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Doctor insights on: Suboxone Medication

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Dr. Kevin Passer
405 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


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I have chronic pain syndrome and on the medication suboxone. They refuse to give me sleeping medication. I have tried everything! &cant sleep. Now what?

I have chronic pain syndrome and on the medication suboxone. They refuse to give me sleeping medication. I have tried everything! &cant sleep. Now what?

Anxiety/ depression?: Often people with chronic pain have issues with anxiety and/or depression due to their health status. They report waking up in the night and not being able to go back to sleep. They also report that their mind is working overtime at night thinking about stuff they have no control over at the time. If this is the case, you may try a medication like zoloft (sertraline) and you may find you are sleeping better. ...Read more

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I am seeking information on a medication called Suboxone can you tell me about it?

Opiate addiction: Suboxone is used for opiate withdrawal and can only be prescribed by specially licensed physician. First you need to be in withdrawal before starting. It is an opiate agonist antagonist and a good alternative for treatment of opiate addiction. ...Read more

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Botox injection in rectum and on medication called Suboxone which they want me tapper this medication and take the pain medication does it hurt after?

Botox injection in rectum and on medication called Suboxone which they want me tapper this medication and take the pain medication does it hurt after?

Yes, it does: Buprenorphine will block the pain-relieving effects of other opioid drugs (like morphine, oxycodone etc.) and if your doctors anticipate that you are going to have moderate to severe pain, the recommendation is to stop the Suboxone 2-3 days before, so that their pain medicines will work. Talk to your Suboxone prescriber about coordinating care with the people treating your anal problems. ...Read more

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What medication is used to get off of suboxone?

What medication is used to get off of suboxone?

Unfortunately: Only a stepped reduction with non narcotic medication on a prn basis. After weaning is complete, Naltrexone may be added to get rid of symptoms more quickly. ...Read more

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Need help with how much of my first suboxone dose I should take having such a low tolerance to any type of medication. Please help!

Need help with how much of my first suboxone dose I should take having such a low tolerance to any type of medication. Please help!

Seems odd: If someone is on suboxone, they have had an addiction history with taking narcotics. Can the person have a "low tolerance" to the abused medication?
The standard dosing is about one TENTH the average final dose of suboxone (2 mg versus 16). So, going with teh standard dose of 2 and rapidly increasing would be quite safe (except for possible withdrawal from prev narcotics). ...Read more

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I've been off Suboxone over a month now with no relapse, how long til my body reacts to medication normally? I feel like I don't get the most out ofrx

I've been off Suboxone over a month now with no relapse, how long til my body reacts to medication normally? I feel like I don't get the most out ofrx

Am not sure what you: Mean by not "reacting to medication normally." the Buprenorphine will have no effect on your other medications - adderal, Buspar (buspirone) and klonopin, so stopping it will not change anything either. It is an opioid, and doesn't change your reaction to the other medications in any way that I am aware of. I hope you are getting enough psychosocial support to remain off opiates. Good luck. ...Read more

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Suboxone and grapefruit does it make the medication stop working? I like grapefruit and remembered that it interacts with some medications.

Suboxone and grapefruit does it make the medication stop working? I like grapefruit and remembered that it interacts with some medications.

Use Caution: Grapefruit juice is an inhibitor of the enzyme (cyp3a4) responsible for the metabolism of Buprenorphine (opioid component of suboxone), however, even though there are no reported problems with this juice, I suggest that you limit or omit use of grapefruit juice while you are on suboxone. ...Read more

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Hello, it's been four days. And I can't feel the pain medication prescribed. Since I was on Suboxone prior. It seems it's still in me for some reason.

Hello, it's been four days. And I can't feel the pain medication prescribed. Since I was on Suboxone prior. It seems it's still in me for some reason.

Be Patient: The half-life of Suboxone in the body is up to 2 days so it may still be in your system and affecting the new pain medication you are taking. I recommend giving the new medication more time to see if it becomes more effective. You should speak with your prescribing health care provider further about this. ...Read more

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Is the 2mg film strip Suboxone used in tapering a patient's dosage to the point of totally doing without the medication?

Is the 2mg film strip Suboxone used in tapering a patient's dosage to the point of totally doing without the medication?

Yes: You can even cut that in half or quarters. Eventually some patients can get onto Naltrexone or vivitrol which is just an opiate blocker and not a replacement. ...Read more

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Is it safe to take buspiron 15mg twice a day And suboxone 8mg/2mg one film twice a day? I was prescribed the medications but read it can cause death?

Is it safe to take buspiron 15mg twice a day And suboxone 8mg/2mg one film twice a day? I was prescribed the medications but read it can cause death?

Dosage OK, check MD: The dosages you mention are within appropriate limits. Side effect list on any opiate medication will list death as a possibility, don't get too alarmed. You need to check with your prescribing MD re interactions and tell him/her ALL meds and supplements you are taking. It is critical that you follow dosage directions EXACTLY with medications of this type. Good luck! ...Read more

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I started Suboxone today and my heart is beating really fast and I have anxiety. Is this normal with the medication?

I started Suboxone today and my heart is beating really fast and I have anxiety. Is this normal with the medication?

No: But idiosyncratic reactions, those peculiar to one individual's physiology, may always occur. My best guess is that the dose is not enough to replace whatever opioids you were using, and that the rapid pulse is a sign of withdrawal. Are you still having other symptoms - stomach cramps, sweating, gooseflesh, muscle/joint pains etc? Talk to the prescribing physician about your symptoms. ...Read more

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I'm on Suboxone can I take Fastin (phentermine) which is phenylethylamine. Is it safe. Its a weight medication?

