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PostPosted: Wed May 19, 2010 9:50 am 
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I am on suboxone and doing wonderfully. I went to my regular Dr yesterday for some weight issues (gained weight during my drug abuse day) and she prescribed me phentermine. Phentermine is a diet suppletment and appetite suppressant. I think it might be considered and anphetimine (sp ck). Anway, I go to see my sub dr today and i was not sure if i should tell him about the phentermine. I am afraid he might tell me i can't take it. I do know some other people that take phentermine and sub so i am not concerned about the side affects. But it is a stimulant and i am afraid he will say no. WILL PHENTERMIINE SHOW UP ON MY DRUG TEST AND I WILL FAIL. If anyone could respond that knows the answer to this i would very much appreciate it. Now i am stressing about my visit today. This pill really helps my weight control and i don't want to stop taking it but i also don't want to get kicked out of the sub progam. Thanks all!


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PostPosted: Wed May 19, 2010 10:02 am 
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If you've been taking the stimulant then it will probably show up on a drug test. I would advocate being honest and telling your doctor about it - hey, you've got a legitimate prescription for it, right? I'd also bring the bottle with you to prove that your other doctor did indeed prescribe it. I don't see how your sub doc could kick you out of the program for taking a medication that another doctor prescribed for you. Imagine if you say nothing and it shows up on the drug screen? Then you'll have to explain after the fact that you were taking it legitimately. I think it has better odds of working out if you just tell him/her up front. That said, I don't know how your sub doc will feel about you continuing to take it.

I hope this helps, but keep in mind I'm not a doctor or medical professional, just an informed recovering addict.

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PostPosted: Wed May 19, 2010 10:06 am 
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Also, if i did tell him do you think sub dr's have a problem with phentermine. You know how most sub dr's forbid any type of benzos and sleep aids, but does anybody know how they feel about diet pillls. I would think if i had a prescription for it he would be okay with it. However, i had a prescription for xanax and ambien too and he told me i could not take it or i would be kicked out of the program. I know some sub dr's are more strict than others. Any advice would be great. Thanks again.


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PostPosted: Wed May 19, 2010 10:12 am 
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Thanks hatmaker, you are right i really should be honest with him. I will take my bottle with me today. I really hope he doesn't have a promblem with it. Yes, i do have a valid prescription from my primary care dr. Although, my sub dr is a stickler. I have prescriptions for anti-anxiety meds from my pcp and he still would not let me take them. I guess because bezos and sub can have serious side affects, but i don't think phentermine would have those types of side affects. Thanks for your response. Honesty is always best....


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PostPosted: Wed May 19, 2010 10:46 am 
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I'm glad you decided to be honest w/ your doctor jlb. I was thinking as I was reading your post that lying to doctors about who prescribed what was addictive behavior for me. I was once escorted out of a pain management doctors office because he had a problem w/ my taking klonopin and oxycodone. LOL. The thing is he found out w/out me even telling him. It was in my pharmacy records or something.

You also may want to keep in mind that if your sub doc doesn't want you to take the phentermine it may be because it's not safe for you to do so. I was on phentermine years ago and it caused heart palpitations it also stopped working for me after about a week or so.

If your sub doc doesn't want you on it just stay positive. There are plenty of natural ways to lose weight. My bf just lost 60lbs doing The South Beach Diet and I lost 10 doing Weight Watchers. You can find guidelines for both plans for free online.

Exercise is also extremely beneficial for people on suboxone whether in maintenance or tapering. Building up the natural endorphins in the brain is a great way to feel good naturally. I don't mean excessive exercise either. Years ago I was in acute klonopin withdrawal and read a medical study that stated just 5 days a week at 20-30 minutes a day was enough to stimulate endorphins and regulate mood. I was in extremely rough shape physically and only capable of doing 15-20 minutes on a stationary bike a day, but it did wonders for my weight and my mood.

I don't want to seem like I'm butting in, I just wanted to give you some positive, healthy options in case you don't get the answer you want from your doctor. Good luck and let us know :)


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PostPosted: Wed May 19, 2010 11:24 am 
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I make it a hard, fast rule for myself not to take ANY other medications without checking with my sub Doctor. Other than the obvious like some tylenol or ibuprofen. Even if written by another Doctor I have learned that many are not that familiar with suboxone. So for my benefit I always check with him first. He has always called me back within a short period of time to let me know if it is something I should take or not. I pay him for his expertise and trust him to do what is right for me.

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PostPosted: Wed May 19, 2010 1:31 pm 
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Great advice guys, thank you all. I am on my way to the dr. I will be sure to tell him and make sure it is ok. I will let you know how it goes!!!


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PostPosted: Wed May 19, 2010 2:43 pm 
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You're probably going to read this AFTER your appointment, but I'll post it anyway. Like SuboxoneSuccess wrote, I make it a rule etched in stone that I DO NOT LIE to my sub doctor about ANYTHING. I am absolutely convinced that he has given me a LOT of slack because of this.

