Suboxone: An Exit Strategy

By Christina Lasich, MD, Health Pro Monday, December 08, 2008
Getting off of pain medications usually requires an exit strategy. Anyone who has tried to abruptly discontinue a regularly used opioid (a pain medication which is chemically similar to opium that binds to opioid receptors in the body) can attest to the severe discomfort of withdrawal syndrome. The s...
12/22/08 12:06pm

Are there people on that medication for pain  ? If so, can you tell us a bit more .

12/22/08 3:46pm

Suboxone can be used to treat pain. Remember, the main ingredient is Buprenorphine, an opioid medications; as such, it does treat pain. In fact, earlier this year, I took my little puppy into the vet with a belly ache (she ate too much). The vet gave her Buprenorphine to treat the pain. Amazing how veternarian medicine is sometimes more progressive than human medicine. Some pain specialists believe that over the coming years buprenorphine will become the first choice for treating any patient with chronic pain, primarily because of safety. (It should be the first choice for anyone with a history of chemical abuse.)

 

All of the patients that I prescribe Suboxone to have some degree of pain. After a maintenance dose is established, the pain control is quite acceptable. The tricky part is if an acute pain like tooth infection or broken bone occurs. Tylenol, lidocaine, and anti-inflammatories work with Suboxone, but the other opioids are not effective when Suboxone is on board. Over time, with experience, Suboxone will prove to be a valuable tool to treat both dependency and pain.

 

Dr. Christina Lasich, MD

12/22/08 10:38pm

I take MSContin on the same dosage for about 6 years usually I take a short vacation about 1/2 the dosage at the beginning of winter so I don't have to up my meds it is not easy to do but I do it. I am doing quite well on it except that lately the pain is gettiong worst because I am more active and I surely don't want to take more MSC or stop my activities  . Could  Buprenorphine be taken in lieu of MSC with as good analgesia ?

So when winter is coming I could cut for a while.

mariepi 

12/22/08 11:26pm

When a current strategy is not working, it is time for a change. Suboxone is a good option for treating pain. Besides physically feeling better with Suboxone, most people, as another community member related, feel as if they are coming out of a mental "fog" when switching to Suboxone. You can always go back to MSC if Suboxone does not work for you. Just talk to your doctor about giving Suboxone a try.

Dr. Christina Lasich, MD

Anonymous
Dave
12/28/08 4:30pm

Dr. Lasich, I have chronic pain from lower back and right knee injury. I was having side effect issues with oxycontin 10mg. 3xday. Although it was just enough to get pain under control,I was getting anxiety, teeth would chatter, and tightness in my chest. My pain management doctor would not prescribe suboxone for me. I told him I was on it, when I was in between pain doctors, he possibly did not understand, or know, it could be prescribed off label for pain. I had to see a pyschiatrist, who understood my side effects, and was able to prescribe me suboxone for pain. I think the DEA has some control over this medication and wants it to be used for addiction. This does not help pain patients.                  Dave

12/28/08 11:18pm

Finding a doctor who is comfortable prescribing a medication such as Suboxone is in everyone's best interest. Saftey is the first priority for prescribing. Those doctors who have gone through the training program for Suboxone can prescribe it for both treating dependency and pain. True, Suboxone can be prescibed for pain by a doctor without a special license. However, I think it is best to obtain it from a doctor who has been through the training. This is not a matter of a special license or the DEA. This is a matter of safety which requires full knowledge and training for prescribing Suboxone.

Dr. Christina Lasich, MD

Anonymous
Anonymous
6/25/09 5:50am

I have been using Buprenorphine for chronic lumbar spine nerve pain due to 3 herniated discs with never impingement. For 5 years I have had every type of pain med and finally resorted to the Norspan patch over the last 18 months.

 

No matter what I do, my tolerance goes up and up. Just as I got some pain relief my surgeon decided to reduce my patch strength. I've now been in the most agonizing withdrawal from Buprenorphine for 6 months! Yes 6 months. The doctors will tell you this is not possible. I am living it - so I can attest it is awful.

