cainon25... awhile and dont want to go into percipitated wd. I stopped taking the suboxone so i could take the pain killers.
Just had oral surgery (major) and was prescribed hydromorphone 2mg. I have been on Suboxone for?
- Posted:
- 28 Jan 2012 by cainon25
- Topics:
- suboxone, opiate dependence, pain, hydromorphone, surgery
Details:
Added 28 Jan 2012:
Will i be alright?
Answers (3)
LaurieShay28 Jan 2012
You will be fine. The precipitated withdrawals occur when you take Suboxone too soon after the opiate, not the other way around. The hydromorphone may not work at first until the Suboxone has apppreciably left your system. Just be careful when it is time to restart the Suboxone. Be sure to wait the 24 hours after your last dose of hydromorphone before taking the Suboxone.
Anonymous 28 Jan 2012
yes, as long as you don't take extra hydromorphone trying to get it to work better, the subs will block it for a day to 5 depending how high your subs dose is. NO PRECIP SUBOXONE TO OPIATE, ONLY WHEN YOU STOP THE HYDRO, AND RESTART SUBS, IF YOU DON'T WAIT 24 HOURS AFTER LAST DOSE OF HYDRO.
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You just hit on one of my #1 questions and concerns. Will our brains ever go back to normal? Have you ever been completely off Sub for at least 6 months, and still had the super high resistance to other opiates?
I have not. I have gone off Sub completely for up to 1 year, but I was on other opiates from day 1. I thought that after 1 or 2 months my resistance would go down. I was so wrong. Instead my tolerance just kept going up. Very scary.
What really irks me is I don't think this phenomenon is even being studied. They can only do studies with us humans. But they can do experiments with animals. I don't know of any, do you? I hope.
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We don't know the long term effects of Sub on the brain and how it reacts to other opiates, and yet more and more people who are only hooked on 6 - 12 pain pills a day are being put on Sub. Many of these people are not even truly sick with the addiction illness, but they still give them Sub. This worries me. Especially now that Reckitt Benckiser stopped making high quality Buprenorphine. High quality Bupe does many things, but the most common generic only stops wds. It doesn't do much for pain or the emotional symptoms of the addiction illness. This has now effected me, and it's becoming a nightmare. I also have a feeling I can never stop all opiates again. I think Bupe has damaged my brain and I will have never ending wds. OK, that's my soapbox. Maybe if I make enough noise about this studies will be done.
cainon25, when you're done taking the Hydromorphone you don't need to wait 24 hours. I've done this many times. Wait until you feel withdrawal symptoms. For me that's usually 6 - 8 hours. But when you do start Sub again, take small doses, like 1 mg. Wait 1 - 2 hours and if you feel better take 2 mg. Wait 1 - 2 hours again. If the wds are gone, you're back on Sub. If they are almost gone take another 2 mg. I don't know what your Sub dose was, so I can't tell you how much to take. Once the wds are gone you're good.
Hi Thor - I'm not up on all Bupe studies, but I'm sure they are being done since there is an increasing amount of people using it & I know its being studied for other uses. They actually can do research on humans with control groups, as I've heard of them. As far as the generics, its the same with all meds. IMO, generics never stand up to brand name. "They" say its all the same, but if that's the case, why does Endocrinologist tell me, in no uncertain terms, to take ONLY synthroid name brand to be sure of a consistent thyroid dose?? That was a dead giveaway for me that generics not as strictly regulated and not the same! First time, I was off Subutx a few months, not using opiates. Toward the end, had to take opiates for several conditions & couldn't feel them to save my life! That was end game for me.
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I have no desire to ever revisit opiates, even if they're needed, I'll find a way to do without! Mind over matter! They're not worth it for me. I'm done! I believe that many of us have changed our brain chemistry for life, but won't stop me from trying to be off Subox. I know some people want or need to stay on, for whatever reason, but not convinced I need it for life. Its worth it to me to make the effort. Since adding other things for health, like right foods, exercise (huge for me), continuing addiction counseling, 12 step mtgs & friends, I'm better than ever, I think. Took long time to get here, mostly with clenched teeth! And don't have pain I used to have. Its a Blessing, as didn't believe it could be done. Just don't ever want to obsess about it anymore. It is what it is! All the best, Jillian