How Long After Taking A Suboxone Can You Take An Opiate? (Top voted first)

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I have been on 8 mg/2mg Suboxone strips for 1 year. I am having a tooth (back molar) extraction in the morning. I used my Suboxone strip this morning & the tooth extraction is at 9:30 am tomorrow. If I don't use another Suboxone strip before the extraction, would I be able to take Hydrocodone after my surgery? I don't want to get sick, but I am terrified of going through this surgery with no pain meds. Please help.

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Most Re correct 24-48 depend also on you tolerance for narcotics or medications in general. I myself have a very night tolerance 24 hour I would feel the effects. Someone said 1 year that is the craziest answer someone could have given you.

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Listen, it does indeed vary from person to person, let me explain why. For one, everyone has a totally complete and separate brain chemistry. EVERYONE. No one's brain is alike. With that being said, the determinant factors are many. 1.) Your tolerance level. How long have you been on opiates? Suboxone? If for a LONG time, taking any opiate afterwards it's not likely you will get 'high'. Reason being....Suboxone is an full agonisit in which actually fills the brain receptors that release dopamine, which is what gets 'rid' of the withdrawals. What causes you to withdrawal is when you have been on ANY opiate, your brain releases dopamine in excess, and when you stop, it has to have time to replenish what you've lost. Therefore, you are sick. Like I said, suboxone, methadone (antagonist) both work in similar ways except methadone 'partially' fills the receptors, and if you take other opiates with it, even though your brain basically kicks them back out (allows you NOT to feel high, no matter HOW many you take, and can KILL you), and there is no affect. However with methadone, you could stop taking it for a bit and once your body is able to 'feel' the high again, you could pick up methadone the next hour and would NOT get sick (unlike Suboxone, because if you take a pain pill THEN suboxone you WILL get sick (withdrawals). So, with that being said, it's hugely depends on your tolerance levels. And yes, for some it could take a VERY long time to feel high off an opiate, even after being off of them for nearly a year. That's NOT ridiculous, as to why so many people have said different things. EVERY body, EVERY brain is chemically composed differently, and you have to take in biological factors, as well as environmental factors. I know some who have been on Suboxone for two years, and withdrawals can begin a day after stopping. For some, it might take a few days. No one's the same. Suboxone does stay with you for awhile, in the brain, but not in 'feeling'. Although you may have some of it leftover in your receptors, if you begin to feel sick, then it's not enough, because it's slowly dissolving, and that is also why withdrawals last for SO long, and it's a slow agonizing withdrawal. My advice to anyone. I know how hard it is to get off of any opiate after being on it for some time. VERY hard. Nearly everyone ends up going back to them, even after being clean for years. If you are only addicted to 'pills', not methadone, not suboxone (LONG acting agonists), then your withdrawals will only last a few days, and by day 7, you should begin to feel normal again. BUT, here's the kicker, your brain, (the Hippocampus to be exact), is your 'motivational' center. So, again, depending on a lot of factors, even though you feel normal, that little area in your brain 'remembers' how good it feels to be high, and doesn't let you forget. It only takes you 'seeing' someone else take a pill, nod off, or one simple offer of, "hey, do you want a pain pill?" and instantly you are going to say yes, UNLESS, you work a program where you are surrounded by people like yourself that WANT to stay clean. And this is not something you do for a year, two, say you got it and quit. You have to remain in this environment for nearly the rest of your life. NOT for all, but most. Again, one more time, it depends on you, your brain chemistry, and your history of use. One year is not a ridiculous answer at all. For that person, it might take a year, for you, it might take two days. Seven days. Ten days. No one knows for sure. It's being studied currently, but it's a very hard thing to study because NO ONE has the same chemistry!!! Hope this helps ALL. :)

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5

@Marc - Oh my goodness you could not be more wrong with your answer. You really shouldn't give an answer if you do not know what you are speaking of. This is such a ridiculous answer!!

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7

You get precipitated withdrawals when you take opiates and then begin to take Subs without waiting until withdrawals. You do not get precipitated withdrawals by taking a opiate after being on Sibs.

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20

Not even a little true. I've taken opiates the same day as I've taken an 8mg Suboxone, and I felt it. Not nearly as strong, but if you take enough, you will absolutely feel it.

