original meds which were 40mg of methadone and 4 80mg of oxycontin, the pain control is not happening with the suboxone and he feels miserable most of the time,he still feels the anxiety after taking it, he has tried a low dose of suboxone and everything in between, what would be the best way (and fastest) for him to switch back? we are very scared that he will be sick for a long time with the switch.His pain has never been worse, if the suboxone covered the pain he would gladly stay on it, but he has no quality of life with this med, that is all he is looking for to have a life and to be able to live it without tons of pain. What would you recommend? thanks
Did they ever try him on Subutex, what happened?
I guess he wasn't on 32 mg Of Suboxone long right? Reduce the dose asap. He's getting very messed up with all the opiates and Sub causes a person to need a lot pf other opiates to just to stay out of wds.
I think you should concentrate on switching him to just OxyContin for now. I'm not familiar with going from Sub to Methadone, But I do have experience with changing him to Oxy. Based on the Narcotic Equivalence Converter 24 mg of Sub would need 300 - 600 mg of OxyContin to keep him out of wds. In my experience you usually have to go with the top #. And if I base it on 32 mg of Sub the answer become 400 - 800 mg of OxyContin. So lower his Sub dose asap. Keep him off Sub at least 24 hours. That shouldn't be hard because Sub lasts 2 days before wds set in. So try and keep him off all opiates 48 hours. At that time start him on 400 mg of OxyContin. That may be enough. But you may have to go up to 800 mg of OxyContin. I'd go up by 80 mg tabs, since I think that's the largest it comes in. I am very hesitant to start him back on Methadone. I'd want to wait 1 month before giving him Methadone, and even then I would avoid it. I'd stick to short acting opiates for 1 month if it was up to me. What other drugs does he react well to besides Oxycodone? What about Dilaudid or Opana? Since OxyContin is a long term time released pill, can you use Dilaudid or Opana for BT pain. This is my suggestions. I hope they were of help.
NOTHING!! Sorry maybe you never read one of my answers on sub to methadone or the other way methadone to suboxone ,THAT'S the one you can't do. You can take opiates on top of suboxone just not the other way around. You may not feel the full effect of the Oxcys till all the sub is gone but you will not get sick one bit,zero,zilch,nill. Sorry the suboxone didn't work but if it didn't it didn't & pain is real so he should do what's best for him. Good luck & no worries,but if he does it in reverse I feel for him.
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