Generic Subutex/buprenorphine - Which Manufacturer Do You Prefer? (Page 14)

Hello All,

I recently just got changed from suboxone to subutex due to a pretty bad allergic reaction to the naloxone in the suboxone. Basically my question for everyone is which generic do you guys prefer? My pharmacist can order any kind for me so at the moment I just got the Roxanne ones 8mg - they are white round tablets. This is my first day using and am already noticing my migraines are starting to subside, not fully, but starting to. So yeah if anyone has any suggestions please let me know all the ups and downs that you guys have been experiencing, thanks!

Good luck to one and all!

D

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Tim (# 202) --

Rhodes are AWFUL and bad headache with them. #1 for me is actavis 153 moon by far. I’ve tried every brand I believe rp b8 suck for me ??

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When RP BQ Subutex is compared to the other brands of Subutex like 54 411, is there any real difference?

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Re: jack (# 3)

HiTech are the worse u might think they are good because they only have sugar and bupurnorphine. The reason they are so small. When I got sudden switch to the 8mg they seemed like they kept the sugar and forgot the Bupre. Also smelled the bottle and it was one of the most pronounced chemical scent I have gotten from any medication. It smelled like poison. The Best generic that I have been on for couple of years is Actavis Elizabeth. I can skip a dose no problems. They just slipped me RHODES and I liked the way they desolved and they seemed fine but after a couple of f weeks I could not wait till my next dose. I guess after the Actavis weaned out of my body. The RHODES half life sucks. There were some slippery moments until my body adjusted to them and after almost 3 months they work. Maybe better to stay on these so tapering won't be as horrid because the Bupre is so hard when going off that last little bit.

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Re: jack (# 3)

I was on methadone to get off pain pills, dilaudid, 4 mg name brand, 4 times a day intravenously but still had chronic pain from a deer motorcycle accident so my cool doc I found got me off methadone and on generic 54 411 subutex buprenorphine but at first it was pill suboxone with the crap in it and honestly it didn't work half as well for pain relief as the generic subutex that we found out later because the suboxone was so expensive my insurance company capped it after 6 months and wouldn't pay for it no longer but would pay for the generic subutex and it works so much better, I'm prescribed 8mg twice a day and sometimes only need one 8mg all day so I have extra pills at the end of the month because I get 60 each month. you ever heard of a junkie with extra pills at the end of the month? I didn't think so. I've been on it for pain management now for over 3 years and still sometimes only need one 8mg a day, after a year and a half on methadone I was up to 180mg a day and sometimes still had cravings, it was Hell getting off methadone but well worth it, I did it in the hospital and damn glad I was in the hospital because it was the worst Hell ×10 and it was safe and outside I wouldn't have been able to do it, because the withdrawal was like nothing I ever felt and never want to feel again. I feel so much better than I did when on methadone and don't have to go to the methadone clinic and take a U/A and all that s***, my psychiatrist prescribes it and fully approved me for medical marijuana, haven't had to take antidepressants or high anxiety pills or high blood pressure pills for over 3 years, I got high blood pressure from all the pills and methadone, not any more, 118/75 average now which for a 62 year old is impressive actually. Between the buprenorphine and Mother Nature I have never been happier and healthier and absolutely no cravings for years. I have learned that getting off this drug will be nothing like the methadone from people who have been thru both and I believe them because of how this drug works for me and how I feel, also I believe it because of how it works for cravings, I have none so I think the science part of it is not as bad and hard on the body. I see no reason why I would want to get off it because it works so well for me, chronic pain management and I'm not walking death. going to the methadone clinic at 6am and get in line with a bunch of junkies reminds me of something like a scene from The Walking Dead.

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Re: Goozer (# 201)

So the RPs are better than the 411s u think?

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Re: cucupuffs (# 4)

This is 100% correct regarding the naloxone. I have an allergy to it as well. So I receive subutex. But my doctor thinks that suboxone is a big lie pushed by big pharma companies to charge more for the medications. He has told me, as did my obgyn that delivered my last child, that the naloxone is useless. All it does is “water down” the buprenorphine. Both also told me that putting something like naloxone into your body everyday is bad for it and can be dangerous long term. Especially if you need an emergency surgery and no one is aware your are taking suboxone or if you do need a general pain killer for legitimate reasons. I was a heavy user for 16 years And it’s all pay much documented. I broke the tip of my elbow off, both bones in my lower arm wash broke and my tricep ripped and folded itself up my arm. As always when I got the er they were rude and clearly didn’t believe me because I had done it the night before and I was pretty calm. But I told them right away I was in recovery and have been clean for (at that time) 6 years. Once I said that, they started to be nice and were all about helping me. The fact I didn’t want pain killers completely changed everything. And they started to really take things seriously. Like as if it wouldn’t have been serious had I been active or wanted something for the pain. I went 10 days only taking Tylenol and then I had to have surgery. I was so lucky I was on subutex because at first the doctor wasn’t going to give me pain medication during the surgery. Only because they thought I would go into withdrawal. I should mention the hospital sucks and they had one anesthesiologist who is the one that didn’t understand there’s a difference. Nor could he get an iv in me. It took 4-5 hours before they did and I hadn’t used IV in 6 years! I literally finally got my Iv When I should have been getting out of surgery. The surgeon wanted me to take pain meds for the first 24 hours and have new the option to stay over night to receive them and I at the time didn’t want to look like I was drug seeking so I elected to stay. CRAZY right? I just had a major surgery and bolts drilled into my bones and I feel like they think I’m drug seeking.... Well I get upstairs and sure enough the nurses did think just that. They refused to give me anything for the pain. I had the doctor discharge me and went home in Agony. But I would rather be in my own bed. Thankfully the doctor the next day said he thought I would be okay to have RX of Vicodin’s and called in either 10 or 20. For the first time in my whole life I took them as prescribed and only when I was in real pain and for the first time in my whole life they worked and took only the pain Away. The reason I say this is because the doctors originally were so lost and didn’t know what to do for my surgery and pain other than ask me to stop taking my meds! I was able to describe the difference luckily. But, if I hadn’t handled things the way I did, if I didn’t have a younger doctor willing to listen and a voice to advocate for myself I would have been screwed and that’s scary. Or what if it was suboxone and I took my meds and then they gave me morphine, or vice versa. It could have ended badly.

