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Doctor insights on: Would Adding Clonazepam To Methadone And Oxycontin Help My Pain Control

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Would adding clonazepam to methadone and oxycontin help my pain control?

Would adding clonazepam to methadone and oxycontin help my pain control?

Methadone and oxycon: Firstly both Methadone and Oxycontin are long acting - i would ask why are you taking two long acting medications together. Secondly the use of benzodiazepines such as cloeazepam are not recommended with Methadone - there have been reported deaths from this combination. ...Read more

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Dr. Donald Jacobson
827 doctors shared insights

Clonazepam (Definition)

Klonopin (clonazepam) belongs to a class of medications called benzodiazepines. They are also referred to as sedative-hypnotics & anxiolytics. These medications are used for a variety of indications to include anxiety, insomnia, muscle spasm, seizure, & alcohol withdrawal. All benzodiazepines including Clonazepam are potentially habit forming. Alcohol should be ...Read more


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I take oxycodone and dilaudid for chronic pain. Would Suboxone help me to get off the narcotics?

I take oxycodone and dilaudid for chronic pain. Would Suboxone help me to get off the narcotics?

Yes: Subaxone with psychilogical conuselling will be the best option for treatment of opiod dependence if pregnancy is not a consideration. ...Read more

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Can I use oxycodone to help the withdrawal from 17yrs of methadone use daily, my Goal is to be off methadone, I have tried suboxone but relapsed. Ty?

Can I use oxycodone to help the withdrawal from 17yrs of methadone use daily,  my Goal is to be off methadone, I have tried suboxone but relapsed. 
Ty?

Bad idea: Hard to get good help though if you have been getting it on the street. I suggest you keep at the suboxone. It is your best bet outside of a methadone clinic or seeing a specialist in addiction medicine. ...Read more

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Would taking hydrocodone help with the withdrawal if i quit taking methadone?

Comples Question: There are many possible ways to withdraw from methadone. However, most are dependent on many factors specific to the patient. I recommend you consult an addictionologist or your pcp for advise specific to your situation. ...Read more

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Can Ultram help when stopping your methadone?

Can Ultram help when stopping your methadone?

Depends: The best way to stop Methadone is a slow taper. Depending on starting dose this could take weeks/months. If stopping low dose Methadone (10-20 mg per day) then tramadol 50-100 mg every 6-8 hours might alleviate some withdrawal symptoms. ...Read more

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What would give better pain relief, I am currently taking oxynorm immediate release 10mg and the doctors want to change it to oxycontin sr 10mg?

What would give better pain relief, I am currently taking oxynorm immediate release 10mg and the doctors want to change it to oxycontin sr 10mg?

Depends on the dose.: Oxycodone is available in a long acting form called oxycontin. In that form the oxycodone is released over a period of time- between 8 and 12 hours- for most patients i see it is 8 hours. Oxycodone is also available in immediate release form which generally lasts for 4 hours. So an immediate release 15 mgm tablet every 4 hours would generally be equal to Oxycontin 30 mgm every 8 hours. ...Read more

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I take oxycodone daily for back pain. Can i take a ssri in addition for anxiety/insomnia? The oxy might help with early side effects ssri's have to.

I take oxycodone daily for back pain. Can i take a ssri in addition for anxiety/insomnia? The oxy might help with early side effects ssri's have to.

Antidepressants: Are becoming a mainstay in the treatment of many chronic pain conditions, even when depression is not recognized as a factor. Low back pain is one of the many conditions. Mechanism not fully understood. May increase neurotransmitters in the spinal cord that reduce pain signals. They dont work immediately. Ssri and tricyclic are commonly used. Talk to your pain physician before starting any drugs. ...Read more

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My pm doctor wants to switch me from Methadone to Nucynta (tapentadol) for fibromyalgia pain relief. I'm also taking Cymbalta. I don't feel like Nucynta (tapentadol) will work ?

My pm doctor wants to switch me from Methadone to Nucynta (tapentadol) for fibromyalgia pain relief. I'm also taking Cymbalta. I don't feel like Nucynta (tapentadol) will work ?

Research suggests: That use of narcotics in fibromyalgia may be a bad choice in the end and drugs such as Cymbalta, Savella, (milnacipran) and Lyrica offer better longterm success. Yet, the Methadone needs to be handled, and a better switch at this stage would involve suboxone. I agree with you, going to Nucynta may not be a wise decision. Try to see a pain specialist. ...Read more

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My GP is weaning me off benzos too fast, having extreme rebound anxiety. Would Lyrica (pregabalin) be good support option, and Wellbutrin to reset GABA sensitivity?

My GP is weaning me off benzos too fast, having extreme rebound anxiety. Would Lyrica (pregabalin) be good support option, and Wellbutrin to reset GABA sensitivity?

No: Lyrica (pregabalin) is sodium channel blocker. It is widely used for both paroxysmal and continuous neuropathic pain conditions such as postherpetic neuralgia and diabetic neuropathy as well as trigeminal neuralgia and atypical odontalgia. Lyrica (pregabalin) has also been prescribed as a prophylactic headache medication, but has no anxiolitic properties. Talk to your physician for medication adjustment. ...Read more

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Im suffering from lyrica (pregabalin) addiction for a year, a pharmacist adviced me to use Neurontin to get rid of lyrica (pregabalin) withdrawls. Would it really help?

