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 Post subject: Surgery on Suboxone
PostPosted: Fri Apr 15, 2011 1:45 pm 
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Hi Everyone, I was going to post this under the new thread about things to consider before going on Suboxone, but this has been on my mind for a while, so I thought I'd make it it's own thread.

One of the more common objections to going on Sub is, What will happen if I have to have emergency surgery? Understandably, the concern is they won't know you are on Sub and not give you enough pain releif to overcome the bupe in your system; or they WILL know you are on Sub and either deny you pain meds at all because you are an addict, or be unwilling to give you enough meds to address your tolerance.

This is what I'm thinking though....What happens if you get in an accident or have emergency surgery when you are in active addiction? A newcomer who just posted here said she was on 240mg of oxy a day, and I don't think that's out of the range of what many others were on when they got here. So what happens when you have emergency surgery? First of all they could administer morphine or the like, not knowing you already took 240mg of oxy that day and you could OD. More likely, they will give you the standard Perc 5's and not only will it not touch your pain, but you will be in severe withdrawal. What do you do at that point? Tell the doc you need 240mg just to feel normal, and even more to address pain? I don't know any doctor who would prescribe that much.

So I guess all of this is a long winded way of saying, that in the case of an accident or Surgery, I don't think you are any worse off being on Sub than you are on heroin or .
In addition, when I look back on 45 years of life there have been very few times, I have even had surgery or an accident.
I was in a car accident last spring while on Sub, I went to the hospital in an ambulance and they didn't know I was on Sub (despite a wallet med card), but everything worked out OK. Another example is China, with her recent oral surgery. While one doc did give her shit, she was able to go to another doc, be sedated, and have her pain managed reasonably well with no huge complications. Others have shared similar stories, and unfortunately there have been some horror stories, too. But I coult tell you some pain horror stories of people who were not on Sub as well.

So, I guess, more than enough said. I'm going to take my chances at having something happen while on Sub, instead of chancing killing myself with drugs :)
Have a great, SAFE, week-end everybody!

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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

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