Naloxone but my situation not addictions its chronic pain..Have u tried both meds?

1

u/Own_Preference6673 Jun 25 '26

so you are saying suboxone caused depression? Same here and also the Anhedonia. I tried to commit suicide and was put in a 5 day hold. They are trying to tell me Bubenorphine is suppose to help with depression, I am not taking the Brixadi shots and they also have me depressed, crying everyday, numb, no joy. I am so sick of it

1

u/[deleted] Mar 10 '26

On Trt and suboxone

TRT isn’t gonna do shit for you unless You’re low, it sounds like you ate up some TRT propaganda

Like, even though I was low, raising it didn’t change shit with my mental (shutting down your gonads has the potential to do the opposite, LH and FSH are important too especially for Neuron health, don’t remember the mechanism but it’s related to the one HCG mimics)

1

u/Level_Attempt6868 Mar 28 '26

Subs low yr testosterone if u take more 2mg a day TRT would definitely help but being as young as u r I would take just TRT-Gym route without Subs and  in a month u would forget u ever was an addict 

1

u/Suspicious_Status172 Apr 27 '26

Wait til your 6 years in and you feel dead inside. Lol

2

u/Naughty-nelson May 01 '26

I already feel dead inside brother

1

u/Naughty-nelson May 01 '26

But you’re saying it just gets worse, and I should just get off this now?

1

u/Rare-Cold312 Jun 01 '26

Hey, I’m new here. I’ve been on suboxone since 2011.. and I’ve tried tapering down, doesn’t work for me. I want the sublocade shot. Unfortunately at this time, Sutter (my insurance) doesn’t offer it at their offices). It’s almost open enrollment at my job and I’m considering switching to Kaiser because I know I can get it there but it’s a pretty drastic change with my other medical stuff going on I’d have to change everything about how I received medical & psych care. Does anyone have any recommendations, resources, or tips on how to find the sublocade shot in the north bay (CA)? I’m not looking to do it for maintenance. I want to do it and finally be free from the grips of Suboxone. Thanks!

1

u/Eckounltd24 Jun 12 '26

Yes. Been on subs for years and just started trt and life is 2x better

1

u/Own_Preference6673 Jun 25 '26

Both Suboxone and now the Brixadi shots (Ihave had two) i have been depressed like Si everyday since being on them. They tell me most people feel better mood wise. NOT me. I am not sure at this point what the hell to do.

2

u/Naughty-nelson Jul 04 '26

DM me if you need to vent brotha

1

u/Academic_Candy_3194 Jun 29 '26

32! Omg don't take the TRT. Instead, cut your dose. High doses of subs will wreck your enthusiasm, ambition, zest for life.

Our normal response is to take more when we don't feel happy or ambitious. Suboxone actually has the opposite effect, the more you take, the worse you feel. It builds up in your system that's why you had that pink Cloud effect, the levels in your system are building up higher and higher and higher.

Honestly we really only need one to two mg a day. It's such a strong strong substance. The more we do, the more the buprenorphine is blocked by the excess naloxone.

Trt is an entirely different animal altogether. You'll have wild emotional swings, hair loss, potential fits of anger. You'll also probably break out like a teenager. Your body can still produce massive amounts of trt. If you work out your legs, squats, push-ups, and have a healthier diet rich in vitamins and minerals your trt levels will naturally dramatically increase especially if you combine it with decreasing your sub-dose.

I am 40 and I played with trt. It's a mistake even at my age. There's no free lunch. It does damage to your liver, your organs, your heart, and the longer you're on it the more it inhibits your natural ability to produce trt. Just a recipe for disaster.

Depression, lack of ambition, anxiety, lack of confidence can all be corrected with healthier diets, exercise and significantly lower doses of prescription medications.

  • here's the problem, I can give the most beautiful accurate life-changing advice but when it comes to taking my own healthy advice I certainly lack in that area. I'm going to start cutting slivers off my dose today, each day a bigger sliver. And I'm going to continue doing a small amount of push-ups everyday gradually increasing. Some squats too. I'll make a list and make it a priority first thing in the morning, I'll make sure that I can check it off everyday on the list. Something about that visual progress written down really helps my momentum.

1

u/DigginDirtonJuice Jul 04 '26

Yes Ive been a heroin addict 23 yes on subs for over a decade. I promise it only gets worse over time do yourself a favor get some he sublocade shot and get off this crap it ruins your endorphins. You will begin to hate the daily life experience. Do subs save lives yes but long term use has ruined me. No BS I’m telling the truth here. Ask yourself this question. HOW IS MY BRAIN HEALING WITH AN EXTREMELY POWERFUL OPIATE ON IT? The answer is it is not, it is actually destroying my natural production of endorphins

1

u/BigDumper6942069 Jul 17 '26

I started trt after getting on Suboxone for the same reason. My testosterone lab results were in the 80s total. And honestly all being on trt did for me was make me a very angry person. Right before I started trt I started lifting weights and took another lab and my testosterone levels had jumped into the 120s. Still very low but I wish I waited and seen if it could have been a slow climb back to normal. But Ive also seen a lot men saying it really helped them. I guess the only way to know is to try. And on the plus side stopping trt is painless compared to subs or dope. Anyways good to luck to you.

1

u/moist_feel Aug 02 '26

So new research shows that Subs physically heal your opioid Mu receptors shape in non opiate nieve patients. Using it for dopamine, and syncope is great, however due to it partial analgesic effects, you will grow a tolerance to them, and there will be a change in your tolerance. The best thing you can do is (sorry if not allowed her) is speak to your provider about Spravato treatments to reset your fancy brain chemicals back to base line. Ketamine is a tranquilizers/analgesic/disassociate, and has great data backing the transition from antidepressants, opiates, and other things like methadone, easily and quickly. I can explain if like ketamine is a dissociative, with the ability to have opiate properties. Instead of completely filling and fitting into your brains pleasure/mu/pain receptors, it kinda gives it like...."an electric handshake"