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 Post subject: suboxone and pain relief
PostPosted: Fri Jan 07, 2011 4:52 pm 
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Currently taking oxycodone and morphine sulphate for ortho pain -- hard to walk etc.

I have heard two things: Subs do not work for pain very well and

Subs work just as well for pain as oxys.

Must be one way or the other. One Dr. said there would be no orthopedic pain relief if I started Subs for eliminating oxys.

thanks,

S


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 Post subject: Me
PostPosted: Wed Jan 19, 2011 9:30 pm 
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I can only state what it does for me, and that is, it does help tremendously with my back and neck pain. Now I use Cataflam and Tylenol as needed and so far so good.

All you can do is see for yourself. I think you'll be surprised at how well it helps.

Tom


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PostPosted: Wed Jan 19, 2011 10:26 pm 
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I think that Rule's final sentence is the best advice. In the end, your only true answer may be to give it a try and see how it works for you. I have heard from people who say it does not do anything for their pain at all. Then there are others who say they get a decent amount of relief from it. We have one of our long time posters here on the boards currently struggling with the amount of pain she has while still on Suboxone. That does not mean it will not help you as we have another long time poster and a moderator who seems to get good pain relief from Subxone and could even tell the difference when she tapered down to have surgery and the pain returned when she stopped the Suboxone.

There are just a lot of things that come into play when treating pain. I think nearly everyone will agree that Suboxone does not provide as much pain relief as morphine or oxycodone will. It just does not provide that level for most people. In my experience as a healthcare provider (I am a paramedic) I have given patients large amount of narcotics and they didn't get their pain under control - at least while I took care of them. Then there are some who had their pain go from a 10 on the 1 to 10 scale down to a 2 after a modest dose of opiate pain medication. It just depends.

So, for you, it is likely the same, it just depends. It may work for you, it may not. Are you able to give it a try? That might be your best bet. Strike a deal with your pain management doctor to allow a one month trial - and really stick with it. Allow your body to readjust and get on a solid regimen of Suboxone and see how you do. If it doesn't work, well then you go back on what you are currently taking. If it does work, you'll be glad you made the change.

Last, if you do give it a try, be sure to do it right. By "do it right" I mean, try to get at least 4mg every 4 to 6 hours. Suboxone will stay in the body a long time but it only addresses pain for about six hours max. That means you need multiple doses throughout the day - not just once or twice a day, as is the case for addiction patients. You may also need 20 or 24 mg a day rather than the typical 16mg max a day dose for addiction.

I hope this helps you. Some others here who actually take Suboxone for pain may help more. If you give this a try, please let us know how it goes for you.


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PostPosted: Wed Jan 19, 2011 10:27 pm 
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Yea sorry but suboxone is far from as good as oxy contin for pain management. I was on oxy for 4 years 200 mgs a day for a knee injury and can tell you that SUBOXONE helps my pain and got me clean and free from that devil of a drug but when all is said and doen i am goanna be honest with you and tell you that your not goanna get the same pain releif from SUB as OXY.

But you can take muscle realaxer with SUB so def talk with a Sub Dr so you can alos be free of that junk it ruined my life not very fond of oxycontin. or i should say i ruined my life


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PostPosted: Thu Jan 20, 2011 10:19 am 
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I also would say that sub isn't as good for pain as full agonists. That said, I also take sub for pain. It helps me and most days my pain is tolerable, a big difference from having nothing for pain at all. Like others have said, you just have to give it a try, because some people get no relief from pain from sub.

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PostPosted: Sun Jan 23, 2011 9:27 pm 
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Buprenorphine is as effective as oxycodone for pain relief-- to a point. The ceiling effect limits the pain relief from buprenorphine to a level equal to about 60 mg of oxycodone per day.

It all depends on tolerance though. For people with no tolerance to opioids, buprenorphine would be a much more potent medication-- one mg of buprenorphine would be stronger than 40 mg of oxycodone! Because of the ceiling effect, as you raise the dose of each medication, the effect of buprenorphine eventually stops... and so 100 mg of oxycodone would be higher than ANY dose of buprenorphine.

Things are even more complex for people who are tolerant to opioids, for example on buprenorphine maintenance. In that case, buprenorphine becomes the persons 'baseline', and eventually provides little pain relief. The way to get additional pain relief is to take oxycodone on top of the maintenance dose, as described in this article: http://suboxonetalkzone.com/bupe.pain.pdf .


The simple truth though is that no matter the medication or dose for pain, a person eventually will become tolerant to the medication. If a person with chronic pain takes 150 of methadone per day, eventually tolerance builds, and the pain relief stops. The same occurs with every other medication. So.... in my opinion people are best on buprenorphine. The development of tolerance is the same for all meds, so you might as well be on a medication that will prevent craving when you become tolerant to it, rather than on one that constantly pushes you toward dose escalation.


