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Doctor insights on: How Long After Taking Methadone Can I Be Switched To Suboxone

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

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

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 more

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Dr. Stuart Wasser
646 Doctors shared insights

Methadone (Definition)

Methadone is a synthetic opiate used for pain control and in the rehabilitation of opiate addicts. Methadone used in rehabilitation relieves craving, suppresses withdrawal symptoms, and blocks the euphoric effects associated with ...Read more


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I'm taking 30 mg of methadone once a day & I'm waiting on ins. To approve Suboxone so I can switch over. How do I go a/b the switch the right way?

I'm taking 30 mg of methadone once a day & I'm waiting on ins. To approve Suboxone so I can switch over. How do I go a/b the switch the right way?

Suboxone induction: Your doctor will tell you how long you will need to be off Methadone before you can start your suboxone in your doctor's office during a supervised "induction" in the office to determine your daily necessary suboxone dose. ...Read more

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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?

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?

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. ...Read more

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How to switch from methadone to Suboxone in a week?

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 more

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Am dosing at 52 mg methadone. When can I switch to suboxone? How many days between last dose methadone and initiation of suboxone?

Please see a doctor: You need to stop Methadone for several days and be in full withdraw for suboxone induction. The dose for suboxone will be determined by your doctor during the induction. Please do not start it on your own. Please see a doctor asap and discuss your need. ...Read more

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What are the long term side effects of methadone? What about suboxone?

Some good ones: Methadone can lead to sudden cardiac death at high doses, half life is not as predictable, can have many drug-drug interactions. Suboxone is considered safer. If doing a risk-to-benefit analysis & the choices are staying on illicits or suboxone, the latter wins. Side effects are outweighed by its benefits in many individuals. The 10 year experience in usa limits the answer to 10 years. ...Read more

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How long will I need to be on Suboxone in order to comfortably withdrawal from methadone? I want to be normal asap.

Depends: It all depends on how long you were on Methadone and what dosage you were taking. Methadone unfortunately stays in the body for a long time, so it takes awhile to detox. Also, you can have side effects, like seizures, if you do it too fast, so I would definitely recommend going slower rather than rapidly, just to be safe. ...Read more

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How long until this Suboxone makes me feel better? (methadone before hand)

How long until this Suboxone makes me feel better? (methadone before hand)

Methadone->Suboxone: Transitioning from Methadone to suboxone can be challenging but possible with the right planning on the part of the physician and the patient. It is not advised to jump into suboxone from methadone. Frequent dose adjustment is often needed. Precipitated withdrawals are not fun for he patient or the treater. In certain cases can take up to a week for a successful transition/induction. ...Read more

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How much time do I need to wait to take Suboxone after taking methadone?

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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Hi there does taking methadone or suboxone make you more tolerant to alcohol? Thanks

Hi there does taking methadone or suboxone make you more tolerant to alcohol? Thanks

No!: It actually is expected to increase ALL the effects of alcohol - the ones you might want and others too! It is absolutely not recommended for you to drink during Tx. Talk to your Doc about it and how to manage this and other difficult parts of getting straight. You deserve to feel supported and good about doing this. ...Read more

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Can I take a Suboxone 5 hours after a methadone?

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

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Is it helpful if I used Suboxone to get off of methadone?

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

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What is the average theraputic methadone dosage? What about suboxone?

What is the average theraputic methadone dosage? What about suboxone?

It depends....: Methadone about 60-120 mg suboxone about 8-12mg. Your actual dosage has to be carefully determined by your treating md as our responses to meds differs because of genetics and other factors. ...Read more

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

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

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. ...Read more

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What can I expect being 16 days off methadone (after 7 yrs) and 1st day of suboxone?

May be withdrawal: You might experience some opioid withdrawal effects such as sweating, headaches etc. It depends on the dose of Methadone you were on too. ...Read more

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I'm on 5mg methadone and have been on for ten years or more and thinking about suboxone. Will it work for me do u think?

Better: Suboxone is a much safer, better tolerated medication and methadone. I personally feel that we should use Methadone for Rehab anymore. ...Read more

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I was on methadone for 9 years. I haven't taken itfor close to 5 yrs. I'm on suboxone and I ocassionally fail for methadone. Why would that happen?

It shouldn't: Tests for methadone are generally quite reliable with very few false positives. However, chlorpromazine (thorazine) and some related drugs, as well as benadryl (diphenhydramine) may give false positive screening tests. However, ALL screening tests should be confirmed with definitive tests and those should ALWAYS be able to tell the difference between false positives and true positives. ...Read more

Dr. Kevin Passer
400 Doctors shared insights

Suboxone (Definition)

Suboxone is semi-synthetic opiate compound. At higher doses, it is used to treat opioid addiction. In lower doses, suboxone can be used to control moderate acute pain in non-opioid tolerant individuals and ...Read more