Taking Subutex And Percocet Together (Page 24) (Top voted first)

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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U getting sick could not have been from withdrawal from taking a percocet with the subtex it may have been because your tolerance is to low but not with drawl subutex is not like suboxone it doesn't have the blocker in it the way the suboxone does. Trust me I know I been on the subtex 5 years now

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EVERY body is different. I would take a little at first and then if you need more later take more until you are feeling ok. Subutex will give you a habit just like any opiate. You shouldn't take it longer than a week but your not just going to feel normal after being off of it. It will take awhile just like anything after being off of it. I don't know if what I've told you helps. God Bless You.

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I just completed a 21 day detox methadone to switch to subutex,,the doc I just saw 6hrs ago was great,my last dose wase Sunday.Doc also said u can go down to 30mg then wait 48hrs and in substantial withdraws,to get on subutex,or just say u had a severe allergic reaction to suboxen, severe hives and migraines is how I got them over the suboxen.The first day I took 16mgs,t

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You can take your pain meds with the subutex without going into withdraws..subutex is what they give people who are still withdrawing from ops and still have the drug in their system because it's safe .don't take them with suboxone. I've been prescribed both ( at different times) for years and have mixed pain meds with the subutex. A lot of people are misinformed. The only thing about mixing the two (subutex and percs.) is that you'll have to take more percs. to feel anything. Hope this helps someone.

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You sound like you have some SERIOUS issues, anger issues being just one of them. Good luck with that.

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Sorry, my reply about having anger issues was in response to the following post by "kkh":

"JAMES: Like this DJ TRU guy. "One has the blocker, the other doesn't, end of story!" Oh boy, not only is that not the "end of the story", it isn't even the RIGHT story. Unreal. You can break it to them, in scientific fact, and they will still be saying "no way dude!!" Because they have been able to take a Perc with a tiny dose of Subutex, hours apart, well that proves it! Not to mention the part about "lets see how we can take our Opiate Replacement Therapy meds, and get away with taking our dope at the same time!!" Besides the fact that I personally experienced precipitated withdrawals, the binding affinity of Bupe is a scientific fact, it isn't my opinion! That is something I NEVER want to go through again! I thought I knew what "withdrawal" was all about, having been a 30 year+ addict....OMG. That was INSANE! You know how they say "climbing the walls"? I was LITERALLY climbing the walls, and banging my head against them, and begging my spouse to smother me with a pillow. The spouse started shoving Trazodone down my throat, and I FINALLY passed the heck out. Friggin TRAIN WRECK!

ONCE MORE FOR CLARITY: Buprenorphine ITSELF can and will throw you into precipitated withdrawals, whether it contains Naloxone or not. Of course there can be exceptions depending on how long you wait and how much you take of either substance, but these are facts, not my opinion. This also comes from my own research and two different doctors who are addiction specialists. One of these doctors was the Addiction Specialist for the Denver Nuggest NBA team. So people, be my guest, don't believe us, believe these amateurs, go for it! Take some good, strong, full agonist opioids like Fentanyl, Oxys. (not a Percocet, which is a LOT of Tylenol) Take your dose and then wait about an hour or two, and pop about 12, maybe 16 mgs of Subutex....please, by all means! I would LOVE to hear how that went for you! Ridiculous."

In which I said "You seem to have some SERIOUS issues, anger issues being just one of them. Good luck with that.", because I was appalled by their senseless and unnecessary, out of place, venom.

This is a place people come to for help. Take your hostile and indignant superiority complex elsewhere. Horrible attitudes like yours are why some people are scared to even ask life saving questions, questions with simple answers, and it is why some of those people end up making mistakes that harm them or even kill them. Shame on you.

OP, I had to make this second comment to clarify. I apologize. I did not want you to think I was addressing you, or anyone other than this "kkh" character, or whatever the name was.

