Maximum Dose Of Suboxone/subutex & Chronic Pain (Page 9) (Top voted first)

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

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You are wrong about buprenorphine. It is a highly potent opioid. Which was used as pain relief for severe pain long before they discovered it worked well as a maintenance therapy drug for opiat addicts.
In my country buprenorphine is used alongside methadone as pain management for patients as myself who suffer from chronic pain, and have had been prescribed high doses of all sorts of opiates for years. It is a very good alternative for us. This because buprenorfin does not increase your tolerance level. One can stay on the same dose for years and years. It has a long sequence and one does not need so many intakes per day

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When my Dr put me on sub I was put on a program where my meds were free. Check if your Dr is involved with this program.

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All my sub docs said that 4 is the limit bc the brain doesn't compute anything higher than 32mgs a day. Hopefully this helps I also am not an expert but hope I helped even just a little

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I am on Suboxone pills.....24mg a day for severe pain.....IT IS AMAZING for my pain management !!! Suboxone was FIRST CREATED for pain management......PEOPLE DONT KnOW what they are talking about !!! I was on Lortab 10mg x5 a day....and also Methodone 10mg x4 a day ..... I hurt all over still !!! So I tried the Suboxone pills...8mg x 3 a day....for the last 3 years....have NEVER felt better !!!! I take Suboxone 8mg x 3 a day , Lyrica 75mg x3 a day , and 800mg Ibuprofen x 3 a day !!! I have been having the least pain ever since !!! A regular Dr can prescribe Suboxone as long as he writes for pain on the script !!!! IT WORKS WONDERS ..... I AM SO MUCH MORE HAPPIER. It does take about a month to get adjusted to everything !!!!! You WONT regret it !!!!

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Please, look into Kratom. It's an herb, it's legal in the US, much less expensive than anything big pharma can roll out...you can get off those subs! People are doing it every day and finding a better version of themselves. Have faith...I thought Sub/Bupe was the heaven send. NOT SO. Go to I love kratom or just research it. Best wishes to you.

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Suboxone was First invented for a pain med !!!

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The ceiling is 32 mg. And reg Drs can prescribe it for pain.

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I regretted it! It was prescribed to me for severe chronic pain, after multiple surgeries.
Getting off of those was one of the hardest thongs I ever did-MUCH worse than going off Norco.
When you get tired enough of the hoops you must jump through just to have some pain relief, KRATOM. Yes, it's THAT effective.
(And my tolerance is very high, can take quite a bit of med. and.function fine...)

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Hi, the MAXIMUM DAILY dose is 32 mgs per day. That dosage is 100% correct. I would not lie about something as serious as this.

Regards J.

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just wanted to say that the suboxone is a wonder drug. but it also is addictive. once youre at 24 mg a day thats it.after years of percocet and roxys this drug has changed and probably saved my life. i suffer from degenerativer nerve disease and scoliosis. this has worked a miracle for me. well suboxone and injectins. get off thodse pills guys!!!!

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Not correct. Buprenorphine was originally created, intended, and fairly frequently used to treat pain. It's most common administration was and is post surgery while the patient is still medically supervised. It was previously administered more liberally in the emergency room setting. For the most part this practice has been replaced by more effective immediate release pure opiate agonist such as Hydromorphone (dilaudid) or fentanyl. This was done mainly because of the antagonist nature of buprenorphine which binds receptors for a much longer duration than the other PO medications I mentioned, making the initial dose of Buprenorphine very effective for treating pain but sequential doses not very useful. Subutex, which does not contain the pure antagonist naloxone/narcan can be a great around the clock pain reliever because of the very long half-life or Buprenorphine. Suboxone however does contain the pure antagonist naloxone, which to a certain degree is counterproductive for treating pain. Suboxone is being misprescribed in another way more so than its prescription for pain. Suboxone was created to be a detox drugs for opiate users with high tolerance and an extremely progressed dependency or addiction. The initial FDA approval was for 5 to 10 day use only, in a medically supervised environment with the first dose beginning 24 to 48 hours after the last pure agonist dose. A gradual decrease of dosage throughout the first 3 to 5 days then a more significant reeducation in dose for days 6 to 10. I am a director and board member for a substance abuse treatment organization in upstate new York, we have several different treatment facilities and at all levels of the continuum of care. This number of clients entering treatment due to Suboxone dependency/addiction has tripled every year for the past four years, so far this year we have more clients with suboxone dependency/addiction than methamphetamine and crack/coke combined. There is no situation when its appropriate for a client to complete a 28 day or more treatment and still be using suboxone as drug replacement therapy. In the field the crackdown on frivolously prescribing suboxone doctors has already begun, this is what happens when doctors prescribe a medication they have little understanding of. Governor Cuomo is pushing to change this practice of suboxone as an opiate dependency drug replacement maintenance therapy back to its original intended use as a detox drug only administered in medically supervised settings.

