I'm currently taking 3mg of Xanax daily for my anxiety disorder, and have an opiate addiction to OxyContin. My doctor wants to give me Suboxone to get off the OxyContin and I've heard that taking Xanax and Suboxone together was dangerous and could have adverse side effects. I was just wondering if anyone knew if it was safe or dangerous to combine the two drugs? And if so, what are the side effects of taking them together, if any?
12 Feb 2012
I take 4 to 6mg of xanax a day and im prescribed 16 mg off suboxone. I only take 4 to 8 mg of the suboxone it is very strong it takes away all withdrawel symptoms. Its an amazing drug!!! Im fighting for my son with a jugde that doesnt approve of any meds so Im gradually weening off of both meds. The interaction of these meds has no no negative impact on me. In fact it has surpressed my appitiate and has made me need less of the xanax without feeling sick. I would recommend that you switch to suboxone and get of the oxy. You will feel alot better. promise!!!
8 Aug 2009
I can provide you with information from a first-hand perspective; that is, when I first began Suboxone, I was also on 2mg of Xanax daily. The best advice I can offer to you regarding the use of both medications is to make sure that you do not take them at the same time (or one right after the other). If you are taking the Suboxone on a 3-times-a-day basis as well, I would take your Xanax two hours before (assuming you take your first dose of Xanax right when you wake-up). This will not cause any problems for you as far as the Suboxone is concerned, because its half-life is around 36 hours, and it was originally prescribed on an "every-other-day" basis. I never had any problems while taking both medications, but every person is different.
Also, the fact that Xanax is "supposed" to be prescribed only as a short-term solution until an anti-depressant with anxiolytic effects has had enough time to "kicks-in" should hopefully help to convince you that any continuing anxiety that you may be experiencing is likely being caused by the long-term use of Xanax (there have been many studies showing that its anxiolytic effects do not last for more than 4-6 weeks at the most). Because Xanax has such a short half-life, it is notorious for causing interdose withdrawal (primarily rebound anxiety)--so, when your previous dose starts to wear off around 3-4 hours, you immediately feel the urge to take it again. Furthermore, in order to get to the root of your anxiety, it is recommended that people with anxiety issues seek help ultimately from talking with a therapist. However, benzodiazepines blunt your anxiety (and your other emotions and "feelings"), as well as negatively affect your normal cognitive abilities... in short, being on Xanax hinders the growth process one normally is trying to achieve through cognitive therapy.
I highly suggest that you read some books about benzodiazepines... there are too many of them out there to choose from, so I will recommend the two that I think will especially give you more insight and offer very good information. I highly recommend "The Benzo Book," by Jack Hobson-Dupont and, "Benzo Blues," by Edward H. Drummond, M.D. The first book is a very informative autobiography of the author's own personal experience of tapering off of 3mg of Xanax using The Ashton Method (type "the Ashton Manual" into a search engine such as Google... it is available online for free, and it is by far the best--and to-date, the ONLY--structured and experimentally-based method that has proven to be highly effective for people attempting to come off of any benzodiazepine... so, you can be assured that it is extremely informative). The first book will also provide you with a better understanding of the entire process and experiences involved in bezodiazepine withdrawal; it is honestly one of the most difficult experiences for a lot of people, and the more that you know and understand, the better prepared you will be. Tapering off of 3mgs of Xanax a day is not something you should attempt to accomplish within a month or two, and since the majority of physicians and psychiatrists are often unfamiliar with The Ashton Method, I hope that you will read through the entire document (which is not that long, I promise) and use it to help formulate your own plan (with the help of your doctor) to taper off of Xanax. Also, as The Ashton Manual advises, it may be important to provide your doctor with a copy of the manual and explain to him your goal and tapering schedule. By no means should you attempt to discontinue Xanax by following a rigid schedule that is enforced upon you by your doctor (particularly if he advocates a plan that is too short... withdrawing too quickly can lead to significant discontinuation symptoms, including permanent cognitive and neurological impairments, as well as the serious risk of having seizures). The second book that I mentioned provides more in-depth information than the first, and will likely prove to be very "eye-opening." I think that you will feel very motivated to begin your tapering process as soon as possible after reading this material, as you will learn of the many negative effects that Xanax is likely causing while you remain on it. Everything you will need to know about the potential hazards of long-term use and later withdrawal from benzodiazepines can be found in these 2 books and in The Ashton Manual... by educating yourself about the subject, you will know exactly what to do when the time comes to discuss the options with your doctor.