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REALLY: I have no "anger issues" at all. I am just tired of seeing people come on here and tell people that using full agonist opioids with Subutex is ok, when it is not. I have been through Precipitated Withdrawals, and they are Hell on Earth. I certainly don't want to see someone else go through that because they listened to some *****n on here who does not know what they are talking about. Not sure why me saying that is such a problem for you. Not sure that I care, either.

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SCOTT: Thank you Scott. Maybe people will actually believe it if they see a physician saying it. I just CRINGE when I see people on here saying "oh, it doesn't have the 'blocker' in it, so you are ok"....when it is the Bupe ITSELF that is the "blocker". And then this "REALLY" guy giving me a hard time because I don't sugar coat things. If he/she had ever been in Precipitated Withdrawals as I have, maybe he/she would be a little more forceful about it too. It was a completely horrific experience, and I would hate to see anyone on here actually believe these people and end up in a horrible rattle as I was. I am all over these forums, and I have helped countless people. That's just a fact. These are serious issues, and apparently I didn't sugar coat it enough for "REALLY". Like I care. I will continue to help people as best I can, and not worry about one whiner who got his/her panties in a wad.

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REALLY: I would like to thank you, though. Because you are such a whining, sniveling child, you went ahead and re-posted all that information I originally wrote YET AGAIN! Now maybe those who didn't see it the first time will see it and NOT be thrown into Precipitated Withdrawals! Thanks for that!

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

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You should be fine. Subtext doesn't have blocking agent suboxone does. Wait at least an hour though

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THERUGBYDUDE: If you want us to believe that you are taking 30 mgs of Subutex soon after taking full-agonist opioids without any symptoms....well, that's not going to happen. It isn't possible. SCIENTIFICALLY not possible, not my opinion. In fact, my friend who is an M.D./Addiction Specialist is shaking his head as I write this. MAYBE if you were taking a very low dose of each, many hours apart. 30mgs of Subutex is almost the ceiling dose. 30 mgs of Bupe will so completely coat your receptors, NO full agonist opioids are getting in there. No offense, really, but not gonna happen.

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WHITE TEAKY: Wow, it really is amazing to me how many doctors out there seem to completely clueless. He/she is giving you opioids, and then at the same time, giving you medication to BLOCK the opioids. Does that make sense to you? That percocet is not going to do a friggin thing with an opioid blocker like Buprenorphine (the main active ingredient in Suboxone) in your system. It's no wonder you feel like crap. I would be completely shocked if you DIDN'T feel like crap. You need to be taking one or the other, because as you probably now realize, it is completely counterproductive to take both. I don't usually tell people on here what to do in their personal lives, but I would run from that incompetent quack and get a different doctor ASAP. That doctor obviously doesn't know how to prescribe Suboxone. Un flippin real.

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Today I took 8mg of subutex after getting administered dilaudid and morphine in the hospital and having percs at home and I am not having withdrawals at all.

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KIKI: I am neither "mad" nor "confused". But you are wrong. You think that Subutex has no "opiate blocker" in it? The Naloxone being the "blocker"? Buprenorphine ITSELF is also an opiate blocker. It is a partial agonist-partial antagonist opioid. The "antagonist" part is the "blocker". So the DRUG ITSELF is a "blocker", so to speak. Once more, Subutex and Naloxone are BOTH "opioid antagonists". As opposed to "full-agonist opioids", which is what Oxys, Vicodin and all the other opioids we take to relieve pain are. These are facts. It isn't about "disagreeing" with you, you are simply mistaken.

So no, I am not "confused". I am a medical researcher, and I work with the leading Addiction Specialists in my area. I am fully aware of the differences between the two. I took Suboxone for about a week when I first started on Bupe. I couldn't tolerate the Naloxone and was immediately switched to Subutex. So besides that first week, I have NEVER been on Suboxone, only Subutex. These are facts. I really wish people would do more research before declaring things "impossible", before declaring things to be "facts". I was never on a dose lower than 24 mgs of Subutex for almost 6 years (doses between 24 and 32 mgs, which is the ceiling dose) and I also used very long acting opioids at the time. I was thrown into hardcore precipitated withdrawals from taking about 20 mgs of SUBUTEX, not SUBOXONE too soon after dosing that long acting opioid. SUBUTEX ITSELF can throw you into precipitated withdrawal because SUBUTEX ITSELF is a partial antagonist opioid.

