Top 20 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

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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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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

Dr. Ira Friedlander
52 Doctors shared insights

Buprenex (Definition)

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