I have been taking Sub for about a year. I would say I average 1-2gm a day. But, two weeks ago, I hurt my back badly. The Dr's increased my sub to as much as 8 mg every 8 hrs. I may have taken a total of 8mgs a day for the first two days and then about 4mgs a day for about five days, I then tried to go down to 3 mgs. I did it but I have had bad leg cramps every day. Yesterday I think I only took 2mg. Today I have only taken one so far. In two days I will be havings my knee replaced. I am afraid that they will not give me the correct kind or amount of pain medication. I will see my Dr tomorrow, but he honestly doesn't have a clue about how Suboxone works. Any ideas? I am so sick of pain. Thx, Harmony
30 Jan 2012
Do you still have the URL to the Narcotic Converter? If you don't I'll email it to you again. Bring it with you when you see him. He can always just type it in. I think because of how Bupe stays so long in the body you have to do the calculations based on 16 mg of Bupe. I know the converter is accurate with Oxycodone. I think it is with Morphine too. But with Morphine you get 2 answers, It think the lower numbers are more accurate. I'm also assuming that right after the surgery, they will give you the pain meds by needle, either IV or IM. The numbers the converter gives are for by mouth.
So 16 mg of Bupe would make you need between 200 to 400 mg of Oxycodone taken by mouth. Ask the Doc to covert that to IV or IM if that's what they are going to use. I'm sure there are either charts or online converters for that too.
I tend to think they will use Morphine. So again 16 mg of Bupe would make you need about 400 mg of oral Morphine. So once again the Doc needs to convert that to IM or IV.
I'm not sure the converter is accurate with the other opiates.
Are you getting the surgery done this Tuesday? About what time? I would say try to stay without Bupe 24 hours before the surgery. The problem is I don't want you going into the OR feeling wds. If the surgery is 9 AM Tuesday morning, you should have taken at least 8 mg today, Sunday. You can even take 8 mg Monday morning. Do you think 8 mg will hold you with no wds until Tuesday? If not take 12 mg Monday, or even up to 16 mg. My experience has shown that the time from the last Sub Dose to the Surgery is more important than the size of the dose. Do you understand? Since this is major surgery I think it's better to stay 24 hours without Sub, than to take only a few mg tonight, and then need a few more mg tomorrow late in the day.
Maybe your Doc isn't as clueless as you think. Mine wasn't.
Here's an idea. Maybe for after the surgery they can connect you to an IV pump. The kind that allows you to press a button every 6 minutes and give yourself a predetermined dose. That may be much safer than them trying to give you enough but not too much. I'm pretty sure those pumps can be reconfigured to make the dose more or less.
It's normal to be scared. I was almost petrified. I was so scared from stupid horror stories I read online that I wanted to sign a DNR in case I went into a coma. There were no problems at all. Do you have a Benzo you can take tomorrow night? If so, use it to calm down. Just be sure to tell them everything you have taken and what time you took it, when you're in Pre Op talking with them.
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