 

I have reduced my patches bit by bit and each time I've taken them off - even when convinced they were no longer necessary and I was happy to have them removed, I have gone into dreadful sickness. Pain to the point of screaming. My nerve pain and surgery sites are the first to tell me things are not right, soon thereafter my body feels like I've been hit by a truck.

 

I have withdrawn from Tramadol, Codeine, Oxycontin, Morphine and this is by far the worst of them all! I have been given the option to continue my patches at a lower dose, but I am adament I want these off. The pain is truly unbaearable and the sickness from my increased tolerance combines to amplify my pain to a level I cannot live with.

 

I am instead intent on withdrawing from Buprenorphine permanently and getting by day to day with heat therapy and over the counter meds only to assist in pain during sleep.

 

Buprenorphine is not the miracle cure all people are suggesting. It works well for a little while but it's bite is far worse than anything else. Avoid this medication if you are given the option.

Anonymous
Occipital Neuralgia sufferer
9/14/09 12:32am

Every narcotic poses the risk of withdrawal symptoms, and the severity of these symptoms varies widely among the patient population. I am truly sorry for your debilitating pain, and wish you luck in finding relief. Have you been evaluated for therapy with any of the various types of implantable device (intrathecal pump, peripheral/dorsal column nerve stimulator, or brain stimulation (including deep brain stimulation [DBS], cortical stimulation, etc.?) Interventional Pain Management is finally picking up steam as a significant branch of medicine, which is a welcome relief to those of us who have been dealing with chronic pain, as I have for the past 31 years.

9/14/09 1:48am

Thank you for your suggestion. I don't know how you've gotten through 31 years, I hope things are easier for you today than they once were. I would be inclined toward pursuing such options if I had the medical support I truly need. Rather a climate of denial seems to be prominant with medical practitioners who would rather sweep difficult patients such as myself under the carpet. The young and chronically in pain are not the most popular patients to take on.

 

I'm almost down to zero medication after suffering complications recently that are forcing me to the wall in terms of options. I will now be drug free but not pain free. At least that will reduce the problem of constantly building up tolerance and getting ill from the narcotic withdrawal in addition to the injury.

3/11/10 10:43pm

I feel u. I take percocet 10/325 and want to be off however when i drop in dose even a small bit the pain become intolerable. I can deal with upset stomache, sweating, irritaion, but pain and not sleeping i cant. I tried to get into a treatment facility to start on suboxone but my insurance will not pain. so i am out of option except doing it myself wich i difficult with a full time job and two kids. Plus everyone in cluding my doctor sees my as an addict. Well I dont like to take these drugs but if i don't the pain is enough to make me end my life. AS horrible as that sounds and I love my and kids and job. I want a good option. after all I didnt prescripe myself this medication. I never asked for it. Until it became the only thing that didn't give me an allergic reaction and the only thing that help. sorry for ranting.

Anonymous
mineola5
3/23/10 8:26pm

I just HAD to respond to your post, I like you took percocet 10/325-only my tolerance grew so large & they were fairly easily accessible that my habit was about 30 pills per day, sometimes up to 60 (THIS IS NO JOKE), I have been wanting to get off & try Suboxone for two years but it was so expensive until finally last month I found a doctor and got a 1 month prescription (all in all it cost me about $1000-price of the scrip & doctors visit-& he was the cheapest doc I could find).  Gave me a scrip for 90 suboxones-8mg (highest dose) told me to take 3times per day or even 4 if needed.  I did it for 16 days, it was NOT THE MIRACLE drug I thought it would be, I really just felt BLAH-then I started reading how getting off suboxone, especially in high doses, can be worse than the withdrawal symptoms of coming off pain meds & I got scared so I started lowering my dose on my own and for two days felt like I was coming down with the flu. Then I went back to my percocets for a week or so, I just made an excuse, and switched back from one to the other, and here I sit, two days back into the suboxone and hoping I WILL DO IT RIGHT THIS TIME-from my research-best way to use it is for 7-10 days tapering down each day.  If you take it over 21 days you will BE HOOKED, that was why I switched at the 16 day mark, I was scared, but today I feel OK, more positive, have more info now, I know it's not a miracle as I thought before, and I KNOW that tomorrow I will take less than today and do that each day for the next few days until I am taking NOTHING (that I think is the only way to do it), Also, I get so confused as EVERYTHING you read online says you cannot take valium or benzos with suboxone yet my doctor said it was ok for me to take valium AS PRESCRIBED which is the ONLY THING that helps me sleep at night.

