It is currently Wed Aug 23, 2017 5:23 pm



All times are UTC - 5 hours [ DST ]


Our Sponsors





Post new topic Reply to topic  [ 5 posts ] 
Author Message
PostPosted: Thu May 26, 2016 5:12 pm 
Offline
Average Poster
Average Poster

Joined: Sat May 14, 2016 1:39 pm
Posts: 20
Hello again. I was recently switched from suboxone 8mg film to subutex and the kind I got were small round and white with an arrow on one side and an 8 on the other.

They didn't do anything for me and after 4-5 days I was in withdrawal, everything except diarrhea and vomiting.

I have done a lot of reading and see that some folks have more success with different brands. Can anyone please tell me which brand is working for them(especially if they had the brand name film first)

I am currently appealing my insurance company to allow me to be covered for the brand name. Anyone have a rough idea how long that process takes? I appreciate your time.


Top
 Profile  
 
PostPosted: Fri May 27, 2016 11:42 am 
Offline
Average Poster
Average Poster

Joined: Sat May 14, 2016 1:39 pm
Posts: 20
Bump**


Top
 Profile  
 
PostPosted: Fri May 27, 2016 5:54 pm 
Offline
Site Admin
Site Admin
User avatar

Joined: Sun Feb 24, 2008 11:03 pm
Posts: 1544
Just to clarify, there is no such thing as 'brand Subutex'. Subutex was removed from the US market about 5 years ago or so, and plain buprenorphine comes from 5 or 6 generic companies. Each pharmacy uses a wholesaler chosen primarily based on cost-- especially for a med like buprenorphine, where customers don't have much purchasing power.

Some insurers cover only generics, and some cover brand name drugs for a higher copay. Your choices with buprenorphine come down to:
1. The premium products, i.e. Suboxone Film, Bunavail, and Zubsolv;
2. Generic buprenorphine/naloxone a.k.a. 'generic Suboxone'; and
3. Generic buprenorphine a.k.a. 'Subutex'

If you talk to an insurance rep on the phone, realize that most of them have no idea how the different meds are related. You have to ask, specifically, if each one is covered-- because sometimes they are not listed together in the rep's information. At least that's the impression I've had from speaking with insurance companies.


Top
 Profile  
 
Our Sponsors
PostPosted: Fri May 27, 2016 7:02 pm 
Offline
Average Poster
Average Poster

Joined: Sat May 14, 2016 1:39 pm
Posts: 20
Thank you. Have you tried bunavail or zubsolve? Have a preference on them?


Top
 Profile  
 
PostPosted: Tue May 31, 2016 8:17 pm 
Offline
Site Admin
Site Admin
User avatar

Joined: Sun Feb 24, 2008 11:03 pm
Posts: 1544
I've had patients on both. Bunavail is very sweet, and Zubsolv is menthol-flavored. They all do the same thing, i.e. deliver about 2 mg of buprenorphine into the bloodstream. Bunavail is applied to the inside of the cheek instead of under the tongue, allowing people to talk while dosing; Zubsolv dissolves very quickly, yielding a higher concentration in saliva adjacent to mucous membranes under the tongue... so Bunavail 4 mg has a 50% absorption, Zubsolv 5.7 mg has a 30% absorption, and Suboxone 8 mg has a 25% absorption. Each one delivers the same amount of buprenorphine.... but each tastes different, and each has different insurance coverage.


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 5 posts ] 

All times are UTC - 5 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 0 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Search for:
Jump to:  
Our Sponsors
Suboxone Forum latest topics RSS feed Subscribe to the entire forum
 

 

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

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

Powered by phpBB® Forum Software © phpBB Group