From Vicodin to Suboxone, help me get there

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breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/23/2009 6:16 AM (GMT -7)   
Hi single mom of 3, father died. ready to get off pain meds and try and manage back pain other ways. Vicodin interfers with my anxiety, and so i want to try and get off it. I have a prescription for suboxone. I am worried about how long I will feel like crap as I have no one to help me with the kids. As far as I understand, i wil have to be vicodin free for 24 hours then start suboxone. Is this true??? Just trying to figure out when exactly to start which has least impact on my kids. HELP> Get anxious about withdrawals.

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3609
   Posted 10/23/2009 9:25 AM (GMT -7)   
breathe12
 
Welcome th Healing Well and the Chronic Pain Forum. I am sorry for your loss of your husband and all your back pain, with 3 children it must be very difficult for you!  I really am glad you have found us, I think or at least I hope you will like this forum and find comfort an helpful advice here!  I personally think we have some of the most caring and compassionate people at theis forum that you will find anywhere!  There are several people here at this forum  that are on suboxone  and should be able to help you!  Did your Doctor give you any advice on it?  anyway I am sure that there will be many others that are familiar with this medication that will soon be posting an helping you!
 
I just wanted to welcome you to this forum! I do wish you all the best, Good Luck to You breathe12!
 
White Beard
Moderator Chronic Pain
 
I'm Retired USAF, went back to school and became an RN, and now am on full disalbility!--   DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in  Sep 2009,  C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/23/2009 11:13 AM (GMT -7)   
Hi, Breathe12,
I also want to welcome you to the chronic pain forum of Healing Well. I'm not on suboxone, and there are a few threads dealing with it here, but I would be careful about changing your doctor's orders based on anything you read here. If you are unsure, I'd call your doctor's office back. If you pharmacist is familiar with suboxone use, they could be of help also.

BionicWoman posted some information on another thread recently. Hopefully she'll see this and perhaps give you some good websites to consult for information.

We're not doctors here and can't give medical advice, but this is the best support group on the web, iMHO!

Again, welcome.

PaLady
I'm also very sorry about your loss - was that your father or the children's father? Either way, perhaps some grief counseling could also help in all of this. Your screen name also is a great way to help get through tough times - one breathe at a time. Sometimes that's all we can do.

Boxerlover
Regular Member


Date Joined Dec 2006
Total Posts : 273
   Posted 10/23/2009 3:19 PM (GMT -7)   

I too am sorry about your father.

May I ask if you are planning on using sub for your pain or only to get off of the vic? Because sub is actually much more powerful than the vic and it's a little overkill to be using it to come off the vic. Getting off sub can be difficult and may be worse than titrating back on the sub.  Although I've heard that if you do use the sub and then get off of it within a few weeks that is easier than being on it for a long period of time.

Now if you are going to be using it for pain then that is a whole different ball game. 

Melissa


Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 10/23/2009 3:50 PM (GMT -7)   
You'll want to follow the COWS (Clinical Opiate Withdrawal Scale) list to start Suboxone. Here's the list-

Resting Pulse Rate: Record beats per Minute:
0=pulse rate 80 or below
1=pulse rate 81-100
2=pulse rate 101-120
4=pulse rate greater then 120

Sweating: over past 1/2 hour not accounted for by room tempature or patient activity
0=no report of chills or flushing
1=subjective report of chills or flushing
2=flushed observable moistness on face
3=beads of sweat on brow or face
4=sweat streaming off face

Restlessness
0=able to sit still
1=difficulty sitting still, but is able to do so
3=frequent shifting or extraneous movements of legs/arms
5=unable to sit still form ore then a few seconds

pupil size
0=pupils pinned or normal for room light
1=pupils possibly larger then normal for room light
2=pupils moderatly dilated
5=pupils so dialated that only the rim of the iris is visible

bone or joint aches
0=not present
1=mild diffuse discomfort
2=patient reports severe aching of joints/muscles
4=patient is rubbing joints or muscles and is unable to sit still cause of discomfort

runny nose or tearing not accounted for cold or allergies
0=not present
1=nasal stuffiness or unuaully moist eyes
2=nose running or tearing
4=nose constantly running or tearing streaming down cheeks

GI upset: over last 1/2 hour
0=no symptoms
1=stomach cramps
2=nausea or loose stool
3=vomiting or diarrhea
5=multiple episodes or diarrhea or vomiting