Anonymous
aprilholt31
4/28/10 8:57pm

I have been diagnosed with Fibromyaglia and Im seeing that people are using the Suboxone for the Fibro pain.My doctor will NOT PRESCRIBE me anything that "actually" helps. What I mean by this is I was on Clonzepam for shaking due to anxiety attacks and it helped me sleep and I figured I would suggest this to my doctor for the lack of sleep that Im having. She in turn prescribed me Elavil, which does not help.Elavil made me break my front tooth because I forgot how to get out of the bed, this was after splitting one of pills in half because if I took a whole one my words didnt come out right.

I called the doctors and begged them to put me back on my Gabapentin which I have found helps alot. She told me that she wouldnt prescribe me narcotics.Ok here is my dilemna, Do I stop going to her because she wont prescribe me what helps which is narcotics? Or do I tough it out and keep going hoping that she will break and give me something?

I feel that if I go to a doctor and they arent willing to listen to what Im telling them, that I should switch and find a doctor that is wiling to help.

I am reading that the suboxone helps,and buying one off the street,which i know is wrong but Im trying to find something that does help.The suboxone helped me immensly and I was able to function normally like I did before. I dont want to be addicted to Tramadol because I was on those for a month because of a back injury and when I came off of them, I felt like I was dying. The chills and diarrhea,nausea and vomitting are a little much to handle when you cant bend dwon to the toilet to throw up.

Is there anyone out there that might could post some good general information that I could print out and take to my doctor and show her that this medication works for suboxone?What do you think that I should do?Is switching the best thing to do?Thanks for all your help!!

4/29/10 2:57pm

Like any other medical condition that persists despite current treatment, sometimes it is best to seek a second opinion. Getting a second opinion from another doctor or specialist can help to explore different options from a different perspective. Suboxone may be an option or there might be other options.

 

Trying to force a doctor to do what you want and what he/she might not be comfortable doing is usually a lose, lose situation. No one wins when solutions are forced and uncomfortable.

 

Dr. Christina Lasich, MD

Anonymous
Sarah
8/ 4/10 9:45am

I have Crohn's disease and crohn's related arthritis. I'm on prednisone, wellbutrine, sertraline, sulfasalazine, vicodine, trazodone and oxycodone. I DON"T WANT TO BE ON ALL THESE MEDS! and to make matters worse, i can feel myself becomming addicted to the opiate medication i am on. My life is horrible! I am in constant pain even with the meds and the doctor doesn't want to listen to me about all of this.  I have six children and i can't be a real mom because i'm either to tired from the medicine or in too much pain if i don't take it.  i heard that they were starting a trial for treating people with crohn's with suboxone.  I am a member of the ccfa and have been talking to a woman about my age who lives in Texas and she said that they are doing a trial in that state of suboxone for treating her diseases (we were even on the exact same medicines). All she takes now is the suboxone three times a day and has been doing so now for six months. She has her life back! her pain is gone, she can sleep and the crohns has stayed in remission.  How do I get a doctor to try me on this and get me off all the other crap so that I can possibly be as lucky and blessed as my friend and GET MY LIFE BACK!? PLEASE...............HELP ME!

8/ 6/10 5:41pm

If your doctor won't listen to you, even though the medications he/she prescribes are not improving your ability to function and live, then a new doctor might be needed. You might try to find one who is licensed to prescribe Suboxone and who would be willing to listen to you.

 

Contact the www.heretohelpprogram.com to find a Suboxone prescriber near you.

