But the doctor will not continue to treat me with Subutex if I test positive for benzos--Klonipin, which I take for anxiety disorder. The DEA says that the combo is not allowed b/c of the possiblity of overdose--which is extremely remote. How can I give a urine sample that shows the Subutex but not the Klonipin? Are Subutex/Suboxone clinics testing for Subutex levels in addition to other drugs?
I have been on Subutex for almost a year now and it works great?
- Posted:
- 29 Aug 2011 by karisquandry
- Topics:
- subutex, anxiety, generalized anxiety disorder
Details:
Responses (1)
Jillynnie30 Aug 2011
Karis,
Welcome to the site. I am a bit confused. No judgement! Just need to clarify? Is the doctor that is treating you for anxiety not the same doctor that is treating you with subs? And, if not, is there not a way for the two to communicate the treatment plan they have for you? My suboxone doctor prescribed me Klonipin for severe anxiety attacks and Buspar for mild treatment during the day. He has a lot of experience with addiction and is the one that prescribed me both medications. He did only prescribe 10 Klonipin as he would like me to be off of them and I am to use them only when needed. Another thought, is your doctor that is treating your anxiety disorder LICENSED AND KNOWLEDGEABLE about subutex/suboxone to be able to prescribe them for you and therefore you can be under the care of just one doctor? It is very important the doctor know about suboxone and not just 'have' them to dispense at will. Pattishan61 and LaurieShay are both good people to discuss suboxone and subutex with. Hope this helps!
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Sorry, I didn't clarify further. No, the doc that prescribes me subutex is not the same doc that prescribes me Klonipin. The way my Subutex dr. explained it to me was that the DEA monitors him closely and audits patient records often..that if I test positive for benzos and he continues to treat me... he will lose his license! He does know that I see a psychiatrist for antidepressants and believes I have stopped taking Klonipin. I don't abuse the drug and take far less than prescribed, however, I simply cannot deal with the level of anxiety sometimes. I know this is wrong and dishonest, but I don't feel like I should have to choose between the two, with no real option other than benzos for anxiety. I have to function! I just need to be able to provide a UA positive for Subutex yet negative for benzos. I have read loads of posts regarding the issue. Am not sure what to do. See the doc this Friday.
Unfortunately, you may have to fully disclose your information. If you sub doctor were to have the knowledge and understanding of WHY you are on Klonipin then he can have that in his chart for any questions that may arise from an audit. If the doctor is treating you for a specific problem, and there is a valid reason as to why you are on a particular medication then IMO there should be no issue with being on both medications.
Thanks for the advice. I'm not sure where you live, I'm in Oklahoma, and I'm told that no body can be on benzos, sleeping pills like Ambien, or any other CNS depressant AND Suboxone or Subutex at the same time. All the docs are working under federal guidelines that govern controlled substances... so I don't know how ur doc is doing what he is doing! Wish he was mine!
I live in Texas. Not sure if that makes a difference or not. He never mentioned that it was against the law, and I am certain he would not do anything to jeopardize his license. Like I had mentioned he did only prescribe 10 and talked about getting me off of them. I don't know if the Buspar is helping as much as the Klonipin is, but I trust it is. Thing is..since Klonipin is a benzo we can usually 'feel' it better than a non narcotic drug. I am sorry the laws are so strict there. Am I understanding you that there are no exceptions at all in your state?
The laws that regulate docs, whether they are prescribing Suboxone, Subutex, or any narcotic... are federal laws. I know a great deal about these things as my father is a pharmacist and I grew up working with him... which is how I developed an addiction to opiates. So Texas is under the same laws. Although, maybe there is something different going on there. I am on the Klonipin b/c of generalized anxiety disorder... and benzos are the only thing that helps. The doc who prescribes them is obviously not aware of the suboxone. It's all about making a choice between the two drugs..my life is a wreck while abusing opiates and is filled w/anxiety if I'm not on something for that. I don't like this "addict" kind of behavior... so I have to find an alternative.
I so understand wanting to quit the addictive behavior! The difference between Suboxone and Subutex is that Suboxone contains the medicine Naloxone. This drug is a pure antagonist which acts as a deterrent against drug abuse. In other words it stops the cravings. Is it possible to ask for Suboxone from your Dr? I have been on it for a month now and have had not one craving for a vicodin. ~ Jillynnie