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Sorry your doctor is an i****. To take percocet and then suboxone is like wiping your ass before you s***, please excuse my language but damn that's the craziest thing I've heard out of all the posts. But anyways I wanted to let you know that it's come down to federal government regulations on pain medication due to the havoc it has wreaked in our country. So since doctors can only fill so many scripts of pain medication per month/year that they stay loyal to the patients who have been with them the longest and the rest of us get s*** on bc if they can't keep making a fortune on pain medication then they to devise another legal medication suboxone, subutex, zubsolv, etc....to make money so we have to deal with doctors just doing what they can to keep their job. So rather than educate the patient to what they're actually taking. Most doctors don't have the time (or at least they say they don't which we all know they do) to get to know their patients bc in my opinion most just simply don't care, they see it day in day out so they've become programmers. Your doctor just wanted to try and see if the suboxone would slow your cravings for percocet bc he can't prescribe you as much anymore once again due to regulations so sounds like he just wants to keep your business but doesn't give a s*** what you went through which is what he told you to do, that makes me furious. What a s*** bag, sorry you had to go through that. If you want off the percocet then wait until you start to have withdrawals and then take it accordingly. With too much you could get sick but on the right dosage you will be fine. Also remember if you are taking suboxone and then take your percocet it won't work. It will be a waste and damage to your liver for no reason. Hope that was helpful and hope you feel better. Good luck!! Oh and please find a different doctor.

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STEVE: My mind is completely blown by the fact that there are doctors out there who are actually prescribing full-agonist opioids right along with a partial-antagonist opioid like Bupe. Completely mind blown. And by the fact that so many people have no idea what they are talking about, and are posting things on here as if they were medical researchers or something. Insane. But the fact that there are doctors, people who are being trusted with people's LIVES, that really are this clueless is not just insane, it is down-right SCARY.

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DagneyT: I think it is dose dependent as you said. 4 to 8mgs is a fairly low dose, and since there is no Naloxone in it, you are probably ok at that level. Any more than that? You are playing Russian Roulette. I was never on what would be considered a low dose of Subutex. When I was taking Subutex, I was on 28mgs+, and have gotten between 16 and 20mgs into me when the Precipitated Withdrawals happened. So obviously, with Subuxone, you have the antagonist of the Naloxone, PLUS the antagonist of the Bupe itself in there. With Subutex, it's ONLY the antagonist of the Bupe. So that's why you would be able to take a small about of Subutex without problems. Any more than 8 or 10 mgs though? I certainly wouldn't. That was ROUGH... nice user name BTW. Atlas Shrugged.

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SYD: Yes, you went through the dreaded "precipitated withdrawals". I would think you would be ok to take 8mgs of Subs by now.

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SWEETPEA: See, Subutex has no Naloxone, while Suboxone does. Buprenorphine itself is also a "blocker", so having the Subutex without the Naloxone is only one type of blocker, the Bupe itself. While Suboxone has the Bupe PLUS the Naloxone, so you are talking about TWO types of blocker. So you are able to take a bit more full-agonist opioids with the Subutex as compared to the Suboxone. BUT....people who are saying you are "perfectly ok taking Subutex w/ opioids" are wrong. Since the Subutex itself is ALSO a "blocker", it can throw you into Precipitated Withdrawals. As it did for me. For example, you could probably get away with taking up to around 16 mgs with Subutex (like you did) and be ok. But any more than that, you are taking a bad chance. While taking ANY dose of opioids with Suboxone is a bad idea. Me? I wouldn't chance it with either one, any dose. Been there, done that, not going to do it again! (I'm on tablet Methadone now anyway) Just be glad you haven't had Precipitated Withdrawals and don't chance it again!

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