Taking Subutex And Percocet Together (Page 17)

My doctor just put me on subutex along with percocet. I've been on percocet for yrs for severe and chronic migraines. He told me to take the subutex and if it doesn't work to take a percocet. I usually take 15 mg percocet at a time. I've read some stuff online that worries me. Some people say if you take percs with subutex you'll go into withdrawals. I went through severe withdrawals with fioricet months ago and I don't want to go through that hell again. I took my first subutex about an hour ago and I still have a migraine so I want to take a perc now. Can I do that or will I get sick?

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Hi, are you referring to me? Regarding posting again and be a whining baby? If so, I don't understand..sorry

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First of all I don't know of any Dr that would give their patient pain meds and sub together. That's strictly a no no. It's one or the other. Sub is to help ease withdrawal symptoms when you must suddenly stop taking pain meds. I've been taking both off and on since sub first came out. I have taken a sub, 1/4 mg in the morning, then later a pain pill. You will get no effects from the pain meds as the sub blocks it. On the other hand, if you first take a pain pill, then sub, that's a whole different story. It used to work for me but hasn't in the past couple months. Going to discuss this with my Dr. on Mon. 6-13-16...I kept going back and forth hoping to not need pain meds, but each time I would try and wean off, my pain was still so bad that I'd need pain meds, again! I hate this vicious cycle I've gotten myself into. What I want to hopefully do is get off the sub as I'm eventually going to have a knee replacement. But, like I mentioned, I could take up to 70 mg of oxycodone and get nothing! This is the first time this has happened. I've never taken that much in one day. This just recently started happening. So, what's a person to do other than allow myself to go through awful withdrawals by not taking any sub for at least 72 hours, or more. That's scary. Sorry for making this so long. Thanks for reading

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Hi, I was confused about this too. I've been on subutex, suboxone and pain meds off and on now for years. Up until a couple months ago I used to be able to take a pain pill first, then either a suboxone or subutex, this would help the pain meds to last longer, now I get nothing. I've not taken high doses of either. I'm just wondering why all of a sudden no pain meds work? My normal dose of sub is 1/4 in the morning and 1/4 in afternoon. That lasts me all day. The sub is made to block the receptors from letting the narcotic affect you. If at first one takes a pain pill then a sub, it's ok. The other way around and one gets nothing from the narcotic. I get nothing at all now! I too thought the naloxone was meant for opioid users, so that they couldn't administer it intravenously...No idea what's going on but I can't get pain meds to work at all! A month ago I have to take 2 20's of oxy at a time every 4 hours. That's absurd for me.

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Wow, sorry about that. This has never happened to me which has me very puzzled. I take only 1/4 sub twice a day. If I take a pain pill, I get no effect from it.

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DEB: Yes, they should definitely only have you on one or the other, not both. Let us know how it goes with the doctor, I am curious to know what he/she said. My friend who is an MD and an addiction specialist, he just shakes his head when I tell him what some of these doctors do. I told him about the "taking percocet and Subs together" thing, and he was completely floored.

And no, my post about being a "whining sniveling baby" was to this "REALLY" person, not at all to you. When you click "reply" to someone on here, it doesn't actually address WHO you are replying to. That's why I always put the name of the person in my reply.

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DEB: Yes, the naloxone is in there to keep people from injecting the Buprenorphine (active ingredient in Subutex/Suboxone) But it is the Buprenorphine ITSELF that is "blocking" the effects of your pain meds. The Bupe has a HUGE binding affinity for your opioid receptors, so it keeps any other opioids from attaching to them. Basically, the Bupe is coating your receptors so completely, no other opioids can get in there. So giving you pain meds to take while you are already on Bupe is completely counterproductive. I'm not telling anyone on here what to do, but if it was me, I would get another doctor. Sorry, but I wouldn't trust a doctor who doesn't realize this fact.

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Good morning, it's not the same Dr giving me both. I've gone back and forth trying to stay off pain meds but each time I can't stand the chronic pain, so back on sub. It's such a vicious cycle I've gotten myself into. Dr's tell me one or the other...I have chronic back pain and need a knee replacement. This morning I'm not taking any sub, only pain meds. I can't stand the pain any longer. I see pain management dr this fri.

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Right, no problems with your attitude at all. ????

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DEB: Oh, ok, I gotcha. Well, they all need to get on the same page then. I hope they can get it all straightened out. There is no reason for you to be taking both, as you know it is just counterproductive. Good luck at your appointment.

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REALLY: Glad you got that all straight in your own head.

