Sadly, there is misplaced stigma and faulty assumptions about
the use of Subutex for treating pain as well as for treating physiological tolerance and maladaptive addiction.
Subutex is an effective and valuable medication in and of its own right.
Some people will (incorrectly) say that treating with Subutex has no place, as it is trading one opiate for another.
You would not take a person with type 1 diabetes off of life-saving insulin. Physiological tolerance is a biochemical recalibration of the brain’s chemistry and reward centers/receptors. It has little to nothing to do with how strongly a person is behaviorally motivated to discontinue use of prescript
ion opiates. The body has become acclimated to a certain level of systemic opiate and it will complain - loudly - if opiates are withdrawn. Subutex addresses real physiological tolerance that develops over time. Subutex will bond to opiate receptors, staving off the immense discomforts of withdrawal, without providing a “high.”
I applaud you for being willing to share your experience with Subutex and enhancing awareness of its use.
When I was new to prescript
ion opiates, I did not understand the importance of keeping track of refill dates. I was taking what I was prescribed, not aware of equivalency dosing or the relative amount that I was prescribed. I did not fill a prescript
ion on the day due. I saw no harm in missing a dose or two. Wrong. I was whalloped by severe withdrawal symptoms within a few hours of my last dose which became more complicated by my underlying Addison’s disease. It was a steep and rapid decline, necessitating an ER visit and inpatient admission for stabilization.
The experience was a wake-up call for me. It shook me to my core. I quickly immersed myself into better understanding opiates and their immediate and latent effects. I also made a conscious choice to reduce the level of prescript
ion opiate that I am offered by my medical team. A voluntary reduction. I do want to be at that level of opiate dependency again.
Withdrawal is not merely discomforting. Withdrawal can be life-threatening. Withdrawal needs to be respected for its seriousness and possible repercussions. Subutex is a valuable low-level opiate for pain
management. It is also a valuable tool for easing people off of prescript
ion opiates with physiological dependency and for long-term stabilization of individuals with maladaptive behavior-based addiction.
The sharing of your experience with Subutex is a valuable addition to this pain forum.
I hope for you continued success with Subutex,
Pituitary failure, wide-spread endocrine dysfunction
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)
Post Edited ((Seashell)) : 8/22/2018 4:01:24 PM (GMT-6)