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Doctor insights on: Buprenorphine

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Dr. Stuart Wasser
199 Doctors shared insights

Buprenorphine (Overview)

Buprenorphine is a leukotriene inhibitor which is a kind of asthma drug (lung drug).


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What are the differences between buprenorphine, methadone?

What are the differences between buprenorphine, methadone?

C below: Bup is a partial agonist which means it has a ceiling effect and alsi it can not be combined with other opioids. It will last longer in the body. Methadone is a full agonist with no ceiling effect and it can be used with other opioids and lead to overdose. Meth has more endocrine effects, cardiac effects, respiratory effects. There are also more laws restricting meth's use. ...Read more

Dr. Stuart Wasser
199 Doctors shared insights

Buprenorphine (Overview)

Buprenorphine is a leukotriene inhibitor which is a kind of asthma drug (lung drug).


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How much buprenorphine do you take to feel high?

How much buprenorphine do you take to feel high?

You don't: Use it for this reason although some feel high at modest doses. ...Read more

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How do you get off 2mil of buprenorphine?

How do you get off 2mil of buprenorphine?

Right thing to do?: First decide if its the right thing to do. Taper to the lowest possible dose. Will have withdrawal symptoms even at the lowest dose but be less intense. Your doctor can prescribe various short-term medications to help deal with specific symptoms of withdrawal. There is no right or wring answer and do not hesitate to incorporate things such as acupuncture and other holistic measures. ...Read more

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I am taking buprenorphine, however, I ran out 3 days ago. I used clonazepam to keep from relapse. I have a drug test in morning, should I tell my dr?

Yes you should tell.: Drug tests vary based on what test is being required by employer or others. Sometimes benzodiazepines will be tested for and it is best you provide a prescription for your medications prior to testing including both Buprenorphine and clonazepam.
Clonazepam may not be the best agent to prevent relapse if you are chronically on buprenorphine. ...Read more

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If subutex is buprenorphine why doesn't it work for pain? It's used for addiction but what's the difference?

If subutex is buprenorphine why doesn't it work for pain? It's used for addiction but what's the difference?

It does work fo pain: It can be and is prescribed for pain, but in the absence of the Naltrexone component of suboxone, it will be fraught will all the problems of any other narcotic, including gradual escalation of dose to achieve the same effect. ...Read more

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Can you please help me to understand how buprenorphine works with your bodies receptors for pain control, not opiate addiction?

Buprenorphine: Buprenorphine, as marketed as butrans, is a potent opiod analgesic medication with the analgesic effect coming from partial agonist activity at mu opioid receptors. It is also an antagonist at kappa opioid receoptors, an agonist at delta receptors, and a partial agonist at orl-1 (nociceptin) receptors. Its binding affinity to the mu recetors is very high, and overdose cannot be easily reversed. ...Read more

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I am currently taking xanax, (alprazolam) 2 mgs daily, and want to start Suboxone (buprenorphine) treatment, at a low dose. Is this combination safe?

I am currently taking xanax, (alprazolam) 2 mgs daily, and want to start Suboxone (buprenorphine) treatment, at a low dose. Is this combination safe?

Yes.: It sounds like your question is the safety of the combination, not the wisdom of it. If you are currently addicted to opioids—the only reason to start Suboxone—Suboxone is a safe replacement for the opioid. Discuss Xanax (alprazolam) use with the doc treating your addiction. Good luck. ...Read more

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Is there any side effect of taking buprenorphine for a breastfeeding mother?

Yes: Buprenorphine is a narcotic. It can pass into the breast milk and be passed to the baby. It is not recommended for lactating women. ...Read more

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Father 90, buccal mucosa cancer, hospice, to control pain giving buprenorphine 0.2 mg sublingual but side effects restlessness, agitation, how control?

hospice care: Sorry to hear about your father. Care is individualized on multiple factors including cancer type, stage, age of patient, and performance status. I would discuss this with his hospital team. Pain management is an area the hospice team specializes in. ...Read more

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I stopped taking buprenorphine a week ago 1mg/day been taking it for 6 yrs. I have insomnia, pain & nausea. How long will my withdrawals last?

I stopped taking buprenorphine a week ago 1mg/day been taking it for 6 yrs. I have insomnia, pain & nausea. How long will my withdrawals last?

Try a slower taper: I tell my patients to go down
to 1/2 mg a day for a while before they stop completely. After that, symptoms are less severe, more tolerable and when they eventually stop altogether it can take 2-4 weeks for the withdrawals to stop completely, but they are milder and more tolerable. A lot depends upon how long you've been on it of course. ...Read more

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What is the treatment for buprenorphine overdose?