I'm on Suboxone can I take Fastin (phentermine) which is phenylethylamine. Is it safe. Its a weight medication?

Combo is safe: You can safely take Fastin (phentermine) and Suboxone but there are much better, more effective and safer weight loss drugs then Fastin (phentermine). It is also safe to follow a diet and increase your exercise while taking Suboxone. ...Read more

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Could Suboxone help mdd? Perhaps in conjunction with other medications? How about for general anxiety and/or ptsd?

Could Suboxone help mdd? Perhaps in conjunction with other medications? How about for general anxiety and/or ptsd?

See below: It will. In fact, alkermes has a Buprenorphine combo drug under study for this reason. A doc is allowed to prescribe Suboxone off label for this purpose and I have seen it done several times. I'm fact any doctor can do this. As long as it is not for addiction, one does not even need a waiver. The problem is a lack of familiarity that most docs have with the meds and the regs. ...Read more

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How long before I have bone fusion surgery on my foot do I need to stop taking Suboxone so that I may use the pain medication they provide initially.?

Suboxone: This really depends on the anesthesiologist and the surgeon. Personally I do not stop the suboxone and I add an additional analgesic (I like Nucynta (tapentadol) IR) to assist with post-op pain. TENS can also be used as well as Exparel injected around the incisions. ...Read more

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What are the success rates for people using suboxone to get off of drugs for good?

It depends: Switching to Suboxone from other drugs is only part of the process. If you only trade one drug for another, that is not too beneficial.
It is going to therapy, working on recovery and using the time while taking Suboxone to deal with the issues you have either avoided or created while using, which is beneficial.
Finding support for your commitment to stay sober is the most useful part. ...Read more

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Does Suboxone show up on a drug test?

Does Suboxone show up on a drug test?

Maybe: Suboxone will not show up on most standard opiate uds. Generally the screen has to be looking specifically for Buprenorphine for it to show up. My experiance with my patients and pre employment drug screens is they have not had issues if they are only taking suboxone. ...Read more

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Does suboxone show up in most drug screenings?

No: The standard 5 or 7 drug screen does not show suboxone. The test would have to specifically look for buprenorphine. ...Read more

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Does Suboxone show on regular drug tests uboxone showing on drug test?

Does Suboxone show on regular drug tests uboxone showing on drug test?

Depends: Depends who is ordering how many panels on that drug screen. ...Read more

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How long will it take to pass a drug test if I stopped taking 4mg of Suboxone after being on it for 1yr?

5-6 days: It usually takes 5-6 days for Suboxone to be excreted. So, the urine drug screen of suboxone, may be negative after 5-6 days of the last use. Also, depends upon the tolerance developed. ...Read more

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What can happen if I take cocaine? I am on Suboxone 8mg per day. Will mixing these two drugs be dangerous?

What can happen if I take cocaine? I am on Suboxone 8mg per day. Will mixing these two drugs be dangerous?

Don't: I'm assuming you have a history of opioid dependence, since you're taking suboxone. The answer to your question is, please don't use cocaine. At the very least, it will decrease your impulse control and make you more likely to relapse on opioids. Please share this with your clinician so you can get more help for substance use. ...Read more

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Why when I'm taking my suboxone every day would it not show up on my drug test? Now the dr thinks I'm not taking it

Talk to your doctor: The screening test needs to include buprenorphine and nor buprenorphine (metabolite of Suboxone). This drug is metabolized by the liver CYP3A4. Other drugs that induce this enzyme can speed up the metabolism of Suboxone and significantly lower it's level in the blood. Some patients experience opiate withdrawal because of this. Antiseizure meds and antiviral meds are usual culprits. ...Read more

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If I took Suboxone 14days ago will it show up on a drug screen?

If I took Suboxone 14days ago will it show up on a drug screen?

Unlikely: Firstly, very few people are drug testing for Buprenorphine unless for very specific reasons, and it will not show up on the usual opiate screens. Secondly, a single dose would be unlikely to still be at detection limits 2 weeks later even if they were testing for it, unless it was a very high dose and you have an unusually slow metabolism. ...Read more

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Is it possible for me to pass a drug screen 3 days after taking suboxone?

Is it possible for me to pass a drug screen 3 days after taking suboxone?

Suboxone half life: Test for it. The test for Suboxone has to be separately ordered. It is not in most of the standard urinalysis tests for urine toxicology. It's elimation half life is between 20 and 73 hours with a mean of 37 hours. It could therefor take between 100 and 365 hours for it to leave your system, with a mean of 185 hours, or between approx. 4 days and 15 days with a mean of 7.7 days. ...Read more

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Suboxone gives me euphoria/motivatIon, so I'm satisfied with no cravings for other drugs. Once the euphoria wears off will my cravings still be gone?

Suboxone gives me euphoria/motivatIon, so I'm satisfied with no cravings for other drugs. Once the euphoria wears off will my cravings still be gone?

Depends: Subaxone is used in conjunction with counselling. Subaxone has less intense withdrawal effects and dose can be tapered off over a period with reduced craving ...Read more

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I take a drug test weekly because I am on suboxone. I come up positive for codeine every now and then. I have not taken any other substance. Help?

I take a drug test weekly because I am on suboxone. I come up positive for codeine every now and then. I have not taken any other substance. Help?

Codeine is an opiate: And therefore is tested for in many drug screens. Suboxone is a combination of buprenorphine, an opiod medication, and naloxone an opiod/narcotic reverser. Buprenorphine is metabolized differently from methadone, heroin, etc. And if you are ONLY taking suboxone, the opiate test should be negative. So I can't explain your results. Discuss with your suboxone provider:) ...Read more