Back to my personal experience with the two medications real quick: Once I was stabilized on Suboxone, it turned-out to be an outstanding (and by far the best) anti-depressant and anti-anxiety medication for me. Thus, I then began my taper off of Xanax using the methods provided in The Ashton Manual with the help of a physician who was fascinated with the copy I gave to him... as a doctor, the process made perfect sense to him (having been established by another doctor--Heather Ashton--who has dedicated her life to studying benzodiazepine withdrawal). It wasn't as difficult as "The Benzo Book" had prepared me for, and I was able to successfully discontinue my 4-year-long "prescribed" dependence on Xanax by following the protocol. Since then, the techniques I have learned through sessions of cognitive therapy, my own further readings, and Suboxone have provided all of the anxiolytic effects that I required for GAD (oh, and yeah, they are all right when they say that the best thing you can do is regularly exercise... ha).
I hope that this helps you out, and I apologize for writing a short novel. Anyway, please feel free to ask me any other questions you might have.
23 Mar 2012
i am on 3 mg of xanax a day.along with 16mg of subs a day,and i have no adverse reactions at all.The people who would be in danger are people who arent tolerent to both opiates and benzos.so if you have been takeing both then you will be fine.i also take a barbiturate for headaches,and keppra and celexa.all of them slow your breathing.i have been on this for 3yrs now and i wake every morning.even my sub doc knows i take all this and he is not worried.so yea you will be cool .good luck
6 Dec 2009
If you're taking them together at the same time it's probably not a good idea, or else spread out the time between you take them. I was on Suboxone 16 mg's a day (8mg's 2x a day) and never mixed them together. I did take a klonopin or xanax a few weeks ago and the next day took 4 mg sub and you can feel the effect but if you're taking major amounts I'd be careful or not do it all. Very dangerous combination when they're taken at the same time.
2 Aug 2011
taking any type of benzo is dangerous if you are on suboxone, I used to be on xanax and when I started taking suboxone I learned that the xanax lessens the effect of the suboxone, and in my opinion, it wasen't worth taking the xanax anymore. It is not safe, and your doctor should know what the effects are.
9 Nov 2011
i have been taking <dr. prescribed> 8mg- 12 mg of buprenorphine,which is the generic for suboxone for almost a year, and sometimes i take 1-2 mg xanax to help with sleep and appetite, and ive had no problems. i have a friend who sees a suboxone doctor, and he actually prescribes him xanax along with his suboxone every month..i dont see why a dr. would presribe the two together if there were underlying mixture problems. the key is too not over-do it .
7 Dec 2010
Derek 23 - Xanax and Suboxone can be very dangerous when taken together. Depending on the dosage, your body's ability to break down the medications, you could actually go into respiratory distress. You could stop breathing, which is generally not good for your health! I would find a Dr. who specializes in addiction treatment and be 100% truthful with him/her about your addiction to both meds and let them monitor your levels of both meds. It may take some trial and error, hopefully err on the side of caution if there is an error, but you can probably find a level that will not be life threatening. I would imagine you should try to beat one at a time also, but I am not certain. At the very least, when combining the two meds, you will have a tough time just staying awake. I hope this helps. Good luck to you man ... you are at the right place if you want help. Tbone
22 Feb 2011
HI... I was put on Dilaudid for 1 year due to spinal cord surgery and my body was dependent on it thus i had a "rebound" effect meaning i wasn't mentally addicted but my body produced MORE pain all of a sudden that didnt' let up till I got off of Dialudid and switched to SUBOXONE!!!