Tremor observation of outstretched hands
0=no tremor
1=tremor can be felt, but no observed
2=slight tremor observable
4=gross tremor or muscle twitching

yawning observation during assessment
0=no yawning
1=yawning once or twice during assessment
2=yawning 3 or more times during assessment
4=yawning several times/minutes

Anxiety or Irritability
0=none
1=patient reports increasing irritability or anxiousness
2=patient obviously irritable/anxious
4=patient so irritable or anxious that participation in the assessment is difficult

Gooseflesh Skin
0=skin is smooth
3=piloerection of skin can be felt or hairs standing up on arms
5=prominent piloerection

Score-
5-12=Mild
13-24=Moderate
25-36=Moderatly Severe
More then 36=Severe Withdrawal

To start Suboxone they usually recommend that the person be in moderate to moderatly severe Withdrawals. Is their a reason why your doctor didnt do this in his office?? It can be dangerous if you start the Suboxone to early cause it will cause Precipitated Withdrawal, and that's some of the worse withdrawals you'll ever feel. My doctor even had a guy go into seizures cause he lied about when the last time he had an opiate. And being in withdrawals is diffrent for everyone. This list I gave you is the same one that doctor's use, but I would recommend having a friend or someone you trust do the assessment for you.

IF you have any other questions about this or about Suboxone, let me know, I have been tkaing Suboxone for over a year. And I'm a single mother of 2 kids and had to take care of htem while being in withdrawals, and I was on Methaodne so I had to be in withdrawals for even longer.

Good luck
-Carmen

Carmen~*~*~Chronic Pain Moderator

DX-Chronic Pain due to two freak car accidents, Pancreatic Divisum,Fibromyalgia, Asthma, Depression w/anxiety, Migraines

Meds- Suboxone 16mg for pain, Cymbalta 60mg, Lyrica 50mg, Imitrex 100mg PRN,Ibprofen 800mg PRN, Ventolin Inhaler PRN, Visteril PRN

 


breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/23/2009 6:24 PM (GMT -7)   
Thanks to everyone. First question, it was my husband, actually ex who died a month after our divorce. Very difficult. Secondly, I have had prob. surgeries, 4 on my knees in the last 4 years, my back started to go out about 3 years ago. I am taking the subonxone to help stop the cravings for the vicodin. I am trying other ways to deal with my pain, and hope to be successful, if I am not, I will do what i need to help my [pain Mainly, I cannot stand to feel so anxious when the meds wear off, and my antidepressents need to get changed. I saw a psychiatrist who helps you get stable and off narcotics, also on to the correct anitdepressent. I also started a new grief counselor.The doctor for the Pain meds basically told me to start suboxone the morniing after I saw him, i had taken a vicoiden that am. But, he also said I would have some aches and nausea for a few days at least. However, I had not realized I would have to go into withdrawal to start, so it was not possible for me to do it that day or even today or tomorrow as I have to do all of these things with my kids, need to actually plan time to withdraw, sad. Do not have the luxury of a partner to watch the kids while I feel like crap. Also, I almost died from adverse reactions to mood stabalizers last year, was all alone with kids, so although he says i should not worry, have heard that before. I am starting on a very low dose. Because I am so sensitive to meds, it takes me a long time to build a tolerance, so he was surprised how little I take, which is annoying, I may react to the small amt I take the same way someone else reacts to twice as much, so I need to be treated the same. Carmen, do you remember what it was like when you first started the suboxone??? How you felt???

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 10/23/2009 7:18 PM (GMT -7)   
Since your taking just vicodin, that's a short acting med, so I would take a dose maybe in early evening or late afternoon, so your withdrawals start that night, and hopefully your kids will be asleep. Get some movies together (as you wont be sleeping that night more hten likely) and lots of water or gatorade. And take lots of hot baths or showers to help the sysmptoms, and hopefully by morning, if you feel like your in enough withdrawals, start by taking 1-2 mgs. then wait an hour and see how you feel, and take naother 2mgs if you still feel terrible. ALSO keep looking at your eyes in normal light, if they're huge (dialated)then your still in withdrawals and take a little bit more til your eyes are normal sized. Alays start off by tkaing very small doses and going up frm their.