 

Dr. Christina Lasich, MD

Anonymous
Teresa
8/ 8/10 8:49pm

I have had fibro since I was 17 and now am 46.  It took 20 years to finally get the correct diagnoses.  It is hard to find a good doctor who understands the pain of it, especially when you are spiking.  I didn't give up and searched out doctors and finally today I have a doctor that understands.  Check regular Md.'s and ask if they have any experience and treat several fibro patients. You will eventually find one that will work with you.  It may take awhile on the hunt, but it is worth finding a doctor that will help and work with you.  Pain is not an option for us, but thank god there are doctors out there.

9/24/10 8:58pm

Yes, I have been taking suboxone for "chronic pain management" for 2 1/2 years.  16 mgs of suboxone replaced 6-8 percocets a day.  That would be two 8mg tabs.  after the first year, I self-tapered down to 1.5 tabs.  After nearly 2 years I was being treated for Alcohol dependence.  At that time, I self tapered on my own accord down to .5 tab or 4mg.  I tried to continue to decrease but my low back pain got to un berrible!! So I had to stop at the 4mg dose.  HOWEVER, I am very physically and MENTALLY addicted to this "Miracle" medication.  The LONG TERM use for pain has NOT been studied, so I consider myself a ginny pig.. I do however, KNOW that the 24hour 1/2 life of Buproprium (Suboxone/Subutex) is far less unpredictable as the very short 1/2 life of the oxys', percs' or whatever...I HAVE SEEN PEOPLE AND NOW FRIENDS PUT DOWN THE NEEDLE AND grimmace as they desolve suboxone under there tounge.. IT SHOULD NOT BE SO CONTROLLED AS IT IS....IF ANYTHING IT SHOULD BE AVAILABLE OVERCOUNTER Lol...  or at least sprinkeled over the "getto"  OVER the addicts that are killing for their next "bag"..  Its still a very POTENT drug.  Just a drug that doesn't bite quite as DEEP.  Good Luck. being free.  There is help...FIND IT.

 

Anonymous
jwill
9/25/10 11:00pm

I have a chronic pain disorder. For five years I was in a wheel chair. Doctors searched for a cause, but that search was fruitless. I couldn't parent my small children. I couldn't work. All I could be was a person in pain.

I was admitted into the Suboxone pain treatment experiment. Within four days I was out of the wheel chair.

Not long after, I continued my education and graduated from college with honors. Most of the pain is gone.

What is left is tolerable.

I can parent - and, now, grandparent.

I have taken up sky-diving! Actually, with the doctor that prescribes my Suboxone!

Without that medicine I still would be in agonizing pain, in bed, in a wheel chair, not able to contribute to society.

9/25/10 11:04pm

"Toughing" out pain is robbing you of your life. There is no reason to go through life in pain.

After being in a wheel chair for more than 4 years with terrible pain, Suboxone was prescribed to me. Within days I was out of the wheel chair and able to take part in life again.

Why should anyone "tough" out anything? Particularly when there is a medicine that will take away the pain and allow you to have a life.

