Maximum Dose Of Suboxone/subutex & Chronic Pain (Page 6)

What is the maximum dose of suboxone or subutex when you have severe pain?

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I can understand someone thinking that the increased saliva can be an issue with the effectiveness of Suboxone. I've been completed a 4 day detox inpatient and was discharged home on Suboxone. The mucus dischage is quite often and has a "globby/ chunk type of consistency almost as if, what was melted under my tongue turns then forms this substance that is spit out. Maybe not all Suboxone user experience this condition?
I user

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I was just allowed to be raised from 3 to 4 8mg a day for chronic pain. The insurance companies want to tell you what the recomended dose should be and 3 is the max for them but with a phone call everytime I got to the RX I get an overide to allow the 120 pills to be dispensed. I have started to experience3 a little itch now from the added dose and think I'm having an alergic reaction to them with what looks like a pimple break out that turns into a larger scab and if I scratch it it tears off and gets even bigger. I have to resist the itch. Don't know what else to take as I'm a junkie on the real good stuff and lose control of my dosing.

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Maey, stop taking it for a few day and then tell us your not an addict. If you are on subs, your addicted. Go ahead see how long after day3 you can last. I'd bet you would be so sick you wish you never touched the stuff. I'm not flattered by your evaluation of calling me a "know it all", I certainly do not. I just post my own experiences and wish you well. The truth hurts just as much as my chronic pain.

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Addiction to these Pills HELL YEAH! Anyone who don't think they are addicted do as James says and quit by day 3 you will notice big time by day 10 you will be sorry you ever took one of these things. they are more addictive then some of the s*** I've taken in the past not to be bringing up any names of drugs. I'm an addict and take these fr pain because they are the only med's I've been able to manage with overdosing myself to feel more. It don't do any good to take 3-4 of these in one dose and that keeps me level. I dread the day I have to face a dryout from this medication.

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Ha. Funny. Again, you presume to know everything. I am NOT an addict. I had surgery on my neck, 3 discs removed. After that I found out I still have 2 herniated discs in my back- one high and one low, AND heart disease, AND fibromyalgia, AND carpal tunnel in both wrists, AND arthritis so bad in my feet my podiatrist said they are the feet of a 90 year old. So, you see, basically my whole body hurts all the time on top of HEART DISEASE. I am 38 years old. I was diagnosed with all of this in only 2 years- including the surgery on my neck. So, the doctors have to be careful with what they give me because of my heart disease. I was only on percocet for 5 months after my surgery and when I was diagnosed with all of this other stuff and my doctors realized my pain was severe and it would be for the rest of my life, they put me on suboxone so I would NOT turn into a junkie. When I called you a know it all, I meant that you think you know everything, not that you do. If you read up on suboxone, you will see that it was invented in Europe FOR PAIN. It is used in Europe FOR PAIN. When it came over here the pharmaceutical companies realized that it could put them out of business so they worked quickly with all of their money to make sure it was only used for addicts to get them off pain medicine. Again, it is used specifically for pain all over Europe- NOT JUST FOR JUNKIES. YOU may have to take it because you are a junkie but I have to take it for pain. I will not respond to any more BS you have to say.

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Mary, don't demean someone because they have had a difficult time in their life, and utilized suboxone to get treatment. Referring to people as junkies is uncalled for, I'm an addict. A junkie to me is someone trading erotic favors in a dirty alley etc for dope, or robbing their grandma. I, like many others, was functional, hardworking mother of two, lovely home etc and people would have never guessed. Don't demean others to try and cover your own insecurity. What James is trying to say, less eloquently, is that you use it for pain but you are addicted to it. Suboxone is addictive, that's a fact. It's the reason if you were to ever stop using it for pain management you would have to be weaned off.

Not sure why everyone is so hateful to each other on here, but y'all should chill out and remember this is a forum to help other's looking to improve their lives. Not sure what the mutual hatred against James is neither, if you slow down and stop personalizing every comment of his, all he is doing is sharing his opinions and personal experience. It's called "net-etiquette" , for those who don't get it, it means stop jumping to crazy conclusions about these comments, its usually nothing personal, since we can't see facial expression or body language, its proven we take comments online in a "tone" of mood that we are in. So chill people, clarify before you go making ppl feel like crap, read what your typing before posting, and stop the name calling! You just make everyone on here look infantile and ignorant, if I was looking for help and advice, after reading the degradation on here, I'd find another forum.

