I became addicted to vicodine after a bad accident.I have been on suboxone for 4yrs.I need complete knee surgery but my Physician wants me off the suboxone.My Phsycitrist says wait 24 hrs go to surgery and you should be ok and have no problem with the pain meds you have to use. I dont want to do that.If I come out of surgery in horrible pain I want to be able to use the meds the surgeon gives me.So,I have broke down from 2mg to just crumbs.Last dose was 1/4 of a 2mg tab.that was 2 days ago and I am withdrawing.How long must I hang,I am 59yrs old and I hope it will be soon.Thank you♥
Buprenorphine/Naloxone - How long to withdraw off suboxone after using just crumbs for 3 months?
- 18 Jan 2012 by smadero
- 16 Jan 2014
- suboxone, vicodin, buprenorphine, naloxone, surgery, knee
Added 18 Jan 2012:
I am also over weight 225 5'4" and am diabetic on anti depressants Prozac 20mg cymbalta 60mg xannax .05 serequil to sleep or Trazadone.When I lost my son to an IED explosion in Iraq I became a pill popper looking for anything to kill the pain.I want my life back♥
Both of your docs are wrong, but the pdoc is closer to the truth of the situation. After 4 years on Sub you can't get off quickly. It would take about 6 months. Can you wait that long?
If you can't then you can go for surgery after 24 hours. 36 might be a little better, but not much. The problem isn't that you will go into wds. The problem is that the doc has to use the charts they have to calculate the narcotic equivalency of Bupe to what ever drug they want to use for pain. Morphine was used when I went for surgery. I had taken 18 mg of Suboxone 36 hours before surgery and I was never in serious pain. I told all the docs the truth. The PCP, the surgeon, and don't forget the anesthesiologist. My question to you is how long have you been on 2 mg? Is it at least 3 or 6 months? I will assume it is. I calculated the equivalency dose of Morphine to 2 mg of Bupe (Sub). The answer is 50 mg. This means by mouth. The docs would then have to calculate how much IM Morphine equals 50 mg oral Morphine. That is the very least they can give you. It isn't just pain, they have to keep you out of wds.
The other issue is the Morphine will wear off quicker than usual. Morphine used to stay in me rather long, but after you been on Sub 4 years, you need more than average, and more often than typical.
I'm tired it's late. I hope I made this clear. If not ask and I'll be back tomorrow. When are you going for surgery?
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