I've been taking subutex for 3 yrs for chronic pain (4 back surgeries) and also for the addiction to opiates I acquired because of the pain. The side effects from the subutex are getting to be more than I can handle. It dries my mouth out so bad that I cannot stand to wear my upper dentures. Also, looking back and connecting the dots, I'm pretty sure that's what was causing my teeth to detoriate so badly. It's drying my eyes, hands, skin, and just about everything else out. I have a LOT of trouble urinating, which I did not have on other opiates. My doc has suggested I switch to methadone. I've heard horror stories about it, but I don't think it could be any worse than this. Has anyone else tried both or have any suggestions or advise for me?
Subutex vs Methadone?
- Posted:
- 15 Jul 2011 by greeneyedgirl2
- Topics:
- subutex, pain, methadone, side effect, addiction, chronic, opiate
Responses (3)
15 Jul 2011
Hey greeneyedgirl,
Methadone is very effective for pain control. The dry mouth is most likely the culprit of the teeth problems. When you have less saliva bathing your mouth, the plaque and such builds more causing more dental caries. Anyway, methadone can cause dry mouth though not necessarily for all people. It is a side effect for some. Keeping a glass or bottle of water handy is going to be your best defense. It may not be as bad as the Subutex is causing you.
If you didn't have trouble urinating from othr opiates, hopefully you wouldn't with methadone either. Though it too can be a side effect. I'm going to include a link so you can read about the side effects of methadone:
http://www.drugs.com/sfx/methadone-side-effects.html
I'm not really trying to discourage you, I just want you to be aware of the possibilities. Hopefully, you'll get some more opinions on the comparison.
Best wishes,
Laurie
8 Oct 2011
All I can tell you is methadone saved my life, rumors on methadone it does not rot your teeth . Get on a does that works!!! and if you take it as directed it works like you I have severe pain issues F***ING OXYCONTIN I was an addict for over18 years and always will be but METHADONE HAS BEEN THE ONLY MED I HAVE NOT ABUSED, AT FIRST YOU MAY SWEAT AND WATCH HOW MUCH YOU EAT, MY ADVICE & I KNOW MY SHI* IF YOU CAN SWITCH DO IT. I ONLY RELAPSED 1 TIME AND DID NOT EVEN GET OFF IT WORKS IF YOU DO TOO 4 YEARS NO JOKE I HAVE NEVER FELT BETTER METHADONE SAVED ME I AM A WIDOWED SINGLE MOM HAD TO GET MY ACT TOGETHER SUBOXEN DOES NOT HELP W/ PAIN STAY CLEAN MY FRIEND IF FOR NO NONE FOR YOU!!!
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Similar questions
Opiate Dependence - subutex gives pain relief ?
... had to detox due to bowel problem. 14 yr pain patient morphine pump was placed on the subutex @ hospital. the subutex is controling the pain ?? ...
My son wants to start methadone clinic for an oxcodone addiction he says the subutex doesnt work?
He walked out of a rehab after 12 days. A year later he did a rapid detox with a 3 month program w/ subutex and lots of vitamins. But he keeps ...
My daughter has been on subutex for opiate addiction for about a year. She takes two 8mg a day.?
... She has a problem this week with her siatic nerve. Besides bed rest for two weeks, should I ask her prescribing doctor to up her subutex. She is ...
Subutex to Methadone question?
.. before i give the advice... here is the question... If a person has been on subutex for 2 weeks, 16 -8mgs/day, last 2 days 8mgs. The last 6mgs of ...
Opiate Dependence - I got perscribed subutex by one dr and bupremex patch by another?
just got off of methadone 2 weeks ago and started one then few days later was taking both subutex n patch. Which one is better cuz I'm sure I ...

If I do switch to methadone, it will be done at a Pain management clinic that also deals with addiction. They prescribe both Sub and Methadone, though much less of the methadone than before. I would not have to do the "run every day to a methadone clinic" thing. There is no way I would do that, I would just stay on the Subutex or try not to do anything. But my back hurts so much and when you add constant mouth pain it's a lot to deal with. I'm at such a point of trouble with my dentures that I don't have a life. I only leave the house when I have to and every day is an endurance test; how much longer can I stand to wear these teeth? I even had upper mini implants put in, but my gums stay so sensitive from the dry mouth that the dentures HURT. I thought it was just me until I had a consult with a oral surgeon.
Expand this post...
When he saw the Subutex on my meds list, he said he had lost count of the number of people he had seen that had either lost teeth or couldn't wear dentures because of this medicine. He said "This is very bad for your mouth". That's when I knew i wasn't a freak of nature and I needed to make some changes.
Dear greeneyedgirl2,
Expand this post...
Did you switch to Methadone? I had an allergic reaction to a medicine that I was prescribed for migraines and on Easter of 2009 I literally died. I flat-lined 3 times and was in a coma for 18 days. Then out of the grace of god a doctor came into my room in the middle of the night and decided to try to Eckmo (sp:) machine on me. IT WORKED! Thank goodness I did wake up and although I had to learn to eat, walk, speak, etc. all over again. All of my organs are 100%. But I ended up with horrible drop foot on both feet and we don't know why, but also horrible bilateral neuropathy. I have been through so many surgeries just so that my feet would actually work so that I could walk again, however we can't seem to control the pain of the neuropathy, because we don't know how I got it. Anyway, I was on 50 mg of the Fentanyl Patch and taking 30 mg of Oxycodone every 4 hours since 2009. 2 weeks ago I was sent to a pain management doc and he switched me to subutex. I worked great for my addiction I don't want a Oxycodone, however the pain is still HORRIBLE... I am taking 40mg a day of subutex and ZERO pain relief. My doctor wants me to come in tomorrow to switch me to Methadone. He says that will help with the pain. But I have heard soooo many bad things about Methadone and I am super scared. Isn't there anything that he can give me WITH the subutex for the pain? Please help!
Dear JSolensky
It sounds like you've had a really hard time. No, there isn't anything that I know of that can be added to the Subutex to help with the pain. The Sub is an opiate blocker and will COMPLETELY block any other opiate you take until it gets out of your system and it can take from 10 days to 3 weeks to get it out of your system. I decided not to go the methadone route, but I'm not in as much pain as it sounds like you are in. If I were you, I would give the methadone a try because it is suppose to be very good at pain control. The doctor can always put you back on Subutex if necessary. I think Sub helps with daily nagging pain but not severe pain. Life really is short and spending it in pain is horrible.
Thank you so much for answering me so quickly. I have heard that Methadone makes you very sleepy, rots your teeth, etc. I have 6 children and can't be sleep all day. I wish I had an answer, but I also can keep looking at my watch for a pain pill every 3 hours for the rest of my life! I guess I will try the Methadone tomorrow. It just sucks that the subutex makes me feel fine/good, but NO PAIN RELIEF AT ALL! I will let you know how it goes!
Bless your heart, 6 kids! Please do let me know how it goes. Maybe we all can help each other out by listening and sharing what we've learned along the way. We'll stay in touch.
Well I did go to the doctor today and he prescribed me 40mg of Methadone once a day. I have been on 40 mg of Subutex for 2 weeks. He said to wait 24 hours to take the Methadone from the time I took my last Subutex. But the pharmacy said I only had to wait to hours. Hmmmm when can I take the methandone? Help please!
Well, you've got me there. I really don't know, but I think the Subutex will block it whenever you do it, at first. I'd go ahead and take it if they said you could at the pharmacy. This is interesting and new territory for me. I'm not a dr so I don't really know, but I don't think it'll hurt you. I just think the Sub will block it. Let me know and good luck!