I've been taking subutex for 3 yrs for chronic pain (4 back surgeries) and also for the addiction to opiates I acquired because of the pain. The side effects from the subutex are getting to be more than I can handle. It dries my mouth out so bad that I cannot stand to wear my upper dentures. Also, looking back and connecting the dots, I'm pretty sure that's what was causing my teeth to detoriate so badly. It's drying my eyes, hands, skin, and just about everything else out. I have a LOT of trouble urinating, which I did not have on other opiates. My doc has suggested I switch to methadone. I've heard horror stories about it, but I don't think it could be any worse than this. Has anyone else tried both or have any suggestions or advise for me?
Methadone is very effective for pain control. The dry mouth is most likely the culprit of the teeth problems. When you have less saliva bathing your mouth, the plaque and such builds more causing more dental caries. Anyway, methadone can cause dry mouth though not necessarily for all people. It is a side effect for some. Keeping a glass or bottle of water handy is going to be your best defense. It may not be as bad as the Subutex is causing you.
If you didn't have trouble urinating from othr opiates, hopefully you wouldn't with methadone either. Though it too can be a side effect. I'm going to include a link so you can read about the side effects of methadone:
I'm not really trying to discourage you, I just want you to be aware of the possibilities. Hopefully, you'll get some more opinions on the comparison.
How Ironic to see this question today. I am the oppiste. I have been on Methadone Maintanance Patience for nearly 10 years for drug addiction and Pain, but mainly Addiction. I wish to God I never ever started on Methadone. With Subutex, you have freedom. Its prescribed to you. Yet I can understand, in my point, that life is too short, and never know when our time will come, so best to live in the most confortable way. Others do not agree with my point but that is their view. I am a 49 year old mother of 2 children. One 19 and the other 9. I had no problem being on methadone for the first 5 years or so. Yet, the problem with MMT is ( depending on where you live, I live in midwest Florida ) there is too many patients because the system allows it and plus its all money. I wanted to just be clean and stay that way ad have been clean for 10 year, yet I have only gone up to faze 6 and why... because to many patients.(.which in my opinion) should be kicked out of the program if the patient have no interest in staying clean... I have seen patient OD right in the Clinic . Yet the administrater would still let them stay , though they have to come everyday, which then leaves the clinic so overloaded I do not know how many times Couslers quit. Especially the goood ones. The Recovering Addicts them selves who later wanted to help people like us and they understand better about relapses. Yet they know there is a limit. When they too realized that they were not helping the ones that really wanted help and couldn't because at time they would have 30 patients per Cousler. Wasting their time to patients who have not even tried to stay clean. Granted, there are some clinics that are great and will only give the patients few chances, and after that theyare out if they continue having dirty urines.
If you do not care to really travel , to have places to go for a long period of time. Then MMt would be good for you. Just before yesterday, If I knew someone who are thinking of getting on MMT, I wouldn't have suggested it. Now, I would ask, if they would rather be on MMT and loose their freedom and put up with many of their nonsence rules and regulation which many do not make any sence.
How ever because you have been on a Subutex and NOT Suboxene which has Neloxene an antagonist , you most likely have no problem.
Just yesterday, after being off Methadone for 3 month prior to and wanted to get on Subutex. I went through a 48hrs of withdrawl which was agonizing, but when in withdrawl our balances are not quite right and i fell and fractured my back, so then what? I knew that going to Pain Clinics down here, which is so many illigal ones, I can get on heavier pain meds till I heal, yet If I be honest and say I was on methadone for nearly 10-12 years and have stayed clean, they are more opt to not giving any Pain Meds. So then I have to either lie, which I had rather not, but it seems like it "damned if you do and damned if you dont". And because of that, that I told the truth, I couldn't get any heavy pain meds, so I turned to the streets, which is all so asinine. It wasn't really streets, but I know lots of friends on Oxy Cotin. They are not cheap, and though I get some free, its the fear of being caught. So I decided few days ago, to just do it. Go on a 48 hr detox and get on Subutex even though I know the pain in my frActured back would be exctrutianting, plus I have 3 degenerating disks, so I always had to have my a friend with me who had to literly lift me up. I felt like a Marrinet/puppet With Subutex, some says only 24hrs. The problems with these drugs of Subutex and Suboxene is that many Physician are not aducated properly and some feels they are basically the same. NOT TRUE AT ALL> . I told the doctor that I have been a Methadone patient for 10 years or more. She prescribed me Subutex and I constantly made sure its Subutex and not Suboxene. When given to me... I thought I was going to die. I felt like everybone in my body was like matchsticks, and just this bonechilling , horrible feeling I cannot even wish it to my worst enemy... well maybe I could..hahaha. The physician told me " in 10 minutes you will feel great" BS... If I had opt for Suboxene, I would have had to be rushed to the Hospital .Why I think that happened is , and this is only my theory, is that I had been on Methadone for so many years, that its practically saturated into my body, thus given me this horrible reaction... yet, I still a m so fed up with the whole thing and almost was thinking of going back to MMt, but there are other sulution for me which is another story. For you, and if like I said, you would trade your freedome for a more conforting drugs then go for it. In my honest opinion, if Methadone did not have such a hold on me , I would have still stayed on methadone... PERIOD> Like I said ... Life is too short and the time we have here on earth is unpredictable, so why suffer... has always been my theory. Yet, Methadone has their own side affect which is mainly weight gain, bone loss ( though that is unsure for me for I have very strong nails and teeth ) , constipation and in some cases like me. I needed split dose because m y body metabolism was eating up the Methadone faster then normal. Pleaase let me know how things go. I think you will do great on Methadone and luckly you were not on Suboxene. I wish you every luck and happiness.
All I can tell you is methadone saved my life, rumors on methadone it does not rot your teeth . Get on a does that works!!! and if you take it as directed it works like you I have severe pain issues F***ING OXYCONTIN I was an addict for over18 years and always will be but METHADONE HAS BEEN THE ONLY MED I HAVE NOT ABUSED, AT FIRST YOU MAY SWEAT AND WATCH HOW MUCH YOU EAT, MY ADVICE & I KNOW MY SHI* IF YOU CAN SWITCH DO IT. I ONLY RELAPSED 1 TIME AND DID NOT EVEN GET OFF IT WORKS IF YOU DO TOO 4 YEARS NO JOKE I HAVE NEVER FELT BETTER METHADONE SAVED ME I AM A WIDOWED SINGLE MOM HAD TO GET MY ACT TOGETHER SUBOXEN DOES NOT HELP W/ PAIN STAY CLEAN MY FRIEND IF FOR NO NONE FOR YOU!!!
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