I take a small amount of Xanax which tremendously helped. The only side effect is sleepiness in the beginning HOWEVER i went from 5 pills a day to 1 pill a day in 3 weeks on Suboxone. MY withdrawl lasted ONLY 2 weeks and then i stayed on 1 pill a day.
I KNOW that Suboxone works... whether you take the film strips or pills.
Once you get used to suboxone you are less sleepy, more alert, and get mentally alert again feeling like you have a new life. FOR ME Suboxone is USED as pain management BUT another family i know has their daughter on Suboxone to stay off of opiods and oxycontin which has helped her stay clean for 16mos and her anxiety attacks also allievated especially when she found a full time job thus she got off any anti-anxiety meds
I am now only taking 1 mg of xanax a day with 1 pill a day of Suboxone and am fine. YOU can take your Xanax say an hour or two AFTER suboxone in order to reduce the sleepiness but i am usually ultra sensitive to meds along with allergies, this works with Xanax.
GOOD LUCK! HOPE it goes well for you and you may find your anxiety meds will go down in dosage given time with Suboxone. :)
1 Feb 2012
To my knowledge suboxone is tightly controlled by the FDA. There are intermittent drug tests that go along with taking this medication. When you take xanax with suboxone you run the risk of being taken off of the suboxone. just wondering how all of you people can continue to take suboxone with benzodiazepines without any repercussions?
5 Aug 2010
I have been on Suboxone for about 6 six years after being on Methadone for over 20 years; when i switched over to Suboxone i was in immediate withdrawal that same day yet I hung in there and within a week I began to feel much better; I became much more alert and other noticed a change in my appearence. In the past couple years alot of stress has entered my life, loss of spouse and recently problems with elderly parents. I started taking benzos to deal with the stress and anxiety yet lately I feel that I am becoming addicted to Xanax now; My doctor will not prescribe any benzos to me therefore I am forced to find them other ways. I did not really think that it was dangerous to take them both yet I feel that it does really help me through this stressful time in my life. I am worried about trying to stop taking them yet hopefully someday I can do this.
I am a functioning and productive, working individual who takes care of my elderly parents, one of whom has late stage alztheimers disease. I work in the health care field and try to keep myself aware of this issue. I don't think that i have any side effects from taking both other that it gets me through the day. Maybe when the stress and anxiety in my life tapers down so can I taper off of the xanax. We do what we have to do to get through the day; Good luck
4 Apr 2012
i currently take both meds and have for 5 years now. down to 8mg a day on the subs and up to 8 mg a day on the benzos. everyone is different; and im no doctor(although ive filled more scripts than walgreens in my old life) im currently doing a slow taper on the benzos because years of more than 4mg is a very hard habit to break. next month im dropping to 4mg of sub and only 3 or 6mg xanax. they also tell you if you take opiates you will get violently ill if subs are on board. not true in my case; the old me had to try just wasted money and days of sobreity. good luck my friend; im jeremy and i am/ was a junkie. b4 you start the subs you gotta be dopesick; sorry but thats the only way it works right without adverse effects. id suggest stopping thursday and starting the subs on monday. they should start you on subutex(w/out naloxone) just in case you didnt follow instructions; but thats only the first dose.
personally i never had a problem, but some do, usually the ones that keep taking opiates and subs. as long as you are sweaty clammy; have that gotta get well thing going it should be a piece of cake. my prayers are with you. God bless
28 Aug 2012
I'm a newbie to Suboxone. I just started it 3 days ago and am on 16 mg a day. I am also on 6 mg of Xanax a day (2 mg 3x a day) my sub dr knows and even tho I heard of a lot of risks he told me if I take everything appropriately I would be ok. I'm still in the early stages and having a lot of weird drowsy/woozy side effects and just started taking Xanax after 2 days cuz I wasn't comfortable with my breathing when I first started the Subs. But I feel ok but DEFINITELY recommend u take EVERYTHING as prescribed and be 100% honest with your doc because all the research I've done including talking to nurses and pharmacists say they r a dangerous combo. I'm taking it slow and don't forget that every body is different! Good luck!
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