For example, I have Hepatitis C and I do suffer from some symptoms because my disease is fairly advanced. One of those symptoms is some pretty strong nausea from time to time. The ONLY thing that has really helped me with the nausea is marijuana. I use it rarely, maybe once or twice a month, only when I'm feeling really crappy, but it works. So I use it. I told my doctor about it. He said he "frowns on" addicts using any drugs, but he understands my circumstances with the Hepatitis C and he's been willing to cut me some slack on that. Same goes for Ambien CR, which is, technically, a Benzo. It shows up in a urine test as a benzo, and it's another drug that he doesn't like to see his patients using, but since I have a fairly well documented and chronic problem with insomnia, he said he'd be OK with it if I gave him my word that I would restrict my use of it to just once or twice a week. I did that and, in fact, since moving my Sub dose back up to 8mg from 4mg, I have been sleeping like a log, so I have not had to use the Ambien at all, and my last urinalysis showed no presence of Benzo's

Anyway, the main point is this: Doctors are not in-compassionate. They know that each person is different. I think it's critical for us, as drug addicts, to be honest with our doctors, because after all, isn't lying just old, active addiction behavior?


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PostPosted: Wed May 19, 2010 5:17 pm 
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Hi there! I didn't get to post earlier but I hope your appt went ok and that you told your dr about it. Just wondering what he/she said and how it went.


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PostPosted: Wed May 19, 2010 7:59 pm 
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Hey guys,

Well my appt did not go so well. I don't really care too much for my sub dr even from the beginning, but he does take ins and is the only one in KY that does so i went to him. I have been honest with him from the beginning. I told him i was prescribed xanax for my anxiety attacks and ambein for sleep and he told me NO i could not take those. I complied with his request even though i have felt as if i needed a xanax a time or two, but still i did not take. The ambien i haven't needed since i am sleeping fine on ths sub. I knew from the beginning he would not allow the phentermine and guess what....i was right. He said NO. I asked him why, is it because of side effects and he said no, it was because it is considered a controlled substance. As tears are rolling down my face because my weight is really bothering me and i am so unhappy with how i look with my weight. He did not seem to care. He said it is tough to lose weight sometimes and suggested i drink green tea. I wish i had all these wonderful sub dr's that people talk about. I personally have a friend who is on sub and her sub dr gave her phentermine because of the weight gain side effects. I guess it just depends on your dr. I am a very nice person and i have always been honest with him but he will not cut me any slack. I have tried so hard to lose weight these past several months. I get some form of exercise in everyday, i try to eat healthy, drink mosty just water, but as i get older my metabolism just won't budge. I am really sad right now. The last few days since i have been on the phenertime it has controlled my appetite and given me alot of energy to push myself further with my exercise and so on. I guess i should stop being a baby and move on, just really disappointed right now. Thanks to everyone that has written me today.


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PostPosted: Wed May 19, 2010 8:22 pm 
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I'm so sorry it turned out this way. Just remember that if you hadn't told him, you risked testing positive on a UA and getting tossed out of the program. Yes, he told you not to take it anymore, but try to see the bright side - he didn't terminate you.

About the weight thing - I completely and utterly know what you're going through. I'm in the same boat and I know how bad I can get to feeling about myself and the weight in general. But we must overcome and do what needs to be done.

That said, please know I surely am not trying to minimize how you're feeling right now, as I understand why you're disappointed. I say allow yourself to be disappointed, then re-group tomorrow and come up with a new plan. I hope I don't sound flippant about this, because I certainly don't feel that way.

Take care and hang in there.

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-As I have grown older, I've learned that pleasing everyone is impossible, but pissing everyone off is a piece of cake.

-I'm only responsible for what I say, not for what you understand.


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PostPosted: Wed May 19, 2010 8:41 pm 
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Don't be discouraged! It can be very hard to lose weight. After the birth of my daughter I went on a very low carb diet and lost 20 lbs in 4 weeks. It's hard and you aren't supposed to exercise a lot because of not getting enough carbs. but it's a great jump start to a diet.

Your dr is just trying to look out for you. If he says it's ok for you to take it and you have an interaction he can get in trouble. I know it's hard to understand but it's for the best. I used to work as a medical asst. in family practice and the dr I worked for never prescribed that medication, b/c of side effects. So, maybe it's for the best. But, don't be discouraged. You can do this!


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PostPosted: Wed May 19, 2010 9:01 pm 
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Thanks girls...i am sure i will feel a little better tomorrow. I have tried the atkins diet in the past and boy it does work but it is very hard. Maybe i will try the south beach this time or really just keep my carbs low. That's a little easier than Atkins. I have tried weight watchers but that comes off sooooooo slow. LOL. As people always say....it didn't take a week to put it on and it won't take a week to get it off. Have a great night.


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