Can Subutex Be A Small White Round Pill With 8 On One Side And An Arrow On The Other (Page 5)

My friend takes 8mg subutex and when he picked up his script today, they weren't the usual white tablet. They were white and the size of a 2mg subutex with an 8 on one side and an arrow on the other. Could his pharmacist have made a big mistake or are these just a different brand??

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The little round arrow ones don't last as long for me:( I like the big ones much better I think the delivery system works much better

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Yes that is what mine looked like when filled at walgreens.

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I know this forum is old but if a pill (any pill) Is the same mg and has the same active ingredients as a smaller version then the size difference is just fillers not being added.

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My wife and i messed up after 4 years clean. After about 2 weeks we wanted out and found someone with the small 8 arrow pills. We waited about 14 hours after last use and it put us inter severe withdrawal and it would not stop even after 24 hrs we still couldn't get well. Has anyone had the same issue and is it possible to detox using these. I have used the subutex in the past and it worked great. I just don't want to keep using but can't get past the first day of withdrawal before using.

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It is another pharmaceutical company brand of Subutex. They are in fact 8mg Subutex, and in my opinion, better than the larger ones. Unfortunately, they are harder to break up into smaller doses, like if you need to do 1 1/2, 1 3/4, or 1 1/4, but with less "fillers" they dissolve quicker if taken properly. Anyway, yes, they absolutely are Subutex, and you can simply request the others, if you prefer them, and your pharmacy has any in stock, or you can continue to request the small ones if you like. My wife prefers the smaller ones, and this last fill got the larger ones; she asked the pharmacist if she can get the small ones again next time, and they just asked that she call a few days before filling, so they can order enough in stock to do so; I'd just recommend you do the same, regardless of which you'd like to have, to be sure they have the ones you want on hand at time of filling.

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They are not good at all! I know size doesn't matter but damn!!

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I feel the same way man half way through the Day it feels like I need another I need 2 of the lil ones a day compared to one of the big 54/411s idk why its lile that does anyone else know ???

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I just b it the same ones from Walgreens I've never seen them before, but there as small as an aspirin and the have a 8 on one side and a arrow on the other. The verdict is still out if they work as good as the bigger ones.some say they love them because they don't have the extra fillers but others say they feel as they have to take more to get the same effect. I think there fine

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Just picked first Rx of the little ones can't tell a difference between these and the larger ones ...yet

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I've found its mostly psychological... Because you're taking a smaller pill, you're tricking yourself to think you need more. If you legitimately forget about the size of the pill, you're fine. There is the SAME amount of Buprenorphine in the small pills as the larger pills. It doesn't ware of faster, abd you don't need more for same affect. It really is just psychological. Remember, if you're taking these, you're either an addict in recovery, or you're an addict looking to feel high, either way, you're an addict... Therefore, you may still be thinking like an addict, and as a result, you will have that "it's less, so I need more" thought... It is the SAME amount of drug. This medication shouldn't be doubled up, because you FEEL like you need more. This is a STRONG synthetic opiate, the strongest from what I an told by doctors and research! DO NOT be fooled, you CAN overdose on this medication! There is NO blocker like in Suboxone! This medication is meant to keep pregnant woman from withdrawing during pregnancy, to keep their babies alive! If you are truly looking to get clean, and are not pregnant, you should be taking Suboxone! I know personal friends that have died from Suboxone/Subutex abuse! There are HUGE risks involved, so talk to your doctor! If you can't get off the feeling you need more, REQUEST THE REGULAR LARGER SIZES PILLS!!! You don't HAVE to take the small ones! If the pharmacy you're at doesn't have them, call a few days in advance and they WILL order them for you! If for some ridiculous train they won't (which they will), or you didn't call ahead, go to any other pharmacy, because they will likely have the larger ones; only a couple pharmacies regularly carry the small ones (Walgreen's & SOME Rite-Aids). Best of luck guys! Be safe! Check your local needle exchange as well for Naloxone programs! The one in Portland, Maine offers a Naloxone kit and training, incase of an overdose, you can now break out your Naloxone kit, and potentially save the life of an overdosing individual while EMTs arrive! Don't hesitate to call 911 when someone overdoses either! Most states now can NOT charge you for drug possession when EMTs arrive in scene, because too many used to not call, out of fear of arrest. Savings a life is more important than a lame drug charge, so immunity is generally given to save someone's life now, if drugs/ paraphernalia are on scene. Be safe and Happy Easter!

