11 doctors weighed in:

I have diagnosed severe pain and for years have been on 9 oxy 40s a day with 100mg methadone it manages my pain but my doc wants me on Suboxone now?

11 doctors weighed in
Dr. Michael Gofeld
Pain Management
7 doctors agree

In brief: Pain vs addiction

Your doctor is rightfully concerned about such high dose.
Opioids arent good for long-term management and many became addicted. Suboxone is an alternative maintenance drug with analgesic potential. However, you may better do on Methadone maintenance program.

In brief: Pain vs addiction

Your doctor is rightfully concerned about such high dose.
Opioids arent good for long-term management and many became addicted. Suboxone is an alternative maintenance drug with analgesic potential. However, you may better do on Methadone maintenance program.
Dr. Michael Gofeld
Dr. Michael Gofeld
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Dr. Einar Ottestad
Pain Management
2 doctors agree

In brief: Reasonable

Methadone 100 mg is a large dose, definately with oxy 360 mg per day on top.
Likely your doctor isn't comfortable with the doses for safety issues and wants to rotate opioids. Suboxone can also reverse opioid induced hyperalgesia (extra pain from narcs). I would recommend tapering to at most 1/3 of current doses before trialing a suboxone induction to prevent acute withdrawal.

In brief: Reasonable

Methadone 100 mg is a large dose, definately with oxy 360 mg per day on top.
Likely your doctor isn't comfortable with the doses for safety issues and wants to rotate opioids. Suboxone can also reverse opioid induced hyperalgesia (extra pain from narcs). I would recommend tapering to at most 1/3 of current doses before trialing a suboxone induction to prevent acute withdrawal.
Dr. Einar Ottestad
Dr. Einar Ottestad
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Dr. James Marx
Pain Management
1 doctor agrees

In brief: Should you be?

Although that seems like a lot of rx.
Many patients can require this amount if they have developed tolerance to the opioids. Your doctor may believe that you are abusing or diverting(selling) your medication instead of taking it appropriatelly. Only you have that answer. What you will have to do is to regain your drs trust. Have your urines not been apropriate or were you caught dr. Shopping?

In brief: Should you be?

Although that seems like a lot of rx.
Many patients can require this amount if they have developed tolerance to the opioids. Your doctor may believe that you are abusing or diverting(selling) your medication instead of taking it appropriatelly. Only you have that answer. What you will have to do is to regain your drs trust. Have your urines not been apropriate or were you caught dr. Shopping?
Dr. James Marx
Dr. James Marx
Thank
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