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PostPosted: Sun Jan 23, 2011 9:51 pm 
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Scruffy - Donh is referencing me when he is talking about suboxone not working well for pain and I just want to clarify that I am on a pretty LOW dose of suboxone and my condition is getting worse so what probably needs to happen is that I need to increase my dose of suboxone or maybe as Dr. Junig mentions, take oxycodone with it although the whole thought of that makes me want to cry. Full agonists are terrifying in my book and I really want NOTHING to do with them.

I also think Scruffy that Doc #2 may have changed you from oxycontin to ms contin BECAUSE he wanted to give the suboxone a CHANCE to work a little for your pain. People are right that when you go from oxycontin to sub, it does NOTHING for pain. I remember just having to deal with pain for the first time in a long time with NOTHING. It was horrible. It wasn't till I went off suboxone that I realized how much it was helping for the pain and making it manageable.

Again, the only problem now is my low doseage and increased number of days that I am having pain. Otherwise I may very well be fine. I can say that I was at work the other day with pain level about a 7. I was miserable. I took 8mg of suboxone and within 40 minutes or so I really didn't notice the pain at all. I was able to work just fine that day and didn't notice the pain coming back for about 6 hours. So it can really help and increase function. You will just have to see.

Cherie


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 Post subject: pain
PostPosted: Mon Jan 24, 2011 1:18 pm 
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most pain now from drug constant /d. because amt never changes - and never works to feel at all i oday -- I am not sure if I am tolerant - or in w/d or what. All I know is I try to take this standard rx because not doing so is the most intolerable w/d possible and taking them is misery and sitting still. The regular pain gets severe, but almost lost in the awfulness.

S


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PostPosted: Sat Mar 12, 2011 12:17 pm 
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scruffy wrote:
Currently taking oxycodone and morphine sulphate for ortho pain -- hard to walk etc.

I have heard two things: Subs do not work for pain very well and

Subs work just as well for pain as oxys.

Must be one way or the other. One Dr. said there would be no orthopedic pain relief if I started Subs for eliminating oxys.

thanks,

S
IDK but i have 2 herniated discs in my neck and the suboxen has helped my pain better than takin percs or vicoden or morphine or methadone ever did.


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PostPosted: Sat Mar 12, 2011 12:20 pm 
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nce ive started taking the Suboxen my pain has subsided drastically, I have 2 herniated discs in my cervical spine between C3/C4 and C5C6, the Suboxen has taken away more of my pain than the Percocet/Vicodin/Morphine or Methadone ever did, my pain has actually been well controlled with the Suboxen alone. Hope this helps


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PostPosted: Thu Nov 21, 2013 4:30 pm 
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The first 2 days being off Kadian and Oxy I felt really bad. Was in excruciating pain . Leg and muscle cramps, headache, no energy, just plain miserable. Been on Kadian and Oxy for over 2 yrs.I have been on Sub for 2 days and I do feel better. It took away the pain. Will find out from the dr on Friday to see how long I am going to be on this. I am hoping that I get my life back. My husband and Son deserve it........ Thanks


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 Post subject: journey of escape
PostPosted: Fri Nov 22, 2013 4:20 pm 
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I'm what the addiction specialist calls opiod dependant..in 2011 I reached for freedom from my 200 Mg a day smoking roxy's and topping with 3 dro ten/325 four times a day oral. I went to treatment and still couldn't shake freedom. They put me on 8mg subs after 9 months I needed to undergo a invasive surgery and did so on subs. Then doc had me use the subs for pain control post op was taking 4-6 Mg every 4 hours for two weeks. I was once again getting high. I explained to my doctor that I had come to treatment to get away from the control of the substance not to create a new addiction independent in itself. While on suboxone I learn ed tolive again without the lifestyle narcotics brought as a fien junki lost her life meaning kids to cps and marriage in the end suboxone gave me a bridge to freedom. I did get my kids back and did indepdantly break free from suboxone without tapering going from about 20-24 Mg to nothing. Two weeks of the most severe detox ever but I gained life again. Here I am 2 years later free from opiats and now had are cent injury with unmanagable pain. I went back to my sins doc and he put me on hydro 10/325 twice a day and after 3 weeks I lost control and ended up taking one every four hours. I drew courage and strength to tell him I cannot control the fro its began to control me. Today I start sub again 2 Mg twice a day for pain management.
Its a hard place to be in when u are by nature. Of addiction a wimp to pain and but a puppet to narcotics. I'm frustrated Hiv got to go back on subs but also know its the best option for someone like me who has overcome narcotic addiction and lived agood life since. I'm praying this will work forpain


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PostPosted: Sat Feb 08, 2014 2:28 am 
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There are most definately withdrawals from it they are simply more unobtrusive than with straight sedatives. Alot of individuals at my recovery had issue with getting off suboxone with no sedatives being taken for months.

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