He has an unknown neuromuscular disease causing chronic nerve type pain. He's 27 years old. Has severe contractures of his legs and his back is as straight as a bored. He said his pain clinic Dr. was talking about this medication. But I can't seem to figure out which one it is.
Hi Cathy I'm Rob or Robert. I have no knowledge of "sexboxen".Your friends condition sounds worse than mine. It took over 4 months for the neurologists to diagnose me. I too have a rare neuro disease called "Idiopathic Demyelinating Polyneuropthy w/Progression". Wish I could help you more Cathy.
Is he currently on pain medication? is he abusing his medicine in any way shape or form? does he have any positive UA's for street drugs i.e. marijuana,amphetamines etc... Usually most doctors dont suggest this medication unless he is abusing his currect pain medications or requesting early refills. Some just use it cause they believe in it more than any other pain medicine right now. Then there are doctors that just plain dont like to prescribe pain medicine at all. It is used to treat opiate addiction and help people to get off heroin sometimes it works sometimes it doesnt depends on the person.
I believe he is referring to Suboxone, or subutex. Both are Buprenorphine but the subutex does not contain naloxone.
Buprenorphine does not treat chronic pain, it is used for opioid dependence. It has not been approved by the FDA for the treatment of pain although it can be an is being prescribed "off label" for such.
I tried it, it does absolutely nothing for pain. If his pain doctor is even mentioning it I suggest he get a new pain doctor.
Also the fact that his pain has an unknown etiology, along with the mention of suboxone for treatment throws red flags. Him being such a young man is in need of direct answers and direct treatment.
Since you are a nurse here is some information that may help you in the future, as far as Buprenorphine is concerned. The home site is www.naabt.org. and the suboxone help line # is 877-782-6966. They are wonderful. You can ask them anything. The hours are M-F, 9:00am-6:45pm, EST.
Please find that young man the help he needs starting with I would imagine a spinal specialist. Get one through the largest hospital in your areas physician referral service. God Bless and Good Luck to both of you.
It sounds like what he is really asking for is "Suboxone". That is an opiate pain medication with an opiate agonist/antagonist in it. It contains Buprenorphine HCI and Naloxone HCI dihydrate. The first being the opiod agonist and the second being the antagonist. So it does prevent the euphoric feeling that is associated with many opioid medications. If the doctor that you work for has a PDR in his office or you have acces to their PDR online account then it can be found in their with all the information. Although, under the Drug addiction Treatment Act of 2000 codified at 21 U.S.C. 823(g) prescription use of this product in the treatment of opioid dependence is limited to physicans who meet certain qualifying requirements, and have notified the Secretary of Health and Human Services of their intent to prescribe this product for the treatment of opioid dependence.
Some doctors are limited by prescribing this medication for pain management due to their DEA license not extending to this medication. If he is asking for this medication he may need to call his pain management doctor to confirm what he is telling you about what he said. I would speak to the physician that you work for about his patient and go from their.
Hi, He is asking about suboxone. There are some who are rx'ing it for pain, and it does treat some mile pain, but, it blocks other opiates, so, if he needs any type of opiate in the near future, he will be out of luck. If his pain management doctor is trying to treat him for pain, he should be giving him methadone. Properly taken, it is a long acting pain med and is safe. Can you ask your patient if he is on suboxone, or has ever been on it. The active ingredient in at is bupenorphine. If he has not been on it, and he and the doctor are just in the talking phase, he should ask the doctor about the sister medication, subutex, the one without the naloxone. If he is on subs, and has run out, approximately 4 to 5 days ago, he is in withdrawal, you need to get in touch with pain management dr.
I've never taken Suboxone as a chronic pain patient of over 11yrs however I agree it is not for true chronic pain patients who don't abuse their medications. Some think of it like Methadone which blocks receptors in the brain to abuse any kind of pain medication.
I agree that if this pain doctor is suggesting it, this patient needs to see another doctor if they are only dependent and not an addict of opiate tolerant pain medications or had a past use of illicit drugs.
If this patient was ever tested for and showed up positive for THC only, I don't feel as a true chronic pain patient that should be considered a reason to not prescribe real opiates as long as the patient has kept with the pain contract since not having it in their systems any longer however if there was a past of any other type of illicit drug use, that would be a huge red flag.
I would never take either Methadone or Suboxone for pain after over 11yrs with RSD/CRPS and my ability to remain on the same medication and same dose for 9 of over 11yrs now.
I hope this helps you to treat this patient
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