On Fentanyl - How Long To Wait To Take Suboxone (Page 2) (Top voted first)

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i am on 100 mcg fentanyl patch every 48 and given the certain amount of waste each month with one or more galling off and whatnot i keep a couple suboxone from an old script on hand. how long should i wait to take a half an eight mg sub.??? thank you in advance

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45

Hi Painwarrior-

I would even wait longer than a couple days. I will tell you why based on my experience... so I voluntarily detoxed off Fentanyl 9 years ago (150 mcgs of Fentanyl patch every 60-70 hours / 400 mcg Fentanyl Actiq lozenges- 3 to 4 daily) and I had been on the Patches for about 7 years. I detoxed under the care of a very specialized Addiction Specialist and this man KNEW his stuff and what he was doing (checked in / visited every day / had in home nurses come by / spoke with my two caretakers daily). Because the Fentanyl Patch absorbs directly into your bloodstream, it is a part of your body. It's a chemical that your body has stored in its cells and all around the body. I took me TWO entire weeks of no patch before there was clinically ZERO trace of the opiate in my body.

DETOX SCHEDULE:
Day One: Patch came off and Actiq intake increased.
Day Six: No more Fentanyl period (done with Actiq) and started Dilaudid every 6 hours.
Day Ten: Dilaudid every 12 hours
Day Twelve: Dilaudid once a day (morning)
Day Fourteen: 1/2 Dilaudid every day
Day Sixteen: no pain meds PERIOD for 48 hours (and that's when things go real bad for me... but I made it through with the grace of God)
Day Eighteen: go to my Pain Management Specialist and begin 1st dose of Suboxone (which I had to take in quarters over a three hour period of time so he could assess any side effects / reactions.)

Listen my friend, trust me when I tell you that bc the Patch distributes that medicine into your blood stream, it takes a long time to completely exit the body. And the longer you've been on them, the longer it takes to purge your body of all the toxins. Think about all your organs just marinating in it for years. It takes WEEKS to completely clean them out and anyone who tells you differently doesn't know their specialty very well. The patches are constantly on our skin as to avoid withdrawals- I used to overlap mine the last 12 hours of each 72 hour period (per doctor orders) bc the last 12-15 hours, I got about 20% pain relief bc MOST of the medicine was already absorbed. So just think about that; we are NEVER without that crap going into our bloodstream. Completely different than ANY other type of med. Equate it to wearing an IV that is constantly pumping meds into your veins. YOU WILL NEED A COUPLE WEEKS for it to ALL be out of your body.

Can I ask you a question? WHY are you taking both of those drugs? No doctor would ever prescribe BOTH the Fentanyl patch AND Suboxone to ANYONE so that means you're getting it on the street or from two different doctors. PLEASE just stick with one doctor for pain management. Mixing drugs without their guidance is dangerous.

I wish you the best of luck and would advise you to NOT mix any narcotics without being under the constant care of a doctor. The withdrawals from the Fentanyl can cause death all on its own- it's why they made me have constant care takers and called / visited daily. And had my mom and husband not been with me 24/7 monitoring my BP and temp and HR, I would've had to be admitted.

Take care friend. Best of luck!
MBK

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5

Hey Sick Doc " no bad pun I tented . After 2 years of 16 my of sub strips my pain receptors are all bleeped up. I just wanted to feel I depressed for at least one day in my misrable life from opiates to subs so I took 3 50mcg patch s sucked on one and planted the others they get u high real quick has in not depressed high but wear off in an hour. The strange part is I was an alcoholic for 25 years without the dope I never needed it even for a broken leg beer and Tylenol did wonders on the brain then one minor finger surgery where I had no choice to take Oxys and with in a year I lost my craving for alchoal I never thought in my dreams that would happen. It's been 3 years since I drank and I want to but afraid cause at the end of my drinking I was getting hangovers by my third drink and even 6 blues at the time wouldn't get rid of the pain. It's a strange brain we all have I know you would agree that even though I can't give a percentage some of the withdrawal pain is in your head. I'm not proud of taking fentanyl to get high and for what a temporary high that wears off quicker than blues when you suck on the patches . Well keep up the great advice cause real mds have no idea what pain meds really to people. Need to be a user or an abuser to really show just cause . Take care Doc" thanks for reading I hope!!

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14

been on duradesic patch for 2 yrs 25mcgs every 72 hrs ,, moved bk to ky,,oh i was in MO whenprescribed!! Ky drs don't give NOTHING!!!! Especialy'At KDMC in Ashland KY!!! Have'nt had a patchonin over a week! Can i take a 'Quarter piece od Suboxone now w/outgoing into(PW's) IHope!! TysvmFor Your Answers n 'God Bless!!! ' Steven!!,

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40

I call bulls*** sir or mam. At least in my experience and my brother's, you should wait before taking fentanyl if on suboxone but at most you don't feel it as strong the first day. But I take suboxone before the fentanyl wears off. At least for me there is very little withdrawal. I try to switch at night and sleep through the worst of it. It's so mild I don't even wake up but everyone is different and I only take 2 mg twice a day. Hope that helps. Start low, you can always add but never take it back. Stay safe out there.

