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  1. #1
    BUBBLES8308 is offline Junior Member
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    Default ultram er and suboxone HELP!!!!

    i have a couple questions..my husband has been on mmt for 1 yr he has also been prescribed ultram er for back pain, since my dr who obviously knows nothing said it was not addictive..now i am on suboxone and my husband wants to switch, we went on the internet and checked for drug interactions, some places say yes and some say no...the problem is we don't want to take a chance that will send him in to a major withdrawl since from reading i have learned that ultram does infact have opiates in it...he stopped meth last friday (20 mgs) and ultram stopped on sunday, he is still not experiencing severe wd's, but we want to start the sub... how much longer should we wait or can he even take sub while still on ultram without getting major wd's?????please anyone with any info HELP!!!!!!!!!!!!!!!

  2. #2
    jdude's Avatar
    jdude is offline Senior Member
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    Bubbles....it may not be what hubby wants to hear but, some clonidine would serve him alot better. He has made HUGE progress,,,,,,so why go the sub route?

    The sub is ALOT stronger then the Ultram......and doesn't make a very good pain reliever for most.

    But in all fairness to answer your question....hubby needs to be in medium to moderate WDs B4 inducting with the sub. But even at 20mg of the dones...most have had a longer wait to transition from methadone to sub. It's determined by the COWS scale...there's a sticky on it in the general forum. But even the COWS scale doesn't allow for the half life of the methadone.

    Bootom line......my suggestion is for hubby to stay away from the sub. Use the clonidine. I would suspect he'll need it in the next day bor so......as the methadone half life winds down.
    Good luck
    Jay

    <center>You can't solve problems by using the same kind of thinking that caused them in the first place.</center>

  3. #3
    Sluggo's Avatar
    Sluggo is offline Senior Member
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    also...be warned the Ultram ER has a huge half-life cause it is timed release.

  4. #4
    BUBBLES8308 is offline Junior Member
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    how long would u suggest he wait until he takes sub...honestly i don't think he is ready to stop everything this soon...thats why he is getting on sub.we both plan on detoxing in the near future though..he is right now experiencing mild wd's he is gonna try and just wait till he can no longer take it...i know about a lot of things but don't have any experience with ultram er...thank 4 everything, just trying 2 do the right thing here...

  5. #5
    KB
    KB is offline Senior Member
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    well, i have a ton of experience with ultram!! addicted 9 years and had 6 grand-mal seizures from it. it is a dangerous drug!! most dr.s don't even know that. he should not mix ultram and sub. the ultram would probably be blocked anyway, so it would be useless, but it's a dangerous drug all by its self! he needs to go by the cows scale when inducting on sub. most people have to wait at least 3 days after last methadone dose--some longer, you have to go by the scale, not the clock! sub is a crappy pain killer for most but some people say it works well--you'll feel better at low doses--don't start out too high, sub has a ceiling effect around 16mg so taking more is unnecessay and will only cause bad side effects. most sub dr.s don't have a clue how to prescribe sub, and some only do it for the money--most want cash and will not take insurance. start with 2mg, wait an hour, if you still feel bad, take 2mg more, wait an hour, then take 2mg more if you still bad, and so on... you only want enough to stop the withdrawls and cravings, and then taper asap. if you stay on sub more than 2-3 weeks, you've only switched addictions to a very powerful opiate that is hel! to get off of!! good luck to you both!

    robin

  6. #6
    edgewise1 is offline Junior Member
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    I'm also addicted to tramadol, and I want OFF this crap, non addicted my big ole butt! I have a Dr's. appointement at 8:30AM on Thursday. I have read a LOT in the past two weeks to try and find out all I could about suboxone/tramadol. What I have heard is;

    -Suboxone will work with tramadol addiction
    -Suboxone will not work with tramadol addiction
    * more threads claiming it will work

    -Tramadol will make it to the receptors without being blocked
    -Tramadol will not make it to the receptors without being blocked
    * more threads indicating tramadol is not blocked out

    Guess it simply boils down to individual body chemistry, just like most other drugs. I agree that the longer he can wait the better it will work, and perhaps more importantly, the SAFER it will be.


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