Anonymous
Kevin
8/ 1/11 7:21am

Hi Sarah I know how you feel and I wish there was a miracle drug that could help and I know your friend is on suboxone and it does her well I had a work accident in 98 and it led to a lot of pain and a lot of medication and I felt there was nothing out there to help and I found that codeine was the only thing that helped but then that is when it all started I was addicted to codeine and could not get off it and from going into a detox program a few times I manage to get of it but my body was in so much pain from not having the medication as well as the problem and then it led to anxiety and panic attacks and so on so the pain was so severe and it was more from the medication I could not cope I just wanted to end my life so when I went in for the last detox I could not cope with life anymore and so they put me on a miracle drug at the time being suboxone and yes at the time I thought about time I feel great and it was only a little dose and that is when it all started I have know been on suboxone for about 9 years and going from 2mg to 4mg then 8mg and then 16mg and so on and so on like any drug your body gets amuned to it and I can tell you now I feel like you and feel like giving my life away as I have 2 boys and this drug is a good drug at the start but from first hand experience your body craves for it daily I have been into detox 7 times to try get off it and no luck it rots’ your teeth you spend half your time with it under your tongue and I am know on 40mg a day over 3 times a day like I said it will help you at the start but you will be worse off in the long run the pain you have know will be twice as worse as I thought getting off the codeine at the time was hard and suffering from pain was hard well I would pay or do anything to get off this stuff it has ruined my life and being in detox more than 7 times I have seen and know of many people who have got the same problem with the suboxone its a bit like asking your friend to stop her suboxone and I am sure she could not or maybe she could I know we are all different but it is so hard to get help out there and suboxone was originally for drug addicts to get them narcotics and then they get put on methadone and to bring them down off methadone they would get put on suboxone I have been to classes and tried to help people with pain and drug addiction as well as anxiety and nervous conditions and so many people have said to me how do I get off suboxone and from what I know it is a long process and a hard one I can not take the way I feel any more every time I went to get help the doctor just kept upping the dose till my body cant take anymore and I cant take any more don’t know what to take and remember it is an upper and being on it makes it hard to come down at night so then your sleeping becomes an issue and so then they put you on sleepers and know when I wake up in the morning I feel like I have a hangover then the whole day starts over again with all the drug taken so I know your friend is getting a lot of relief and I am happy for her but when you experience suboxone the way I have and many other people I know you will understand and when you crave for a medication you seem to go through a lot of other emotions and you become of a nervous and you tend to get anxiety and then you try and get help with that and like me from an injury I had from work has led to pain dependence suboxone Prozac for anxiety and valium to bring me down and Seroquel for sleeping takes all day to get to were I feel normal and can do things in life and then all night to try bring my self down and then waking up in the morning is the worse feeling I sometimes think to my self is it worth waking up and I have a business to run that is falling apart my relationship has collapsed as other people just don’t understand and luckily my boys have grown up being 18 and 21 and the worse thing is I am only 42 and I feel like I am 62 so if I can be of any help like I do I love to help others but inside I am screaming for help my self all the best Sarah cheers Kevin

10/20/11 2:40pm

im adicted to tramadol for the past 5 years it all started whan i had a mild tumer in side of my ear but i have tried to get off slowly and cold turkey but have no luck im very intrestd in suboxone but have a great problom that i live in mx and have n ideal how to get help im takeing about 600mg aday please help

 

 

 

 

 

 

12/22/08 4:36pm

Just wanted to say "Thanks" for your article on Suboxone! I was injured in 98 with permanent nerve pain and was on all of the typical opiates given for pain, ie, Morphine, Oxycontin, Methadone, Fentanyl, etc.. After having a very successful Spinal Cord Stimulator implantation surgery, I no longer needed to be on such strong meds. I was put on Suboxone and weaned off of it slowly. After having gone through full blown withdrawls several times during my stint on opiates, I can really appreciate using Suboxone!! It was a life saver!! I have since been diagnosed with Fibromyalgia and was going through severe pain with that. I decided to go back on Suboxone for my pain, and it's working beautifully!! I realize that some people need to be on different opiates for different reasons. But if a chronic pain patient that could be taking Suboxone rather than another "typical" opiate, they should discuss the possibility of switching to it with their Dr. I couldn't recommend it more highly!! I love that it doesn't cause me to be in a "vegitative state" like I was in before , taking high doses of other opiates. Suboxone needs to be brought out more into the "spot light", especially as a chronic pain medication. So thanks again for your bringing up Suboxone  and informing people about it. Keep up the good work!! Stacey

Anonymous
Anonymous
12/23/08 3:31pm

Hello, all.

 

I went through opioid rehab in January 2008 and was prescribed Subutex.  Subutex kept me from going into withdrawals and allowed me to concentrate on my treatment.  I was kept on Subutex after treatment due to my chronic pain.  I was prescribed three 8mg tables per day.  The Subutex did nothing to help with pain relief.  I slowly weaned myself off of the drug and my pain levels were the same as when I was taking the max dosage. 

 

Now, I am unable to take opioids desite crushing pain.  I have three new herniated disks in the neck and three foramin that are closed around the nerves due to arthritis.  My PCP is pressuring me to accept whatever surgery is recommended by a neurosurgeon (haven't seen him yet).  My PCP told me that whatever the long term effects of the surgery, I must have it.  He stated that even if they put numerous rods, pins, fusions, etc. and no matter if I lose range of motion or if the pain increases, I must have the operation. 

