I'm new- Q's re: Suboxone tx

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NurseK
New Member


Date Joined Sep 2008
Total Posts : 5
   Posted 9/19/2008 12:34 PM (GMT -7)   
I am a 30 y/o new mother with chronic back pain and fibro. I have been taking Norco 10/325 every 6 hrs or more  (sometimes 20-30 mg's at a time) and I want off of this crap! My pain mgmt dr fired me because I filled another rx from a urgent care clinic. He did not care what my reasons were, he just fired me. I am left with a few meds left, and I've been wanting to quit anyway. So instead of scrambling to find another pain mgmt dr and go thru that whole process again, I want OFF for GOOD. I am interested in going to a suboxone clinic to avoid the side effects of tapeing off, which I have been trying. It is going to cost me a ridiculous amt of $$$ so I want to make sure I am doing the right thing. It doesn't seem like I have much of a choice tho. Can anyone tell me if this is what I should be doing?? I am scred, and sick of being a crappy mother and wife because of the narcs.

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2283
   Posted 9/19/2008 1:36 PM (GMT -7)   
Did you ask your previous pain specialist about getting help to get off the meds?

I know in some states they are required to manage the withdrawal period after they kick a patient from the clinic, but in other states it's up to the doctor. If you're serious about wanting off the meds, maybe your old PM can help you with that. I'm sure it's probably frustrating to think about even talking to him right now, but perhaps he could help you find a good option that would save you some money.

Sorry I don't know anything about suboxone. You can try putting that in the search box at the top of the page to look up all the posts that others have written about their experience with the med (there are quite a few). Some people use it for pain relief & others as a stepping stone from other narcs, but hopefully maybe some of those posts will help you.

I do feel for you & know it is not easy by any measure to get off of these meds. I am in the process of tapering off Actiq right now and it's super frustrating. My PM gave me a great medication that basically gets rid of all of the withdrawal symptoms, but I still have to try to deal with being in so much pain. I don't get much sleep these days as a result, so if you ever want to talk or are looking for support, I'm on-line a fair amount.

Good luck with everything!
frances

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 9/19/2008 2:04 PM (GMT -7)   
I'm not sure but I believe Norco might not be so hard to taper off from. It's more
like a tranquilizer than an Opiod. (Do not take my word for this. Check it with
Google, a doctor, or/and Narcotics Anonymous in your own town or one nearby.

Methadone is supposed to help people get off Heroin. I don't think Norco fits
in here but I don't know. I do know that Methadone is good for pain.

Pamela

NurseK
New Member


Date Joined Sep 2008
Total Posts : 5
   Posted 9/19/2008 4:49 PM (GMT -7)   
I might try asking my PM doc about prescribing suboxone. I thought it was pretty cold of him to kick me out without help to get off this crap. He gave me a taper schedule and thats it. Whatever. Thats no help at alll. To Pamela, yes Norco is basically vicodin but with less tylenol. It's just the same.

Boxerlover
Regular Member


Date Joined Dec 2006
Total Posts : 274
   Posted 9/19/2008 5:17 PM (GMT -7)   
Nurse, I'm not so sure I would go on suboxone if you are just on hydro.  From what I've read, you would have to do a taper with the suboxone anyway and you might as well do that with the hydro.  I also think it can be tough to get off suboxone and some end up on it for years.  You should try to find an addictions board and they might be better able to answer your questions.
 
Melissa

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 9/19/2008 7:04 PM (GMT -7)   
As a suboxone user, it's been a godsend for me. I fired my last pain specialist after he changed my narcotics prescription from methadone 60mg to kadian 60mg and that sent me into huge withdrawals and when I told him what happened he told me oh well and if it's that bad then go to the ER. So I gave up and theres absoutly no other pain specialist that takes my insurance or will except cash or was taking new patients (there's only 4 pain spicialist within 50miles). So I found a suboxone doctor, the nearest one was and hour and half drive) but was so worth it. it is very expensive, $150 deposit just for an appointment, nonrefundable, And $250 for the first appointment. then $126 there after for the monthly visits. Which you go a week after the first appoitment and 3 weeks later and then monthly, atleast thats how most sub doctor's work. But the price of the subs are outrageous, about $6.30 for each 8mg tablet. And not to forget the taste, it tastes like an orange peel to me, very very bitter. But it has help me sooo much with pain, way more then oxys and fentanyl and morphine and methadone ever did for me. And the great thing about it is the half life, you can skip a day or 2 before withdrawals kick in, even on methadone I would feel it wearing off after 8 hours and have to wait an hour or so for the pain releif to start after my next dose. With these there is absoutly no ups and downs, I can even skip a dose or 2 and still feel great. I'm still fighting with my insurance to pay for the subs, but they will soon hopefully. but I guess some people have bad expeiences with this medication but I feel great, I highly recommend it. And I know they're in the processes of fda approving a form of the bupernorphine (the main ingredent in suboxone) for pain releif in a patch form and I think also maybe a pill form too, I know it's approved in other countries. If you have any other questions about suboxone feel free to ask and Iwill answer the best I can.

