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 Post subject: Suboxone and other meds
PostPosted: Tue Oct 30, 2012 2:47 pm 
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I have been on suboxone for 20 days now. At the same time I was also prescribed vyvanse and just last week wellbutrin. My addiction to opiates has always been due to undiagnosed mental illness. I am just feeling like the subuxone may block the other meds and maybe I should taper off now so I'll know if the other meds are helping. Any advice or experience with this?


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PostPosted: Tue Oct 30, 2012 9:06 pm 
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I wouldn't be too concerned about interactions. I'm on a number of psych meds at the moment with Suboxone. The only real interaction I've confronted are certain medications speeding up or slowing down my metabolism of Suboxone. Also, Effexor reduced my absorbtion of Suboxone a bit. My doctor pointed out this interaction when I went off Suboxone, warnign that my anti-depressant levels may increase a bit so be wary.

The only real serious interaction doctors are cautious about is when you mix buprenorphine with depressants. But I believe that once we're tolerant to Suboxone the risk if pretty small.

I too used opioids to "self-medicate" a mental health issue. Be careful with the idea that once your mental health issue is treated, your addiction won't be an issue and won't need its own treatment because... for most people that isn't the case. Opioid addiction changes the brain at a fundamental level, and once we've been dependent or addicted to opioids, the changes need to go through their own process of recovery.


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 Post subject: Mixing Meds
PostPosted: Wed Oct 31, 2012 1:34 am 
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Hi jenrat79,

I have never heard of vyvanse but when I first started Suboxone way back when, my Sub Dr. gave me Wellbutrin to help me stop a nicotine habit and it worked great. Had to wean down from that one but it wasn't too bad because I was only on it for maybe a month. But like TJ said, Suboxone works well with most other drugs except Benzodiazepines. Now I take Effexor and didn't notice any change in my Sub absorption so I left it alone. This is the first time I've heard of that one.

Don't worry about it, your Dr. knows what he's doing. (I hope)

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