Maximum Dose Of Suboxone/subutex & Chronic Pain (Page 17) (Top voted first)

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What is the maximum dose of suboxone or subutex when you have severe pain?

542 Replies (28 Pages)

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154

Thank you Lee for stating the truth. I was on suboxone for 2 years for chronic pain. After my stomach shut down, a hospitalization for a bowel obstruction I finally had to spend about $20,000 for a rapid detox. It still took me 25 days of hell to detox off this drug. I was in recovery and went to addiction specialist for pain solutions. I became bedridden and my pain was worse. In Europe they suggest .4-.6 mg for up to 12 weeks for non cancer pain. It wiped my feelings out! This all happened while the dr knew I was in recovery and went to AA and didn't want to be an addict. People have an easier time coming off H. This is a huge $$$ maker for the "select" dr's that prescribe it. No one could detox me in MN. They only knew how to start it. Suboxone has it's place short term but NOT longterm!!! It is a lie!!! I beg you to do lots of research.

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157

Supposedly it can take up to ten years for normal, or as close as it can get, brain functioning to return. After severe opiate usage, whether prescribed or not.

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158

I take suboxone because I had an opioid addiction I now get 60 strips a month and I fill at Wal-Mart if I didn't have insurance my script of 60 would cost me $541.06 I have filled 1 time at walgreens and the cost of that script was $499.00 its all expensive as crap you may want to check into blue cross and blue shield insurance thts who im with and after my 500.00 deductible is meet I have a $0 co-pay.

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160

Hi Max, All the sub drs. around here will only prescribe suboxone unless your pregnant. Now I,m talking sub drs. not shrinks or a personal dr. thats taken the course. One sub dr. helped me out once. My insurance hadn,t started yet. He prescribed subutex. It was way cheaper. Before he wrote script and while I was sitting in his office he called someone and he had to explain why he was prescribing the subutex opposed to the suboxone. Don't know who he was talking to. What pharmacy sells 30- 8mg for 32.50? This info would be helpful. Thanks

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161

Hi Suboxonegrl, That sounds like a good deal. I have Humana Ins. and allthough they pick up some of the cost I,m still paying a lot per month. I,ve checked out some of there other plans and they don,t really meet my needs.
I may check out BCBS and see what they got to offer.

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162

Where did you read/hear 10 yrs for brain to recover?

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163

It is unfortunate that you are so misinformed and giving people incorrect information. Suboxone (or any form of Buprenorphine is a semi-synthetic partial opioid agonist that is used to treat opioid addiction being used to ease withdrawal. However, it is also being used "off label" to treat pain. This is why to prescribe it for withdrawal a doctor needs a special certification but it is legal for a doctor to prescribe it for pain management without that special DEA number and special certification. I have been on Suboxone for 10 years for severe back pain and it works as well for me as the Oxycone was. It isn't free of side effects but it is less dangerous than taking high doses of oxycodone (found in Percocet, or hydocodone (found in Vicodin. Please be careful to not give medical advice. Especially when it is inaccurate.

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164

he said the card would only work once a month. he doesnt have enough money for 30 so he would have to pay for the rest without the coupon. I would switch coupons after the first time though. You can us a different coupon per visit so make sure you research them , The one from Suboxone may not always be the best either. Subutex is covered by insurance though and even with my insurance if my dr HAD to give me suboxone he would just have to fill out a pre authorization form to get it approved. I dont know what kind of insurance you have, but I for one have a lot of prescriptions and do not like being taken advantage of by bigpharma and insurance companies so its worth it to do your research.

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167

I am currently taking 60 mg of Morphine Sulfate. I was on 100 mg of Morphine Sulfate. Because I did a careless thing by taking a Zanax not prescribed, my Doctor bumped me down to 60. I immediately started withdrawals. Long story short, I must go to a Suboxone clinic. I am very afraid and nervous that this medication will not deal with the pain. I was a model patient for 10 years but not thinking about what I was doing has gotten me into this. I have some hope by reading your post that it will work for me.

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168

I hurt my neck surfing 28 years ago. Excruciating pain in thorac ic area, can't hold my head up and arms go numb from so much pain. So my pain doctor took me of my 3 30mg of oxicontins and 4 10/325 percocets and I had a good 3-6 hours a day that was pain free. Had some extra life challenges and the pain kept bleeding through so pain doctor said "Let's try Suboxone. I have 100% success rate on getting folks off of oxicontins," etc. I'm five weeks in and nothing is taking care of my pain. I'm in agony and wonder how long it takes to get the Suboxone to work on my pain. I'm on 8 mgs 2x day....would more help? Any suggestions? Is Suboxone supposed to work on everybody's pain? What could be happening with me that it's not working? Thanks, Soozi

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169

Suboxone definitely works for pain. I chose 32 mgs a day over hydromorph and dilaudid.

