Klonopin And Suboxone (Page 6) (Top voted first)

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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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109

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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110

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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111

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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112

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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113

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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114

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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115

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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116

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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117

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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118

I've been on 1 MLG. Klonopin for 16 yrs, I'm 39, and I've taken subs . Daily 1/4 strip ONLY, believe it or not.. Sometimes another 1/4, but only like 2x week.. I take my nite nite pill, before bed... It's never interacted( as far as I know) course I can't tell Dr. " hey, does that mix?" ESP. When I get rid of my own meds.!! You're fine, trust me...

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119

Ya but i got flagged at pharmacy for just Valium a week ago because of my insurance flagging it, I doubt they will not flag the clonopin, I'm just nervous about the whole situation because i have to pay out of pocket in order to take UA's for insurance and if they see a benzo without their knowledge I'm afraid they will take me off the subs too.

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120

I agree...the OP will be fine with taking both together. It's nice to have someone else for a change actually chime in and back up what I've been trying to say all along!

* Sidenote: Gqbapentin, from my experience, does absolutely nothing to help with anxiety, RLS, pain...whatever symptom you may be feeling. Actually, I had to stop taking it because of the horrible side effects. I'm not saying don't look into it if you'd like- I just hope it works for you alot better than it did me.

Regards,

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121

What is OP?

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122

Ok today is my pcp apt,
I talked to my sub doctor and she said that their needed to be no communication between her and my pcp for me to get the klonopin, ugh I'm just anxious he isn't going to give it to me because of my past with opiates! Benzo's have always helped me and I have never become addicted to them but will he believe me is the real question. Do you guys think I will be fine? Am I overthinking here?

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123

It's natural, the anxiety your feeling about this appt.

Just speak openly about how your anxiety affects you, how your Sub doctor said it was fine, and that you understand that Benzos can be addictive but you've never had a problem with them in the past.

I've had the same conversations with my pcp's too. Don't be surprised if the doctor tries to suggest something else, something non-habit forming, but tell them that those have never worked for you in the past. And that Klonopin is the only one that really helps to control your panic attacks.

I think you'll be fine... come back and let us know how it went! Good luck!

ps: I'd say "relax", but if you have a somewhat elevated BP (because you're so nervous) that could work to your advantage, know what I mean?

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124

OP- original poster (of the thread)

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125

My pcp gave me the klonopin and it went through on insurance! I wonder why the valuim didn't. Maybe it's stronger or something on subs. But thanks for all your help :)

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126

I'm glad everything worked out for!

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127

Well done! Happy to hear everything worked out. All that worrying and it worked out fine.

Happy for you!

Regards,

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128

I just got a prescription for 2mg ×2 a day for Severe P.T.S.D. I did get prescribed before while on Subs but a different sub doctor. Due to abusing benzos not klonipin though. I abused the strong short acting ones. I am in counsling by choice for addiction 7 hrs a month, go to mtgs, and have a husband who had five years clean we both had a three day relapse. His a little longer. I kinda got myself talked into that one and could have done the right thing. He know surrendered as of a month ago. I got one month and 3 days. First time in my life that you I had the strongest filling of begging him please I don't want this. I miss my spiritually part of me. That means to me living right nobody's perfect but I was messing around with the devil. I had a lot of consequences internally from that. This was my first dirty U/A in 9 months with xanax in it until I came across another terrible panic attack and flashback and because my husband o.d. cyf came to our home to see how things where going. I kept a old script of klonipin in my med cab. Not his type of med. So no trigger to him. I never felt a high off klonipin I feel more focused and that I can handle college kids work flashbacks panic attacks but need the subs because it helps. I don't feel ready to get off neithier oh but that day will come. I would choose a rehab in my case because of seizure findings. The cyf agent said well it's not expired take it. She knew I was on Subs too. This Doc seems polite. I don't need anymore changes dramatically in my life. I should have gotten a letter I requested online 3 days ago from a pcp whom isn't a writer just seeing what help needs done so I called in and got the nurse. Doc is not in doing rounds in the hospital. My sub appt. is tommorrow. What do I do? My husband is still working as an addiction therapist he got a red flag but some ppl do understand it happens. So where do I go? I live in Pittsburgh Pa. A very nice home. A diabetic autistic child and a baby plus I am on antibiotics for subs. Is there a big difference when a pcp writes that it's known as ethical?

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