i have a patient who i know needs pain management however suboxone does not agree with them.we intend on starting regulur opioid agonist treatments asap. how soon can he take a dose and feel the effects? will 24 hrs. suffice? will there be any ill effects if say tomorrow morning i have him take 50mg. KADIAN.i would like to get him pain relief as soon as possible. i feel responsible for putting him on suboxone to deal this pain and it does not work.can you tell me the best way to transfer him back to a regulur agonist and what medications may help speed this up for heaven sake.what i am asking is can i get him back on morphine without withdrawl setting in or will i have to start a taper regimen and watch the suffering?what can i do to fix this?
Suboxone is not usually prescribed for long term pain control. It controls opioid cravings and prevents wd symptoms for people wanting to kick addiction. Sometimes licensed Sub doc's start patients on Subutex for the first few days to prevent any chance of precip. wd's. How many mg's did he receive at induction and how long has he been taking them? As you know, if he were already on another opiate and then started subs, without the level of opiates in his system low enough, precipitated wd's would set in. That's why the subutex first. But now that he's on the subs, he can take other opiates but the subs will block them from attaching to the receptor sites. So even if you give him the morphine today, it will probably be blocked and respiratory depression is a dangerous possibility. It does matter how long he's been on the subs and at what mg's. I believe it lasts up to 3 days. When was his last dose? I am NOT a doctor, not even close.
Please check the "Drugs A to Z" at the top of this page. Look up Suboxone (professional) Don't click on the suboxone link that is on the main page. Click on "S" and find suboxone that way. It will them give you a list of different options. "med facts" "advanced" "professional" I also don't know much about suboxone either. But this is the information I've received from others who are on suboxone treatment. Please be safe and let us know when he started the subs and at what mg. Again, this is only what I heard and I am by no means well informed about suboxone.
Please be safe,
Talk to some pharmacists, they know meds better than anyone. If you are a doctor, this should not be a problem. There is a plan b for someone with your patient's problems, but they don't even hint of it to us, so, a pharmacist would be you best bet.Second best bet, go to suboxone homepage and get toll free number and call them. They may not be the best bet, I would say pharmacy is. Third best bet, the suboxone doctor of this patient, call him or her, you should do that anyway, for both of your protection.
- Suboxone Information for Consumers
- Suboxone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Suboxone (detailed)
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