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As a nurse,and familiar,with both medication. Briefly put Subutex,taken with a narcotic pain medication, will not cause you to have withdraw. I've had to do that,but you should try to titrate off the percs,at some point. NOW WITH THAT SAID PAY CLOSE ATTENTION, IF YOU TAKE SUBOXONE WITH A NARCOTIC YOU COULD HAVE WITHDRAWS OR ACTUALLY THE NARCOTIC PAIN MEDS WOULD NOT relieve ANY PAIN,BECAUSE SUBOXONE HAS NARCANE IN IT TO BLOCK NARCOTIC PAIN MEDS (opiates) FROM REACHING THE PARTS OF THE BRAIN THAT RECEIVE PAIN SIGNALS.
WITH THAT SAID,MAKE SURE YOUR DOCTOR ALWAYS WRITES (SUBUTEX)IF YOU CONTINUE ON OPIATES FOR PAIN.YOUR FORTUNATE,THAT YOUR DOCTOR IS EDUCATED AND WILLING TO GIVE BOTH,AND IM SURE HE MUST HAVE COUNSELED YOU TO TRY AND USE LESS AND LESS PAIN MEDS, AND USE THE SUBUTEX, MORE AS TO SUSTAIN, A CERTAIN AMOUNT OF SUBUTEX AS THE BASE,NOT FOR BREAKTHOUGH PAIN.BUT,I AGAIN REINTERATE,DON'T GO ON SUBOXONE, SAME AS SUBUTEX, BUT HAS NARCANE IN IT TO BLOCK OPIATES FROM REACHING THE BRAIN. GOOD LUCK, GOD BLESS, AND BE SAFE,AND KEEP STUDYING, WHAT YOU PUT IN YOUR BODY.YOUR LIFE DEPENDS ON IT.

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That's ridiculous! Subtex & suboxone are given to people that are abusing opiates or trying to get off of them. When you take any kind of opiate with a suboxone or subtex, the sub cancels out the opiate so I don't understand why he would give you both of those together? That makes no sense at all.

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The sub cancels out the opiate! So if you take it, it will not help you. If you need the meds for pain, it will be like taking nothing at all. I was on subs for 5 yrs.

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KKK: Hi there, I stopped the sub and back on pain meds. They are working now! So relieved as I've had chronic pain for yrs, acute for a yr. So tired of going back and forth as I know it's not a good thing. Thanks for your input!

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Please don't try to cold turkey any NARCOTIC, by yourself, or alone. And subs are NARCOTIC, and even though lowest dose possible may have minimal effects, try to have someone present, until your past the sickness that makes you desperately crazy, that the chronic pain that took you to where you were before. In Florida, since government guidelines went into effect, I've lost over 20 friends to illicit drug addiction, and or alcohol addiction, and death. Way to go DEA, you sure increased black market, and population control. Just saying.

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That's really hard to believe.. Subutex has no naxolone in it so why would you be sick?? No way

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KKH: Hi there, not sure if I responded to your message. Being new to this site, I might have to get used to it. I see the pain management doc tomorrow. I couldn't be happier as she is one of the most thorough doctors I have ever been to. She actually gave me a physical. My primary has never even touched me with all the pain I have, I find that absurd! I did get some blood work done though and chest x-ray being I am a smoker. Ugh...Anyway, I just started painting in mid Jan and I love it! I have actually sold a watercolor painting just recently! Why am I telling you all of this? Well, just a little history of myself. I had never been able to find anything that interested me. I couldn't stay still long enough, all through my childhood and adult years. Now at 59 yrs old, my life is better than ever! I also suffer from chronic depression, which I take zoloft for. Ok, well I guess that's enough. Haha! Good day!

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BUTCH: I don't care if you ARE a nurse. You are wrong. The only reason the Naloxone is in Suboxone, is to keep addicts from injecting it. Buprenorphine is a partial agonist, partial antagonist opioid. It has a HUGE binding affinity for opioid receptors, and will knock any and all full agonist opioids off of the mu-opioid receptors, throwing the patient into precipitated withdrawals. It is not the "Naloxone" that is "blocking" the opioids, it is the BUPRENORPHINE ITSELF. No offense, but I don't doubt that at a nurse, you do not know this. There are a few DOCTORS out there that don't know this. I went into FULL ON PRECIPITATED WITHDRAWALS from using Subutex too soon after full agonist opioids. I was never even on Suboxone, it was the Subutex, the one that has NO NALOXONE.

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LIZ: Because it is the Buprenorphine itself, the active ingredient in Subutex and Suboxone, that is the actual "blocker", so to speak. The Buprenorphine will attach to your opioid receptors and completely saturate them, knocking any and all opioids off of said receptors, and throwing you into precipitated withdrawals. The Naloxone is in Suboxone to keep people from administering it intravenously. But it is the Bupe ITSELF that can "make you sick".

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DEB: No problem, glad you got it all straightened out!

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