 

I am very dubious about this.  I never had neck pain until after my fusion!  All I want is pain relief.  A surgeon cannot guarantee me that the surgery will relieve the pain.  I am willing to try opioids again - in a controlled environment.  If the choice is down to living in my current pain or undergoing a surgery without a known outcome, I guess I'll choose death.  Neither options presented by my MD are acceptable.  Pain has ruined my life.  Further surgeries can make things worse.  If I can't get relief from the pain soon, then suicide is my only option.

 

 

12/27/08 2:43am

Is everyone so self absorbed as to not answer someone who just said this!  Or is it that the holidays have you to busy!

 

  I know it is hard friend...pain just is.  We have to take all the moments in life no matter how small...1 minute, 1 hour maybe if your lucky a whole day...that was just plan awesome.  Take that moment put it in a little box inside you and on those days when it jsut seems like nothing you do helps, when all you are as a person is one big ball of pain.  Take out that special box from wherever yopu hide it and keep it safe, take it out and open it and remember where you where, what you where doing.  The smell of the air, the sounds that sorrounded you...take all of that moment in and hold on tight till the pain go's away if only long enough to stop even for just a moment.  Then put the box back away safe till next time.  And don't forget to add to your little box every awesome moment you can...you can never over fill it!

 

Be Well

C

1/ 5/09 1:11pm

I just read your post,Please tell me why you cannt take opioids? Because you went thur rehab. Was it your first time at re-hab? So many questions, sorry. Your story hurt my heart.Living with pain sucks, but my friend death isnt the way out. Please tell me alittle more about your story so maybe more of us can help you. Believe it or not there is life living with Pain.i know you dont want to hear that, i didnt.I am on pain meds i use them to controll pain. i want to know if this happy horse shit coming from re-hab? sorry about that but ............. please share more about your story.

3/11/10 10:47pm

I hate it when that is the only option left. cause i am almost there I can't deal with always explaing why i need my meds. to everyone the all think i am just a drug addict in denial. I have tried everything in my power. I just want to be left alone.I want my meds. on time everymonth no questions. is that too much to ask

Anonymous
CurtinColorado
3/19/10 1:16pm

Good morning, Fatgirl,

 

It's interesting how things change in one year.  The post you replied to was in 2008 and in early January 2009, I was finally able to convince my doctor to start me on opioid medications again.  I promised my doctor that my wife would control the meds and that I would only ask for a refill at the 28 day interval from the last prescription.  In 15 months, everything has gone well as far as not relapsing. My pain levels are much better and I didn't hve to have surgery.  Thanks to everyone who answred my post.  I hope that life finds you well or that you've found a solution to some of you pain.

 

Cheers

3/19/10 9:54pm

Curt,

 

I am glad you found an open window despite all the doors being closed. Welcome to a new chapter in your life, just keep turning the pages.

 

Dr. Christina Lasich, MD

3/20/10 3:14pm

Good morning, Dr. Lasich!

 

Thank very much for your reply and your support.  You are absolutely correct in recommending that I turn the pages in a new chapter.  The last couple of years have been very dark with pain and fatigue.  We're still working on the fatigue aspect of my life but with reduced pain, I am starting to feel very hopeful again. 

I very much feel as if my life is entering a new and better phase. 

 

The support of this site, and the people who post here, has helped get me through the awful years. 

 

Please let me know if there's anything I can do to help. 

 

Cheers,

 

Curt 

3/20/10 3:17pm

By the way, Dr. Lasich - Happy Birthday!

3/20/10 8:44pm

Thank you so much for wishing me a happy birthday. Knowing that you are doing better is a wish come true.

 

Smiling in CA,

 

Dr. Christina Lasich, MD

8/21/10 6:54pm

I feel out of options as well. I want off the pain meds that I have been using for years for daily head pain without any remittance. No relief in a day for about 6 years. I am 34 and feel that the pain meds are not working. I have been on something as strong as Fentynal. But nothing works. I recently told my own doctor this and she sent me to a drug addiction phycologist who suggested Suboxone. My doctor did not want to do it this way. Right now I have overexceeded my limit and have to wait for refills. This happens a lot. My pain is so severe I roll in bed all day...all night screaming. What other way would there be if not Suboxone? I think she wanted to just leave me hanging as a  punishment for using to much....I always hope the pain meds will work but I don't want this. I want to manage the pain as well as have some sort of life. I need help!

