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reliefbound
New Member


Date Joined Jan 2012
Total Posts : 5
   Posted 1/15/2012 12:08 AM (GMT -6)   
The Suboxone I have used to help with the pain however now it does not. Has anyone ever gone back on Narcotics after being on Subutex or Suboxone?

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 4978
   Posted 1/15/2012 12:34 AM (GMT -6)   
…I could be wrong, but I believe Suboxone is a narcotic, used in the treatment of addiction for Opioid med's.

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Ssinss
Regular Member


Date Joined Jan 2012
Total Posts : 66
   Posted 1/15/2012 12:48 AM (GMT -6)   
Are you ready, here comes the info *grins* no just kidding. Sort of. Suboxone has a cap, anything you take after that is just a waste, or can as I understand it toss you into withdrawls because Suboxone has something added to it called naloxone. I looked into it as a replacement for the methadone I was on for pain and not a chance.

Now for the link.... I have lots of them shocked

Suboxone

www.drugs.com/suboxone.html

Subutex while being similar, works differently, need to know which your dealing with.

www.drugs.com/mtm/subutex.html


While we appreciate your support, please remember this a family friendly forum. I have attached one of the forum rules here for you to review, and edited your post.
11. Keep posts family friendly. If it shouldn’t be viewed by minors, then it shouldn’t be posted to the forums or chat rooms.


Thanks! SE

Post Edited By Moderator (Screaming Eagle) : 1/14/2012 11:01:19 PM (GMT-7)


reliefbound
New Member


Date Joined Jan 2012
Total Posts : 5
   Posted 1/15/2012 2:02 AM (GMT -6)   
Thank you for your response. You are correct Suboxone is a Narcotic however has limited pain applications. I am taking Suboxone after years of Oxycontin use. It (Suboxone) worked initially but now I have burning pain in my lower extremities. Although I don't want to I was wondering if there was any precedence to switch back to Oxycontin or equivalent. Thank you so much for your input.

Warmest regards,

RB

Ssinss
Regular Member


Date Joined Jan 2012
Total Posts : 66
   Posted 1/15/2012 2:31 AM (GMT -6)   
It seems like a very confusing medication, good for some, not for others. The only person that can tell you about switching back is the Dr that put you on it. It seems like there are ways to, but there may be a short time that it needs to leave your system? When you find out it would be interesting to know.
Good luck

CRPSpatient
Forum Moderator


Date Joined Mar 2011
Total Posts : 1141
   Posted 1/15/2012 5:48 AM (GMT -6)   
Just to try to clarify a couple of things here...

Suboxone contains the opiate buprenorphine. It's what is called a 'partial opioid agonist' or 'agonist/antagonist' meaning that it stimulates some types of opioid receptor (primarily the μ and to a lesser extent the δ receptors) in the body and blocks others (especially the κ receptor). This is where the O/D risk comes from - it's less likely to occur than with 'full agonist' opioids (morphine, oxycodone, etc.) but can only be partially reversed once it occurs.

Adding naloxone to the mix - it doesn't stop the actions of the buprenorphine because it acts primarily at that μ receptor (to a much lesser extent at the δ & κ) , so it shouldn't throw the person into withdrawals unless they'll not taking it as advised or have an abnormal response in the way they take up and metabolise the med.

When it WILL cause serious withdrawal is if they take it too soon after something like morphine, oxy, methadone - because it will cut off all the effects of that opioid. In case people aren't aware - naloxone is the 'emergency drug' that they give people who have overdosed.

As for Subutex - we have buprenorphine here as a regular pain med - both in the sub-lingual tablet form as a BT medication, and as a patch. (Also injectible used by doctors) I've never used it from a patient perspective as I'm allergic to patches but I know a few who've used patches with reasonable results.


RB - I'm afraid I can't help with your question from any sort of personal experience, but I from a pharmacological point of view I can't see an issue. It seems that the 1/2 life of Suboxone (the amount of time it takes for 1/2 the drug) to leave your body) 20-70 hours (average of 37 hours). This means (I think - though I wouldn't rely on my maths at the moment), that it would take an average of about three weeks to clear completely from your system, but could be less or could be a lot longer. Once the med is completely cleared from your system, it wouldn't prevent you from taking Oxycontin or another strong opiate medication, but obviously it's something you're going to have to do in very close consultation with your doctor.

I hope that helps a little.

Laura
Moderator - Chronic Pain Forum

Full body CRPS with spasms, dystonia & contractures, gastroparesis, orthostatic hypotension,bradycardia/tachycardia, bursitis, CTS, osteoporosis, multiple compression fx, disc bulges.

Oxycodone ER/IR, Topamax, Mobic, Somac, Cipramil, Midodrine, Vit D & C, SCS, baclofen/bupivacaine pump

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 4978
   Posted 1/15/2012 4:12 PM (GMT -6)   
…that was a pretty good explanation Laura! Thank You! wink

After my surgery….I was overdosing on the bedside pain pump, and I believe it was indeed the naloxone that was given to me to reverse the pain med effects. My Dr said I came very close to checking out for good there. shocked …all I remember was them telling me they were going to reverse the pain med effect…and I thought I was doomed, thinking the pain was going to be worse more than it already was. The room filled up pretty quickly with nurses to get me taken care of.

Hope this clears up some of the questions for reliefbound.

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Post Edited (Screaming Eagle) : 1/15/2012 2:16:04 PM (GMT-7)

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