I guess what I was really wondering is if there is any advantage to taking one or the other? Is withdrawal from methadone easier with subutex? Someone told me that you could take subutex sooner than suboxone -- that you didn't have to wait as long?
This is the answer I gave last week to a similar question, and I think it still applies:
I began a taper from pain meds (Vicodin/Norco/Fentanyl/Dilaudid, etc.) (began at 24 mg) with Suboxone and had some pretty intense opiate withdrawal symptoms, which included some stomach pain, but more nausea. Leg cramps have been awful. I also had really horrible fatigue and swelling in my ankles, which have continued throughout my taper (I'm now at 4.5 mg.). I must tell you that I switched from Suboxone to Subutex at the beginning of last week - actually, the doc was seen and the RX was written at the beginning of last week, I just started the new medication Thursday. And I have to tell you that it is absolutely indescribable how I felt the next morning when I woke up (after a full 8 hours of perfect sleep). I am recovering from 4 spinal surgeries in the past 6 months and my back DOES NOT HURT today - no pain whatsoever. No nausea, reduced anxiety... my ankles are almost reduced to their normal size. And this sounds funny, but I am sitting in an office - that has fans all over it because I am always so hot and sweating - with a sweater on! My point (yes, I do have one) is that there are about 15% of the people assisted (by an uncredited genius operating) on this forum that are adversely affected in some, or many ways, by the Naloxone contained in Suboxone. Subutex contains no Naloxone. I feel that I am definitely one of that percentage and am so grateful I took a chance, and a financial risk, and gave the change to Subutex a try. Today's a whole new world.
Subutex would help you come off the methadone. The naloxone in the suboxone will block the methadone which will give you major withdrawal symptoms at first. Meaning the suboxone will not help you while you still have methadone in your system. The subutex will help you transition from methadone to suboxone. The suboxone has helped my pain become manageable and has also helped the addict in me by helping tremendously with my cravings for opiates (painkillers). Subutex is very helpful with pain management and also with methadone withdrawal. Subutex can be a maintanence program if you are looking to come off all opiates. Suboxone also works in the same way as subutex does. Suboxone just has the naloxone in it which reverses the side effects of narcotic drugs.
In my experiences I went into withdrawal b/c I had methadone in my system from the day before b/c I had taken suboxone which has the naloxone in it. The subutex did not have the same effects due to the naloxone being absent from the subutex. There really isn't much of an advantage from one or the other you just need to make sure there are no other opiates in your system while taking suboxone. Talk with your doctor about your feelings towards the whole situation and he/she will be able to inform you what may be the best choice for you. Once again subutex will help you transition from methadone to suboxone. Suboxone helped the addict in me alot more than subutex did. Thats just my story and my opinion everyone is different. Your doctor can help you more sufficiently. Always be 100% honest with your doctor when looking to take any of these drugs. -Naleek2-
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