Dilaudid And Subutex (Top voted first)

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I had a knee surgery yesterday. I have been using subutex to help me taper narcotics. I stopped the subutex 2 weeks before surgery. My doctor prescribed both percocet and oxycontin. I am getting no pain relief. The iv Dilaudid worked in the hospital. Has anyone taken Dilaudid by pill at home?

95 Replies (5 Pages)

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65

I had the same problem I thought the subutex didn't have the blocker so I took Dilaudid and felt nothing why is that

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44

Will I get sick if I take dilaudid and subutex in the same day? I've never taken subutex before. I take dilaudid everyday. Sometimes twice or three times a day so I have a high tolerance. I'm just curious if i will get sick if I take a dilaudid and subutex in the same day? Help please. If you're going to reply with a rant on how im hurting myself blah blah blah and I should stop then don't bother wasting your time. Not to be rude, sorry if I come across that way but im just being honest. Thank you!

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59

ive been on subutex for 2.5 months now I take up to 8mgs a day but have cut down to 2mg in the past 2 weeks I have Rheumatoid Arthritis and some neck and back trouble. I have duiladid 2mg here at home. took my last sub dose yesterday Am and it was prob no moew than 1.5 mg. how much longer until I am able to feel the effects of the opiates. I am in so much pain. Subs DO NOT help my pain what so ever. PLEASE HELP!

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50

I am a long term suboxone user, 6yrs. I have to have a painful procedure done, and I am so afraid the iv dilaudid won't work! I dont care about getting high, I just dont want to be in paid during the procedure........help please

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54

Yes dilaudid will overpower subutex for the most part cuz its only beuprenorphine and no noloxone. Some of the beuprenorpihine may still be hanging around your receptors but the d will overcome. That is depending how much tex u did. I just did it to day w/half d couple hours after tex and it felt just as good as normal.

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62

Why do you reply with "how to tapper bupe?" Did anyone ask that question? Why throw off the conversation. Throw your 2 cents into the right forum.

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84

Amp,

If you need to ask those ridiculous questions you're in over your head. Try taking subutex how it was prescribed instead of wasting a place that someone serious about recovery could use. FACT!!!!

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45

Alexandra, I don't want to be one that goes on about you self administering an IV, but as a RN I have seen so many people get cotton fever and some die from it and most of all you could have strokes caused by injecting the meds because a small blood clot forms which I have seen tons of times but most of all my sister in law passed away that way as soon as she shot up she feel asleep and never woke up cause a blood clot went to her lung. But as for your question you should not take subutex at least 12 hours after taking pain medication. I wish you the best and pray that you just take the Subutex the way you should. And it will be hard cause you get just as addicted to the needle poke. But I wish you the best in life.

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82

I have serious injuries from skateboarding when I was young and crazy, I injured my neck and back falling down a set of like 15 stairs trying to hit a hand rail. I ended up with 5 bulging and herniated discs and a nerve encroachment which led to me being prescribed oxycontin 60 tabs 40mg, roxicodone 120 tabs 30mg and 1mg 2x daily of xanax. I was 18 years old and it was my first pain management visit ever in my life. Needless to say this lead to about 12 really hard long years of serous pain and torment, mostly to the people who love me!!!! I overdosed well over 11 times to the point that the doctor that usually save my life and revived me numerous times from death, told me"Lew, if I see you in here one more time I'm either going to let you die, or give you a frontal lombodomy! I couldn't wait to get home to my stash, this is after being revived 3 times and being on life support for a week. They told my mom, my grandmother and girlfriend to say goodbye because if I did come through ("which he probably wont") I'd probably be a vegetable. I remember the worst pain in my chest when I came too from the c.p.r.! The had to keep me on diprovan (propophol) for another 4 days because I kept trying to rip all the tubes out while they were literally training my lungs to breath again on their own because they were dead. Anyways I went right home to my oxys and xanax without any remorse or care but to feel high and feel better! I guess you get the point, I was bad! Subutex helped save my life, it is a miracle and I'll stand by that forever! But really in the end, my kids is what maid me wake up and change my life style! It was more of like a matter of just growing up and learning from my mistakes! I still struggle with other substances and all the stress from a life of crime and addiction that I will overcome!!! God Willing! But it all starts with when the feeling of remaining the same becomes greater than the pain of change, we can change. It starts with a choice!!! My love and prayers go out to all of you!!!!

