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california 5000
New Member

Date Joined Sep 2010
Total Posts : 1
   Posted 9/6/2010 5:05 PM (GMT -6)   
Been on suboxone for 5 months. Down to 4mg a day. Is this ever going to end? When I try & stop I have no energy. How can I get energy?

Regular Member

Date Joined Aug 2010
Total Posts : 215
   Posted 9/6/2010 5:28 PM (GMT -6)   
Hey California,

I'm not sure what your situation is. Are you on it as a withdraw agent or as a pain reliever? Its being used more and more as a pain reliever these days.

The medication you are on is somewhat similiar to mine but there are some differences. They key comonality is that Nucynta and Suboxone both act as Norephedrine Inhibitors. I believe the Sub has a more potent NE inhibition effect then the Nucynta. However, Nycynta is a full narcotic agonist (medium-weak binding but full receptor activation) whereas subonex is only a partial agonist (as it binds very strongly but only activates the receptor partially as I understand it). Also Nucynta is only for pain, however its being considered for depression with pain due to its anti depressant effects.

I think the reason you have no energy is due to it NE inhibition effects. I have a very similiar issue if I don't take my pain medication for 24 hours. Theres very few "withdraw" symptoms, but I feel a significant drop in energy. So the withdraw from Nucynta is much closer to the effects of going of an anti depressant (although you still get the loose stool so again, theres a few mild narcotic withdraw effects but quite tolerable).

My advise is to talk to your doctor about going on a mild anti depressant (like welbutrin) that has mild NE effects. From my understanding, Suboxone has relatively mild withdraw effects asside from the NE withdraw, so it might make things more tolerable and get you off that stuff once and for all :)
MRI revealed a bulging disc w/gel lost at L5 and showed the bulge touching nerves, causing sciatica. Diagnosed w/ Arthritis which is responsible for joint inflamation pain. Treatment: Nucynta 50-150 mgs every 6 hours (schedule II narcotic, Mu Opoid agonist and NE reuptake inhibitor), Celebrex 100 mgs, Klonopin .5, Epidurals, Radio Freq nuerotomy (sept 8th, 2010)

Veteran Member

Date Joined Jun 2005
Total Posts : 610
   Posted 9/6/2010 8:06 PM (GMT -6)   

As Grainofsalt asked, is it for pain or for opioid dependence/addiction?? I use to take Suboxone, but right now I'm taking Subutex, which is basically the exact same thing but without the naloxone in it, I take 16mgs daily for chronic pain. Suboxone does have to be tapered very slowly from my understanding to get the most benifet from it when trying to use it to stop opiate addiction/dependence, but you should really talk to your doctor about this, they would be the best on how to stop it the right way. but if your taking it for addiction/dependence issues, then you should check out the NAABT websight (National Alliance of Advocates for Burenorphine Treatment), they have a forum called "Addiction Survivors" that would be more well suited in answering your questions on how everything buprenorphine (Suboxone/Subutex), as here we're more for chronic pain issues, but if you have chronic pain then this is a wonderful place to get advise, but like me, when I have questions about my use of Subutex, then I use that forum from NAABT. Just type in "NAABT" in Google, and it will be the first thing to pop up, then from there it will have a place that would lead you to the Addiction Survivors forum, or type in AddictionSurvivors dot ORG, and click on buprenorphine treatment and your there. they also have people there using Suboxone/Subutex for other reasons then addiction/dependence, like pain and depression.

Goog luck
DX-Pancreatic Divisum, Rheumatoid Arthritis, Fibromyalgia, Myofascial Syndrome, Migraines, Allergies W/Asthma, Depression W/Anxiety/Panic disorder, Lower back Disc issues
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