Starting Suboxone

Next week I have a appt. with a DR who prescribes Suboxone. I have been on Fentanyl patches for 8 years now.I am prescribed 150 mcg every 48 hrs. but still feel I am in partal withdrawal most of the time.Does anyone have a similar situation and how bad should the withdrawals be with Suboxone and Xanax if he will still allow them? Also will the suboxone still help with pain? I am scared about the withdrawls since I ran out for 1 day only and it was hell!! Any reply would be appreciated

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Randy,w/d's seemed to be very controllable with suboxone for me,but Im a pain patient once the weather hit below zero 4-6 weeks after sarting suboxone the pain kicked in.Iit was unbearable (worst time in my life) AND they made me stop my xanax. I also was able to just stop taking the suboxone after 4 months .everyone is different plz don't let me discourage you,try it so you will know, but I also recall reading the booklet on Suboxone 2010 it said it was not for pain patients. I was misdiagnose moved to another state im getting great pain mgmt. , facet injections, chiropractic care, my best of wishes to you

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Thanks for your input chaos!

Randy, I haven't personally had an experience with Suboxone but I can link you to a thread regarding Suboxone withdrawals which you can post in if you would like. You may be able to connect with someone else who has had experience with Suboxone and other similar medications.

Discuss/Suboxone-Withdrawals-229407.htm

I hope this helps!

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You are on too high of a dose of Duragesic. You need to increase it, or switch to another long-acting painkiller such as Methadone, ER Dilaudid, OxyContin, MS Contin (Morphine ER), and now you can also get Extended Release Hydrocodone; one called ZoHydro comes in 10, 15, 20, 30, 40, 50mg tablets 12hr release. The other is Hysinglia ER which comes in 20, 30, 40, 60, 80, 100 and 120mg tablets. You have many choices. I would rank them from best pain relief to least: 1. Methadone hands down, 2. Zohydro or Hysinglia 3. ER Dilaudid 4. OxyContin 5. MS Contin. These are all excellent meds but taken orally Hydrocodone is stronger than Morphine, because Hydrocodone has an excellent oral bioavailability in the 90s, meaning once metabolized you get 90%+ of the drug's potential. For example, a Vicodin 10mg instant release you get 90%+ so you are getting at least 9mg of the hydrocodone in that Vicodin, but a 10mg instant release Morphine tablet is equivalent to 10mg of Vicodin. Problem is Morphine has a low oral bioavailability of 40-50% so you get 4 or 5mg of Morphine out of 10mg. Dilaudid has a low oral bioavailability also around 45-60 but like morphine when administered intravenously you get 100% bioavailability...that's why they get so much hospital use. There is no IV form of oxycodone or hydrocodone med at hospitals since orally they are damn near 100%. I think the best for pain would be methadone or zohydro/hysingla - both are ER hydrocodone.

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