What is the treatment for buprenorphine overdose?

Narcan (naloxone): Buprenorphine overdose is a very rare occurrence due to the "ceiling effect" of its dosing. The hire the dose, the less effect is added once the dose goes beyond 16-24 mg. This is why it it so much safer than Methadone which does not have this ceiling effect. The treatment for overdose of Buprenorphine is the same for all opiates/narcotics-- Narcan (naloxone) (nalaxone) asap! ...Read more

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Where can you get buprenorphine?

Buprenorphine: This is a controlled substance and is available on the order of a physician or other licensed practitioner who can write scripts. ...Read more

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What is buprenex (buprenorphine)?

Buprenex (buprenorphine): It is Buprenorphine used in high doses >2mgm to control moderate acute pain in non opoid totrant patient in lower deses. It is also used in high doses sublingually for detoxification and long term replacement therapy in opoid dependance patients. It is marketed under name of soboxone or subutex, and the drug is now used for that purpose in us. Long term replacement or detox therapy in opoid dependant. ...Read more

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What is buprenex (buprenorphine) for?

Buprenex (buprenorphine): It is Buprenorphine used in high doses >2mgm to control moderate acute pain in non opoid totrant patient in lower deses. It is also used in high doses sublingually for detoxification and long term replacement therapy in opoid dependance patients. It is marketed under name of soboxone or subutex, and the drug is now used for that purpose in us. Long term replacement or detox therapy in opoid dependant. ...Read more

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What is buprenex (buprenorphine) used for?

What is buprenex (buprenorphine) use: For opoid dependant patients for replacement therapy ot for detoxification purposes. ...Read more

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How do you get off 2mil of buprenorphine?

Right thing to do?: First decide if its the right thing to do. Taper to the lowest possible dose. Will have withdrawal symptoms even at the lowest dose but be less intense. Your doctor can prescribe various short-term medications to help deal with specific symptoms of withdrawal. There is no right or wring answer and do not hesitate to incorporate things such as acupuncture and other holistic measures. ...Read more

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How does buprenorphine work in the body?

On Opiate receptors: It works an mu receptor, to reduce pain, or prevent withdrawal from pain killers, and it blocks kappa receptor to reduce issues with respiratory depression. ...Read more

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How much buprenorphine do you take to feel high?

You don't: Use it for this reason although some feel high at modest doses. ...Read more

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Why would anyone test your levels of buprenorphine?

BUPRENORPHINE: This is an opioid like drug that is controlled. As such if you are on it we need to verify use and presence in Urine and or blood. ...Read more

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I am currently on buprenorphine 2 mg., I was taking 1/2 the dose to make it las for my next appt I'm having withdraw symptoms any advice?

Why are you running: Out, unless you were taking more than you should? Suboxone/subutex are meant to be used by people who are responsible and can manage a prescription. For those who have problems doing that, clinics dose daily and don't give take-home doses until you demonstrate responsibility.
There are medications, like pepto bismol, benadryl (diphenhydramine) and ibuprofen that can treat many withdrawal symptoms, clonidine helps. ...Read more

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What is buprenex (buprenorphine) liquid?

Pain medication: It is a semi synthetic medicine used for pain. Its used in non opiate tolerant individuals. ...Read more

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What are the differences between buprenorphine, methadone?

C below: Bup is a partial agonist which means it has a ceiling effect and alsi it can not be combined with other opioids. It will last longer in the body. Methadone is a full agonist with no ceiling effect and it can be used with other opioids and lead to overdose. Meth has more endocrine effects, cardiac effects, respiratory effects. There are also more laws restricting meth's use. ...Read more

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Can you tell me about the drug buprenorphine hydrochloride?

Buprenorphine: This is a medication commonly used to treat opiate addiction, but is sometimes given for chronic pain. When used for opiate dependence it take the place of the abused opiate and is then slowly decreased. If you are needing treatment with buprenorphine then I would recommend naabt. Org to assist in finding a physician allowed to prescribe it. ...Read more

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Instead of methadone I am going on buprenorphine. Is that ok?

Instead of methadone I am going on buprenorphine. Is that ok?

Probably: But if you have a high tolerance, you may not be satisfied and you may have precipitated withdrawal. ...Read more

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Can you tell me how butrans (buprenorphine) patches affect you?

Butrans: It is used a pain medication. IT has all the cautions and side effects as other opioids - nausea, constipation, respiratory depression, abuse potential etc... ...Read more

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What is the definition or description of: Buprenorphine overdose?

