May I humbly recommend to you that there are treatment options outside of subutex that do not include narcotics.
These medications DO carry an addiction risk but usually only when they are used long term.
The first would be Klonopin. It is a slow acting but long lasting benzo. It is fairly potent but due to its slow onset of action, it has a lower addiction potential than most benzos. It reduces anxiety and some of the symptoms of the actual withdraw itself. Its a Schedule IV and despite having a lower abuse potential than most narcotics and other benzos, it can cause addiction if used long term.
Then there's Lyrica, a nerve calmer. This works on a slightly different but related system to benzos. Its addiction potential is limited, and the medication is a C-V, so it can be addictive if used in large doses over long periods of time. However, from what I've read up, this is rare when used as directed. It can help with some of the neuro-muscular pain experienced when withdrawing.
The next is a schedule C - V "partial" naroctic with an extremely limited abuse potential called Lomotil. Its similiar to immodium, but its gastrointestinal effects are stronger and it has a slight effect on other opioid receptors, therefore it might reduce but not eliminate actually withdraw itself. Again, it can be abused but due to the atropine and limited effects on opioid receptors outside of the gut, its abuse and addiction potential are very limited and it rarely causes any euphoria. Its an exception to the no narcotic rule but since its basically a step up from immodium, I feel comfortable mentioning it.
The final would be a non scheduled MILD anti depressant like Welbutrin. It increases Dopamine and Norephedrine levels just enough to increase mood but unlike stimulants, its dopamine increase isn't considered significant enough to cause addiction.
Just something to consider as an alternative to a potent narcotic in which the combination might be nearly as effective. ALL of these options IMHO have a very limited abuse potential when used in normal doses over only a few weeks of time (keep in mind Subutex is a C-III and most narcotics are C-II so they have a higher risk for addiction.
Please please please discuss this with a doctor and take the legal route. I'm not a medical professional, but I do understand how medications work. With that being said, please only take my advice with a grain of salt :)
MRI revealed disc bulge and test injections revealed RA. Radio Freq procedures helped for months, but pain is up and im having the procedure done again. Currently on 75 mgs of Nucynta (tapentadol - A MOR + NRI) 2 to 3 time per day and Soma 350 as needed.
Post Edited (grainofsalt) : 6/3/2012 3:39:36 PM (GMT-6)