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I was o subutex for over 2 yrs before being put on suboxone and the subutex has a partial blocking effect and binding ability. Every one should do research before assuming they know about it. I went thru a surgery while on subutex and they maxed me out on duladid and morphine ( nurse said she gave me enough to an elephant down) I weigh 100 lbs. If subutex doesnt have a blocker, then all that should have helped me in some way. It did nothing for me! So I did research and talked to some very smart drs. A person has to be taken off Buprenorphine ie.. Subutex/suboxone 2-4 weeks prior to any surgery or any thing where pain meds will be needed.

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@fireman625
Suboxone is used for BOTH the treatment of chronic pain AND the treatment of opiate addiction.
Whether Suboxone tastes bad or not is a matter of opinion. I take it and happen to think that it tastes horrible.
How much saliva one produces varies from person to person, and saying that your body produces more saliva from taking the tablets is not an accurate statement. How much saliva your mouth produces is a matter of your body's biology at any point in time. If I just ran a marathon through the desert, and I haven't hydrated adequately, well, then my body might not produce much saliva. On the other hand, if I chug a half gallon of water, well...you get the picture. Sometimes when I take my strips I'll produce a lot of saliva, but other times not.
Not to call you out or anything. Just trying to keep things accurate. :)

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I have had rheumatoid arthritis since I was 8 yrs old. Not to mention fibromyalgia, osteoporosis, congestive heart failure and many more secondary diagnosis'. RA is some of the worst pain in the world and my doctor is a renowned specialist in addiction medicine and pain. His name is Dr. Richard Blondell, look him up. Suboxone DOES help with chronic pain and unless you've had severe, chronic pain, how would you know? Do you suffer from pain daily? As a nurse, depending in how long and what you did before, I'm sure you feel the occasional pain or two. If you were ever a CNA, I'm positive you have. How can you just sit there and judge people like that?

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U can get ur dr to demand the insurance to cover the strips plus u can get a $65 coupon until the insurance kicks in,fight for ur strips,they've saved my life!! Good luck and god bless sweetie

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If you are prescribed suboxone or subutex for chronic pain and NOT addiction therapy, you are excluded by article 42 CFR Part 2 under Applicability. You do not have to pay the "fee for service" or profit doctors hundreds of dollars a month. Go to ur primary care dr, and under off label use, he can write your script. The pain clinics will NOT tell you that you have this right so they can keep your money. Also, if you are prescribed for off label use, you fall out of the pain clinic's 30 to 100 patient limit and the X DEA number should not appear on the prescription. And if applicable, under Title 38 U.S.C. 4132, Veterans Exclusion means that they may not use any information under any circumstances medical history or documentation from the VA. Again off label use is for anything but substance abuse or alcohol abuse. Any doctor can write it. Don't let the profit doctors fool you into thinking they're the only ones with the licensing to do so. KNOW YOUR RIGHTS

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Hi I came across this site today and can only say I will now stop complaining about the cost of Suboxone in Australia. Im on 24mg aday at the cost of $30.00 a week, I have to go to the same chemist once a week to pick up enough for the week. I was lucky enough to find a great Dr who knows all that's to know about Suboxone and a great chemist which is not easy to find. Most doctors know nothing about it and as chemist can set there own price to dispense it I feel really grateful as from what ive read here and on other sites it can be a challenge for some. I really hope the all who are having trouble with finances and lack of good doctor's find a way to be able to receive Suboxone because it really does change your life in such a way its hard to put into words what it feels like to have your life back.

