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PostPosted: Sun Apr 08, 2012 11:12 pm 
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I failed, tried weaning off and quitting cold turkey and yeah-that worked for 2 days.
I made my last prescription last over 2 months, then crashed. So went to my Dr. to find out that they are already "over capacity" so he prescribed burtrans patches, and also butropanol nasal spray????
Looking up this stuff scares me (as well as the price of a 20mg patch), but CANNOT afford to feel like ass and not have my head 100% in the game at work.
Has anyone ever transistioned from Suboxone to this? Any difference (except the chemical that will block other opiates) wont be doing those btw... Any different side effects?
I'm scared but also an addict so will do just about anything not to feel like shit-even if it's stepping into the unknown.
Can this help me wean off of opiates/ suboxone all together?

Thanks in advance!


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PostPosted: Mon Apr 09, 2012 6:23 am 
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Butrans is still relatively new to the market. It's primarily for chronic pain patients, but when it came out there was talk about it possibly being used to help people taper off suboxone. I'm not surprised to hear that some doctors are therefore using it this way. But that does mean that someone has to be one of the first to do it, and that means you, unfortunately. Someone has to start!

Suboxone is what's also known as "high dose bupe" (buprenorphine, the active ingredient in sub). Butrans isn't high dose. For example, my husband, a non-addict, but who has chronic pain, uses Butrans to treat his pain. He doesn't have the really high tolerance that we addicts have, so he doesn't need the high dose bupe like we do, nor does he need the "blockage" effect, which you likely won't have with the Butrans because of the low dose you'll be on. (It's a 20 mg patch, but it delivers in mcg.)

I hope this helps you a bit. If you don't understand any of this, just ask. Some of what I'm saying here is based on some knowledge of both suboxone and buprenorphine, so if I lost you anywhere in here, just say so and I'll back up and explain.

This plan could work very well for you, so try to be optimistic. And do keep us posted on how you're doing.

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PostPosted: Mon Apr 09, 2012 9:20 am 
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If you've been on Suboxone, Butrans is nothing to be afraid of. Like hatmaker said it's a lot weaker, but it also gives a stable release of bupe over 24 hours so it should be able to take the edge off withdrawal. How much I can't say.

But it's by no means a 'harder' medication than Suboxone. If anything a person who takes Butrans would fear Suboxone.


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PostPosted: Mon Apr 09, 2012 1:48 pm 
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Also I wanted to point out that the Naloxone thats in Suboxone is NOT a blocker..The BUPRENORPHINE is basically the blocker but only in high enough doses, I dont think with Butrans that you would get any blocking effect because its such a low dose but I could be wrong, Hopefully someone will come along and be able to explain the whole blocking thing better so you understand the medication better.. Good Luck though, keep us posted on how everything works out for you.

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PostPosted: Mon Apr 09, 2012 2:23 pm 
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I switched from 2mg Suboxone to the 20 mcg Butrans patch after surgery last year. If you look up my post on that horrible experience, you'll know what a happy ending this is. The surgery was successful and I wanted to get off bupe ASAP. I was really afraid that I'd built up a permanent tolerance to opioids.

I wore the 20 for about 6 months, then the 10. No problems, very little pain. By the way if you have trouble making it stick, put it on, tape it completely over with paper tape, and take a hot shower. The tape would come off and the patch would stick tight for the rest of the week.

After I'd been on 10 about a month, my pain doc suddenly retired and I decided I was really done w/pain docs. The new doc wanted to start me on Nucynta and I am tired of being a guinea pig for new expensive medicine, paying for lab work, etc. I was scared, and could have gone down to 5 mcg first, but I just wanted to quit and see what happened. I did wait until after my period - ladies, I highly recommend this before any medication change anyway.

Basically I wore my last 10mcg patch for 3 weeks instead of one. Two days after taking it off I had about 48 hours of very mild withdrawal symptoms, mostly the burning / wacky leg thing. They'd given me some Clonidine patches and something for nausea, neither of which I had to use. I do have some old chronic sciatic pain that came back, but it's very manageable with Advil and a TENS unit.

About a month later I had a bad pain day and a friend gave me a Norco 10/325. It worked just like it did when I took my first one years ago - great. No cravings or w/drawals the next day either.

I am so glad to be done w/Suboxone and highly recommend the Butrans patch if you can afford it.


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PostPosted: Mon Apr 09, 2012 5:27 pm 
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I said you won't get the blocking effect because of the low dose, not because of not having the naloxone in it.

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PostPosted: Mon Apr 09, 2012 9:01 pm 
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Wow thanks for that txgemini.

I have issues on low doses with maintaining adequate levels of bupe over 24 hours. Patch delivery would really be the answer to that problem, so it's heartening to hear your good experience.


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PostPosted: Mon Apr 09, 2012 10:26 pm 
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I too was given the Butrans 20 patch for surgical pain by a Pain Management Dr. It didn't really help with pain because it was less Bup than I was taking before. And for one thing, you sure won't feel the drug working like you do taking Suboxone. So my addict brain said loud and clear that he didn't like it. But it did keep me out of w/d's and I felt quite normal. I ended up back at my Sub Dr. to get back on it.

And yes, the price is very high. Even with insurance it cost me $110 co-pay which put a financial burden on me and just couldn't afford to stay on it.

I did the math and it came out to 2.85mgs spread out through a day. It sounds like enough but didn't do anything for me. I think the patch is really for opiate naive patients and probably works very well for them. Give them to us Sub users and it does nothing except keep the w/d's at bay. At least it did for me.

But now reading about how it can be used to wean off of Sub they may be on to something.

I'm curious to see how this turns out.

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