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 Post subject: New Pain Patient here
PostPosted: Tue Feb 19, 2013 9:27 pm 
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Hello, Thank you for taking the time to read my post and possibly provide some insight. I am a new patient being treated for pain via Suboxone film. I am a 37 year old female, tall and a little overweight (reason I include this, is I wonder if body fat makes a diff when it comes to dosing). I have been treated for approx 4 years as of recent for spinal and neck injuries from MVA and issues related to being a college athelete. Prior to being on Suboxone I was treated with what my current MD calls "heavy hitters" and advised that I did not continue such treatment because "you are young...you want to live...you dont want cognitive issues" etc etc. I was on Opana 3 times a day and Diladud for breakthough 3 times a day for at least 3 years. Currently I am on Suboxone 8mg 3 times a day for pain. My question is....after reading and reading and researching the topic of Suboxone, WHY DO I STILL HURT SO BAD? Everything I read states that this drug is incredibly strong, more than morphine etc etc. It seems my pain was better initially, and now Im on average a 6 or 7 on the pain scale (mainly in the afternoon), especially in my Cspine. Id really appreciate your thoughts if you have had any similiar concerns, or advice.
Best Regards, Kim


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 Post subject:
PostPosted: Wed Feb 20, 2013 1:00 pm 
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I have very similar circumstances and time frame on subs for surgery related pain treatment. It took a long time for me to adjust to subs and was in alot of pain in beginning. Nothing compares to real meds, specially dilaudid. You have to understand those meds will put you in a bigger mess than injury itself and make choice to go on subs. That is a very high dose your on. 4mg gives you 99% of subs available bioactivity. Then you hit the ceiling and end up wasting meds. I would try cutting your doses down to 4mg twice a day. The films are arguably weaker than the tablets in my experience. Maybe ask for the tablets also. Back pain takes a long time to heal and no meds can really take it away. Try working on your core as much as possible. I fractured disc and found sitting on one of those workout balls for couple hours a day would work your core muscles automatically. Instead of sitting on chair use a ball, then throw in a few excersises and that will help your back heal faster plus take pain away. I also take 2 aleeve every a.m. Sounds weak but it actually works as anti inflamatory relief. Then take your subs with it.


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 Post subject:
PostPosted: Wed Feb 20, 2013 2:15 pm 
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Hello,

I think it's good advice to try a lower dose and see how that feels. A lot of patients seem to find "less is more" with suboxone. It has a unique effect that after a certain amount, more doesn't do anything. When you take 24mg a day, your tolerance is also pushed very high! Suboxone has a very long half life but any pain relieving properties occur in the first 6-8 hours. I would bet that if you work your way down to a lower dose 3x per day you might feel much better. Plus any side effects should lessen at lower levels.

Rick Balls wrote:
The films are arguably weaker than the tablets in my experience. Maybe ask for the tablets also.


I just wanted to say that this experience by far has not been the norm. Most people switched from the tablets to film report that the films are a bit stronger.


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 Post subject:
PostPosted: Wed Feb 20, 2013 6:46 pm 
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Thanks so much for the reply and advise. It seems so counterintuitive to take less, altough I have read and understand the arguement. This doctor is suppossed to be do good, and has been written about in magazines etc, so its hard for me to believe that he would not provide top notch recommendations however. But ....with that....I have had my share of "issues" with the medical field...so nothing would surprise me. Also, I am not allowed to take NSAIDS due to perforated ulcer recently...so Im out of luck with the Aleve you mentioned. I will try the ball for the core. I am a therapist, so sitting at my desk certainly is the most difficult part of the day for me, and tha ball could definately help. Thanks again for your thoughts...Im really hurtin today..it was all I could do to get home and rest.


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 Post subject:
PostPosted: Thu Feb 21, 2013 5:08 pm 
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Ya I was taking full 8mg strips and tried to cutt in half one day. Didnt notice any diff so I stuck with it. You could take bigger dose in a.m. then smaller at night because the subs are very long lasting. I was also taking 3 doses a day and switched to two. I read somewhere that 3 doses was a waste of meds as your receptors already full of bup. If you can wait 30mins after you get that craving it usually passes. Alot diff then regular opiate. These dose changes might take couple days to fully adjust but better in the long run. Once your receptors are full of bup theres no amount of suboxone that wlll make any effect. Took me awhile to figure that out. Most opiates you can keep taking more for larger effect. You might be able to use one of those pain releaver creams like tylenol or naproxone. Should not effect your stomache if taken topical but check with dr. Most dr's dont know much about subs except whatever they read on it. I'd like to find one that has taken it themself so actually know the ins and outs of it. Sometimes I think sub users know way more about it than any doctor that has no experience taking it. The ball works good, I replaced my computer chair with it. Having a strong core is the best medicine for a back injury.


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 Post subject: Subs are not morphine
PostPosted: Sat Feb 23, 2013 10:43 pm 
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Sorry to hear that you are in pain! Yes Suboxone is 30 times stronger than morphine but they don't have anywhere close to the analgesic properties of morphine, especially since you are not opiate nieve. Bupeornorphine is a partial agonist of the mu receptor where morphine, dialaudid, oxi are full agonist. In my experience, the pain relief is short and a tad stronger than 800 Advil. For pain, people tab subs every 4 hours as pain properties are not long term.

I really have never heard of a person being treated with subs for pain as as high of a dose that you are on. Are you seeing a pain management specialist?


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 Post subject: OUCH
PostPosted: Mon Feb 25, 2013 8:30 pm 
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Thanks again for the response. Yes, I do go to a pain specialist. My Tx plan is not out of the norm for pain control. Im still having fairly intense pain though. Im trying not to get discouraged. Ill be getting injections this month, so this should help. :?


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 Post subject:
PostPosted: Wed Mar 06, 2013 12:31 am 
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Ya it def not an easy task managing real pain. Now with the war on pain meds doctors and hospitals are leary to give anybody meds, even after they just operated on you. The way I see it if your in pain and willing to take the meds they should give it up. Subs are partial agonists so should be much easier to get. Instead theres red tape and hassels every step of the way. When you living in pain the last thing you want is headaches trying to get your meds.


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