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10

I totally agree. One year? Whomever said that is clearly the WRONG person to take such serious advice from. That's utter b.s.

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11

I took s 8 mg strip about 2 7 am this'd morning, nothing else. Will I b okay to take a oft codices 15mg now? Pleeeeease ASAP need feen Bach. :-) :-) :-) thx..

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17

I have been taking suboxones for two years now. 8mg strips. For the past six months I wakeup and take a quarter of an 8mg strip, then around 3:00pm, I take another quarter. So I'm taking a half a day. Three days ago I had to get 6 teeth, cut out. I took a small piece of suboxone two hours before getting put to sleep before surgery. I never mentioned this to my dentist because 9 out of 10 times they will not give you narcotics for pain. After I left the dentist I picked up my prescription my dentist prescribed which was 7.5s, twenty of them. Of course when the numbness wore off I could feel pain beginning. I took one 7.5 that evening and then another before bedtime. I didn't take anymore suboxones that day. But the next morning, I took my regular dose of suboxones and immediately afterwards I took a lortab and half, 10mg lortab. And just like any other day, around 2, 3:00pm the same day I took another quarter of suboxones. I never once got sick. And I didn't have any pain either. I was taking a lortab every six hours or less for the next three to four days and like I said, I continued taking my suboxones as regular. I never once got sick or felt any different. Everyone is different..

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Thank you so much for your advise. I decide to stay with the Suboxone & see how it went. I have had no pain at all. I know you don't screw around jumping back & forth & have never had a reason to contemplate doing so, but this tooth extraction had me terrified. Terrified enough to almost really screw up. I am so glad I just stayed the course. There was nothing to be afraid of (but screwing up my program.) Again, thank you for your information.

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19

Ok guys, if you are on suboxone, and have a tooth pulled or any procedure which they give you an opiate for, like percocet or vicodin, you take it on top of your suboxone. You take your suboxone as prescribed AND take the new pain meds as prescribed. I do it all the time.Just ask the dr prescribing you. They'll tell you. I don't care what people say about ''blocking'' or getting ''sicker than dope sick''. It's not true. Tell the dr pulling your tooth. He'll tell ya!

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16

You couldn't be more right. Seriously.

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13

Sorry stood e sweetie e. I took a 8 mg sub his mouth around 7or 8 give our take. Will it b okay for me to take a oxy15 right now or in the morning, at least? I have my sub script in the pharm and can pay for then bit that need s approval from my doc I'm seeing Taipei's. Therapist which I am regularlt but it takes FOREVER for all that to go thru. And Im scared I'll b sick bc I dose to take 2 8mg strips a day. Please if anyone can help if appreciate it ASAP thx again. :-) :-)

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8

Tell your dentist you are takin suboxone. He can give you a non opiate that will help with your pain. Just be honest with dentist.

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9

I've been on suboxone for 3 yrs. Taking a strip, if you dont take anymore for 2 days you wont get sick. You must be in withdrawal before you start suboxone. However, taking pain meds after suboxone, I'd wait at least 3 days @ 1 8mg strip a day. Suboxone will remain in your system for a long time. Everybody is different. You should talk to your doctors before making any decision. Good luck. A word of the fear when not having suboxone, you do not get sick for days if you stop taking suboxone. I've weaned off before, it took 7 days before I thought I was going to die. Sincerely

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35

Yes...ive been on and off pain meds and subs for years due to back surgeries......if ya dont take a sub for 48 hrs the pain meds will work...period....whoever said 1 yr should be fined for that statement

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12

Sorry about 7 or 8 this morning , around..

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25

Do not comment if you don't know what you're talking about!

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28

That is not true...i have been an addict for more then 17 years and on and off subs for years...it takes 2 to 5 days to feel opioids again thats it.

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30

Suboxone is a partial opioid agonist..it fills the receptors partial but at higher doses it fills the receptors completely..methadone is a full opioid agonist..not the other way around

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37

I've been on suboxin for a year and I just had some dental work done, I took a half of a 8mg strip at 7 in the morning then after my dental work I took 25mg of Percocet and that was around 1:30 so a 5 and a half hour period I took my Percocet and it's working lovely! I haven't took Percocet in over 4 years that's probably why it worked for me!

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