9/26/10 2:31am

Suboxone....I had a lamonectomy and a large tumor removed from C-3 and C-4..They cut the bones out, go in and try to cut it without cutting or hurting anything else.  I am here 3 years later and 19 days of the drugs  and I am dying..Left arm numb, ringing in left ear, neck is, shall I say feels broken...plus i was told I would need pain meds the rest of my life...suboxone I was on after 8 months of Fentenal...the suboxone works..I do not believe there is anything that can really help us in Western medecine...Drug addiction and withdrawels are the worst...Did methadone work?  Brutal drug with a long ass half life...we both need help from our Creator!!!!

2/19/11 1:18am

I was on Suboxone for ten months and felt better than I had in years! Then my doctor wanted to switch me to Subutex. Well, although they both have the same main ingredient, they do not affect you the same.  Suboxone helped my pain and gave me energy and it was awesome! Subutex makes me sleepy and lifeless and does not help my pain at all.  I am bedridden because doc switched me. I am begging him to switch me back to suboxone....wish me luck!!

Anonymous
lexiegram
9/27/10 11:15pm

 I was on opiods-fentanyl patch, oxy. for app 13 years following spinal surgery. I had access to vicoden and a fentanyl sucker for immediate relief. Once a month I drove over an hour one way for pain assessment and medication. I took my meds exactly as perscribed. I still had chronic, everyday pain. I felt controlled by these drugs. If I was even 2 hrs late from taking the oxy, I would start having withdrawal symptoms. No fun. I decided to go off all meds about a year ago. I knew this would be a nasty experience, but had no idea, really.....I tried to wean myself down by taking away just one pill and was sicker than sick. I struggled for app 2 weeks and finally decided to go cold turkey. I took off the patch, threw away all my meds, and got very, very sick. I ended up in the hospital 4 days with opiod withdrawal. It was the hardest thing ever. I knew if I just had that one pill-I would be out of my misery. On day 4-the day I thought I would literally die my Dr., put me on suboxone. Thank God for that drug. The symptoms vanished. I am still on it-as my Dr. says it does help for pain. It seems to help some. I have not had another drug for nearly a year. I am concerned though, about pain control if in an acute state. I've had kidney stones and I scared that one will hit. My experience with hospitals is that they are completely uneducated with treating pain in the opiod dependant patient. So, how can I expect knowledge from the health care in the case of suboxone/ That is my biggest worry. I don't regret going off all the drugs, just dont do it cold turkey. I feel better than ever-lost 50 lbs and seem to think more clearly. I am not against pain medication, I just don't ever want to be controlled by these drugs ever again.

12/21/10 11:52am

I had neck surgury in June 2010 and rotater cuff surgury in late Sept 2010 and have been on Hydrocodone 7.5 4xday for 6 months. I have difficulty coming off of them and my DR sent me to a pain mgt DR who prescribed Suboxone. This stuff makes me feel weird, my thoughts are disjointed, I've been throwing up alot. 6 times 1st 2 days and once on the 5th day. The medicine is the nastiest tasting stuff ever. today is day 6, I'm not going to take anymore of this stuff. I'd rather experience withdrawals that feel like this. What should I do? I dont want to become dependant on Suboxone.

12/21/10 3:18pm

When someone is having trouble with nausea, I will tell the patient to do three things:

 

Take Benadryl a half hour before taking the Suboxone.

Take slightly less Suboxone

After the tablet fully dissolves, spit. Do not swallow.

 

BTW, the Suboxone Film tastes better than the tablets with less nausea.

 

Once the body goes through the two week adjustment period after starting Suboxone, a person will feel less and less side effects and feel better and better.

 

I suggest hanging in there and talking with your doctor.