Stop being mean and angry guys, life's to short to waste my energy yell typing at people I don't know in my computer ...

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Ash, was not meant as an insult for you. Was a reply to a James who basically called me a liar and a junkie when I told him that I did not have a problem with pain medication and I was in fact on suboxone ONLY for pain. Nothing to do with abusing pain meds. If you read the previous comments you will see that. Sorry if in not getting all the facts, your feelings were hurt. I am a very honest person and do not like being called a liar. Again, sorry that my comment upset you, but it was specifically for that guy who doesn't know anything, calling me a liar.

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Thanks Ash. You get it. Mary, I am not calling you an addict. All I'm saying is you are capable of taking regular opiate pain meds without abusing, that is a much better option. That is just my opinion and personal experience. I do not mean to offend you. I domt even know you. I just think suboxone is very very hard to come off and if you are not an addict I would steer clear of this drug.

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Mary, I have done all I can to not retaliate against you. I know bupernephorine has been around for a long time. Before suboxone and the DATA 2000 I used .3 mg IM IV's. Suboxone is not approved in the US for pain relief. That is why Docs need to get a special DEA # to prescribe it. Just realize, you are playing with fire. I have medical problems too but I am not so angry and bitter and I always say, these are my personal experience. Another suggestion is domt let people's opinions get so deep in your head that you need to lash out.

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perhaps your not an addict and taking this medication for any length of time your body becoms physically addicted to them., If you don't believe that try stopping for 5 days and see how you feel. Just saying...............

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4 8mg a day is what I'm taking

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Every here uses their experiences as facts. But say what they are...Opinions!!! I am prescribed 4x8mg. A day for pain and opioid dependency. It's a crock!! If you under stand the science of bupe then you will realize that a dose that high is blocking the receptors from itself! HA! When blue is given for pain it is under a gram.....not 8mg! So...if you are on subutex for pain...you are truly being cheated you need to ask for butrans, temgesic. We are talking micrograms here...not 32 MG a DAY!!! Please do your homework and confront the doctor with your information, he is not only prescribing the wrong pill for your pain, but the levels were ......astronomical!!! You should certainly withdraw when you start taking the correct dose. Yes, it does help pain in the right doses!

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What doglover is saying is completely true and not just opinion.

Bupe has a ceiling effect, and no matter if you take 8 mg or 16 you're only reaching a 'high' or pain relief no more then maybe twelve mgs. This was explained by my Suboxone physician who prescribes for both addiction and pain management.

Suboxone is supposed to be very useful for treating pain, especially in those who have minimal or no opiate usage for pain. I've heard that less is more, and I've experienced this myself. I was prescribed twelve mgs, I only took four, maybe eight, and noticed no difference, except maybe a weird, uncomfortable spaciness when I took twelve.

Esp for someone like me who pays completely out of pocket, I use as little as possible. And to add to the argument on here: if your physician has actually tried telling you Suboxone isn't addictive, they are either incompetent or manipulative and you better look for a new physician. Ever read the package inserts the pharmacist slips in with your prescription. PHYSICAL DEPENDENCIES AND WITHDRAWAL ARE A SIDE EFFECT OF USAGE AND QUITTING WITHOUT WEANING.

it would've been easier for me to wean eight months ago then it's going to be in four more months, don't argue, I know my body and cravings just as you know yours.

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Opinion / experience, it's semantics. I'm same boat as you and my experience / opinion is take it slow. This is not my first time on Subs, it took me a year ro go from 8 to zero and I so regret getting back on it. It really does not help my pain but evert time I'm on regular pain meds I get myself n a jam. IMHO docs way over medicate. I had a surgery and my doc gave me 24mg a day for pain. That is a huge dose. When tapering I was down to 1/8 (crumbs) then skipping days and it wasn't so bad but it was no pickick either. I didn't feel right for weeks. I pay cash too, 500 a month! Esh, gotta be a better way.

