Taking Subutex And Percocet Together (Page 7)
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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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JAMES: Hey James. Yes, YET AGAIN, we have people taking medication, and they have NO CLUE how the medication works. I sincerely hope no one listens to these so-called "experts" because they will regret it.

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SICKOFTHELIES: You are completely and totally WRONG. Whether or not there is Naloxone in the Bupe does NOT matter. It is the Bupe itself that causes withdrawals. I have been there personally (I was on SUBUTEX, not SUBOXONE) and I recently helped someone else through precipitated withdrawals from taking Subutex too soon after opioids. This is how this drug (Bupe) is DESIGNED to work. So, again, you are 100% completely and totally mistaken.

When you say that you "may not have gotten the full effect of the opioids"? That tells me that you were likely taking the opioids AFTER the Subutex, which would NOT have thrown you into withdrawals. But if you take the Subutex too soon AFTER the opioids? You can and WILL go into withdrawals. You saying that mixing Subutex and opioids will "NEVER PUT U IN WITHDRAWALS" is 100%, total, full-on, BULL****.

YOU ARE WRONG.

Please stop dispensing bad advice and mis-information. Someone might actually think you know what you are talking about, take your bad advice, and go into a BAD RATTLE.

Again, please, NO ONE listen to this "Sick of the Lies" person. Because what he/she is posting IS lies. Listen to this person, and you may regret it, big time.

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BETTY: I really want to help you here, but I need a bit more information. How long ago did you take the last Oxy? 5mgs isn't a ton of Oxy, but no you do NOT want to go into precipitated withdrawals. So you really do need to wait until you feel like you are in some pretty REAL withdrawals. Trust me, the "regular" withdrawals that you will be experiencing now will be NOTHING compared to the precipitated ones. I thought I knew what real withdrawal was. OMG.

You can look up something called the "COWS" scale. It is a list of symptoms, with corresponding numbers for severity. You need to HONESTLY score yourself on those symptoms and go from there.

mdcalc.com/cows-score-opiate-withdrawal

I would say 24 hours off of Oxys at a MINIMUM. So do the COWS scale and see where you come out.

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I am post-op and ran out of my oxycodone 5mg. I have taken subutex before for about 2 years and stopped a week before surgery. Will I need to wait and go into w/d before starting back on the subutex? I am scared bc I'm already feeling generally bad from the surgery and couldn't handle any vomiting or anything like that as it was an abdominal surgery

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STARplayer: Can you explain what "tec" is? If you are referring to Subutex, yes waiting a day to start your Subs after taking Percocet, you would be fine since Percocet is fairly short acting.

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Thank you and this is the correct answer ive been on tec for 8 years. 2 child births and 4 surgeries Recently I had my breast done stop 48 hours prior still took 8 days to come off my brain receptor. Took percs up until yesterday and switched right back to tec no problem!!

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Thank you and this is the correct answer ive been on tec for 8 years. 2 child births and 4 surgeries Recently I had my breast done stop 48 hours prior still took 8 days to come off my brain receptor. Took percs up until yesterday and switched right back to tec no problem!!

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Hello all , hello kkh as I read posts on the sub thread I am baffled. All this I take my Roxy's or perc's or what ever before and after and even insanely during taking my Suboxone, Subutex, buvinail, or zubsolv , I am just baffled at this it's like taking an amphetamine for weight loss and then going to gnc and getting some pro weight gainer 5000 . Point is it's counter productive, yes, different people get small differences in side effects, but; it's a plain simple fact naloxone blocks , it's to deter intravenous abuse, the bupe is what lays the precipitated withdraw on ya , by no means should you take any recovery information from an individual who combines full and partial agonist and antagonist opioids , mat medications are plain and simply not engineered to be taken with other opiates, hence the opiate replacement therapy duh. I've made this mistake , I paid dearly. My OPINION is if an individual has done this and not experienced precipitated withdraw ...You dodged the bullet, thankfully. I'm not a Dr , not a pharmacist, don't have a PhD in anything. But I am experienced in addiction and recovery per my life . Kkh is correct as are several others I would advise that their information be listened to , or one day when you roll the dice ,per say, with combining a bupe based drug with an opiate you just might find out the hard way. Luv you all good luck to everyone and just a reminder please if ya don't believe me kkh, or the others simply look up Suboxone, Subutex buvinail or zubsolv and call the facts hotline and just ask

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KATIE: WRONG, WRONG, WRONG.

Please refrain from posting information when you actually have no idea how a drug works. If someone actually takes your bad advice, they can end up in a really bad way.

