I have a friend that is an extreme opioid abuser. She is wanting to get started on Suboxone treatment for this addiction yet the problem is is that she has chronic pain from arthritis and other health problems. My question is, can a person take Suboxone for their opiate addiction and also take some other type of medicine for their pain and both still work? As in taking a tylenol and suboxone for example.
What pain killers can you take with Suboxone?
Question posted by mistisky83 on 10 Aug 2008
Last updated on 2 August 2021
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11 Answers
Aleve, Gabapentin
Use when needed
Amy I was told by my DR and he seems to know what he is talking about, I've been with him for 2 years. But, I had to have surgery and he told me that I could take percocet or lortab with the suboxone. The way he explained it to me was the active pain killer will just go to the pain and that I wouldn't get the euphoric or high feeling I used to get when I was on them before. And it did work just have to be careful and not take too much.
Hello Rylane, welcome to our site and congrats on starting suboxone. I hate to tell you this, but taking an opiate while on suboxone does NOT really help for pain, as the bupe and naloxone block the opiate and all you are left with in most rx pain meds for relief, is the acetaminophen. Numerous times I have seen a dr who really doesn't understand what suboxone does in the brain, give subutex and opiates or suboxone and opiates. Honestly, not one single one has every verified the opiates work while on subs. I am not trying to be argumentative at all. And don't wish to say anything to upset you, but the drs almost as a rule, do NOT take suboxone or subutex, unless they are bring treated for opiate addiction/dependence and they are only mimicking what they have been taught or told by the training course.
They have no idea what it will actually do, and only guess, and I can pretty much assure you, it blocks all opiates, and bounces them from the receptors before they can attach and produce pain relief. Suboxone and subutex are both long acting, and stay for days on those site, slowly wearing off. It is only after it has worn off the receptors, that opiates would work for pain. If you need surgery, you need to taper down to the lowest amount you are comfortable on and then have them switch you to an opiate, hopefully pre surgery. I just don't want you to get your hopes up for the opiates working when you really need them. So sorry I had to give you this news, but suboxone is one medication the patients know a bit better than the dr. Your dr has likely taken antibiotics, or other meds not desigined to block opiate. The sales rep that sold him or her on that antibiotic, probably did state what it will do and what it won't, plus he/ she may have used it themselves and know it works. But the chances your dr has taken subs and opiates, are really really slim. People on this site have been patients who may have been given this regimen and they are saying. It doesn't work. Please talk to your dr now, before this surgery. If he says it works, I am afraid you are going to be in for a big bad surprise. Opiates need room on the receptors to seat and work. Suboxone hogs all the room on all the opiate receptors, like a drunken uncle , passed out on your favorite couch, when you want to watch the superbowl. You could also mention you have heard subs totally blocks opiate, and ask if he or she will allow you to try them both at the same time, to see if you get more pain relief. Please please ask first, because if you take an opiate while on subs, and this is NOT your subs dr giving your permission, you may get kicked out of your subs drs practice for taking opiates on top of subs. Subs too soon after short acting opiates, will cause precipitated withdrAwal,,, opiates on top of subs likely will not work except for mild pain relief if the. Rx pain pill has Tylenol in it. Patti
It may be the acetimetophine that worked I only had to take it for a few days, and haven't taken any since. That was a year ago, I just don't crave the opiates anymore
Good deal, I had a good exeperience on suboxone and and glad it seems to be working for you too. Patti
I've been off a 5 yr methadone run for 3 yrs now. I take suboxone daily which can't get you high but depending on your situation can sedate you on occassion. But it is by no means helpful for Breakthrough pain. The best medication I found for this is a potent muscle relaxer called tizanidine/zanaflex. Works great with suboxone! As good as a bag of dope, I'd say. But there's no heavy tolerance like with opiates. Tizanidine saved my chronic back pain life. Oh, for emergency room pain I would have the er prescribe you valium. But to be honest tizanidine is stronger and relives pain better. Iv valium is what they'd given me for extreme er situations. Still not as helpful as tizanidine.
I have beenon suboxone for chronic pain for 2 yr know I have ra fibromyalgia no rem sleep sleep apnea and lower disck blown in my back suboxone has been a miracal and works wonder for me and iam on a low dose she may find it a relife no problems with it and I have a worse.pain day they can adjust it safed my life I was on more then most cancer patients
Can you take Lortab for pain when you are already taking suboxone,or is there some,thing else I can take for the times that I hurt a little more than others.Generally,is it safe to take Lortabs while on Suboxone?
Amy - Suboxone is one of the best pain medications that I have ever used. I am on it for pain, not for opiate dependence. In the UK they use it for pain management and there are several studies going on in the US. I have less pain than I have in years on the Suboxone. Pain clinics are moving toward prescribing it more and more.
I was on Methadone and Percocet and switched to Suboxone. Suboxone is way safer than Methadone. It can be used w/non-narcotic pain relievers. One you can use is Voltaren. It's great. Ultram is crap. It works on your brain just like opiates, w/o the high, and you can have awful withdrawals from it. The only thing you cannot do is take opiates on it.
You may have already gotten an answer and all by now, but if you didn't get a good one then I hope that you/your friend considers Suboxone for pain. I also have a history of opiate addiction but was clean for years when I started the Suboxone. I was not abusing my pain meds. The Suboxone seems to help w/both though so your friend can get double benefit. I hope that helps. Take care.
for me i take tramadol with it and neither one works for me by itself but with both i feel great with no pain
Is it safe to take Ultram w/ Suboxone?
