Appropriate Suboxone Dosage

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I just started taking suboxone to get off roxycodone, of which I was taking up to 10, 30mg pills a day, all day long. I am also on Adderral and Xanax. I felt really good for the first couple of weeks, but now I feel really anxious, and find myself constantly needing my xanax. However, since I'm only prescribed 3x 1mgs a day I am going to run out too soon. I am prescribed 2x8mg Suboxone a day. I was wondering is there a certain time schedule I should take it, b/c when I take a half of one before I leave work at 5, I can barely eat, don't want to talk to anyone, and severely anxious and nervous. I was wondering if I need to not take as much suboxone? I have read on here that sometimes, less is more. Has anyone ever been in this situation, and could offer some advise for what worked best for you. Thanks so much!

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1

You are probably taking way too much suboxone. I too was taking 10 30mg of oxycodone a day. I started on the subs taking 1 8mg the 1st day, 4mg the 2nd day and then tapering down to 1/4 pill for the next 2 days and then I was off completely. Everyone is different so I would suggest talking to your Dr about your dosage. Also, Suboxone has a long half life so it builds up in your system. For instince, if I took one today it would take me 3 days to be able to feel the effects of an oxy if I chose to do one. Less is more with the Subs, you are most likely taking way too much.

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2

Alos, if you are taking adderal, that's probably why you feel anxious, that stuff is like legal cocaine!!! Is your Dr aware that you are mixing adderal, with xanax and suboxone? That sounds like a deadly combination... Suboxone slows your heart rate as do xanax, adderal speeds you up.....just sayin

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Yeah, not only does he know I'm taking all of those drugs. He prescribed them to me. Thanks for the reply. I've been taking that combination (besides the suboxone) for over 10 years now. I can do without the adderall, but xanax I can't live without. I thought that my doctor would take me off some of the other meds if I told him I was also taking roxys. I feel much better today, instead of taking two, I only took one this morning and then a half this afternoon. I could probably do much less. Also, when I'm on the subs, I don't really want or need the adderall so I only take one when I get up. Thanks for the reply. I'm just so glad to be off the evil roxys, that literally destroyed my life. Thanks for the reply!

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Based on a drug interaction checker, there is actually a potentially dangerous interaction between Xanax and the buprenorphine found in Suboxone. The interaction states the following:

"Central nervous system and/or respiratory-depressant effects may be additively or synergistically increased in patients taking multiple drugs that cause these effects, especially in elderly or debilitated patients."

"During concomitant use of these drugs, patients should be monitored for potentially excessive or prolonged CNS and respiratory depression."

That said, hopefully your doctor is aware of this interaction and maybe you can get off suboxone sooner than later, since you are more dependent on xanax; having taken it for a longer period of time. A lot to consider I suppose; but as long as your doing fine I would just ask your doctor to monitor the interaction if possible in case it is playing a significant role in this.

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