I have been useing this website for a while now, so there are a few if not a few handful of people out there that somewhat know my story n can help... I think i am at my total end... I have had two back surgerys now, n I have relapsed once... I did the entire inpatiant at a rehab center, still i hurt to much after so long, i ended up making the mistake and becomeing addicted again, or whatever... I have been on many other links as well that tell me all about suboxone, and how its better then being on methadone... So I have read anyways... But I still have a few questions that I just cant find answers to... I no i hafta be in withdrawels for a certian amount of time, but if it gets to bad, n I make the apot..i end up haveing to take sumting, i just cant deal with pain... I usually experience withdrawls after a few hours of taking 6 or 7 vicodin, or upwards of that strength of sumthing else... whichever i can get my hands on i guess... I no its very risky, n all around a bad idea to get things this way, i have no choice... I have insurance, but have not realy found a doc to ever give anything... So when is the right time for me to try n go in, or who else can I contact to ask this kinda stuff??? I also feel i have to choose but to try n do the subs over methadone bc i do not have a vehicle, n so i have been told, u have to go there n get dosed every day for the 1st 90 days... I have no reliable person to take me..So thats another part of another question, do they give me a script to take home after my initial meeting with them, or what?? I am just so clueless still i guess, n I dnt no where else to turn right now... I do have an 800 number to contact as well, but anyone out there that may have answers or opinions, all are welcome... Id greatly appreciate any support or concerns u have... Thank you...
You are going to have to make some decisions. First, what are you going to do for pain control once you no longer are taking the opiates? Second, can you afford and make the appointments to get set up with a Suboxone or a Methadone doctor? And third, are you ready to make the necessary phone calls to learn more about these two avenues?
I would first decide what you are going to do about pain control. What is the pain from? There are other medications besides opiates that may help you. Have you tried medications like Cymbalta or Lyrica for nerve pain or non steroidal anti inflammatories like Celebrex for pain and inflammation. You may also benefit from physical therapy to learn exercises to alleviate the back pain and strngthen the supporting muscles.
Once you have decided what to do for pain control, get on the phone and call around to the available detox doctors and ask your questions. Do I have to make daily or weekly appointments, explaining you have no transportation? Will my insurance cover the cost? I think once you get on the phone and do some investigating you will get the answers you are fretting over.
We are here for you and encourage you to get clean, there is a better way of life awaiting you,
Hey Joe, Have you had an evaluation with someone to determine if you are addicted or merely opiate dependent because of chronic pain. If you are merely opiate dependent ( dependent on opiates because you have real pain, versus, using opiate simply because they make you feel better) then you need a pain management doctor willing to discuss giving you some meds that last longer ( ms contin, a fentanyl patch with break thru meds) and perhaps an antidepressant or some other medication that controls the pain as well. If you are determined to get off all opiates,and want to go the suboxone route, it may help some with pain, but I will issue a caveat, as it seems you may need more surgery in the future, the subs will block the opiates, subutex might be a better choice if there is a chance you will need more surgery, it doesn't have the second blocker medication in it, would wear off in terms of having to take opiates again a bit faster than suboxone.
Both do block opiates, but subtx does NOT have the second blocker med in it. If you will always be in very bad pain ( doctor will evaluate you and tell you) some pain management doctors do prescribe methadone, you don't always have to go to a clinic. You really should discuss these things with a good pain management doctor. Now as to your other questions, yes, you will have to be in withdrawal, and likely will receive either an rx or your subs or subtx for a month at the time. Each suboxone doctor treats differently, so, you could try going to the suboxone.com webpage and writing down all the subs doctors in your area. They do have a doctor locator service on that site, only docs with special license are authorized to treat with subs. Many pain management doctors do, so, cross reference then with the pain management doctors in your area to see if there are any who are both pain management doctors and licensed to write for subs. Subs doctors do NOT always file insurance for the induction fee or the office visits, ask prices when you have them on the phone, your medication will probably be covered tho. I usually tell someone to have someone bring them to the induction appointment, for support and because if you are in withdrawal, you really aren't going to have a tremendous amount of energy. If you do have opiate on your brain receptor sites and you lie and try to take the subs too early, you will go into a really really bad form of wd called precip. Basically, I think you may be more opiate dependent than addicted, and need that evaluation to see if you are eligible for longer acting opiates, I hope you can find a good pain management doc in your area. I don't have all the facts, this is just a guess on my part. If you are told you will always have bad pain, methadone properly used is probably your better bet,, subs do help, but not as much for pain. I hope this helps. THANK YOU BILLY< for sending me a pq on this. Pattishan
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