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41

I agree. I will lay here in withdrawal and be uncomfortable because I threw myself into withdrawal twice already and I haven't taken anything in 2 days. I still won't touch my prescription of subs as that was by far the worse thing ever. I have been on subs for 3yrs and I relapsed for about 2 months. I had a drug panel come back and it just said 'FAILED FENTANYL'. Today is 2 days and I'm terrified.

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43

I have been on 200 Mics of fentanly for 15 years in when I run out of them hell starts bout a two hours later I start withdrawing and the withdrawals are unexplainable I no thousands of ppl will try in kill them selves from these withdrawals and me I can't deal with them there horrible u get weak diarrhea yhawning a lot no sleep for daaaays body aches leg in tummy cramps can't get comfortable no way hot then cold can't be still agitated no appetite legs jumping by there self while aching these withdrawals are the baddest thing I've dealt with in my 45 years. Cold turkey no. Not gone happen can anyone give me any ideas I can do or take to relax me for a min or two I'm dieying for some kind of relief so please give me some info on something in keep me in your prayers pls. I'm going thru it as I'm texting this I feel horrible now.. Jason talley

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44

CHAOS, IF YOU DON'T HAVE TO TAKE FENTANYL I WOULD NOT. THE SIDE EFFECTS ARE NOT WORTH IT. I'M ON 75 MG. I HAVE THE WORST FATIGUE, NAUSEA, MY VISION IS BAD AND I HAVE A TERRIBLE HEADACHE EVERY DAY. FENTANYL IS KILLING ME!!! THIS STUFF IS POISON!

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46

I don't know where to turn right now so I'm hoping someone can give me some advice. I have been addicted to pain killers for about ten years on and off. Every time I stopped before it was bc I went to detox or treatment. It's been about 33 hours now since I've taken anything n I expected to feel horrible by now. I have a bunch of subs but I'm not sure how long I have to wait to take sub? I'm really in shock that my withdrawal systems are not bad... still, I mean I feel weak n can't get comfortable. Is this normal? When can I safely take my suboxone? Please get back to me ASAP someone if u can. I need to figure this out.

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17

Can I ask you if I'm already in withdrawal from taking oxi 120 mg twice a day and haven't had that in three days and borrowed the patch to help ease w/d pain.....and it's not really working .....have all symptoms of withdrawal ....and I take the patch off at 1pm and my withdrawals are getting worse by the minute... can I take the subs one by 1 in the afternoon?

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20

Waiing for the sun , thanks! I am now at 68 hrs. I. Will take some more as soon as I have coffee. I slept well. Thank you. Your right! 1 mg and I don't feel good but I'm able to sleep!

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23

so according to what you said - if I have appendicitis and have to have it removed - I cant have pain medicine during the surgery because it 'could' through me into severe with drawals? sounds like BS to me, and I doubt a surgeon would agree

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24

I'm a victim of circumstance involving a rehab center I chose to seek help from in Nov..2014...I was prescribed fentanyl 150 mcg. 11 years....I wanted off medicine...rehab gave me 8 mg. subutex within 9 hours upon arrival...I coded 2 or more times...was dying..unconscious for approx. 14 hrs...my family was never notified..no one would call 911 except my roomie which was an RN, as myself... in addition, it happens all the time at WhiteSands Treatment center...Ft. Meyers, Fla.....

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27

I am on suboxone. I was wondering if I applied one 50mg fentanyl patch, how long will that drug remain in my urine before being excreted?

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30

Was on 80mg to 100mgs of oxy a day ran out and slapped a fent patch 75mcg on its not really helping I don't feel good no energy can I take 4mgs of box to help the patch has been off an hour! Please help

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31

Thank you will take your advice

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35

You can take a subutex and feel opiates whenever the u want but if ur taking regular suboxone I know u gotta wait. But here is my dilemma. I was on sub's since march (this is my 5th time trying to get clean). I ran out of my Subs ten days ago. Since then ive had 2 perk tens and 2 subutex's & 1/6 of a suboxone I took today. For the first six days I took the subutex and I was kosher like a pickle. Went two days wit nothing feeling s***ty, then I took the 2 perks and felt better not great but wasn't going to die. The next day sucked, and the day after that was worse, and today I took the 1/6th of the sub. I'm ok now. I got ten hrs into the sub done already but since it was like less than 2mg of sub with naloxone I should in theory be able to get relief from my fentanyl patch @24 or 36 hrs after my last sub dose? RIGHT?

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38

What Happens if Im On Suboxone AndnI Take A 100 Patch???

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39

I waited 24 after last patch to take a suboxone. Oh my good i needed to wait longer. It instantly through me into withdraws.it was worse then regular withdraws. In my opinion fentanyl is just to strong for the suboxone to even work. But what do i know.

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15

I live in olive hill KY dude, I know they don't give s***. I get fent patches n I have ripped one off n literally took a half a sub twenty mins later n it didn't hurt me.

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25

Ive been on fentanyl 75mcg patch for five yrs now. In the beginning they worked really well for my chronic pain, im also on norco 5mg for break through pain, so fentanyl that dosent last three days anymore, and the norco wears off before the four hrs, I got ahold of some suboxone 8mg / 2 mg, I took my last patch off at seven fifteen this morning, and I took my last norco at the same time, how long before I can take the suboxone, I appreciate any feedback, thanks.

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