People need to try and talk more about naloxone being Unnecessary to someone with solid, long term recovery.

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Re: cathy (# 23)

CompreCare in huntington,wv or Rxbytel in charleston, wv

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max (# 264) --

I feel they are comparable but rp costs more I believe.

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Re: Charlene (# 241)

Yesss I totally agree I have been using Hikimas for about 7 yrs now and now that I know the med better I will not pay for the hi tech or the moon ones ?? can someone please lmk any info on the Rhodes brand?? My pharmacy carries them now but I’m uneasy about switching ?? thank so much and god bless u all in 2021! Stay safe

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Re: Vic (# 243)

That’s so crazy me as well it’ll be almost 9 yrs since I used a needle, I sometimes feel ashamed to tell ppl I take this med. I’m thankful to know there are others just like me. I have only used Hikima and I’m looking for any info on the new Rhodes brand?? Any info helps me please and ty! His bless everyone wherever u may b??

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Re: Sabrizzle (# 270)

The Rhodes brand is definitely a very close second to the 54 411.

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Re: Katy (# 266)

My husband was complaining of chest pains so at first, we took him to Urgent Care who then transported him via ambulance to the ER. The nurses and doctors of course noticed his iv scarring and began questioning me believing my husband was in withdrawal which he definitely was not! After seven attempts at taking blood and finally hitting the vein at his wrist which is extremely painful due to his carpal tunnel, we we're then told that it wasn't the correct gauge needle. I had given him a peach xanax because I'm ashamed to say that I thought he was having a panic attack due to our constant arguing at that time. Before the xanax, he was out of it. He could barely answer their questions and I gave him the z hoping he would stay even with the horrible treatment but once the doctor said that the IV was going to have to be redone, he was feeling better and told the staff to discharge him which we didn't get any reluctance in doing so. Needless to say, by the time we were pulling in our driveway, that a-hole doctor was on the phone with my mom begging us to bring him back in asap that he was in fact having a heart attack. He was more hurt than anything because he has struggled with addiction because of chronic pain and is now taking subutex which luckily helps him with pain and curbs his withdrawal. This stigma regarding addicts and buprenorphine is killing people. To say the least, medical care is definitely substandard.

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Re: texpert (# 33)

How did you start taking your subutex? I start tomorrow and have 8mg. Did you have to wait 24 hours or until you were really sick?

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Re: Zaknafein (# 183)

How did the Subutex work out for you?

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Re: Valerie (# 273)

No you don't have to wait 24 hours however for some ppl it causes headaches to take bup after other opiates. Best to wait until you are withdrawing a little though so you can monitor effects and dosage.

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Re: Valerie (# 274)

It has literally saved my life. The more I attempted taking suboxone, the worse I would feel due to the growing list of adverse reactions. Towards the end of my attempts at suboxone MAAT, I was to the point where I almost preferred withdrawals over being medicated with suboxone. I truly wish that subutex was more widely available because I am sure that it could save other lives as well.

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Re: Lora (# 276)

That's so weird I think I honestly prefer suboxone over subutex just because I feel like it helps my symptoms more then subutex..even though I hate waiting to feel awful and the thought of precipitated withdrawals scares the sh*t outta me in that aspect Id prefer subutex but it doesn't really help my symptoms I'm wondering if I could take a Subutex and if not feeling better take a suboxone and hour or 2 later ??

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You will feel perfect tomorrow. You jus gotta get the naloxone out of your system

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Re: Amber (# 7)

Walgreens. This is the only pharmacy I've found since I got pregnant and had to switch to subutex. They always stock them. Good luck! Happy recovery to you as well!

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Re: Lora (# 271)

Any idea why suddenly no pharmacy anywhere is not carrying the hickma 54 411? Its so strange that it seems to nearly nationwide, yet when I contacted Hickma they informed me they are not experiencing a back order nor recall and are manufacturing as usual.

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