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  1. #1
    ExCyclist Guest

    Default Subutex with Norco

    I am on Subutex (NOT suboxone), and can't reach my Psychiatrist to find out if I can take Norco for acute episodes of pain, which occure 2 or 3 times per week. Is there a medical opinion on this question?

  2. #2
    ExCyclist Guest

    Default Subutex with Norco

    Is it viable, while on Subutex, to take Norco for acute episodes of pain which occur 1-3 times per week? Is there a medical opinion on this? Many thanks!

  3. #3
    Friend2U is offline Senior Member
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    Default Re: Can't I just use on the weekends?

    Ex
    Since sub is stronger than norco i doubt the norco would provide any pain relief. I don't know if it is dangerous or not. Call the local emergency room and ask the nurse, she/he may know the answer or call the sub hot line.

  4. #4
    ExCyclist Guest

    Default Re: Pain relief for acute episodes

    Thank you! I think I understand it. The subutex has to be out of my system for 24 hours before I could even try to take the Norco. But then the acute episode would be moot. I guess good old Ibuprofen will have to provide what relief it can, as I do my best not to antagonize the pain with my activities (i.e. long bike rides and running - I give up on running). Again, not sure if this will even work for me long term. So far I am just toughing out the acute episodes; can be agonizing so will see how long I can 'hang' with this plan. I'm on 8 mg every 12 hours. Does that have anything to do with the level of pain relief? People talk, on this site, all the time, about taking both (bupe and whatever opiate); that's crazy talk. I want to do the responsible, productive action. I'm a coach and a role model for many. I wan to keep my respect and dignity.

    I had one doc who switched me onto Oxycontin; even on that I had acute episodes and the oxy didn't touch it; I told that doc no way could I take that stuff. I hate Oxycontin!! It's zombie-making stuff!

  5. #5
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    Joplinfrk is offline Senior Member
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    Default Re: Subutex with Norco

    I don't believe it's an option. It's always been my understanding that while on Subutex, any other opiate will be knocked off the opiate receptors hence causing withdrawal. Speak with your doctor on this.
    I just did a ten day suboxone detox and that was that. I did have Carpal Tunnel surgery seven months after stopping the suboxone. I was given VicodinES and truth be told: i didn't even feel it. Motrin worked. Maybe it was the 15 years of abusing my receptors or the suboxone, but opiates don't seem to work for me anymore.
    I hope someone will be more helpful than I was.
    Take care.
    Don't be afraid of withdrawal. The sick feeling will pass and then the real work starts: staying sober. For me, the rooms of AA were the last thing I tried and the first thing that worked, but it will only work if you work it.

    1/31/2008

  6. #6
    jdude's Avatar
    jdude is offline Senior Member
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    Default Re: Subutex with Norco

    Welcome to ODR EC.
    Stick with:
    Motrin,Voltaren, and ice. Depending on what type of pain, there are other non-opiate options as well.

    What's your plan with the sub? 16mg of sub is an insane HUGE dose!
    Last edited by jdude; 10-16-2010 at 02:35 AM.
    You can't solve problems by using the same kind of thinking that caused them in the first place.

  7. #7
    jdude's Avatar
    jdude is offline Senior Member
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    Default Re: Pain relief for acute episodes

    Quote Originally Posted by ExCyclist View Post
    People talk, on this site, all the time, about taking both (bupe and whatever opiate); that's crazy talk. I want to do the responsible, productive action.
    You may want to re-read some of those posts. Yes, there may be a few using it as a bridge between their DOCs. Like Russian Roulette with pills. :(
    But most posts, or the members seeking recovery, are asking about SAO/Sub combo as either a way to minimize the sub WDs when jumping. Or an attempt at pain relief, mostly due to pending surgery. Of which you'd need to jump off the sub an average of 3 days prior to surgery....after consulting the doc and/or the anesthesiologist.

    Just an FYI.....since you've had an experience with Oxys....your 16mg is more then enough to 'cover' upwards of 300mg of Oxys. And it makes a lousy pain reliever. As it sounds you're experiencing.

    Godspeed
    Jay
    You can't solve problems by using the same kind of thinking that caused them in the first place.

  8. #8
    Bonita's Avatar
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    Default Re: Subutex with Norco

    Speaking as a nurse and one with chronic pain, may I share.

    First for chronic pain opiates is not the best choice of relief. Opiates are for acute pain. For chronic pain.. will just produce a addict.

    I once had a boating accident that rupture my labia major/minor, fracture my pubis syn, rupture my ureter. Pain that I can not even describe. I was put on pain pump post surgery. I NEVER had pain relief but didn't care, was in/out in opiate induced sleep. The whole time I was in the hospital the pain was present. Once I was sent home I took 800mg of motrin and every 10min I felt the pain subside. So... since then I always use motrin for pain and the opiate to leave life. Hard to be honest with self while in active addiction.

    I had back surgery and still have the same discomfort.. now that I am free of opiates it amazes me how my pain has decrease. On change of weather, rain I still will get that nagging back/sciatic pain. Again.. motrin will cover it. When I first got clean I had to take it every 8hr.. now maybe 2x weekly. I have MS and can get any type of pain reliever I choose....well, with a different Md since I was upfront with my addiction. I just learned different ways to lower my pain levels and really have not had any MS pain for a yr now. I wonder if my pain came from the MS or just my addiction now.

    All a choice but my choice is to live a fulfilling life these days. This didn't happen overnight but thank my lucky stars that it did happen.
    omission is not honesty, only a different way of lying.

  9. #9
    ExCyclist Guest

    Default Re: Subutex with Norco

    Thank you all; I think I understand. Is 8 mb Subutex a really high dose? I do NOT want to get back on that horrible addiction rollercoaster. I DO ultimately want to wean off the Subutex. I have been using Ibu 800 mg, and have had to REALLY be careful with my swimming biking and running. I gave up running, had to raise the handlebars on one of my bikes ridiculously high, but swimming gives me relief! I understand , even though I could do these things and even compete, while using Norco, I am going to have to curtail these activities that I love so much. I can't do them as I used to without the Norco. But I was taking ridiculous amounts of it!

    I was probably as addicted to competing and making the podium as I was to the Norco. I would not do one without the other; they went together.

    I get some relief with the Ibu, and just having to be very careful. I appreciate all of your replies.

    One catch 22; I cannot afford the Sub for much longer. I mean, I've depleted my savings entirely!

  10. #10
    ExCyclist Guest

    Default Re: Subutex with Norco

    I've never taken Oxy; that is different from hydrocodone.

  11. #11
    ExCyclist Guest

    Question Re: Subutex with Norco

    What will happen if I skip a dose of 8 mg Subutex? Physically. Thank you!

  12. #12
    jdude's Avatar
    jdude is offline Senior Member
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    Default Re: Subutex with Norco

    Hey EC...my mistake when I read "I had one doc who switched me onto Oxycontin; even on that I had acute episodes and the oxy didn't touch it"

    But, where are you at now? If I'm reading correctly you're at 8mg every 12 hours? Are you asking about skipping a dose to start a taper?

    What ya got left as far as a sub supply?
    You can't solve problems by using the same kind of thinking that caused them in the first place.

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