Doctor insights on:
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 moreSee 5 more doctor answers
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 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 moreSee 4 more doctor answers
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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
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
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?
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
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