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I'm having the same problems, did great for five years on 16mgs a day, no failed drug panels, no wanting to take more, life was great, then a few months ago they went with the smaller pill with the arrow, now I have the first failed drug panel in five years. Didn't understand what was going on until I put 2 and 2 together. Now I understand, I now they are the same drug, but it's all in my head, somehow my brain is saying I'm not getting enough, it's all screwed up, and I know it's just me, but part of addiction is all in your head away, i'm praying my dr will understand and help me find my old 8mg pill, I so fear the train wreck of my old life coming back, it will be jail or death for sure, and I had five great years, old well, life not fair, can't live forever

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Actually the small subtext with the 8 on one side and the arrow ( which also serves as a line to break tablet in half ) on the other side , are made by Hitech, in the US. I get them in sealed bottles monthly and like the very much for their smaller size they desolve quicker than the larger subs. If my pharmacy only has the larger ones I will go elsewhere to get my script filled with the smaller hitechs. I don't like the volume and the length of time the larger ones require to desolve sublingualy.

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I have been on the 8mg subutex for several years and always had the large teva pills. Then recently got the little 8mg, arrow brand and like them. I was worried at first that they would be weaker or my brain made me think that, but after a couple days was suprised how well and, quick they worked. So I agree the 8mgs with the arrow are quite nice indeed chaps

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The smaller Subutex suck. I hardly feel them and they do not remain in my system as long. I would take the old big Subutex over them any day. I can take 1/4 of a big one and it works better than the small ones any time.

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To the person that said that all people do is abuse these, you are seriously over generalizing (also known as painting with a Wide brush). I am a 29 year old male who has taken suboxone (Buprenorphine and Naloxone combination) for more than 6 years now and have been in counseling the whole time. I have never abused painkillers since starting this regimen and I know a lot of other people in my group counseling sessions who haven't backslid either. The problem with the United States is that the general population and the medical community both fear what they do not know. I got addicted to painkillers thru a prescribed regimen for a back problem (bulging disc L3/L4 and spinal stenosis). I recognized a year in that I was having problems. No one forced me into recovery or to take Suboxone, but I researched and found that this was the best combination along with counseling for my addiction. I have never been arrested. I have never been late on a bill. I have a college degree and have worked in a professional setting in a social services office and before that as a journalist at a city rag. I have found that the people who bounce between Sub and their old drug of choice are people who have been under medicated and who failed to address their issues through counseling. They are not bad people, but their habit drives them to do bad things. The doctors out there who try to rush patients through their program are doing their patients a major disservice. For many, but not all, this should be a lifelong maintenance tool. Think of it like this: We wouldn't get a diabetic person healthy through medication and then jerk the rug out from under them once their blood sugar is under control. That would lead to relapse and high blood sugar and other complications. Diabetes, like drug addiction, is a lifelong, chronic illness with the potential for relapse in the patient. Many doctors don't understand that the goal of treatment should not just be to taper a person quickly as possible off this lifesaving medication hoping they can achieve total abstinence (which for most is impossible in the long run) , but is instead the elimination of relapse and it's negative consequences, which includes jails, institution and, sadly, death. It's so disheartening to see the folks who are left to fend for themselves after really working to turn their lives around get in trouble or die. It's absolutely wrong and the medical establishment and the public need to better informed about the true goal of addiction treatment. I say kudos to those who get off and stay off for life. More than that I look up to them and think they have done an awesome thing, but for most it just isn't reality to think once they've tapered and withdrawn their lives will be perfect again. I am lucky to be where I am and I thank my higher power (my family) everyday that I walk the earth for this opportunity I've been given to live my life as any other person does. My insurance pays for my visits to my doctor ($25 copay) and my medication only costs $35/copay with insurance for a 60 day supply (brand name strips). I know I am lucky, but this is another reason why finding the right prescriber and the right psychologist is the best thing you can do for yourself if you find yourself living the addict life. I hope this post will help open the eyes of many people out there to what this lifesaving medication is really about: Living a normal and healthy life, where you don't have to constantly fret over where your next pill is coming from just so you can be well and function normally. I will add that there is good, scientific based evidence that this drug works for pain and depression, as well. I still have chronic pain, but the medication helps with that as well. It has totally taken away the depression I felt when I was taking my old drug of choice.