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170

Not true! Everyone's pain is different, so you can't say whether or not Suboxone will help their pain.
I have been dealing with severe chronic pain since I was about 8 years old. I have 5-6 different conditions that cause chronic pain and I've been on 24mg a day Of Suboxone.
It helps with my everyday pain but when I have flare ups my daily dosage isn't enough. If you could get my doctor to raise my dosage to 32mg a day, I think it would help better on my real bad days.
Just so we've clear, the reason I started on Suboxone was because I was heavily abusing my opiate pain meds for over 20+ years. Because I have pre-existing conditions however, my dosage Of Suboxone reflects that. Not just anyone can get 8mg 3× a day.

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171

I'm with u guys I was ran over while riding my bike and suboxone does help my pain. And my doctor didn't say anything about helping with my back pain but I bought strips off of the streets for acouple of yrs befor going to the clinic. So befor all the know it all people want to say It don't help with pain, need to learn more befor speaking about it. Sorry but IT DOES HELP WITH PAIN but congrats to the people that got they're lifes back. I know how u feel.

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173

Bupernopherine is the generic form of Subutex. And I was wrong, it's $32.00 for a 30 day supply, however, before I moved to the middle of no where I bought 30 for $18.00 at Walgreens. What I meant by my text, is buy generic Subutex, it's affordable. Subs are a HUGE govt/pharm scam. A dirty scam that should be exposed.

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174

I am in your exact same position. I have to do something because my doctor just keeps increasing my pain meds. I do have chronic pain but I also know I have developed a serious addiction. I am so scared and confused right now. Do I go inpatient, where do I go?

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175

Whaaat... H
What state are you in? I get 84 a month, and they're outrageous. Like $700 crazy. I wonder if the Dr would be willing to write me subutex? Have you ever tried suboxone for a while befor? I seriously have a Traumatic brain injury and severe debilitating nerve pain and nothing helps. Muscle relaxers, valium, 1 or 2mg Xanax, 80mg ibuprofen, caffeine, I dunno, I am damned if I do, and damned if I don't.

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178

I take subutex for pain. Started two months ago at 2 times a day 8mg pill. My doc up'd the dose to 3 times a day 8 mg, which came out to be 24 mg a day. Now, I am at 4 times a day=32 mgs a day which is the recommended max dose per day. It does help me with my back pain at 32mg a day. 24 mg helped about 80% of the pain, and that's why I went up to 32mg.

Doc will keep on trying to find out just the right dosage to control the pain. That's if you have a great PM doc like mine!

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181

Hunny,
Calm down! When I was 24 yrs old, I was living in my first nursing home. Wheelchair bound, other ppl wiping my ass and getting me dressed but still finding a way to abuse my opiates even tho they were handed to me everyday like a child. Idk why it's been so difficult for you to get on Suboxone. Where I live, and this is 100% true; I had to threaten to take my own life in order to get in to rehab and started on Suboxone. You sound a lot like me, in that ur desperate for help but nobody is listening. My "pain management" Dr, wanted me to wean down my dosage of Methadone (which I was on for pain and abusing) first, then start on Suboxone. I knew I wasn't that strong willed and I was in and out of the E.R. for 3wks before I said, "F*** It!", I'll just deal with the 3 day watch in order to get them to listen to me.....IT WORKED!

When the shrink came to see me the next day, I just told him the truth. That I said it in order to get in.(Just before I said that, I was told there were no open beds. Mysteriously... one just happened to open up!) Because I can't walk and I suffer from documented, long term, chronic, debilitating pain; the doctor's chose not to make me suffer thru severe withdrawal before I got my first dose of Subutex (that's what they started me on). I was there a total of 3 days (which included my E.R. stay). I know this all sounds like, "yeah...right"!; but I swear to God, on everything I love, that's how I did it! I was the first physically disabled person ever admitted to that specific rehab.(I even got my fiance to sleep over my last night there and yes, the dr's knew, aloud it and he wasn't there to sneak s*** in. But that's a whole other story). You sound like you could use a friend and/or some help.

{edited for privacy}. Seriously.... I've been everywhere you've been except for the H. I never let myself go there cuz I hated needles. I think my disabilities saved me in that respect.

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190

Hi ive been on suboxone for 4 yrs but my dr moved and is no longer accepting medicaid do u kno of a dr tht will treat pain&addiction in indpls in or sumwhere close ive been withdrawal over a mionth now

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191

you are more than half way now then dont get back on it! I wish i could go more than a day or two without it, if you have gone a month your pretty close to being done altogether!! Good Luck!

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