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17

I take subutex.ALL the surgeons, anesthesiologist know and I have brought all the dr.'s involved in this. The anesthesiologist said to take it 24mgs a day until the day before surgery?? I KNOW this is incorrect. I becan weening knowing I only have a short time to do this. I took 8mgs for about a week, felt ok, today 4mgs, then tomorrow plan on 4mgs and stop. Surgery is MONDAY! I am going to sleep as it is major surgery. I have meds to help with withdrawl. But NONE of these dr.'s seem concerned. EVEN the Anesthesiologist. I KNOW it's the bup that blocks the pain meds from working. That's why I am weening myself. If I take no subs fri, sat, sun and mon afternoon is surgery, I should be able to be relieved of my pain post operativley, I would think. I have been as high as 24mgs but not for some time. This drop is easy now since it stays in your system so long.
Also, I know I'll be in Withdrawl by Monday. I have percs to take ativan, valium and clonodine. I should be able to get thru this. Just wondering if anyone has any advice...Should I not take any subs tomorrow? Or will I be too far into withdrawl to go in for the operation? PLEASE ANY advice would be appreciated.

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39

I take alot of pain meds for 26 years of chronic pain due to several operations for Crohn's disease, 1 of the operations was in testing phase at Cleveland Clinic and it failed and they no longer do that procedure. I'm not familiar at all with the Subutex or similar meds. My post is just to concur with the person who posted #21... People judging others they don't even know, that is a mean spirited thing to say. People come here for advice and questions. If they wanted counseled, they probably wouldn't be in this forum as there's plenty of sites for counseling... Just irked me.

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42

Howdy. I broke my back after losing my brakes in a semi in 1998. Surgery made things worse. Like many w/ long term chronic pain I have had multiple meds, treatments, etc. The past several years it has been mscontin 2x per day every day and 4mg dilaudid 5x a day as needed. Dilaudid is strong, chemically basically synthetic heroin. The reason the shots in the hospital were so much more effective is dilaudid isn't as active orally. IV/IM delivers the entire dose but a 4mg pill only delivers around 33% of the active med. That is why recreational users use alternate administration methods. Hope that helps some.

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10

I have been taking subutex for about two years and have now come into some serious pain issues. I can find nothing that works. Has anybody had this issue while taking subutex? If so what can I take to relieve the pain??

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12

I am on suburex and have started taking 4mg dilaudads for pain
I will have surgery next week but
Started my dilaudads before stopping the subs any advice
My doctor told me in surgery the
Only thing that will over ride suburex is dilaudads??????

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22

I have been taking hydromorphone 4 mg to relieve back pain due to degenerative disc disease. I am awaiting a call back from my doctor, but I'm impatient....do you need to taper off/stop taking pain meds prior to surgery? If so, how many days, hours?

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37

Yes used dilaudid at home and it helped tremendously but then I switched back to the subs two weeks later .. I also was on I've dilaudid in the hospital n at first was switched to oxycodone and OxyContin which did nothing but wen they finally switched me to dilaudid ills it was great and like I said two wks later was able to go back on just the subs... It was an easy transition from the dilaudid pills to the subs ... Hope this helps.. Mine was for my shattered knee and broken
Pelvis in two spots n I switched back on 2 wks just bc I didn't wanna stay on dilaudid but if u need a lil longer just talk to ur doc n they can help u taper back to the subs with hopefully no issues :)