As for the person on here who is attempting to source, shame on you, sir or madam, for attempting to pray on a medicine that saves lives. I hope you get help, the eight way, for whatever issue you are suffering from. You are obviously an addict yourself, more than likely, so I do not want to be too hard on you, but let me say that what you are attempting to do is wrong and extremely fraught with danger. There are so many legitimate means of getting this medicine for cheap if you will just take the time and do the appropriate research. Good luck to you on doing the right thing. I am planning to start an e-petition soon that will inform the public and misinformed medical establishment about the benefits of this drug and the correct way to deal with the patients who must utilize it or face dire consequences in their lives. Everyone please be on the lookout for it and sign it. I am also asking the federal government regulators and state regulators to take a hard look at the limitations they are placing on prescribers when it comes to this medication and also asking insurance companies to include this drug on their formularies with no time limits on treatment so that people can truly live their life as recovered addicts. Thank you for your time if you have read this far. I hope you find yourself better informed because of it.

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Wanted to address one other thing coming up on this thread. You are not imagining things if you feel different after being switched to a different generic or formulation of Suboxone. Even though they have the same active ingredient and by FDA regulation must have the same amount of the active ingredient, these medications are of varying biochemical composition at their core levels and can be absorbed and leave the body in varying manners (though only by a very small, almost inperceptable degree). Their is also the fact that pills contain varying amounts and types of fillers/binders, which may affect your reaction to the drug. Specifically, if your body is used to a certain filler ingredient and it goes away, you might notice a small difference. What is more likely, however, is that because you are an addict, you have become accustomed to the medication you have been taking to treat your addiction. When something happens like what has been described above, your mind can trick you into believing the medication just isn't the same. That's not a bad thing and in fact is actually more significant than what I referred to earlier in my comment. Either way, you need to let your physician know and he or she, if they are a good physician, should respect your wishes to stick with the formula you are most comfortable with. Our minds are very powerful things and just the thought that these are different or not working as well can cause our drug taking behaviors to change. The people that dismiss things as being all in your mind are missing the point that the mind in addiction recovery is exactly what matters the most and everything should be done to help you stay feeling stable. I was switched to generic a long time ago and felt the difference and had an honest conversation with my physician, emphasizing that I understand it may be placebo, but the fact remains that I do not feel the same, and he was more than happy to switch me back to the name brand strips. He also noted that it may not be in my mind because generics do have different core compositions or I could even be reacting to a binder, either the absence of one to which I was used to or the addition of a new one that my body does not like. Frank honesty, as any recovering addict can tell you, with everyone involved in your recovery (including yourself) is priority one when it comes to your recovery. Do not be afraid of your doctor. If he or she doesn't make you feel like you are doing your best and listen to your concerns straight out and address those concerns then it is time to find a new prescriber. Contact your insurance company, don't be afraid of them either, and they should have a list of prescribers they do business with. If the insurance asks you why you take the medication, though, which really they shouldn't since that is between you and your doctor, always always always say it is for medication-assisted withdrawal and never for addiction, as they might try to place restrictions on you. I am lucky that Suboxone and it's generics, along with brand name Buprenorphine and it's generics are included in my formulary in a way that does not require prior authorization to begin or continue treatment. Most of the big insurers do cover these medications and their generics now (of course the brand name does not have a generic any longer as they withdrew their tablets from the market after releasing the film, as they approached the opening up of generic competition (more info on that and the underhanded tactic Reckitt tried to use to stifle compitition is available elsewhere online and I urge you to research that).

The bottom line folks is that we have to be our own advocates right now, as no one else is going to do that for us. If the drug isn't on your formulary or requires repeated prior authorizations which only create more stress, then you need to speak up. Write in to your legislators and your insurance company and explain your point of view. Good luck and may your higher power drive you!

