Doctor insights on:
Expect Methadone Suboxone
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. ...Read moreSee 2 more doctor answers
Probably not: It is much less complicated to transition from suboxone to Methadone than from Methadone to suboxone. To move from Methadone to suboxone the patient must be on 30 mg of Methadone or less. There is still a risk of suffering symptoms of withdrawal when transitioning from Methadone to suboxone. The use of suboxone to avoid withdrawal from Methadone is preferable to stopping Methadone abruptly. ...Read more
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. ...Read moreSee 2 more doctor answers
That depends on how: Long you were on Methadone and on what dose. Suboxone (buprenorphine) will precipitate withdrawal in people who are dependent on other opioid drugs. Methadone is very long-acting, and precipitated withdrawal can occur even days after your last dose if you were on Methadone long-term. Tapering Methadone down to 30 mg or less, and waiting 2-3 days (until withdrawal is present) is safest way. ...Read more
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