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53

Emma71,
I've been on suboxone for about 4 years and then switched to subutex for the past 5 years and there really is no difference like you read on this forum other then the naloxone prevents you from injecting the Bupunorphine (sorry about the spelling) which is the main drug in the Subutex and suboxone that does what people want done which is live a normal life with out chasing that high all day and then finally chasing not going into severe WD's. I was taking 40 10mg Percs a day when I stopped and I HATE Subutex now. It did save my life as my liver was starting to fail as the Tylenol in the Percs were 325mgs per pill so do the math x 40 every day. I have now Been on Sub. For over 9 years and it is a hell of a drug to come off of first off. Second off, I had my Galbladder taken out last year and my Sub doc told me to stop 3 days prior to surgery so I can get pain relief. My surgeon / internal med doctor that was doing the surgery had never even herd of Subutex and we met 1 month prior to surgery and then a week prior and both times that's all I talked about, to make sure he understood that I have a HUGE tolerance to pain meds due to the Sub for 8 years at that time. I even gave him my Sub doc and asked him to call him and please make sure he knows that the ONLY pain med that will work post op is Dilaudid which is true BUT you can't just stop a few days prior! I did it and my dumb ass Surgeon wasn't going to give me any thing but 5mg Percs to take home even after surgery the nurses had to go get my Anastisialogist to help with my pain which was in bearable. I felt like some one had ripped every muscle across my entire stomach and lower chest and I couldn't even breath without screaming. She told the nurse to keep giving me dilaudid until I responded to it, and they ended up giving me enough that would have killed a normal person and even a horse. I'm not making this up and the pain was still their but bearable and no high from all the dilaudid I. My IV like I used to get at the hospital long time ago. Then my dumb ass doc spoke to my wife and he acted like he didn't have a clue what she was talking about when she mentioned the sub. I have been on. So she had to scream at him to get a script to take home of dilaudid which was 2mg 4xs daily and it had a big 40 pills. I went through those in 3 days and was getting relief, so I called his office to get him to give me another script for the pain and he said after my surgery he finally called my sub doc and he had told him he would take back over after this. Which what he meant was I would go back on Sub. After my surgery was healed and I was done with my real pain meds. So he was done with me. I called my sub doc and really cussed out his nurses which I felt bad, I see them every month and for 8 years at thy time so I know them well, but he ended up calling me in 60 10mg Percs which didn't do s***, so I got on the internet and got 60 8mg dilaudid through a source which I do not condone but I had no choice. At the moment, the sources are gone for a bit but I have 3 herniated disks and 2 degenerative disks in my lower neck upper back area from a lot of major accident, as well as a knew that, well you just have to see it for your self. Gnu g is I need surgery on both but I am so scared to even go I to the hospital again and be treated like a dog on the street like I was. Top it off, after I came out of the recovery were they had finally given me enough dilaudid to calm me down, it took the nurse over an hour to get my pills to me there which was suppose to be more dilaudid. My wife had a script for it so she finally left to get it filled and while she was gone the nurse came back and handed me a cup with 2 white round large pills in it, and I asked her was this dilaudid? She just said take that and it will knock out the pain for sure. She have me 2 5 mg Percs. My wife came back and I asked her to get the pack out of the trash and it was what it was so I cussed the nurse out for everything she was worth and then and only then did anyone go Google Subutex. This was 3pm and my surgery was 6am and finally someone is going to figure out what I'm talking about. Then the nurse from recovery cam in to tell,the nurses that were stupid what it took to get me under control. They still never apologized and then told me I could not take my dilaudid I till I left the hospital due to policy even though it was my script my wife had just filled. I opened the bottle and took 2 out and took them. What I'm trying g to do here is get you to take this into your own hands and make sure you have a doc who knows about the drug Subutex and the. For anything to work at all, you really need to be off of it about 1-2 weeks. That's hell, so I suggest which is my plan next time is to get some Percs or something and start taking them about 3 weeks prior to surgery and stop my subutex completely which I am tapering anyway to stop for good but I'm down to 8mg/day which to feel any effect of pain meds from a doctor, you cannot be on more than about 1/2 mg a day. I once was off this crap for 2 ,on this but the WDs are he'll and they get worse after about 2 weeks and continue to get worse at least 1 month but mine got so bad after 2 months I had to get put back on it. My pharmacist who I've known for 20 years told me so writes it can take 6-12 months for your brain to heal and rid itself of all the receptors it has built up over the years and the subutex will not let your brain reduce them while your on it. It just clogs them up like super glue and you keep them all until you stop and then the Wd's start. Until your brain learns how to produce dopamine on its on thru the mu receptors through the endorphins. Please be very careful with subutex or suboxone, take it for a few months and get the hell off. O was told that off you are on it for a year or more +\- that you will go thru hell coming off. It's not normal Wd's either, you actually feel retarded and you cannot get your body to do anything. You can't keep track of time, things to so, work, even pick you feet up. I could not walk up our stairs, it felt like I had 50lb weights on each foot. It's called heavy leg syndrome. Good look and sorry for the truth but it is just that and doctors do not give a shot, they just want there money and to not get involved. I hate my doctor who kept me on this crap. He always told me there was barely any Wd's from it so I could easily stop when I wanted to after a couple years, bulls***. mnow I'm his research pig. He want even see me now either, I see his PA. He knows he screwed up a good decent man. I'm no junkie either. Never was. I own a pretty large construction company which I run it alone so it's hard for me to take 6 months off to hid I. My house but I'm going to stop building and let my wife's salary take care of us which she now makes a Huge salary so it's time. Good luck

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58

This is incorrect. I started Tex Sunday night-1/2 tab, then 1/4 monday am, did a 1/2 D-felt nothing. No high nor relief. Did another 1/2 tab of tex this a.m. and a whole D full 12 hours later and nothing again. This slight amount of subutex is blocking the D completely, its a waste of time to take the D.

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66

Yes try and get dilaudid... but only problem with pill form of dilaudid is that it has a very low oral bioavailability. So if your taking a 4mg pill for example your only getting 1-2mg at most. They had me on 4mg every 4hours. You will probably get 8mg conversion rate to oxy and perc.

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6

i am down to just a few crumbs am and pm of subutext. i am due to have a surgery next week. will it affect my anesthesia? it is not suboxone but subutext...without the naltrexone in it. i tried 6 5mg. percs yesterday and felt them a bit, but no doctor is going to give me that much i don't think. any suggestions? i'm told it won't affect anesthesia but the pain afterward will not be helped without large doses of opiates and i am no fan of pain. please advice!?

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