Substance Abuse - Dear members, I am a Pharmacist who deals with young people who have used heroin?

27 Mar 2010

I'm not quite sure about your question. What I do know is that Tramodol (Ultram) is a synthetic analgesic that may cause withdrawals in people already taking opioids. Tramodol is also addicting and I believe the manufacturer somehow managed to get it approved through the FDA as a non-opioid. The benefits of Suboxone are that it limits the euphoria experience when compared to full agonists,(Methodone) Also, the withdrawal symptoms are suppressed and cravings reduced. On the other hand, benefits of a partial agonist is that there is a ceiling effect once the maximun dose is reached, it reduces the risk of overdose when using partial agonist alone. Buprenorphine is a partial agonist. It will knock methodone, heroin, oxycontin out of the receptors and block them. Maybe try that one. Just my opinion.

27 Mar 2010

hi ray,your question would have been answered better on april fools day. i think your other pharmacist friend would do more help in the drug community if you stopped making a profit on suboxone and gave it to these young people your claiming to care so much about. and while your at it, talk to these doctor friends of yours in the detox field and ask them to stop charging these outrageous prices for an office visit. why would anyone on this website know what the titration schedule for any drug? thanks for your concern for the young addicts.

8 Oct 2011

Titration: increase in 25 mg increments as separate doses every 3 days to reach 100 mg per day taken as 25 mg 4 times per day. Then the total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg per day taken as 50 mg 4 times per day.
Maintenance: After titration, tramadol 50 mg to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg per day.