Is it possible to switch from the suboxone to the subutext? would it cause more withdrawals? he is in a pain clinic yet they are treating him as if he is an addict... I think that he should have been offered the subutext first, but we live in edmonton ab,canada , is the subutext available in canada? this is day 4 of the switch and he does feel better at times but the symptoms return so fast... he is trying the smaller dose but feels worse.. maybe the precip is done,or at least almost done,I am a nurse and I see his color is better his running to the bathroom is stopped but his weakness and anxiety are still issues for him.This site has been so informative and helpful,thank you everyone for your help ,it is all great and it really feels like you care what happens to people. Thank you Pattishan for being so wonderful!!
Girl, i was just thinking of you and wanted to send a pq to you, but couldn't, so i friended you and you saw that. I know the laws concerning how suboxone is distributed are different in CA, the Lady From Toronto might be able to help you with that. Please tell your brother that he will adjust to the suboxone and all of the sudden, he will get to feeling much much better, and get a burst of energy so strong he may try to clean the whole house. As far as i know, subutex is available in CA, but many drs won't write for it and they should. I am so sorry he is being treated shabbily, many people take it for pain and how judgemental of that clinic regardless of whether he takes it for pain or for opiate depeendence recovery, they a there to treat him, not be critical. Sometimes when people have been on rx painkillers and or methadone for a while, they still have trace amounts in their systems longer, as long term opiate use can slow the metabolism.
I donx't know how old your brother is, or if he has other health issues, takes benzos or muscle relaxers, but those can also cause someone to have a slow metabolism and that means the methadone sticks around longer. The rx blood pressure medication clonidine aka catapres, also might be helpful for him by taking away anxiety and helping with insomnia. Also methacarbomal helps eith cramps and spasms, rls and insomnia. Maybe you can get the dr to rx him those to help. Methadone patients have a longer adjustment phase for subs but he WILL level out and get better. Please keep us updated. Patti
Hi Karebare - Those two meds are essentially the same thing, so there is no need to wait in between taking them, if your brother switches meds. At least, I sure didn't. The only time precipitated withdrawal happens is when one goes from other opiates (hydro/oxycodone, methadone, heroin, etc) to the buprenorphine. Suboxone has Naloxone in addition to the buprenorphine.
I also don't know if Subutex is available in Canada. But why do you want him to switch to it? Unless he's having a bad reaction to the Naloxone in the Suboxone there's no reason to switch. Even in the USA we're having problems getting Subutex. The parent company that developed this drug has stopped making it. So now it's only sold as a generic. We are told that generics are exactly the same as the Name Brand drugs are, but all too often this is not true. Subutex is a drug where this is definitely not true. The one generic which is easy to get is nothing at all like the Name Brand drug. And now that the name brand is no longer made you can't even get it to prove it's better than the generics are. This is a big problem for some of us because we had to switch to Subutex due to serious side effects from Naloxone. So considering all this, he's way better off on Suboxone.
Although I think soon the Name Brand tablets are going to not be made and only the Film Strips will be available. I think the Suboxone Tabs are going to be generic. I'm not sure about this. It's still a rumor at this time. And from what I have heard, the Films aren't available in Canada. But if they ever become available, those are what he should take. For some unknown reason all the different versions of this drug feel differently. I never tried the Film Strips, but Suboxone tabs feel different than Subutex Name Brand tabs did, and all the generics feel and act differently from each other. This is not supposed to be true, but it is.
I agree with what Patti said. Once he stabilizes on Sub he should feel fine. He should feel completely normal and like he's having a good day. Don't misunderstand me, he won't feel high, just like a normal person having a good day. Keep us posted with what happens.
- Suboxone Information for Consumers
- Suboxone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Suboxone (detailed)
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