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KATIE: Here we go again. No, you are WRONG. It isn't the Naloxone that causes precipitated withdrawals, it is the BUPRENORPHINE ITSELF. Whether or not there is Naloxone in there does not matter. Please do more research before posting information than can be dangerous to someone. You clearly don't understand how this drug works.

ONE MORE TIME, PEOPLE: It is the BUPRENORPHINE ITSELF that can and will cause precipitated withdrawals when used too soon after full-agonist opioids. Naloxone is less than 10 percent (possibly even less than 5 percent) bioavailable when taken sublingually.

Naloxone is ONLY in Subuxone to keep people from taking it intravenously, where it is of course 100% bioavailable. Subutex AND Suboxone can and will cause precipitated withdrawals, as it is the BUPE ITSELF that causes the problems.

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Subutex doesn't have the naloxone which the blocker of opioids like suboxone so there's no way to get sick off subutex and percocet

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AARON: You will most likely feel them if it has been that long. Just remember not to start up the Subs too soon AFTER the opioids. When I was still "cheating", I would feel the opioids after about 24 to 28 hours of being off the Bupe.

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Finally a good response man do u think i will feel opiates after 32 hrs off subutex at 8mg day for couple weeks?

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ROLLTIDE68: Sorry, but it doesn't work that way. It doesn't "depend on your system", this is basic chemistry, and this is how the drug is SUPPOSED to work. I'm calling BS on your comment. You are either taking VERY LOW DOSES of both the opioids and the Suboxone, you are waiting longer than you THINK you are, you are taking the opioids AFTER the Suboxone, which would not throw you into withdrawals, or you are just lying. Because taking Suboxone too soon AFTER full agonist opioids can and will make you experience Precipitated Withdrawals. Those are just plain FACTS. A person's "system" isn't going to change that.

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I take them together as well and don't get sick. I guess it depends on your system

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NIKKIR: You need to be in active withdrawal before taking the Suboxone or you risk going into Precipitated Withdrawals.

Here is the COWS Scale. It is suggested you have a total of 10 or more on the Scale before starting up the Subs again.

mdcalc.com/cows-score-opiate-withdrawal

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But how long after you've taken that small 10mg of percocet can you take the suboxone again? I took 16 mg of suboxone bc it wasn't working, I might have taken it to soon to start. After reading some things I decided to take the last 15mg of percocet I had left. I feel alot better now. I have a small child at home, can't go thru withdrawals again like after taking the suboxone. When can I take the suboxone again?

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I'm amazed at how many people talk but are actually unaware of what's going to happen, I saw two people that actually knew...Suboxone and opiates don't mix well. It's a process to switch but SUBUTEX and opiates will NEVER PUT U IN WITHDRAWALS. I've literally mixed the two up not just once either. I did it for months. I do realize that I might have not gotten the FULL effect of other drug... I've been on Suboxone now 5 years and 1 year on Subutex. I even taken bunavel which sticks to your cheek and is above all the rest so far, less taste fast dissolve and half the blocker. The half life is a little shorter but you're taking half the dose of Subutex and Suboxone and getting a lot more effect. The kid that talked about Narcan and you wouldn't get sick listen to him, he's smart. These other posts are crazy. Honestly, everyone is different but the best way to find out is to pick up phone, call a hospital and ask them sometime, anonymous though.

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DROPIATE: Precipitated w/ds only happen if you take Subutex/Suboxone/Zubsolv too soon AFTER narcotics. If you try taking narcotics AFTER the Bupe, this won't happen, you just won't feel them.

But you are wrong about Naloxone. It is ONLY in Suboxone to keep patients from injecting it. It is the BUPE ITSELF that causes the w/ds, not the Naloxone, since the opioid antagonist Naloxone is less than 10 % bioavailable when taken sublingually. (of course Naloxone is 100% bioavailable when injected) Buprenorphine itself is a partial antagonist as well, and is actually QUITE bioavailable when taken sublingually, and can and will, WITHOUT A DOUBT cause precipitated withdrawals. I have been through them PERSONALLY. You are dispensing seriously BAD information, and I sincerely hope no one takes your advice and ends up in a really bad rattle. Precips are no joke.

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If you take Subox and try taking any other opiate(agonist: ie, oxycodone, oxymorphone, hydrocodone, morphine, hydromorphone(Dilaudid) you will go into withdrawal from the naloxone that is in it. Subutex has just buprenorphine AND NO naloxone. The ONLY opioid that naloxone has trouble blocking is Fentanyl!!!

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