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PostPosted: Thu Apr 30, 2015 7:13 pm 
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i have heard horror stories about people on suboxone that had to get a colonoscopy
done and they were awake for the entire process, feeling everything, but unable to speak
i know i need to get one done to see where my illness is, but im terrified
is any of what im hearing true? how would the anesthesia work on someone that has
been taking subs??


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PostPosted: Fri May 01, 2015 12:56 am 
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just to add, i just read the docs use versed which is a benzo
i thought those were not safe for us to have??
sorry for so many questions. i have been doing this alone
and my previous doc wasnt very friendly to any questions that i had
thanks for any information you can pass along to me


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PostPosted: Fri May 01, 2015 5:23 pm 
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Joined: Tue Nov 24, 2009 7:36 pm
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Location: Wisconsin
I don't think you are hearing valid and accurate information. To begin with, where are you "hearing" this from? It just doesn't add up for several reasons that I will break down for you.

To begin with, the typical colonoscopy is not done under general anesthesioa. That means you are not put to sleep. Because you are not put out, you do not have a breathing tube. You continue to breathe on your own. For these reasons, if you are still conscious enough, why would you not be able to speak? That doesn't fit. There are reports of general surgery where the patient is paralyzed with a paralytic drug and sedated where the sedation wears off but they remain patalpyzed with a breathing tube in place and cannot speak for those reasons. That us vastly different.

Second, standard consious sedation protocol starts with a couple mg of versed and 50 micrograms of fentanyl. The versed does most of the work here. The fentanyl is a rather low dose and just helps things along. Most of all, perhaps best of all, versed given corecctly will prevent you from remembering you even had the proceedure.

Bup will block the fentanyl but not the versed. Depending on how much Bup you are on they need to increase the dose of fentanyl. You need to talk with them about this and mak sure they know you are on Bup plus know what that means.

Finally, benzos, self administered by patients on there own is often not a good idea. However, when given to you by medical professionals who have the ability to secure your airway if needed is not the same thing. In fact, a benzo interacting with Bup is less dangerous than that same benzo interacting with fentanyl in an opiate niave patient.

Hope that helps.


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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

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