United Kingdom (Great Britain)
A 42-year-old female asked:
Am now on 30ml methadone for fibromyalgia, i have long qt, my doc wants to put me on subutex but it's not good for pain though. what to do?
2 doctor answers • 4 doctors weighed in
Dr. Dheeraj Rainaanswered
Psychiatry 31 years experience
Tough/Simple choice: In such circumstances, unfortunately the choice is straightforward but tough. Doc would be irresponsible not to taper off Methadone given that there's now increased risk of dying from an irregular heartbeat. If Methadone is only thing that worked for pain this could be scary but really the choice is between partial pain control vs death. Keep your doc informed of your concerns. Hope this works out.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
Dr. Chevies Newmananswered
Obstetrics and Gynecology 24 years experience
Subutex does help: Pain. Not as good as Methadone but for fibromyalgia? You need a dimensional approach. Sleeping at night or grinding teeth during sleep? If so, low dose med for sleep can be huge for pain. An snri, like cymbalta, (duloxetine) different mechanism for pain control, in conjunction w/subutex, low dose Clonazepam at night, gabapentin, may get better relief of fibromyalgia by helping pain, mood and anxiety.Gdluc.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
Last updated Sep 21, 2015
People also asked
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
$44 video appointments with $19/month membership*
*Billed $57 every 3 months. Cancel anytime.
Disclaimer:
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.
