View Full Version : No benzos w/ Bupe?
SuperJunky
03-14-2007, 06:16 PM
My friend recently went on suboxene and there are signs up all over the place saying they will not prescribe benzos w/ the subs, and if you take them, even prescribed from another doctor you will be booted out because the benzos interfere w/ the suboxene and can be "unpridictable"? What BS. It's not me, I just order my benzos, but fuck, if I want to taper down I think it would be nessecary, anxiety is one of my biggest triggors, if they truely wanted to help me get clean benzos would not only be completly apropriate but damn near nessesary. WTF? DOes any one else think thiS is the biggest load of crap. I had another friend that went to a center where they would only give you zyprexa for sleep and to stimulate apetite? Weird. I would totally tell them to go to hell if I didn't get a benzo w/ my bupe. Any one else?
tptptp
03-14-2007, 06:44 PM
Eh, I dont know. Some docs truly want to help their patients, most dont and just want the $. Both types probably have their own stances. If a patient wants to taper down off of bupe then sure maybe they should be able to get benzos. At the same time you're coming off one type of substance by using another and I guess some docs just dont like that.....I dunno I think it should be case by case basis. I think ALL drugs should be legal, BUT since they aren't I can see it from a docs viewpoint as well. Bupe seems to help some with anxiety itself so maybe the doc is a maintenace doc and just doesnt want patients coming in to load up on bupe and benzos and if they cant they just ditch the program, ya know. I mean maybe hes had problems with 90% of patients just coming in to load up on bupe and benzos and doesnt want to be that type of doc, or have DEA up his ass.... Its hard to say without hearing both sides but I still think it should be case by case basis. As much as doctors may be assholes, in the end ya cant really blame them for not wanting the heat that the aholes in DEA bring on them constantly ya know after all that hard work and living off loans for years and years they just want to reap the benefits, yeah im going off topic, later.
Diluted
03-14-2007, 07:48 PM
Benzo's without getting all medical mumbo jumbo - basically allow the Suboxone to be a full antagonist. Take a little benzo, and your Suboxone can almost feel like oxycodone.. ( maybe methadone is a better way to say it) Also, all suboxone deaths are benzo related. A child could eat a whole bottle of suboxone and not die - and if some how a child did sublingual dissolve a whole bottle - there's a very low chance it'd die also. Throw in one benzo, the kid is a gonner.
drugsaregood
03-14-2007, 08:11 PM
Benzo's without getting all medical mumbo jumbo - basically allow the Suboxone to be a full antagonist. Take a little benzo, and your Suboxone can almost feel like oxycodone.. ( maybe methadone is a better way to say it) Also, all suboxone deaths are benzo related. A child could eat a whole bottle of suboxone and not die - and if some how a child did sublingual dissolve a whole bottle - there's a very low chance it'd die also. Throw in one benzo, the kid is a gonner.
no shit, didn't know it turned it into a full antagonist...i'll have to try that later...lol
robojunkie
03-14-2007, 08:16 PM
Don't know about the bupe doctors but at the done clinic they were pretty strict about benzos, one dirty piss and take homes gone. Another you had to go to benzo group every week and sign some stupid "contract". Another and you had to go to detox (for benzos, my clinic doctor also ran a detox and they'd just maintain the done while kicking the benzos). But you were allowed to get them from an outside doc but the doc had to sign off knowing you were on the clinic, etc for the urines to count as "clean".
But what's weird compared to what you said about the bupe taper, when I was coming off the done the nurses and staff encouraged me to get on a benzo/pseudo-benzo while nearing the low doses/zero. I was kinda surprised when the head nurse told me this (they wouldn't write them though, you had to go elsewhere). That's really fucking weird that they just have a blanket policy that no one can even be on a legit benzo script. Fucked up...