When I started Suboxone, I had to be in withdrawals for 48 hours cause I was on methaodne which takes forever to leave the body, and the doctor dosed me in his office. I really feel that your doctor should of had you ocme back in withdrawals so he could do it in his office to keep an eye on you. But I hear lots of doctors also just send the patient home with an RX to do at home, but too many people seem to start too early. I did throw up that first day a few hours after dosing at the doctor's office, but that was because withdrawals gives me migraines, and migraines make me vomit. The next day I felt WONDERFUL, and have since. Other people have a harder time starting it, and heard it can take up to week for your body to adjust to it, but I felt absoutly normal the next day, so it's diffrent for all of us.

If I where you, I would make easy meals already made for the kids, and get some movies to keep them busy and just stick it out, I did and I made it. I warned my kids that I would be sick so they knew ahead of time I wasnt going to be feeling well for a few days.

Also their are some forums for people taking suboxone and they have people on their that can give you some better advise, it's addictionsurvivors. org Also check out NAABT.org for some good information on Subuxone.

-Carmen

Carmen~*~*~Chronic Pain Moderator

DX-Chronic Pain due to two freak car accidents, Pancreatic Divisum,Fibromyalgia, Asthma, Depression w/anxiety, Migraines

Meds- Suboxone 16mg for pain, Cymbalta 60mg, Lyrica 50mg, Imitrex 100mg PRN,Ibprofen 800mg PRN, Ventolin Inhaler PRN, Visteril PRN

 


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/23/2009 8:22 PM (GMT -7)   
Breathe,
I really think your doctor needs to be the one following you more closely on this. We all react differently to medications, plus each of us has a larger medical history. Please call your doctor and ask. I know Kitty has given you her experience, but please remember that we're not here to give medical advice, just share experience. (Kitty I hope I'm not offending you - not meaning to).

Breathe did I miss something - why do you need to stop the vicodin? Is there an addiction issue you're also struggling with? (sorry if I missed something) We all develop dependence, and some people develop tolerance, but those aren't always indicators of addiction. It just seemed there may have been other choices, but I know there's a lot I don't know about the situation.

Don't be afaid to pick up the phone and call your doctor - including his answering service, if you're running into too many problems.

PaLady

OnTheRocks
Regular Member


Date Joined Oct 2009
Total Posts : 117
   Posted 10/23/2009 9:12 PM (GMT -7)   
I'm sorry you've had to go through such difficult circumstances. You'll fit in perfectly with the CP community. You're almost like our own Dr. House! Anyways, I agree with the others that you should contact your doctor so you have a very structured schedule of weening off vicodin and starting the suboxone. Any questions or unknowns are not something you want to have in the midst of withdrawal. Hope all goes well!

breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/23/2009 9:33 PM (GMT -7)   
Thank you to everyone. I am going to follow the initial info from my Dr,wait about 24 hours. Thanks Carmen for the practical advice. I will tell my kids that I will not be feeling well, and be prepared. Also, my Dr said to take only 2 mg first, so if I do not feel ok, I can call him and if i have some basic questions I will prob come on here also.. I do use the meds for pain, but i feel like it is at a point where I can try and manage it without narcotics. I need to go off it, so they can help me get on the correct anti depressent/anxiety, which I have had for 0ver 20 years. My meds stopped working, and it is hard to tell how much anxiety is from pain med and all that. Once I get the pain meds out, I can evaluate that, and if I can work on that aspect of my health, I can make a better decision about how much pain I can live with. I def think pain management is important, no one should have to live with chronic pain if it can be managed with meds, pt, anything that works. So, wish me luck, I really get anxious to switch any meds so I am having lots of anxiety about what's gonna happen. So thanks for writing to me, It makes me feel less alone in this.

breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/23/2009 9:40 PM (GMT -7)   
btw, i wrote a list of questions to call and ask the Dr, I do not know him well, he was referred by my psychiatrist, and I wasn't sure what to ask. Also so much to say about why I get anxious about weaning, trying meds, felt like he was rushing. I will be strong and call him with my questions. I guess I have trust issues with Dr's lately, since my ex died.I have had some scarey things happen, and being all alone and present for my kids takes all my strength.

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3609
   Posted 10/23/2009 10:24 PM (GMT -7)   
breathe12

I admire you! I do hope this all works out well for you, just remember you are always welcome here and you now have a whole new set of friends and family that do really care about you. and if we can not actually help you we can at least listen to you and give you support! And if you don't mind we can even say a prayer for you now and then! Anyway I really am sorry for your loss, especially with having three children!

Good Luck to You breathe12! I do wish you well!

