Can Subutex Be A Small White Round Pill With 8 On One Side And An Arrow On The Other
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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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Re: nikki (# 20) Expand Referenced Message

Yes you are just less filler same med congrats on getting better

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113

Re: bennett johnson (# 4) Expand Referenced Message

I agree.
I really like these and I'm surprised that so many people do not
Unless they misuse them or something.

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112

Re: lee uk (# 6) Expand Referenced Message

I’ve been taking subutex for 10 years with Xanax and adderall. I love the combo. But subs are good when they are the big white Roxanne’s. If you get 60 you get 2 of the bottles that the pharmacy gets. I take subs sublingually. Lots of people abuse them.

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111

Re: bennett johnson (# 4) Expand Referenced Message

i felt like that when i got the 8 w/ the arrow....small pill..... so i boasted it and felt like i was nodding....won’t do that again

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110

Re: jayjay (# 16) Expand Referenced Message

People will 100% abuse anything..people die from to much water consumption. Kratom was a miracle drug until a bunch of teenagers started bragging all over the internet how high they could get...believe me when I say start saving as many pills as you can because suboxen will be NEXT on the kill list!!!! Subutex is already BANNED.... Save -save-save

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109

can anyone tell me the difference between the Subutex with a 8 and arrow on other side than the 54 411 do they work as well as the 54 411 or is one stronger than the other cam someome explain the difference to me I'm freaking out here it's the first time my pharmacy has given me the small 8 with arrow do they both have same strength or does one work better than the other

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108

What small generic 8 bup.does Publix have access to.One that works that is.Went to Publix today to drop off prescr.they told me that there has been a recall on 8-2 Suboxone strips.I asked the person what they had for substitute and she showed me a huge white pill.I can not take the big pills,they take to long to dissolve.Any help would be appreciated. Thanks

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107

Dles number 2ml subuxone contain no blocker an 8ml subuxone contain blockers

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106

You are exactly right and I am happy that you shared that. The small generic buprenorphine are not as effective which is exactly what I have been saying. It's good to know its not just in my mind.
Just like you said, after taking it it feels like you need more. It's like you have an urge for something and don't know what it is and are never satisfied. I can't get comfortable or concentrate. I have taken more and still feels the same way even when taking more than prescribed dose.
I say the formulation or active ingredient is definitely less than the larger tablets. I request only the large tablets now which are Roxanne manufacturer. Now in my city the Roxanne is on back order going on two months now.

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105

Which brand is it that you are taking? I have been on Roxanna 8mg twice a day for almost 3 years and I am going to a new and cheaper pharmacy which only has the orange Actavis 8mg brand and in nervous to switch because I've heard so many people say that they don't work which I have a hard time believing. I want to try the Teva 8mg brand but don't know where to get them. Maybe CVS or Walgreen? I have no idea.

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104

You are so right , I feel the same .
I feel th, or we will need to take them more often ey doing it perpusley , so we will need m

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103

I have a very small white pill. #8 on one side, no arrow-just a line from one side to the other. Like a cut line

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102

100 percent correct. Way more pure without all the junk. Just like a 80 mg oxycontin which is the same as 16 big fat 5mg perks

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101

Will it be out of my body if i took a quarter on saturday morning and got a drug panel tomorrow (monday) at 1 pm?

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100

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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99

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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98

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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97

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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96

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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95

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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