-hellokitty
DX: Lower Back pain, Migraines, Pancreas divisium
RX: Imitrex, Topamax, Suboxone


NurseK
New Member


Date Joined Sep 2008
Total Posts : 5
   Posted 9/19/2008 7:43 PM (GMT -7)   
I am worried that I am about to get myself into a much more expensive addiction with suboxone, so I want to be sure that I'm getting into the right thing. I'm scared about the cost. Like someone said above, maybe I am better off doing a taper with vicodin? Am I going to have to eventually do a taper with suboxone? UGH. I don't know what to do!

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 9/19/2008 11:00 PM (GMT -7)   
Hello nursek, I really think tapering off of vicodin would be much harder since it only works for a few hours then your in withdrawals again, with suboxone you dont do that, you can taper to barely taking powder and still be fine on it all day with once daily dosing, and the withdrawals are way more minimal then tapering off of anything else from my experience. If you really want to get off of pain meds then I would recommend subs, but if your just wanting to taper cause you cant anything else, then dont, just take subs if your really honest about stopping pain meds for good.

-hellokitty
DX: Lower Back pain, Migraines, Pancreas divisium
RX: Imitrex, Topamax, Suboxone


NurseK
New Member


Date Joined Sep 2008
Total Posts : 5
   Posted 9/20/2008 9:29 AM (GMT -7)   
I have just taken my first sub. YUCK! We shall see!

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 9/20/2008 4:52 PM (GMT -7)   
That was fast....Did it cost you alot?? You get use to the taste, just dont drink orange juice soon afterwards cause the taste will make you gag. I hope you where laready in withdrawals for 48 hours befroe taking your first dose or its going to be a horrible experience.
DX: Lower Back pain, Migraines, Pancreas divisium
RX: Imitrex, Topamax, Suboxone


BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 9/20/2008 9:41 PM (GMT -7)   
I can't get a doctor to answer the phone that fast, much less write a prescription.

NurseK
New Member


Date Joined Sep 2008
Total Posts : 5
   Posted 9/20/2008 11:11 PM (GMT -7)   
I found a doctor who runs a clinic. It's a methadone/suboxone clinic. I went in, got an rx for one week (after paying $200 for my initial appt) and I am to report back in one week.
The Suboxone is an amazing drug. I am very, very impressed. I took 1/4 of a pill at first to make sure I tolerated it well, and nothing happened. I took the other 1/4, nothing. Then I took the rest of the pill (1/2) and felt like I would if I had taken 20-30 mg's of Norco. I was comfortable, pain-free and I had that euphoric opioid feeling. Except it LASTED! ALL DAY LONG! As my doctor explained, with narcotics you are constantly chasing that "peak", and after you peak, you dip back down into that low, where you want/need another dose or fix. With Subs, there is NO dip down... it is a constant steady "high", smooth and unrelenting, but in a GOOD way. I am surprised they don't quit prescribing opioids for pain and just use Suboxen! It seems like a miracle drug for this! There is never a tolerance built up, like with vicodin or others! Why isn't this drug used more commonly than it is?!?
 
The other part of the drug called naloxone is a drug that is placed there as a sort of "safety feature" so that it cannot be abused by injecting the drug. Naloxone, or "Narcan" as we use in the hospital for overdose will automatically kick out any opioids from the pain receptors immediately, causing you to be instantly withdrawn. Pretty smart if you ask me. This drug is amazing. I am very impressed!
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