Klonopin And Suboxone (Page 3)
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I was recently prescribed suboxone and klonopin. So I was wondering if anyone out there has taken this combo and what thier feelings are on the subject?

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Maybe a medication that you can look into for pain if you're having trouble obtaining a prescription or issues with insurance over Klonopin is Gabapentin/Neurontin. It's used to treat fybromyalgia, nerve pain and muscle spasms but also works great with anxiety and has some Benzo-like traits but its not (yet) a controlled substance. I used it for withdrawal when I quit subs and it worked wonders for the aches, RLS, depression and anxiety associated with opiate detox but I have heard of it being prescribed along with suboxone as a pain aid/anti anxiety med. there's also some threads on line that it may even potentiate the suboxone helping people to lower their doses and still get the same benefits. I certainly would talk to your Dr before trying this, but it may be an option. Gabapentin has worked wonders for me.

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That's good. I'm didn't assume, just was unclear as to why you were "red flagged."

The Sub should help most for the pain- its one of the strongest painkillers out there. Maybe the Klonopin will help for that, but I've never noticed any "pain-killing" properties with Klonopin.

They both hit different brain receptors.

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To answer your question though I am not a drug seeker. I also heard klonopin helps with neurological pain and since I have a herniated disk into my sciatic nerve I feel like that would help as well.

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No my insurance red flagged me be because my pain managment doctor (have herniated disk wanted to give me klonopin for anxiety from the cordizone shot.

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I know but it's like calling pcp and saying before my apt hey this is what I want can I have this sent over, you see what I mean.

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They cannot speak without written, signed authorization from you. They might be able to just fax you the authorization letter and allow u to fax it back. That's a possibility I'd look into.

But they simply will not, and cannot, talk without your signed consent on an authorization form.

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My apt is on Tuesday with pcp,
Do you think giving my sub doc number to him is enough or should she call in advance and leave a message for his nurse? My doctor is a thirty minute drive and I have a job so i won't be able to have her sign anything prior to my apt but I could have her call in advance.

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Why were the you "red flagged"at all? Do you have past drug seeking behavior or something? We're you obtaining scripts illegally? I'm unclear on why you were red flagged at all.

Generally speaking, only Telemedicine doctors, or doctors who use video conference appointments call scripts into pharmacies. If you're at an actual appt, the doctor will likely give you a script to take with you.

I have to admit, I'm not the most experienced when it comes to insurance. I haven't had insurance in forever- I've been self pay for what seems like forever. So I'm not sure if you can simply chose to pay with cash even though you have insurance. If I was in your position, I'd make an anonymous call to your pharmacy and ask them that question, i.e. "Yes I was just wondering if I could chose to pay cash for a script even though I have insurance? " That's what I'd do to get your answer if I was in your position. It would save you alot of grief before actually going to the pharmacy.

From reading below, your pcp denied your request for Klonopin? If so, it's time to start looking for a new pcp. But while searching, make calls and explain your present dilemma. You should be able to get your questions answered before making an appointment.

Another idea? Call your Sub doctor, explain the problems you're having in getting a doctor to prescribe you Klonopin, and he/she may give you some referrals to some doctors they know, or even offer to write you a short note expressing their approval for you to take Klonopin.

I don't quite understand why you're running into so many problems with this. I do empathize with you though- it's very frustrating.

Best thing, from my past experiences- be proactive. You may have to put a little more effort into this one than you're usually used to.

Worse comes to worse? You may need to seek out a new Sub doctor, one who will write for all your scripts. But don't leave your present Sub doctor before actually finding a new one- obviously.

Wishing you the best!

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You might consider telling your pcp that Klonopin has worked for you very well in the past, and the other anti-anxiety meds havent. I wouldn't just say outright "doc I need a script for Klonopin. "

Again (I feel like I'm repeating myself here) sign an simple authorization form - this time from your pcp- which will allow the pcp to call your Sub doctor.

Klonopin is indeed one of the safest and most common Benzos prescribed with Sub. It's half life is around 12 hours. My Sub doctor (s) in the past wouldn't write for any other Benzo besides Klonopin.

And it's not a matter of legality. It's just that certain Sub doctors (like my present doc) only writes for Sub- it's their practice, they make their own rules, and can chose to write for everything or simply just Subs.

My last Sub doc, who happened to be Psychiatrist as well, wrote for everything. That was indeed convenient and cheaper.

Another thing to consider about pcp's. Some of them just prefer not to prescribe "behavioral meds", like Klonopin, Xanax, even anti-depressants. They prefer psychiatrists, psychologists (if they're also MD's,) or addiction doctors- those well versed in psychosis to handle behavioral type meds. This is very commonplace.

I'm telling you (from plenty of past experience) sign releases for both docs. A simple phone call between the two can perform wonders for you.

Ask your pcp for their help- don't 'demand'.

Do you have any old anxiety pill bottles laying around? If so, take one or two of those on with you to your pcp appt, that will show them that you've needed these types of meds in the past.