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Good for you. Opiate replacement therapies (methadone, suboxone, zubsolv) really can give you your life back, as you said. I would recommend it to anyone trying and failing at getting off of these opiates. Opiate addiction is different that things like coke, methamphetamine, etc. because it is SO physical, and your brain stops making its natural endorphins since you are constantly shoving "outside" ones in there. So theres a reason you just keep feeling awful, even after what the books and the doctors call "normal range" of withdrawal. Look up POST ACUTE WITHDRAWAL SYNDROME. It is a huge reason why opiates have such a large recidivism (relapsing) rate. Give yourself a break, people. Do NOT look at being on a replacement opiate as a failure. If AA/NA works for you, great. But my addiction doctor says that programs that consider you still "dirty" if you take a replacement opiate, are just setting people up to fail. He also says i may need to be on an ORT (opiate replacement therapy) for the rest of my life, and that i would really struggle without one, since i have been an addict since i was 16 (im 46). He says to look at it like a diabetic having to take insulin. Just a medical necessity. Good luck to you, and im so glad the suboxone is working for you. Stick with it and you will be fine!

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I completely agree with that statement. Buford morphine not only causes side effects if you've been on it long term, it does not give you the pain relief it originally gave you. To answer somebody else's post... Yes you can actually die from withdrawals. It depends on the medication you took how long you are on it and other factors. Such as if you abused it or if it's a street drug. I did state originally that if you have an addiction to opiates that I did feel the briefing or thing with its long-term effects and lack of euphoric hi, is a great solution. But it is only a short term solution. The problem with rehabs is once your body is free of opiates and you have been on Buford morphine for 3 to 6 months, they released you. You can go to an NA meeting and get all the groups support you want, but addiction is a mental illness and without having a psychiatrist or psychologist onboard long term you are just going to go back to the same behavior. The proof is in the pudding. Look at how many individuals have to have numerous stints with rehabilitation centers. On another note... Don't be so analytical that you judge people's spelling on this site. A lot of us are using text talk and it does not know the difference between your and you"re.. also does not know the difference between..two to and too. People are posting their generalized opinion and some of these opinions are based on long term research, but we are not doctors and do not claim to be doctors, we are just sharing what we know and what we have learned personally from the medications that we have taken or are taking currently. I shared my information and asked people if they had the same situation if they would share with me. I researched my medication 414 months and I got my information directly from the suboxone site. And like I previously stated... This will work for addiction because of the long half-life Andhra cuz I can stabilize addicts without going through serious withdrawals. All I'm saying is that the longer I was on it the less and less pain relief I received and the more side effects were prevalent within myself. I am talking six to seven seizures a week and never dreaming. No rem for me. I have been off the buphenorphine for 4 months now and my REM sleep returned. The siezure stopped. . My libido return to where it was and my appetite came back. Not to mention I'm actually getting pain relief again. Now you know a lot of people are like it works for me I get pain relief... You're crazy. No I know some people are getting pain relief, but they may have something wrong with them that differs from my issue and they also have their own brain their own chemistry and medication works different on everybody. I don't have addiction issues I have pain issues and I have been on pain killers for 17 years through prescription only. Yes I hate taking them. They decrease your bone density they strip your vitamins from your system, they can cause constipation and in my case every once while they give me like a dull headache which I don't really care for. But I will take a classic opiate over a buphenophine any day of the week. There is also a stigma attached to buphenorphine. My new pain doctor, just recently let me go when he got my records from the dip that I saw before him. I explained to him that the previous doctor really felt that it would work great for pain relief and at the same time it would give me relief for longer periods and that was it. He did not care. He said you drug addicts are always coming in here trying to give me a story. That's really funny because I just got my MRI results back and the five vertebrae area that are my best for the right area while... I actually have a vertebrae that slipped and is pressing directly on my spinal cord now. I am glad that dr. let me go. I don't want an MD that is so narrow minded they look at a previous medication and assume you're on it for only one reason. I take immediate release circle at night because I'm a really bad insomnia and my previous doctor wrote that I was bipolar. Cuz why else would I be taking it?? Pretty sad, because I'm not bipolar and that's not the only reason they give it to you. With the lyric will they give for bipolar issues is actually an extended release form. So this just shows that there is ignorance running rampant through the Medical Society also. I wish everybody that is on buphenorphine success for whatever reason they are on it. I just know that it can have a horrible backlash on your body and on your mind and on your medical records. If it successfully treat your pain or your addiction and you don't have the major side effects then yes stay on that as long as it works for you. When it no longer works for you and it works against you you should have a doctor that will work with you to find another medication that will allow you to at least function.

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I also was on 8 mg dilaudad 5 times a day and was so messed up, even led to an opioid addiction because I kept running out. Fortunately my doc realized I had a problem and Suboxone definitely gave me back my life, practically overnight! I so agree with you.

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