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 Post subject: surgery coming up
PostPosted: Sun Oct 09, 2011 11:43 pm 
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I haven't been on here since Jan, crazy how time flies..!! And I am so thankful when I still need to contact people after all this time, I knew you all would be here. So thank you.. I have been on Suboxone since Jan, and have had such a change in my life for the better. I have migraines, and only have had two since Jan. and both times, they gave me a shot of pain meds, and it did nothing. A lot of the doctors here, think Suboxone is not good. And they don't have any education on the medication so I just let it go... But I am having three procedures done, heart cath, for the right side, left side, and another one, i don't remember off hand the name. BUT, should I try to get off the Subs for about five days before, if so will this make me sick Withdrawl wise?? The specialist for my heart is saying suboxone is bad and he doesn't want me on it, but then his next sentence he makes it clear he doesn't even know what it is.. So I am a little scared, I don't want to be in pain, and I want it took work. I also wonder if anyone knew of printable material I maybe able to print out so I have it for the doctor too? thanks you all, and God Bless....

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PostPosted: Mon Oct 10, 2011 4:50 am 
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Hi there - good to see you again. Below is a link to another thread. In that thread is another link to an NIH article on treating acute pain in suboxone patients. If you're going to need pain meds, one of the ways is to go off suboxone several days or a week before and put you on a full agonist at that time. Then hopefully you'll get some better pain relief by the time of the procedures. The trick is they need to give you enough to keep you out of withdrawals.

There are other ways that are talked about in the article I'm giving you to address acute pain for us. It can be hard to get good pain relief, depending on what dose you're on and how high your tolerance is.

You might also want to get your suboxone doctor to consult with your cardiologist/surgeon and/or your anesthesiologist. They need some serious education in suboxone, as, like I said, they will have to give you higher than normal doses of full opiate agonists.

Here's that other thread: http://suboxforum.com/viewtopic.php?t=1812

The article it links to is a fairly easy-to-read 7 pages with another 7 pages of reference. The NIH is a very reputable organization. Many of us have actually given this paper to our surgeons/doctors. But in your case I would first give him something that explains what suboxone is! Then also perhaps give him this paper.

I wish you good luck. Let us know how things go. And welcome back!

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PostPosted: Mon Oct 10, 2011 4:45 pm 
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Hi there, I haven't been here a while in myself, been on Subuoxone for quite some time now, since 2008 and I'm having surgery coming up on the 13th, like in 3 days. My Subuxone doctor specifically said for me to stop staking my Sub 36 to 48 hours before my procedure....so I don't know what to think I've heard so many different answers at this point and of course I'm having trouble getting my anesthesiologist to call me to discuss the matter, even 36 hours without my Suboxone is enough to make me uncomfortable, so I don't know what to do, just wanted you to know you're not alone.

I'm going to go read the link someone below posted to see if I can figure any of this out, if not - I guess I'll stop 36 hours prior and tell the anesthesiologist on the morning of surgery, she'll probably wish she would have called in advance then.

So complicated, sheesh....


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PostPosted: Mon Oct 10, 2011 5:18 pm 
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Hi Sky-queen and welcome back to you as well. I'm sorry if I added to your confusion.

The way your doctor instructed you to stop 36-48 hours before your surgery is a common method, so yes, your doctor is correct, as well. The problem with that is exactly what is troubling you - WITHDRAWALS. For this reason, many doctors will give full opiate agonists before the surgery, especially if the patient will need pain meds post-surgery.

Also, if the patient goes on full agonists about a week ahead of time, that gives you several extra days to try to get some more sub out of your system so MAYBE, just MAYBE, the pain meds you'll get during and after the procedure have some hope of working.

Another issue with sub patients needing acute pain relief is that we need more than the "normal" dose of full opiate agonists due to our high tolerance to opiates and the suboxone blocking them. And lots of doctors are hesitant to give us such high doses of opiates.

Definitely read that papered I gave you the link to. And print out a few copies and bring a bunch with you to the hospital the day of your surgery, just in case.

Good luck to both of you on your procedures. Feel free to ask more questions if you have them. And definitely let us know how everything goes.

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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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 Post subject: Horselover
PostPosted: Tue Oct 11, 2011 2:13 pm 
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PRINT OUT That ARTICLE from NIH. I had a heart cath back in the spring. I ALMOST printed out that paper to take to the anesthesiologist (who was a pompous ass) in my opinion. Most anesthesiologist are caring and soft spoken....not this guy and they were running so far behind, he wouldn't have time to read it. IF you have time drop a copy off to your cardiologist and one to the anesthesiologist. I am not good with pain and it explains in the article why we are not good with pain. Heart Cath is NOT fun. You are awake for some of it, groggy, but enough to know when something hurts. It does hurt. the numbing at the groin site wore off and I could feel him manipulating the tube that goes in that area. i kept telling them that I hurt and couldI have more to knock me out a little. Well, The ansth. said, "She's fine, she's had enough. The poor cardiologist just looked back and forth between me and the anest. He just kept saying he was sorry. Story ends....It Does HURT!!! and then they have some huge person press on the groin site for 20 minutes, someone tell me that doesn't hurt!! Left a HUGE bruise.

SO, now on Thursday I have a catheter ablation. A month a go, I printed out the NIH papers, two copies. One for her which I highlighted all the important parts and one to give her anesthesiologist. Well, I happened to be in a-fib all day yesterday, and she happened to be the cardiologist on call. She THANKED ME for the papers I sent her and she said she learned a lot. WOW, did that make me feel like a million bucks? Yes it did. She said to not worry and that she would personally talk to the anesthesiologist. I also gave her the sheet from something I got in the mail from the alliance of Buprephrine patients??? It actually gives a visual drawing of how it works in the brain on the receptor sites. These docs know the word and learned the word in school, but THEy do not know how it works. I'm telling ya right now. Save yourself a lot of worry,print it today and fax it if you have no time left. It's worth it.

Good luck to you and let us know how everything goes.
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