I really think you should tell your pdoc and consider very strongly IP. If they say that can't do a rapid detox then just stick to the supportive program and get out of there. Sometimes with healthcare what we want isn't what is best for us.

Going off just trileptal so fast raises your seizure risk. With the suboxone added to that you could be in real trouble really quick and not able to get help. In the hospital help is right there if something goes wrong.

I have seen some patients of mine who were forced to detox in the nursing home without meds to help. One lady was trying very hard to trade sexual favors with my assistant to go buy some drugs on the street. They've all been so sick. I remember them specifically because detox was so hard for them. You really don't want to go there. It's indescribable how hard it was. But with the hospital able to balance things over and over it goes better.

Sorry for typos or not making sense. My cat is having a pancreatitis attack and I'm waiting for him to come out of hiding so I medicate him. So much for early meds and sleeping through the night tonight. Oh well