White Beard
Moderator Chronic Pain
 
I'm Retired USAF, went back to school and became an RN, and now am on full disalbility!--   DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in  Sep 2009,  C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/24/2009 7:17 AM (GMT -7)   
Thank you, i need support and am glad I found this website.

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 10/25/2009 3:04 AM (GMT -7)   
It really worries me to hear of doctors sending their patients home with doing the first dose in their office for the suboxone. They (the doctor) should be assessing you for withdrawals to see if your in the right place to start Suboxone, and not only that, they usally always start you with Subutex the first day, which is Suboxone without the naloxone in it to help minimize any participated withdrawals you may get.

Just try not to get too stressed over this switch, just remember that if you withdrawal right, that once you take that first dose of suboxone, you'll feel better within a few minutes since it works so fast. But if your absoutly nervous about this, I would call and ask your doctor if you can get dosed their for the first time. My doctor will rescheadule you and make you repay all the first time fees if your not in withdrawals cause he thinks the introdution to Suboxone can be a very dangerous situation if not done right. He even scared me with that story of this guy that lied about his withdrawals and they dosed him and he went into participated withdrawals and was having seizures and had to be rushed to the ER from the doctor's office. So he likes to keep his new patients their almost the whole day. I got to my first appointment with him already 2 days into withdrawals (driving an hour and half in withdrawals was not fun at all) and they did the assessment with the exact same score info I gave you (COWS) and I scored enough to get dosed, so the nurse gave me 2 8mg subutex and 20 minutes after they absorbed I was feeling more like myself again except the migraine was not letting go, and then the doctor came in and did a physical and redid the (COWS) score to see if I needed anymore medication, and he gave me a half a pill more (20mgs all together thruout my appointment). This whole process took about 4 hours, and of course I threw up the moment I left the office. But I managed to drive home and threw up again the moment I walked in my home, and I laid down. My dad came and got my RX and got it filled for me. I fianlly took some Imitrex and Ibprofen for the migraines plus my legs where still aching,and the pain fianlly went away and I fell asleep, and the next morning I woke up a whole new person.

So it was a difficult day, but it was so worth it to me. But also please remember that with suboxone "Less IS More" is very very true. I have been on Suboxone for over a year and never had any problems with it (except for the nasty taste sometimes makes me not want to take it). If this doctor doesnt give you any answers then please do yourself a favor and find a new prescribing doctor. If you go the Suboxone.com they have a place where you type in your zipcode and it gives you a list of nearby doctors. It even has a patient/provider matching system where you leave some information and a doctor will contact you thru an email if they have a space available. Good luck, I wish I could help you more, but remember your not alone, I did this by myself being a single mother of 2 very active children and I explained how I was going to be ill for a few days, I prepared meals already made. They did make quite a mess, and I hate messes, but I kept reminding myself that it was worth it, and the house can be cleaned another day.

-Carmen

Also like Palady said, I'm not a doctor or medical perfessional this is just my experience and research and from talking with other patients of Suboxone, so thats why cant stress enough that you talk to your doctor and get some information straighten out or find another doctor that will introduce you suboxone the right way because if done wrong, you can end up in the hospital as participated withdrawals is much worse then normal withdrawals, it completly shocks the body. But dont let me scare you away form Suboxone, it is a GREAT medication if you get intoduced right, it can be a very smooth ride if done properly with no side effects.

Carmen~*~*~Chronic Pain Moderator

DX-Chronic Pain due to two freak car accidents, Pancreatic Divisum,Fibromyalgia, Asthma, Depression w/anxiety, Migraines

Meds- Suboxone 16mg for pain, Cymbalta 60mg, Lyrica 50mg, Imitrex 100mg PRN,Ibprofen 800mg PRN, Ventolin Inhaler PRN, Visteril PRN

 


breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/25/2009 7:01 AM (GMT -7)   
Thanks. I too wonder why my Dr doesnt see patients when they take it??? I talked to my therapist about it. She said some do and some don't Also, I feel like in a way I am getting judged because I said I do not take a lot of pain meds. But it does not matter, that is because my tolerance goes up slowly and I have been psycho about not taking too many. So, I talked to the phamacist, and I wll call my Dr to let him know I am starting tomorrow, 24 hours after my last vicodin. I was told to take 2 mg first, so that is what I will do. I will not start the suboxone for twenty four hours no matter how crappy I feel, and If I have any questions about being ready, I will call the Dr tomorrow. Thanks again. Still nervous, but I am hopeful. Thanks thanks thanks.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/25/2009 12:54 PM (GMT -7)   
Breathe,
It's always scary making these changes, but I'm glad you're going to do it on a weekday so you can call your doctor as needed for guidance. And as Kitty suggested if it doesn't seem he knows what he's doing, you can get started with him, but look for someone else.