Buprenorphine OD: Buprenorphine (Buprenex®, Suboxone®, Subutex®) is an opioid medication that is used to treat narcotic addiction. It has also been used for the treatment of pain. Overdose symptoms can include pinpoint pupils, sedation, weakness, clammy/cold skin, fainting, slow heart rate, weak pulse, slowed breathing to no breathing, low blood pressure and death. ...Read more

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How long should I wait to drink achoal after I stop taking buprenorphine/ I stop taking it yesterday

Wait wait wait: Going from one habit forming substance to another creates a viscous cycle. Even if one never had a liking to alcohol, it shares the same brain circuitry pathway as all other drugs, including buprenorphine. The brain will find this rewarding and will ask you for more and next thing you know a second problem is created. ...Read more

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I have some buprenex (buprenorphine) but I do not want to inject it. Can it be used orally or anally?

Buprenorphine helps: Buprenex (buprenorphine) is useful for detoxification. Injecting it is not useful for that purpose. Standard use is sublingual (under the tongue, to be absorbed by the veins under the tongue). Consult your physician about using Buprenorphine for detoxification and/or maintenance. You might also consider attending a meeting of narcotics anonymous. ...Read more

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Buprenorphine patches im on 105 mcg per hour 4 day patches and have been on this dose for over 3 years. Will I suffer cold turkey if I stopped. Or whi?

Yes: Butrans® (buprenorphine) is an opioid agonist and you will develop withdrawal symptoms if stopped cold turkey after using the medication for three years. A gradual downward titration of the dose every 7 days is recommended to prevent signs and symptoms of withdrawal. ...Read more

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Is Suboxone (buprenorphine) derived from opium?

Suboxone: No it is not drive from opium, opium is a natural occurring plant that produces, among other things, heroin. Suboxone is a purely manufactured synthetic drug. It has a unique properties. It blocks certain opiate receptors and acts as a analgesic or pain medicine. It was first developed as a pain medicine but it's now used exclusively to stabilize people addicted to opiates. ...Read more

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Can I buy librium, chlordiazepoxide, or buprenorphine online?

Can I buy librium, chlordiazepoxide, or buprenorphine online?

Not legally: All of the above are controlled substances. Buprenorphine is even more controlled: the md should have a special license. Look at www.Suboxone.Com - they have a list of providers licensed to prescribe this medication. ...Read more

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Why did I give a negative urine for buprenorphine when I never miss my does?

Neg: Lab error. The problem is that most providers are going to fear that you are diverting your medication. If your physician is not wanting to continue your treatment because of the negative test then offer to be retested. The reality is that doctors that prescribe buprenorphine are monitored by the DEA and they must be vigilant about diversion or lose their prescribing ability. ...Read more

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My pet was prescribed buprenex (buprenorphine) so can I use this to ween myself off opiates?

Absolutely Not: Veterinary medicines do not have the same purity as human medicine-they are not intended for human consumption. In addition, one must never take a drug prescribed for someone else (human or animal). ...Read more

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Can I take gabapentin with buprenorphine?

Can I take gabapentin with buprenorphine?

Yes: Both can cause sleepiness and edema, but they have been prescribed together and patients have gotten benefit. ...Read more

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What is the treatment for buprenorphine overdose?

Narcan (naloxone): Buprenorphine overdose is a very rare occurrence due to the "ceiling effect" of its dosing. The hire the dose, the less effect is added once the dose goes beyond 16-24 mg. This is why it it so much safer than Methadone which does not have this ceiling effect. The treatment for overdose of Buprenorphine is the same for all opiates/narcotics-- Narcan (naloxone) (nalaxone) asap! ...Read more

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Does buprenorphine bind to mu receptors better than tramadol?

Yes, but...: In test tubes, buprenorphine binds to mu opiod receptor more avidly than does tramadol. But analgesia is a very different concept, and depends on nature of pain, chronicity of it, dose and duration of drug, and individual genetic characteristics (such as expression of splice variants of mu opiod receptor). For some people tramadol is better analgesic; for others, the reverse. ...Read more

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What is the definition or description of: Buprenorphine allergy?

Buprenorphine: Buprenorphine (Buprenex®, Suboxone®, Subutex®) is an opioid medication that is used to treat narcotic addiction. It has also been used for the treatment of pain. Allergic reactions could include swelling of tongue, throat, lips, mouth, face, hives or difficulty breathing. ...Read more

Dr. Andrew Berry
52 Doctors shared insights

Buprenex (Definition)

Buprenex is a that can both increase and decrease narcotic effects which is a ...Read more