Hi Maggie,
Sorry to pry, but it would help me to understand your situation better if you could let us know why you were put on these meds in the first place. I assume they put you on the Vicoprofin for pain, right? You started
Xanax at the same time. Why? Was it prescribed by the same dr. who gave you the Vicoprofin? Or perhaps a different doctor? If it was two different doctors, did each one of them know what the other had given you?
So now for the present. You're taking the
suboxone in order to get off the Vicoprofin without suffering withdrawal, correct? Is the plan to taper off the sub, or does your doctor plan to keep you on the sub long-term? I assume the dr. prescribed the
Flexeril as a partial substitute for the Vicoprofin. But you're not taking the Flexeril, and you're doing OK in that regard?
It's a little bit hard for me to put all of this together. I don't think that combining Xanax with Vicoprofin OR suboxone seems like a great idea. But I understand your doctor doesn't want to yank you off the Xanax, because those withdrawals can be really hideous. So he's maybe tweaking things one at a time?
The shakes you get right before you take the suboxone could very well be withdrawal symptoms. That seems pretty straightforward to me. If you started feeling better when you stopped the Flexeril, then I think you can blame that Flexeril for some of your symptoms.
What you're left with is a possible bad reaction to the suboxone OR a bad interaction between the suboxone and the Xanax. There are people on this board who know a lot about suboxone and can tell you if those side effects are typical.
The big question mark I have about this is why Xanax? Xanax is short-acting and not great for long-term anxiety control. Depending on what you need it for, you might be better off switching to another benzo--maybe
klonopin--that will have a longer-lasting effect throughout the day. Xanax works fast, but it also wears off fast, leaving you anxious again. Something like
Lorazepam, for instance, would be better at keeping you at an even keel over the course of the day.
When I went through my suboxone therapy, my doctor gave me lorazepam to help with the anxiety related to withdrawal. He gave me a very small dose and told me to take it only at night. And I found I didn't really need it.
Some of the suboxone experts on the board will be able to help you once we understand exactly what's going on. Hang in there!