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Suboxone & drug interaction...help?

Discussion in 'Detoxing From Buprenorphine/Subutex/Suboxone' started by diavolo7, Jan 11, 2004.

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  1. diavolo7

    diavolo7 Guest

    I've just started suboxone yesterday. I had a 15 bag per day(sniffy) H addiction about 3 months old. Never again!
    Friday night I did my last bag at 8pm, went to sleep, woke up at 9am, and took 4mg sl suboxone. It threw me into heavy withdrawal (shakes, heavy sweating, visiting the toilet...often, and crying alot). It took 3 more doses to wipe out that withdrawal, but then it was amazing. All gone! I mean, for the most part. I still feel like I was hit by a truck, though. And I'm weak with no appetite.

    I took 6mg this a.m. and will take 6mg more this eve (or 4mg, save 2mg for tomorrow a.m.). Then I have to p/u another RX tomorrow. The pharmacy was out! And I only have those 6mg left. Dammit.

    My question is what happens if you DO take an opiate? Will it just do nothing? Or, will withdrawal set in again? Also, I intend to stop the suboxone ASAP. How long do I have to wait before I can take any type of opioid (codeine, etc.)? I do take Fioricet and codeine for migraines. I had wicked migraines yesterday. Nothing I could do.

    I'm done with the H. Yuck. Too, too expensive and ya just don't feel it after awhile. What's the sense? And, it's usually junk.

    The doctor I found was incredible. Only $150 and my insurance covered the suboxone. And he gave me Ambien 10mg to sleep. So great!
    Anyway, I look forward to the answers to my questions. Oh yeah, what about suboxone and amphetamine combos? Bad??
  2. spring

    spring Administrator

    I still do not understand HOW bup works....

    If you take bup shortly after taking opiates, it sends you into immediate W/D....but if you take an opiate after the bup instead, you are totally unaffected and won't feel the opiate.

    To add to my confusion....if you take a high dose of bup, I'm talking bup only, no opiates involved, that will also send you into W/D because it then acts as an antagonist against itself.

    Are you sure it's a good idea to continue taking codeine after you have detoxed yourself from the H? Aren't there a bunch of fairly new (opiate free) and effective meds for migraines now?

    I have heard of people with chronic pain who take bup also take oxycodone or hyrocodone for "breakthrough" pain. Don't understand THAT either. I'm assuming that the bup would not only block the 'high' but also block the ability to kill pain.

    I am curious abuout something else....when the bup sent you into W/D how long did it take you to get your self back out of it? How far apart were your doses of bup?

    ~~~Do the right thing and risk the consequences~~~Spring~~~
  3. diavolo7

    diavolo7 Well-Known Member

    Thanks for getting back to me.

    I took (as prescribed) 4mg, sl, then 1/2 hour 4mg more sl. I was in IMMEDIATE withdrawal from the first 4mg. I took two more doses of 4mg each about 1 hour apart after the prescibed 2nd dose. The withdrawal lasted about 2.5 hours. The last dose REALLY helped. The doc said, "take it when you feel sh*tty".

    I waited a good 12 hours since my last dose of very weak H, so I was surprised I was thrown into such wicked withdrawal.

    I am a severe asthmatic. I have adverse reactions to Imitrex, and all the other new migraine meds so far. Fioricet with codeine is just for the pain...I don't abuse it. Never have. Never will.

    I got into the H because of severe pain from endometriosis and submucosal fibroids. Oxycodone (Percocet) 10/325 did NOTHING. H did ALL! I'm having a procedure to correct it shortly. It doesn't matter, I will NEVER put myself in this position again. I'm 41 and have never had a problem before. It was and is terribly scary!
  4. kevin

    kevin Active Member

    The only people I know who do that are using relatively low doses of bupe to begin with, temgesics mainly. ( I guess because they can't get Bupe scripted for pain here in the states, at least not easily).

    Is, or was, there a thread about bupe for chronic pain?
  5. Rodrigo

    Rodrigo Well-Known Member

    Depends on the degree of the migraines... There is Midrin and Fioricet. Both are pretty much butalbital/apap/caffeine. However, Fioricet is available with or without codeine depending on the degree of the headaches. I think there are a couple of other migraine meds, but those are the ones I'm familiar with (and have taken).
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