Probably. : The drugs are very similar. Pregabalin (lyrica) has some habit forming potential that Neurontin (gabapentin) doesn't appear to have. We use both drugs to treat pain syndromes such as neuropathic pain, post-hermetic neuralgia; fibromyalgia, etc. Talk with your doctor about it. Good luck. ...Read more

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Is it safe to wean off of 16mg Subutex and 1mg Klonopin simultaneously within a month? I also have Clonidine and Gabapentin to help with withdrawals.

Is it safe to wean off of 16mg Subutex and 1mg Klonopin simultaneously within a month? I also have Clonidine and Gabapentin to help with withdrawals.

Tapering off meds: I would consult with a psychiatrist/addiction specialist who can provide a specific plan for tapering off those medications as well as determine for you specifically whether it would be recommended to do so within the course of a month. It can be rather uncomfortable to come off those medications if the taper is done too quickly. ...Read more

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Tapered to .66 Suboxone but relapsed on adderall (dextroamphetamine and racemic amphetamine). Would upping sub help or con to taper and on to vivitrol? Any advice. . . Thank you

Tapered to .66 Suboxone but relapsed on adderall (dextroamphetamine and racemic amphetamine).  Would upping sub help or con to taper and on to vivitrol?  Any advice. . . Thank you

More Suboxone?: It sounds like you might benefit from taking a higher dose of suboxone, but do not adjust your dose without first and always discussing with your prescribing physician. If your cravings for drugs were less on more suboxone, you may need an increase. Suboxone is not a cure. You probably need and could benefit from regular attendance at support group meetings like na. Your not ready for vivitrol. ...Read more

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Just started lyrica (pregabalin) 75mg weaning off Neurontin 300mg 4 tabs a day what can I expect if any for side effects in the weaning process?

Just started lyrica (pregabalin) 75mg weaning off Neurontin 300mg 4 tabs a day what can I expect if any for side effects in the weaning process?

Slow taper: Taper the neurontin (gabapentin) slowly, under the guidance of your neurologist. The slower your taper, the less likely you are to experience side effects, which can include tremor, irritability, agitation, anxiety, tachycardia, diaphoresis, confusion, disorientation, catatonia, and status epilepticus. http://www.medscape.com/viewarticle/722526_1 ...Read more

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Will clonoipin and Valium help me through the first 5 days of my physical addiction to opioids?

Will clonoipin and Valium help me through the first 5 days of my physical addiction to opioids?

No it won't: I agree with dr. Fowler that trying to detox yourself from opiates is a really bad idea. Also, benzodiazepines have no cross-tolerance with opiates -- so no, they won't help with opiate withdrawal symptoms. Please see either your own doctor or an addiction medicine physician. The latter than also help you get more support than pills alone. Be well. ...Read more

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What benefit will diazepam have during the time I am taking oxynorm, oxycontin, pregabalin and ibuprofen?

What benefit will diazepam have during the time I am taking oxynorm, oxycontin, pregabalin and ibuprofen?

Maybe none: I assume you are talking about fibromyalgia. You seem to be on enough meds. Diazepam usually does not have much benefit in fibro except possibly as a sleep aid. ...Read more

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I have been taking 4-5 10mg norco/day post op for 4 months.how should i taper to decrease withdrawls and will adding a SSRI help the process?

I have been taking 4-5 10mg norco/day post op for 4 months.how should i taper to decrease withdrawls and will adding a SSRI help the process?

Hydrocodone: Tapering from an opiate such as Hydrocodone from 40 to 50 mg daily could be safely and rather smoothly by reducing 10 mg daily every week. I would suggest when is down to 20 mg, to go slowly by tapering 5 mg weekly. ...Read more

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I take oxycodone for neuropathy of the feet, 5mg oxycodone effective for pain, but makes me nervous. Take 1mg klonopin (clonazepam) to help nervousness. Is it safe.I need to take both.I just want to be safe?

Yes: It seems that you have a very legitimate reason for the use of these very strong but very effective medications! As long as you are being monitored closely by your prescribing physician your use and benefit from these medications is apprioate!! ...Read more

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If I am on 30 mg sr morphine and 10mg oxycodone will i be able to go on Prozac (fluoxetine) for severe depression than you?

If I am on 30 mg sr morphine and 10mg oxycodone  will i be able to go on Prozac (fluoxetine)  for severe depression  than you?

Yes: While there are some risks when starting an anti-depressants while on opiates, your doctor should be able to monitor your progress. If you run into over sedation, call your doctor immediately. ...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


Dr. Donald Jacobson
811 doctors shared insights

Klonopin (Definition)

Klonopin is a long-acting benzodiazepine which is a kind of sleep-inducing drug (anti-anxiety drug, psychiatric drug) and a blood pressure drug which is a ...Read more