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Unread 03-17-2008, 07:33 PM   #1
sheila
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Posts: 4
Default need info.

i have been going to a pain management clinic for moderately severe muscles and joint pain. i have osteoporosis, hypothyroidism, depression, anxiety and dental problems, plus severe hearing loss in both ears. four years ago i fell and broke my arm, knee and hip. that's when it was discovered that i had osteoporosis. i eventually up to seven surgeries for broken bones, parathyroid adenoma, and numerous oral surgeries. i still have three surgeries ahead of me.

i am taking 32 mg. of dilaudid, 40 mgs. of hydrocodone, 1200 mgs. of neurontin over a 24 hour period. weekly, i take occasional xanax and restoril. forgot to tell you that i have been diagnosed with fibromyalgia. i know that i am dependent upon opiates, because every 6-12 hours i need dosing. my symptoms are agitation and restless legs with leg pain. also, forgot to tell you that i have neuropathy in my feet and legs. anyway, i don't like to be controlled by a drug and it really scares me that i have changed my brain chemistry. i very fearful of withdrawal, because it's so unpleasant. i know that i can't have it both ways.

my question is what level of withdrawal do i need to be in to start suboxone. am i just trading one drug for another? what about getting off of suboxone? does anyone out there know of any other method other than cold turkey? thanks for any help.

sheila
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Unread 03-17-2008, 07:52 PM   #2
NancyB
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Hi sheila, you need to be in mild to moderate withdrawals to start bupe. This link explains it, just remember the times listed are guidelines. Page 2 of the PDF is the Clinical Opiate Withdrawal Scale (COWS) used to help see how far into withdrawals you are:

http://www.naabt.org/education/literature.cfm

"Is buprenorphine treatment just switching one addiction for another?"
http://www.naabt.org/faq_answers.cfm#1

Cold turkey is NOT recommended in the discontinuation of bupe. A slow and gradual taper has proven to work best. Here are some experiences of people who successfully tapered off:

http://www.naabt.org/forum/topic.asp?TOPIC_ID=5324

If you decide to utilize bupe, do you have a plan on how you are going to manage your pain? Bupe helps some, but not all with pain management. It depends on the person and the type of pain.

Here's some reading on that:

"Buprenorphine is used as a pain reliever and to treat opiate addiction. It produces less of a "high" than other opioids, such as codeine and morphine." Suboxone/Subutex.
http://drugabusehelp.com/drugs/buprenorphine/ (Indications/paragraph 1.)

"...and its analgesic effect is due to agonism of ?-opioid receptors."
http://www.nationmaster.com/encyclop...rphine#Effects, (Effects/paragraph 1.)

"Buprenorphine has been available...It is a safe and effective analgesic." Use of Buprenorphine in the Pharmacologic Management of Opioid Dependence A Curriculum for Physicians. January 2001, by Eric C. Strain, MD, Editor and Jeanne G. Trumble, MSW, Project Director. Development of the curriculum was supported by the: Center for Substance Abuse Treatment Substance Abuse and Mental Health Services Administration US Department of Health and Human Services.
http://www.buprenorphine.samhsa.gov/...Curriculum.pdf (pages 3-29.)

"...buprenorphine can be used as an analgesic agent..." Buprenorphine: An Analgesic with an Expanding Role in the Treatment of Opioid Addiction. Susan E. Robinson. (CNS Drug Reviews. 2002. Vol. 8, No. 4, pp. 377-390.)
http://www.blackwell-synergy.com/doi...2002.tb00235.x

And lastly from the TIP40:
http://www.naabt.org/links/TIP_40_PDF.pdf
PDF page 33, hardcopy page 7:
Buprenorphine has several pharmaceutical uses. It is a potent analgesic, available in many countries as a 0.3-0.4 mg sublingual tablet (Temgesic).

Nancy
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Unread 03-17-2008, 08:19 PM   #3
sharestoys
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Posts: 109
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sheila,
wow ! Im really sorry your having a ton trouble and feel for you as I had some serious pain but am thankfully feeling better.

anyway... I have heard as little as 5 hours with just a runny nose to as long as a week with people on longer acting pills..

I myself went 30 hours, I was trying for 48 but never made it. I would say that most people want to be sure to not throw themselvs into Precipitated Withdrawals, that would just be horrible. Your life is about to dramatically changed, Suboxone has literally saved my life and knowing now what I didnt know then I dont think I would change a thing as far as how long I waited before taking the Suboxone. I would change how long I went in active addiction being scared etc. I had no idea how great Suboxone would be and how much better I would feel after being on it. If only I had learned about Sub earlier.

I am currently tapering off of Suboxone and this coming Wednesday will be 3 weeks on Sub for me. I feel I am ready to start a serious taper and just saw by doc today about this.. I was taking 200MG of hydrocodone a day just so you know.. ill be off of Suboxone in 15-20 days depending on how it goes. A little scary but Im excited to be honest.

I know I didnt really answer your question, but everyone is different and you probably want to talk to your Dr. and ask him what he thinks, ultimately thats the best place to start and youll want to start with honesty SO DO NOT BULLs**t HIM !
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