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To those completely ruling out varying generics not making a person feel as well, here is fact, science based evidence that you are mistaken: This is straight from the Suboxone Web site (information given to prescribers) and proves that bioavailabity (the amount of drug your body absorbes) can even vary among name-brand medications, in addition to generics:

12.3 Pharmacokinetics Absorption: In pharmacokinetic studies, the 2 mg/0.5 mg and 4 mg/1 mg doses administered as SUBOXONE sublingual films showed comparable relative bioavailability to the same total dose of SUBOXONE (buprenorphine and naloxone) sublingual tablets, whereas the 8 mg/2 mg and 12 mg/3 mg doses administered as SUBOXONE sublingual films showed higher relative bioavailability for both buprenorphine and naloxone compared to the same total dose of SUBOXONE (buprenorphine and naloxone) sublingual tablets. A combination of one 8 mg/2 mg and two 2 mg/0.5 mg SUBOXONE sublingual films (total dose of 12 mg/ 3 mg) showed comparable relative bioavailability to the same total dose of SUBOXONE (buprenorphine and naloxone) sublingual tablets [see Dosage and Administration (2.6 and 2.7)].

Bioavailabity is a big deal, and this is why medications like Zubsolv have come onto the market and are marketed in a way that emphasizes the drugs' comparative bioavailabities to the original Suboxone tablets. Zubsolv, for example, is scientifically proven to have a higher BA than the Suboxone films. A 6mg/2mg Zubsolv is therefore equal in strength to a 8mg/2mg Suboxone film, while their 4mg/2mg formulation is equal to a 2mg/2mg Suboxone filmstrip.

This proves there are perceptible differences in bioavailabity across the generics, as well, which would account for the same amount of drug not having the same effectiveness for a patient versus another generic medication.

It's also the same reason companies advertise their formulations of Aspirin as being more effective than competitors. The vehicle for which the drug is delivered to the individual is streamlined at a biochemical level to ensure greater bioavailabity and thus resulting in more of the available medication being absorbed into the blood stream and crossing the blood-brain barrier.

It is science folks. It's fact-based, peer reviewed double blind placebo science, and it is a good thing for the consumer.

With all that said, people on very high doses of buprenorphine (24 mg and above) will likely not notice a difference in the medications while those on lower doses (8mg and below) would probably notice a difference. However, your body should adjust to those differences after about 3 days, but again this is where the mind comes into play. It's better to not rock the boat and express concerns to your physician and your pharmacist. They should be receptive to anything that has this big of an effect on your mind, as I stated before the mind of the addict is where this type of problem truly lies.

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The level of extreme inaccuracies in your post are incalculable. You really need to research and understand this medication better. Yes. A nontolerant person could indeed overdose on Suboxone or plain Buprenorphine. Anyone truly addicted and who had a tolerance could not overdose unless they combine it with medications from the benzodiazpene class of medications because of the ceiling effect. Anything beyond 32 mg at once will produce no more sedation, no matter how far over you go. This is due to buprenorphine's ceiling effect. The naloxone in Suboxone really does not become active because it does not absorb well orally nor sublingual. It's basically there to cut back on inj., but even via inj. it will not do much. Liver toxicity and blood illnesses are another story, though. It is not even naloxone which results in precipitated withdrawals when individuals addicted to opiates take bupe before being in withdrawal. It is the bupe itself which knocks the drug off the receptors due it's higher affinity for the receptors. Because it is only a partial agonist, though, it will result in withdrawals as the full agonist drug is replaced. Because bupe has a higher affinity than any other opiate for the opiate receptors, this is where the blocking comes from. Naloxone had nothing to do with blocking the high of other opiates unless administered alone without buprenorphine. Someone who is overdosing on Buprenorphine can be helped with Naloxone, albeit a much greater dose than other full agonist opiates. Overdose risk with bupe is astronomically lower and it is a very safe medication. Do you really think they'd be handing this out to addicts if it weren't? Please stop damaging the name of some great drugs that help people. And by the way, buprenorphine is just as safe for men or women as Suboxone combination drug. Women who take bupe or sub will still give birth to opiate addicted babies. Sub is just easier to manage in the pediatric population. Please study this drug more before posting so much misinformation.

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I know I'm needing to find out something. I found 1 in my sons room.8 with arrow on 1 side

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It is a problem drug. If you take it for longer than just for detox of of pills you will become addicted to this also. The w/d from the subs are so much worse.

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