HeidiW
03-14-2007, 10:13 PM
Yeah, I have a friend who's been going to the 'done clinic for 14 years and he's always losing his take homes for being dirty for Xanax. But yet he was presribed OC and Ativan by another Dr, and that was 'ok'. Weird. There sure seems to be something wrong with that one, that's for sure.
drugsaregood
03-15-2007, 12:35 AM
But what's weird compared to what you said about the bupe taper, when I was coming off the done the nurses and staff encouraged me to get on a benzo/pseudo-benzo while nearing the low doses/zero. I was kinda surprised when the head nurse told me this (they wouldn't write them though, you had to go elsewhere). That's really fucking weird that they just have a blanket policy that no one can even be on a legit benzo script. Fucked up...
hmmm...i wonder if thats just to ease whatever withdrawls you might get...i'm currently taking suboxone for opiate cravings, don't really go into withdrawls when i stop...wasn't using when i started taking them though, wasn't dependant...wonder if its the same for that case, or even bupe in general. ;\
psychotiKK
03-15-2007, 01:45 AM
My friend recently went on suboxene and there are signs up all over the place saying they will not prescribe benzos w/ the subs, and if you take them, even prescribed from another doctor you will be booted out because the benzos interfere w/ the suboxene and can be "unpridictable"? What BS. It's not me, I just order my benzos, but fuck, if I want to taper down I think it would be nessecary, anxiety is one of my biggest triggors, if they truely wanted to help me get clean benzos would not only be completly apropriate but damn near nessesary. WTF? DOes any one else think thiS is the biggest load of crap. I had another friend that went to a center where they would only give you zyprexa for sleep and to stimulate apetite? Weird. I would totally tell them to go to hell if I didn't get a benzo w/ my bupe. Any one else?
What the fuck? I have read about the negativity of benzodiazepines and buprenorphine taken together. The thing is, I have Generalized and Social Anxiety Disorders. I have to take my klonopin daily. My suboxone doc didn't say a word about the klonopin. I even asked why it's bad to combine the two after reading it in a pamphlet. He told me I would be fine and that rule only applies to people who aren't prescribed on benzos. It's a bunch of bullshit. Just like the fact that doctors and psychiatrists never prescribe me the right medications, and never listen to me even when I know what helps me. I have bad depression, anxiety disorders, and ADD.. the best stimulant I have received is generic methylphenidate ER 20mg twice daily. Too bad there is such a thing as tolerance and that hardly cuts it after 3 months. He won't prescribe me any more or switch me to adderall or dexedrine. Such bullshit.
Hammilton
03-15-2007, 08:15 AM
Benzo's without getting all medical mumbo jumbo - basically allow the Suboxone to be a full antagonist. Take a little benzo, and your Suboxone can almost feel like oxycodone.. ( maybe methadone is a better way to say it) Also, all suboxone deaths are benzo related. A child could eat a whole bottle of suboxone and not die - and if some how a child did sublingual dissolve a whole bottle - there's a very low chance it'd die also. Throw in one benzo, the kid is a gonner.
Do you just like to say things knowing full well they're bullshit, or are you just that stupid?
OxyContinuously
03-15-2007, 09:05 AM
I hear you on the anxiety issues, SJ.
I myself, through work, talked to a doctor cause you actually have to every year, and you get a physical (listen to your heart, take your pulse, that kind of thing, blood pressure) then the second part is talking to the department psychiatrist. Well, this doctor is a cool guy, easy to talk to, and not a complete jackass. So we were talking and I was honest about how I feel regarding anxiety, like sometimes just on edge for no real reason, high strung you could say? We talked about it, and work and how that is probably high on the list of stressors, and don't you know he wrote me a prescription for a 14 day trial of alprazolam (xanax) at the dose of "one half a pill every four hours as needed" (they were the brand, blue 1mg footballs). He said he wanted to see how my body reacted to it, because before he suggested medication(s) he asked if I was familiar with Xanax or had ever had it from another doc; I told him no so he believed that and wanted me to try the Xanax out. Long story short, he was really cool about it and rather importantly, for my purposes taken exactly as he prescribed, sure i don't get blasted, but it *does* do exactly what it should. Very subtle yet strong even at half a milligram. He ended up revising that first script to an "as needed" basis. (from my understanding I don't think you can have refills of benzodiazepines unless a doc specifically issues a new prescription? or maybe calls in personally like he would have to for say, a Vicodin refill)
But to this day, I find that a half a milligram in the morning and then the same dose in the evening before I retire for the night has really helped me out as far as anxiety is concerned, and I think it was an excellent choice for a benzo. For my purposes, I am glad it is Xanax and not Valium for example. Anyway, that's my experience ;-) Thanks :D for listening
later
Oxy
Sitar
03-15-2007, 06:20 PM
The babble over using benzos on Bupe is just unsubstantiated bullshit designed to cover doctors' asses in case the patient happens to abuse the stuff. It's so stupid. Buprenorphine is quite safe taken with benzos unless they're both shot up or taken in ridiculous quantities and then it could possibly be a problem.
