Buprenex vs. Suboxone

[stingray1784]

I just began 12 mg.s/day Suboxone 4 pain mgt. Can any1 tell me the differences/pros+cons of Buprenex and Suboxone? Thx.

[shaunclo]

Buprenex is buprenorphine, when Suboxone is buprenorphine with naloxone. They add the naloxone to the bup so you cant shoot it. I think I left something out though, I guaranty others will chime in soon though and give you a lot more info on this.

[bdubya13]

how does bup work for pain management? I take 24/mg daily but not for pain. It might be a better alternitive than vikes....must be better than ultram

[doctor diesel]

how does bup work for pain management? I take 24/mg daily but not for pain. It might be a better alternitive than vikes....must be better than ultram

My wife has chronic pain due to fibromyalgia, and it's every where in joints and muscles. There's not many easily available painkillers that work for her, but generally speaking if she's feeling awful, then 170mg codeine, or 400mg Tramadol, or 0.8mcg (sublingual) buprenorphine relieve her discomfort a lot. But if she takes bup, the codein doesn't work (is that right? Is that how the interaction is meant to be?) The bup is also really good for relief of withdrawal symptoms when she runs out of Tramadol.

That might not help you much but it puts things in some sort of context.


Diesel

[bdubya13]

Does anything enhance bup...but not benzos, perhaps mixing bup and tramadol?

[shaunclo]

Tramadol is a opiate, if you take tramadol while on suboxone, it will do nothing. The buprenorphine will cancel out any affects the tramadol will create.

[Coverage]

I'm a bit confused here - I have never heard of bupe being used for pain management. According to everything I've read, bupe's only approved use is for opiate addiction. I've been taking 24 mg/day for 2 months now and I've never noticed any pain relief.

Maybe we're talking different meds here?

[Queenofelves]

Buprenex is currently only labeled for use for pain management moderate to severe pain. Docs use things off label all the time I had been on Suboxone for 2 years almost and just went on the buprenex because I am now considered trustworthy I guess and have a little fibro (I believe since I been on narcs since I was so young, cant handle pain). I could have taken the subutex as well. The difference is that no noloxone = less headaches for me. You have to take more of the shots...its a little less than 2 shots bup for one 8mg sub. I get better pain relief with bup because I spread out doses more, but seem to begin withdraw symptoms sooner-at 1.5 days out I start yawning, sweating feeling cold...ect...I also have heard recently that you can take alot of bup if you need to for analgesia, up to like 24 shots a day...a nurse told me this when I was asking about tolerance. You should know that any euphoria a person can get plateaus for sure at 24mg a day. But I dont remember that feeling anyways!

[bi11i]

you know, i've been cursed with headaches since day one with bup - some days i'm out for the entire day. there seems to be no solution, other than to wait it out. i never had this on subutex - does it only come IV/IM?

how else do you feel without the nalaxone? i know they say the naloxone isn't absorbed via under the tongue, but i feel like it does something - what's your take on it?

[1badrabbit]

If you look into the literature that the docs read to help them in prescribing the sub/subutex it says when migraines are a problem you can switch to subutex. I have seen several people myself included that have gotten migraines from suboxone. Some docs aren't willing to switch you to subutex under any circumstances but its worth a try right?
Also check out www.heroin-detox.com there is bupe forum there. Some of the posts there indicate that studies showed that the naloxone wasn't even effective in causing wd's when IV'ed in the suboxone pills. A lot of it shows that people taking sub are taking naloxone for absolutely nothing really.

[bi11i]

my doc wants me to participate in this study where they'll just inject a 6-month slow-release of the stuff. i'd rather take the pills.

any link to the literature which shows your migraine info?

gee thanks, sending me off to another forum to get help. doesn't that just bite....? ;)

[floger]

Boy amazing how we are all different.

IV bupe works great on all my dull constant pain and does not bring on a migraine. But if I use too much suboxone between IV's It brings on a Migraine/headache. I say it that way because its not a full blown Migraine.

I want to get my hands on Subutex but it seems that its locked away and they threw away the key

[bi11i]

me experience as well. I brought up my migraines to my doc - he suggested the best way to find out if it's the subxone causing it is to stop taking the suboxone altogether. Great news! Nah, stop taking it altogether without a subutex replacement.

Anyone out there on Suboxone that's been able to switch to Subutex (who's not also managing pain?)

[Truuper]

Sounds like the doc is an ahole. Running his practice like a cop and not a doc. Just cause a few would abuse the Sub the many have to suffer any negative effects they get from the Naltroxone.

And it's not like you can just run out and find a new Sub doc that'll give you Subutex.

Moose