 

Dr. Christina Lasich, MD

12/23/10 12:16am

Dr Lasich, 3 years ago i fell off the roof of my house i broke my leg shattered my pelvis and sustained the worst poss injury to your elbow that you could receive called a terrible triad injury needless to say opiate use got out of control and was put on suboxone with great results i find that it must be left under my tongue for atleast 45 mins then i spit, this gives me the best result.  then i made the mistake of reading on line all the horror stories from people that tryed to get off suboxone and couldnt. also saying that long term maint use hasnt been proven effective and that you shouldnt be on it for more than 3 weeks Dr what is your opinion ...........................truk 

12/23/10 12:06pm

Don't believe everything you read because you do not know how the person tried to wean off, if the person was taking other things, and the reasons for being on Suboxone in the first place.

 

In the best of circumstances, weaning someone off Suboxone is a 3 month process. Going slowly, step by step; the first few steps down on doseage are fairly easy to tolerate. The final steps from 4mg per day to 3mg to 2mg to 1mg get a little uncomfortable, but a well motivated individual can get through it and be free.

 

Trust your doctor and listen to the professionals above all the other noise you find here on the internet.

 

Dr. Christina Lasich, MD

2/24/11 1:26pm

Hello;

I have been on Suboxone for off-label chronic back pain treatment for over 7 years now. Prior to that, I went through the pill addiction and abuse & went through rehab twice. Eventually I came across a doctor who prescribed suboxone for pain. Best thing I ever did. But all good things end.

  My current doctor is now leaving his practice and I am now on a search for a new doctor who will do the same. This has been a difficult task, especially since so many are misinformed about the certification and off-label criteria. And, suboxone certified will only prescribe for addiction issues.

   I will keep the hunt on, and hopefully will find someone who will listen. In the mean time, I highly recommend that if you have an issue with abuse and addiction, AND have pain, then suboxone may be for you.

  It has worked like a charm for 7 years for me!!

3/ 4/12 7:00pm

Dear Dr.,

 

After several years of high-dosage opioid therapy for the excrucuiating pain of degenerative disc disease and spinal stenosis, I had back surgery which reduced the pain levels to like 5 or 6.  I had a terrible time trying to come off the opioids, went thru 2 rehabs, etc., and finally found Suboxone.  It was indeed a miracle drug for me, and I have been on it for almost 5 years.  Both for what I feel is probably a lifetime addiciton to opiods, but also for the real pain relief I get.

 

I am prescribed (3) 8 mg tabs per day and it keeps the pain to a tolerable level and allows me to work.  My doctor is actually the one who recommednded using Suboxone for pain control, I was trying to get off it completely and was down to just 6 mg per day when I changed doctors to my current one.  It was he who said I should probably go back up to 16-24mg as my pain levels increased as my Suboxone dosage decreased.  I am so glad he recommended this as it really works for pain!

 

Just last month, my health inisurance company sent a form for yy doctor to fill out, a pre-authorization type thing that came from Reck Benk, and the form says Suboxone can only be used for opioid addiction.  Between appointments I had him fill it out and send it in, and was told by my insurance company that it was accepted and I'm OK.  But in 2 days I go for my next refills, and in doing some research to find out why this form was sent out, I learned all about REMS programs.  My question is this:  will the REMS program prohibit my doctor from prescribing Suboxone for pain control?  I am a bundle of nerves over this - I am very stable, very trusted by my doctor as I never have abused my Suboxone scrip (I actually only see him every 4 months and he gives me a scrip with 3 refills). He has not requireed me to be in counseling or therapy, I went through 50 hours or more of that during methadone therapy, which I got off from completely and comfortably using Suboxone.  

 

The pain control is real and has me very comfortable and able to work full time with no problems or limitations.  In a nutshell, I just need everything to stay the same, but I am terrified that all of a sudden my doctor is going to tell me that REMS isn't going to allow him to prescribe Suboxone for pain anymore.  Can you comment on this and do you know if REMS can prohibit him from prescribing like this?  Thank you for your answer

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By Christina Lasich, MD, Health Pro— Last Modified: 03/06/12, First Published: 12/08/08