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  1. #1
    Gabriella is offline Junior Member
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    May 2007
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    Default Does subutex block opiates?????

    [|)] Hello everyone! I'm new here and profoundly miserable...was on Methadone for4-5 years varying degrees of mg. Less than 2 weeks ago my pain doctor helped me to get off Methadone by switching me a week+ of morphine, than the switch to Subutex (for withdraw and possibly maintenace). This is day 2- not as bad as yesterday. Apparently I wasn't "sick" enough and when the doc gave me the Subutex it triggered massive withdrawl. Words can never explain that kind of misery- I'm sure a lot of you know exactly what i mean. And today is certainly no picnic![8D]

    I'm very curious if Subutex blocks any kind of opioids. I was under the impression that only Suboxone did that since it has the Naltrexone in it. I wanna make it thru this....pls help!
    quote:
    xo,gabriella
    xo,gabriella

  2. #2
    jdude's Avatar
    jdude is offline Senior Member
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    Mar 2007
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    Welcome Gabriella (love the name BTW :))
    Subutex and Suboxone are the same, work the same.The naltrexone is controversal at best. But put it to prevent IV use. If you have a choice use the Subutex so the naltexone and the effects(if any) won't be an issue.

  3. #3
    Mic Guest

    Default

    quote:Originally posted by Gabriella

    [|)] Hello everyone! I'm new here and profoundly miserable...was on Methadone for4-5 years varying degrees of mg. Less than 2 weeks ago my pain doctor helped me to get off Methadone by switching me a week+ of morphine, than the switch to Subutex (for withdraw and possibly maintenace). This is day 2- not as bad as yesterday. Apparently I wasn't "sick" enough and when the doc gave me the Subutex it triggered massive withdrawl. Words can never explain that kind of misery- I'm sure a lot of you know exactly what i mean. And today is certainly no picnic![8D]

    I'm very curious if Subutex blocks any kind of opioids. I was under the impression that only Suboxone did that since it has the Naltrexone in it. I wanna make it thru this....pls help!
    quote:
    xo,gabriella
    Hi-

    Yes, both Subutex and Suboxone block the effects of full-agonist opiates/opiods. It's the partial-agonist properties of BOTH that allow this to happen. Suboxone (bupe with naloxone, a full antagonist) blocks other opiates/opiods to an even greater degree.

    ***"The Suboxone preparation contains the ?-opioid receptor antagonist naloxone which is intended only to prevent abuse of the buprenorphine, not, as is commonly misunderstood, to block the effects of other opiates. Buprenorphine itself binds more strongly to receptors in the brain than do other opioids, making it more difficult to become intoxicated due to other opioids when buprenorphine is in the system, regardless of the presence of the naloxone."

    I'm sorry you feel so yucky; how long after your last hit of morphine did you begin Sub? And what's your dosing level and frequency?

    Lastly, you may not have allowed enough time on morphine, before beginning Sub, to avert wd's, cuz of methadone's long half-life. We're glad you're here, and I hope you feel better very soon.

    Mic

    It takes what it takes

    *** reprinted with permission

  4. #4
    Bup4pain is offline Senior Member
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    Default

    8 mg of sub is considered a "full blocking" dose. That's why MD's titrate people up to 8-16 mg a day.. It is also why the protocol pushed that as a minimum dose. That dosing has NOTHING to do with the REAL need of amount of sub needed to manage a w/d.

    IT is why a low dose hydro DETOX patient is so adversely effected by sub and ends up MORE opiate tolerant/dependent than when they started sub "therapy".

    However in your case you may need more. ;)

    It is a shame your MD could not just use morphine to taper you over say 4-6 months instead of setting the sub hook on top of the Mdone hook.

    If he found a way to legally give you morphine for the week why can't he use that reason to just extend it and taper you off using it?

    The length of time he will need to use sub for this is longer than the amount of time it takes to "addict" you to sub. Morphine is a LOT easier to get off of than long term sub usage.

    I wish you the best

    Been there, done that, wore out the tee shirt.

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