Kitty - Glad you didn't take offense at my comment. And that's great info. about what the suboxone.com website does about hooking you up with a doctor in your area. There are so many questions that pop up here about suboxone, it sounds like a good referral source. Do you know if they require any specialized training of their doctors? What your doctor did sounds great. I don't know a lot about suboxone, but from my cousin (a pharmacist) she has told me how methadone and suboxone need to be scripted by doctors who know what they're doing with these meds, and are familiar with using them for PM.

Good luck, breath, and we'll be here for support 24/7!

PaLady

breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/25/2009 1:46 PM (GMT -7)   
Thank you, I am already feeling a little sick. Very achey, partly due to my back crap, but sure becuz no meds. Popped two advil I also got a friend to drive my daughter to school, becuz I am sure I will feel worse at the close to 24 hour mark. Let two friends know I am starting a new med, one is the one who had to drive me to the hospital last year when I had a reaction to a mood stablizer. At least it is snowy and It feels like a good day to be in the house doing nothing. I will be in touch. Again, thanks, keep logging on to see if any of you are there.

merrygirl
Veteran Member


Date Joined Jun 2007
Total Posts : 702
   Posted 10/26/2009 7:19 AM (GMT -7)   
hope you are doing ok!! hugs,
melissa
Chronic Lyme Disease
Fibromyalgia
Chronic fatigue syndrome
Polycystic Ovarian Syndrome
Sleep Apnea
Hypothyroidism
Adrenal Fatigue
 


OnTheRocks
Regular Member


Date Joined Oct 2009
Total Posts : 117
   Posted 10/26/2009 8:54 AM (GMT -7)   
I thought that the doctors you can find via the suboxone website are only for addiction/abuse management?

breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/26/2009 9:53 AM (GMT -7)   
I just put my first suboxone under tongue, i have a text and a call into dr, but no reply. Stopped pain meds yesterday, back is pretty achey and surpirse,my knee too. How do you keep the darn suboxone under your tongue, that is a pain in the neck

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/26/2009 1:24 PM (GMT -7)   
Breathe,
Wish I could help with the suboxone issue. Maybe Kitty will see this post and gives you some help. Or maybe your pharmacist can?

GCoin - That may be a good point. I don't know. Maybe Kitty does. Because treating for pain and treating for addiction are two different things, I would think re: dosing, but I don't know. I do know there are different dosing issuing for methadone when used for pain vs. addiciton. Kitty, if you see this maybe you know the answer?

Keep at it, breathe, I know you'll get through. Sometimes our fear gets the best of us.

Hugs,

PaLady

OnTheRocks
Regular Member


Date Joined Oct 2009
Total Posts : 117
   Posted 10/26/2009 1:40 PM (GMT -7)   
breathe12 said...
I just put my first suboxone under tongue, i have a text and a call into dr, but no reply. Stopped pain meds yesterday, back is pretty achey and surpirse,my knee too. How do you keep the darn suboxone under your tongue, that is a pain in the neck


All sub-lingual meds are a bother to take. I find having something to drink before hand helps. Also, flatten your tongue to fill the space between your teeth, it helps make sure it's absorbed sub-lingually. Try your best to keep it all under your tongue and not swallow any saliva/pill until you feel no grit/material under your tongue. (I take sub-lingual Zofran, but I'd imagine the techniques are the same)

breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/26/2009 1:44 PM (GMT -7)   
I have talked to both Drs. I am extremely nauseous and dizzy, but that is normal. As far as pain, I have it, but the pain meds was screwing with my anxiety, so I have to go off them for now and get that part of my health in order. I am hoping that once my antidepressents get back on track, i can use pain meds when necessary. I am sensitive to lots of those too, but percocet and vicodin really help when my back is really bad, and everything else that goes along with that. I do not think I am going to be on Suboxone for long, but it does help your brain start producing dopamine, that will help my anxiety, and as far as pain, it sometimes helps joint pain, which is my constant right now. My pain levels go up and down, from bearable to debilitating. Too bad there is not a magic pill that helps all my physical ailments, but things are never easy, and that is ok. I am learning a lot, and I will eventually be feeling strong in all ways. Thank god for folks who actually understand that pain is real and can be so debilitating. Some people are so uneducated, they think depression is not a disease and anyone who needs narcotics is an addict. Sad.

breathe12
New Member


Date Joined Oct 2009
Total Posts : 16
   Posted 10/26/2009 1:46 PM (GMT -7)   
And Kitty, HUGS HUGS HUGS to you too.

