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A 29-year-old female asked:

Would you personally, or do many doctors allow their patients to start suboxone if they're currently at 40mg of methadone almost daily?

2 doctor answers8 doctors weighed in
Dr. Alan Wartenberg
A Verified Doctoranswered
Addiction Medicine 51 years experience
Depends: If you can go 2-3 days without methadone, to the point where you are feeling at least mild withdrawal, then Suboxone is usually tolerated, but i would go to a prescribing physician who has experience with this. I usually give patients transferring an initial very low dose (1-2mg) rather than 4 mg to make sure it doesn't make withdrawal worse.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Brian Le
Dr. Brian Leanswered
Pain Management 19 years experience
No: You need to stop Methadone for several days and be in full withdraw for Suboxone induction. Mixing Methadone and Suboxone would cause withdrawal. The dose for Suboxone will be determined by your doctor during the induction. Please see a doctor asap and discuss your need.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 23, 2017

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