Oxy do u take Suboxone daily with the Ultram?
i ended up getting of the subs but when i was on them i would take the sub first then 30mins later take the ultram and it workd great for me but sub treatment got to expensive so im back to the vicodin and ultram
I agree for the most part to the answers you received, Motrin etc you can take with Subox. It is also now being given to moderate chronic pain sufferers. I also highly agree that pain is a tricky thing. I was on high levels of percocet for 5 years, broke my back in a car accident, and to boot I have VERY physical job.I built up a tolerance,stopped even working.Turned out, I didn't need it.Motrin & rest with a heating pad does the trick.I don't agree that methadone is her answer given her extreme opiate abuse.It's easily abused.Subox,unless injected,is pretty much abuse proof & doesn't make you high!Good Luck!
Thank you for your help. I really hope the suboxone therapy works for her addiction. It would be a blessing from above if she can take ibuprofen to alleviate her actual pain. Thanks for your input I really appreciate it.
Your friend may be better off on methadone as it is an exellent pain killer.It also has a very long half life and alot of chronic pain patients only need to dose once or twice a day.
Suboxone (buprenorphene) is an exellent drug for opiate addiction recovery but it doesn't hold up well as a pain killer unless it's injected.
Over in Europe they use buprenorphene as a injectable pain killer quite a bit.Good luck to her and I hope she finds a suitable treatment ...
never ever inject suboxone-it can cause preciptive withdrawl. Methadone is cheaper and may be better. You can inject subcutex, but it is a really bad idea.
Dave above it not talking about injecting suboxone. He said that some drs in Europe inject pure buprenorphine for pain and that is accurate. Pure buprenorphine doesn't have naloxone in it like suboxone that puts you into precipitated w/d.
A large portion of the people who become dependent to RX opiates begin using due to pain from injury or illness. Your friend will be able to take Ibuprofen, tylenol and similar medications without any problems. I am currently taking Ibuprofen for arthritis. I realized after getting off RX opiates that my real pain was not quite as bad as I had recalled. Our minds play tricks on us when we are using making us believe we hurt worse than we really do sometimes. She should do just fine. We are here if we can help with the suboxone therapy.:)
look up hyperanalgeisa-you may have over-medicated
I tried suboxone and it did nothing for the pain after a couple of weeks. I have been off methadone for almost a year and i have never been in so much pain it just keeps getting worse. I don't even remember how many surgeries I have had to reduce the pain. That didn't really help a lot either. They can't take my spine out and fix it. As far as the opiates feeding the pain those people are talking crazy stuff. When you are in real pain and need help badly you can forget about getting any help from any doctors. They don't even care about people in any kind of pain. The only help I'm getting is from the DEA. You might be surprised what some of the laws are. Also you would be surprised what opiates you can mix with suboxone they just don't want you to know.
what drugs can you take with suboxone that they dont want us to know? Im a chronic pain pt, just started suboxone 7 days ago, my fibro came back after 2 yrs of bein pain free from methadone, I was tolerant of lortab so i got on methadone.
hi Amy honey :) i have been an addict since i was 16 n now i'm 28 been on suboxone since Feb. 08 n been fine, but now i'm expeirencing extreme pain n my back n don't know wat to do but METHADONE... is the worst thing u can possible take!!! i was on it for 3 yrs 120 mgs, n com'n offf that i thought i was goin to die, i am hav'n problems cuz don't know wat to do about the pain i'm having, i have been n so many car accidents n wonder if the pain was there the whole time n i didnt' know cuz i was on heroin or oxy's ??? but now, it hurts so bad n i just took a vicodin so i guess i'm a ginny pig gonna find out what happens i just took suboxone 8 hrs ago n 8 mg's i'm suppose to take 3 8mg's a day but got myself down to 1, i have arthiritis n my back n a big whole dont' know wat is wrong there but i will def let ya know how taking this vicodin works out hope no withdrawls :) n i'm not taking to get high i just want the pain to go away :( any help i would appreciate as well tyvm
I have started Suboxone about 2months ago. it was o.k in the beginning. Buts as days went by I was getting in a lot of pain. First I was put on Oxy's for a bad neck and was taking them for over two years. Well of course I got addicted, you cant help that your body builds a tolerance to them. I was the one wanting off of the crap. When my doctor got me on Suboxone all of a sudden I was treated like a druggie??? The doctor didn't even want to listen to my pain any more. Now I have turned to something worse, I am taking my suboxone but I am also sorting stuff now. I have never used any kinds of drugs in the past, and I am 42 years old. Not even as a kid did I do any type of drug. what have i gotten my self into??? HELP ANY ONE
Rofl..What a joke..were all in here talking about suboxone because we have an opiate problem. We obviously CAN'T take ANY rx opiates or we wouldn't be here. But to comment on another question..pain WON'T kill you. Suck it up move on.
Robert325, I asked u a few questions a long time ago about suboxone and you gave me a link to your write up and documents that were unbelievably helpful. My situation is similar here though I cannot take ibuprofen anymore due to an ulcer. But there are many days lately that I just cant take it and have to take one. Can u tell me what I can take that will help? I have so many issues; fibro, arthritis, sjogrens syndrome, degenerative disc disease with cervical fusion surgery already, on top of now... ulcer pain! Can you help? What can I take that works like ibuprofen?
yes being pain is no joke when people don't understand the ones are not in pain and take the pain. Medication to get high
That's right
I've had 0 problems my pain dr has helped me tremendously. He does have 0 tolerance if you mess up though
I've had 0 problems my pain dr has helped me tremendously. He does have 0 tolerance if you mess up though
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- Suboxone uses and safety info
- Suboxone prescribing info & package insert (for Health Professionals)
- Side effects of Suboxone (detailed)
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