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 10/26/2009 4:47 PM (GMT -7)   
Breathe12

Sorry I didnt see your post earlier. My son got VERY sick on me and we wher at he ER yesterday and I have been on my feet cleaning up vomit and all that fun stuff (things we do for our children is crazy lol). Remember that it can take up to aweek for Suboxone to stabalize in your system. Your suppose to stay at the same dose and take it on scheadule to get the most benifet out of it. It's not unheard of for the first week or so to be very ruff. But of course if you just cant handle it then call your doctor and explain, maybe you need a higher or lower dose or need something else completly but of course thats up to your doctor.

Also about the SUboxone websight.....It is used for people fighting addiction, but ALSO for people like me, who wasnt abusing their pain meds, but wanted off of them but couldnt handle the tapering or cold turkey that most other doctors recommed. So after I did some research, I found that addiction specialist doctors are trained to help people taper off of pain meds and sometimes they use suboxone to help with that. You dont have to be abusing your meds to see an addiction doctor, they undertand how the brain is dependent on it and rather your abusing or just dependent, both need help tapering when they need to come off of pain meds. I hope that made sense lol. My doctor knows I didnt abuse, and I explained to him how pain med wernt helping my pain and I wanted off of them and he understood completly, he hardly even drug tests me cause he's seen my history with other doctors and I have never had a dirty UA on file in the 8 years that I was a pain patient. I just have alot trouble trying to taper from high oses of pain meds, my body just couldn't handle it, some people can take it and some people cant like me.

Also doctors must take an 8 hour course online to be certified to prescribe Suboxone for opioid dependence. BUT any doctor can prescribe it off label for pain releif but lots of pharmacists dont know this and wont fill it. Doctors who are certified to prescribe it have the letter "X" at the beggening of their DEA license number. Also lots of doctor choose not to have their name listed on the Suboxone doctor list, and choose just to prescribe it to a hand full of patients or sometimes just one patient. But calling your hospital and asking, they will usually have on file if there are any other doctors who are certified.

Also for some who dont know, theirs a place on the suboxone websight where you can annoumously send your doctor a package telling them about getting certified to prescribe suboxone. Also alot of doctors are certified but dont prescribe (for reasons I dont understand) actually more then half doctors who are licensed dont prescribe. So with the help of some people with the NAABT websight, I'm trying to advocate to my local area doctors to get certified, as we have a huge problem right now in this area with addiction and their's no help. This is why I know so much about suboxone, I think it's a wonderful med thats deeply misunderstood and underused. And now that it's lost it's pantent, their's going to be generics hitting the pharmacy shelves soon, so hopefully more people can afford it who dont have insurance or for people whose insurance dont cover it.

Well anyways, if you have any other questions feel free to ask, but remember I cant replace any information from your doctor. And forgive me for being slow at responding, the flu has hit my house, and right htis moment I'm going to try and get some sleep as up all night with my sick son but I will try and read and keep up as much as possible. Usually I'm here checking the forums several times a day but for this next week I'm going to be kinda scarse.

-Carmen

Palady, what you said didnt offend me at all, you where completly right, I should of stressed more that doctor's advise is the only way to go, but some times my brain goes numb. I'm always wanting to help everyone and I dont mean to ever have anyone take my advise over their doctors, usually I'm just trying to state MY personal experience and sometimes it comes out sounding like that s what I'm telling people to do too and I dont mean for people to follow what I do. If I ever do that again, feel free to smack me back into my place lol.

Carmen~*~*~Chronic Pain Moderator

DX-Chronic Pain due to two freak car accidents, Pancreatic Divisum,Fibromyalgia, Asthma, Depression w/anxiety, Migraines

Meds- Suboxone 16mg for pain, Cymbalta 60mg, Lyrica 50mg, Imitrex 100mg PRN,Ibprofen 800mg PRN, Ventolin Inhaler PRN, Visteril PRN

 

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