Sub doctors very often understand that alot of their patients have anxiety issues, but it's not necessarily that way with pcps. If it doesn't work out with your pcp, you may have to consider searching out a different pcp. Make phone calls first before setting up any appts, asking questions and telling them of your present dilemma. That will save you alot of headaches and you'll likely know the answer to your Klonopin dilemma prior to making an appt.

What I'm telling you all comes from past experience. You should be able to find a doc that will prescribe you Klonopin. And those damn release forms, I'm telling you, work wonders!

You need to have a serious consult with your pcp. I have to imagine that if you're open and honest, that things will eventually work out for you.

Be proactive, be honest, and keep the lines of communication open between yourself and your docs.

Good luck my friend!

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I don't know I'm just worried that he calls it into the pharmacy instead of giving me a script in the office. Since I got the red flag from insurance two days ago from pain managment prescribing me klonopin from anxiety from an epidural. So I can just pay out of pocket even tho they know I have insurance there or is there any way around the red flag? Sorry so many questions.

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I wouldn't worry about the Dr thinking your drug seeking as long as you tell him that your sub Dr said you could take klonopin. He may want to speak with your sub Dr to confirm but from what I understand, klonopin is regularly prescribed to sub patients who need it as some other anti anxiety meds/Benzos don't mix as well. Also, my sub Dr was the same way when it came to writing other prescriptions. He would ONLY write them for subs to me and nothing else, not even blood pressure medicine even though he was the one who suggested I needed it! I was told that he only treats sub patients with subs and he couldn't or wouldn't see me for general medicine until I was no longer in his sub program. I don't know if tere are legal issues or it was just one of his rules but I have heard of other sub Drs being the same way and not open to treating anything but the suboxone treatment to their suboxone patients. Which certainly doesn't help because then you have to have 2 separate Drs which probably creates some unnecessary red flags to be raised with the pharmacists...

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Not necessarily. My present Sub doctor ONLY writes for Sub- nothing else. It's not uncommon.

Thus, I had to do the same thing- make an an appointment with my pcp for the Klonopin. But I signed the release just in case.

It also helps I've had the same pcp for a few years now and she knows my medical history and has written me scripts for Klonopin before while I was on Sub.

I did have a Sub doc for a while (couple of years) & he wanted to be in charge of all my meds. There was an advantage to that. But I had been growing more uncomfortable with him as of late and unfortunately ended that relationship. Which is why I'm in a similar situation as you are right now.

If you have a history of anxiety (all doctors can pull up a record of the meds you've been on, or are on currently) then that will be to your advantage as well.

Like I said earlier, if you and your Sub doctor have already discussed your need for such medication, it takes a minute to sign a simple release. Just in the event your pcp has questions.

Do all you can prior to your pcp appt and I anticipate everything will work out just fine. Be honest, clear, take notes with you if u must (that does help), and IMO, I think you'll be fine.

Honest and open dialogue goes a long way!

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And won't pcp be a little suspicious of why my sub doctor won't write it, she says she just won't do it not that she can't. So I'm just confused on how she is letting me get it somewhere else but not from her.

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Can I just ask for the klonopin out right, I have been told some doctors don't like being told what script they should write. But you couldn't be more right about her making it harder on me! Ugh can I just have the pcp call my sub dr if he doesn't believe me ?

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So I take it, unlike mine, your Sub physician won't just prescribe both to make it easier and more convenient for the both of you?

I would take steps (sign an authorization form from your Sub doctor which would allow your pcp to contact him/her if there are any concerns.)

Just telling your pcp "yes my Sub doctor says it's ok if I take Klonopin along with my Subs" doesn't always cut it. Being prepared PRIOR to your pcp appt is advisable, IMO.

Good luck!

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Once you're no longer taking suboxone you should be able to fill any prescription without problems from your insurance company. I have had to fill prescriptions since completing suboxone treatment and havent had any problems. However, as long as you have the same insurance company, any time you have to go to the ER or a new Dr, they will know that you had been on suboxone at one point and if it was for drug dependency they may be hesitant to prescribe certain meds. At least that's what I have been told. I hope that helps!

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No no I meant since I was on suboxone . But I never even went into fill it since it was flagged but will my insurance forever like ban me from getting any Medicine now, it just made me nervous

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No the pain mgmt dr sent in script and they flagged it since I was on klonopin. I am seeing my regular pcp on Tuesday and will be asking him for klonopin since my sub dr said it was ok. I just don't know if pcp will give it to me because he knows I am on subs.

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I've been on the same regimen for 4 years and have been fine- absolutely no problems whatsoever, and feel great.

Stick to your prescribed dosage, keep the lines of communication open between you and your physician, and I imagine you'll be just fine.

Present dosages: 8mgs Subutex (4 yrs), 2-4mgs Klonopin (4 yrs), and 80 mgs Fetzima (2 months).

Best wishes to you!

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I don't see why not unless you're filling 2 prescriptions of the same meds from 2 different Drs. That will definitely send up the red flag and could cause you more problems than its worth. Did you fill the prescription of klonopin from your PM Dr? You can also just take the prescription to a different pharmacy and pay cash to avoid any confusion or hassle.

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