can i take a suboxone 5 hours after a methadone?

Question

I been off methadone for 5 days. Starting Suboxone maintance tomorrow. Will the blocker in Suboxone make me feel sick if methadone is still in me?

Answer 1

No!!!: It could lead to respiratory arresr!

Answer 2

Avoid: These medications should not be mixed. Serious side effects can occur.

Answer 3

Not Here: This is a complicated question which requires the input from an a physician experienced in such things. There is no easy answer. It can be anywhere from 48 hrs to 1 week, depending on many things. Do not try it youself.

Answer 4

Methadone transition: Of course the risk is that with longer-acting opiates ( Methadone being one) there will be withdrawal precipitated with the transition to suboxone. It has an opiate antagonist in it - which makes the idea of abusing opiates much more unattractive (in addition they will provide no euphoria). Typically patients are encouraged to be in full withdrawal before switching over to the suboxone, ? 3 days.

Answer 5

Switching: Why switch? Both are addictive and have withdrawal symptoms. Methadone is longer acting, and Suboxone has less withdrawal which is why it is used for all opioid withdrawal, including addition to methadone. The object is to get off comfortably with tapering doses, till the drug is out of your system. That is the goal, not switching.

Answer 6

3-4 days: Because Methadone is long acting and Suboxone requires that a person be in moderate withdrawal it takes longer. Taking Suboxone sooner risks what is called "precipitated withdrawal" this happens because the active ingredient Buprenorphine only partially stimulates the opiate receptor, if to much Methadone is still there it "kicks it off". Once in withdrawal however it occupies an empty receptor.

Answer 7

Depends: You have to wait until you are in significant withdrawal, maybe a day or two depending on dose and time of use of methadone. A scale called cows scale can help guide when the objective signs of withdrawal are sufficient for suboxone. The risk with taking suboxonw before withdrawal is inducing a terrible, instant withdrawal as Suboxone kicks Methadone out of the receptors instantly.

Answer 8

At least 24hrs...: Decease dose of Methadone slowly to 30mg daily and then when you are having fairly obvious opioid withdrawal symptoms about 24hrs or more after stopping Methadone start Suboxone 2mg - 4mg dose. If this is attempted earlier and the Methadone is still not fully detached from the opioid receptors Suboxone will precipitate pretty bad opioid withdrawal symptoms.

Answer 9

Both work: Methadone is only available at special clinics, and is generally less expensive. Suboxone is available from authorized physicians; you may find one at the Buprenorphine web site.

Answer 10

SUBOXONE: I would definitely go for the suboxone. It is a superior therapy in my opinion.

Answer 11

Pain or detox: Both are used for opioid detoxification. However, Methadone is a long acting opioid also used in treating chronic pain. Suboxone can only be prescribed by a qualified physician trained in its use.

Answer 12

Suboxone: I recommend Suboxone over Methadone for several reasons. Methadone is what's known as a "full agonist" which means it stimulates the opiate receptors in the pleasure centers of the brain resulting in much more euphoria and addictive potential as opposed to suboxone. One must go to a special clinic for methadone, not the case for suboxone. I've had patients die from methadone, never from suboxone.

Answer 13

Please see physician: Sorry -- your previous message said "meth, " which sounded like methamphetamine -- plus opiates since you asked about suboxone. Your best bet would still be to see a psychiatrist who is also board certified in addiction medicine. You can search for your locale at: http://www.Abam.Net/find-a-doctor/ not all addiction medicine specialists are psychiatrists, but a good many are. Good luck to you.

Answer 14

Addiction medicine: You need to talk to an addiction medicine specialist. They are the only physicians who can prescribe Suboxone anyway.

Answer 15

Very Complicated: The guidelines for switching someone from Methadone to Suboxone are complicated and very specific. You need to be down to 30 mgs of Methadone per day for at least one week, then completely off Methadone for at least another week before taking the first dose of suboxone. Otherwise, taking Suboxone will cause severe opiate withdrawal symptoms. Methadone stays in the body a very long time.

Answer 16

Methadone: Best advice is to talk with the prescribing doctor about a plan to taper/switch. It is not complicated as long as u r supervised & motivated to recover.

Answer 17

Carefully: Before you can be switched to Suboxone you have have to be tapered to 40 mgs daily and allowed to go into medically supervised withdrawal. Methadone says in your system a long time so it is important you be followed closely, Suboxone will be started when appropiate.

Answer 18

It depends: If your dose is low than you can go straight onto it. However, if you are using more than 60 mg., than it could be extremely difficult to make this change in a week no matter what protocol is used.

Answer 19

UNLIKELY: Most likely cannot do this has the amount of time it takes for Methadone to clear your system will be more than a week unless dose is very low. The problem is that the Suboxone will put you into withdrawal if you are not already clear of the methadone. Feels really bad. That said i think that Suboxone is a terrific treatment better and easier than methadone. Hag in there and good luck!

Answer 20

Some guidelines: You should not try this on your own, rather, you need an experienced practitioner to help make the switch. It can be quite tricky. The guidelines are to be on 30 mgs of Methadone or less for at least one week, then completely off Methadone for at least another week. The Methadone remains in one's system for three weeks, so the Suboxone needs to be started at a low dose and increased very slowly.

Answer 21

A day?: If you are taking Methadone and are switching to suboxone, you just switch over (the doc prescribing it should be able to calculate an approximate dose). The goal is to not have you withdraw, so you switch over from Methadone one day to Suboxone the next. There may have to be some dose adjustments after that, but you just stop one and start the other at first.

Answer 22

Methadone & Suboxone: You need to stop Methadone for several days and be in full withdraw for Suboxone induction. Mixing Methadone and Suboxone would cause withdrawal. The dosage for Suboxone will be determined by your doctor during the induction. Please see a doctor asap and discuss your need.

can i take a suboxone 5 hours after a methadone?

Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Similar questions

How long after taking methadone can I be switched to suboxone?

What are the advantages and disadvantages of using methadone vs suboxone?

I want to stop taking methadone iam on 125mg I want to switch to Suboxone as soon as possible how can it be done with no withdrawals?

How to switch from methadone to Suboxone in a week?

How long do I have to be off 31 mg of methodone before taking suboxin iam on 31 mg of methodone?

Related questions

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

People also asked

Disclaimer:

Get the free app for Members

Get the free app for Doctors