My Bupe doc is awesome and has been prescribing me Bupe and Klonopin simultaneously for several months now. It's always funny when I would sign those "contracts" stating that I'm not taking any benzos, etc. I would always go and ahead and sign it, justifying it by thinking that they're talking about illicit ones instead of legitimate prescriptions.
Some docs will steer clear from benzos to Sub patients out of ignorance or pressure from higher-ups, but some of them like mine will give the patients what they need to successfully beat their addiction and live normal lives.
Diluted
03-15-2007, 09:25 PM
Which is bullshit.. the suboxone OD with the child? The suboxone and benzo? Please correct me where I'm wrong. If you have no tolerance to benzos, and take subs - it can turn out to be a not so good situation.
The thing I signed at my doctors office has a big winded article about the whole "child eating suboxone" thing on it. Talking about it's celing effect, how it's near impossible to OD from it alone - and how all deaths related to suboxone OD have benzos included. I stand firm on my facts. Then again, I'm looking at this from a recovery stand point - not a catch a buzz view. I agree with Sitar about some points. Yet people like me, I can't normaly dose on benzos - nor need them - other than to kick my bupe up. Been down that whole road before on bupe.. but some people DO need them. I'm glad some DR's arent just a slam bam thank you ma'm wheres my $92 like mine.
Ugh. Last edit I swear.
Basically, if you don't medically need a benzo - it's not a good idea to mix them. If you do need them - it's a good idea to be smart about it. If I took sixmgs of klonopin, I'd be flyin' nice. Where am I wrong?
Sitar
03-16-2007, 01:44 PM
I'm not saying someone can't die from benzos and bupe, but it's super rare and always involved shooting them up from what I've read.
The doctors are trying to cover their butts by making people sign these dumb contracts and denying benzo scripts. It makes sense to some extent, but like I said, some people really need those meds and can't get them because of all this alarmist hysteria over it.
halfalien_s4
03-16-2007, 04:07 PM
ive had generalized and social anxiety for yrs now also )used to have panic disorder) and ive tried a lot of benzos like xanax, ativan, serax, and valium. valium works great but i just havent talked to my doc about swithin over to it yet. hes had me on .05 of k-pins for the past few yers and theyve worked great except for a few times but my stress level was extremely high at the moment. it works as good as the diazapam, but the diazapam has a muscle-relaxing quality to it that none of the other benzos have.....except maybe versed, but im talking stuff in pill form here. i also take 15mg of restoril at night for sleep, which i also find to work well.altho it has started wearing off in the middle of the night......mixing it with soma feels pretty good....
tptptp
03-16-2007, 08:07 PM
Which is bullshit.. the suboxone OD with the child? The suboxone and benzo? Please correct me where I'm wrong. If you have no tolerance to benzos, and take subs - it can turn out to be a not so good situation.
The whole statement was wrong. Benzos potentiate the hell out of stuff sure enough, but that doesnt mean it CHANGES bupe into a full agonist or whatever. I dunno about a bottle not killing a kid either. A bezno given to a kid w/no tolerance mixed with many drugs would kill him, so thats beside the point.
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