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Did you wean off or how did you do it? I've been weaning for a cpl months and have awhile yet still...just wanna know what to be looking forward to :/

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I tried a few different tactics to wean. Most of my discomfort was lack of energy and some sleep issues. If I felt any worse than that I increased my dose. I found the hardest once below 1 to 2 mg. I used "dose splitting" , taking 1/2 in am and 1/2 in pm and tried dropping one of those doses, not every day but gradually. "I'm a big baby". When I got down to splitting 2 mg pills into quarters and eighths, basically some dust I went to 18 hour dosing and gradually spread those further apart. When I jumped, took the advise of someone who documented their taper and took a 4mg dose and just let the 1/2 life slowly burn out.

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Ok so I've been on subs for about 4 years. My doctor gives me 8mg 3 times daily and that is what works for me. Suboxone has changed my whole life for the better. Now I will say that it is a addiction as well but it just seems so different than what the pills made me become. I've never heard of subs bein used for pain tho. That new to me.

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Wow, so you take that much just to treat opiate addiction?

Look, that is insane and for that long?! I was, not proudly, claimed by my doctor to be akin to Kurt Cobain of NE Ohio, had done and been doing so much, opana, perk thirtys in complete excess daily, thousands of dollars, and they started me out at twelve mgs a day, guess what suboxone has a ceiling effect, anything after a certain amount does nothing for you. That's a fact, not opinion. I only took four and would of been better off weaning at nine months, which most suboxone enthusiasts suggest to avoid problems when prolonging the inevitable, weaning. So now I'm weaning, have been for several months, only have a cpl more to go.

Point being, is you're contributing to your mentality, thst got you in trouble in the first place with pills, more is better. That's not true, be honest with yourself and realize that you're not getting high, it's not curbing your cravings anymore then eight mgs would. Suboxone doctors are prone to pharmaceutical pressure and funding just like pain killer prescribing physicians are. You need to find a doctor who wants to improve your quality of life and eventually have you dependent on NOTHING. Sounds like they're lining their pockets at your expense. Do some research, I know for a fact, its near impossible to do more, even as much as I delved into and if I could control myself and feel just fine on less then prescribed, you are setting yourself up for failure now and in the future.

It's not a miracle drug, it stops cravings physiologically but it's not going to change your mentality. You have to do that on your own and you even participating in this farce, this extent of treatment is reserved for hard time, life long H addicts who will probably always relapse without subs, means you're obviously not serious about your own sobriety.

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OMG!!! I'm sorry but we need to STOP!!!! and realize what is going on! do you guys realize how much different and conflicting information we are getting about Suboxone and Subutext? Even from doctors I've heard complete opposite information! It is their job to tell us the accurate information about this medication. They have to get a SPECIAL license to even prescribe it! So obviously that comes with some education about the drug. Personally, it was sold to me as a treatment for alcohol cravings (which we all know is bullsh*t) in 2009, because the blocker (Naloxone), also known as Naltrexone, is sold separately for alcohol cravings. My next doctor told me that was BS, but then of course I’m addicted to Suboxone. And my new doctor now doesn't know anything at all. We HAVE to demand better treatment! The doctors went to school for this and make tons of money, and I don't know about you, but I've been paying these doctors in CASH. They never seem to take insurance. They need to understand WE ARE THE CUSTOMER. They have to earn their salary, just like you and I have to. Instead of being legal drug dealers who do nothing. They AT LEAST HAVE TO UNDERSTAND THE MEDICINE they give out!

I ASK every single person on this website to act in an assertive, yet professional way, and ask their doctor these quesitons. When they give you their usual BS answers call them out on it. Tell them, “Sorry, but I know from experience that isn’t true…” “Sorry to be a difficult customer, but I do need an exact answer on this. Can you look it up further and then let me know later this week, either with a phone call or email?” DO NOT LET THEM CHARGE YOU EXTRA FOR THIS. This is their only job, to know about this medicine!!! If they try to charge you extra for this information, please contact me ASAP. Also, if they give you a BS answer or say they don’t know, politely ask them to find out and then let you know. Say you will wait for their answer because it is important that you know the facts. This is their (ONLY!!!) job. I will do it, but we ALL have to do it! It will be called “kara” week, I thought it was appropriate to get something from Columbia language, kara is from the Nxa?mxcín language, the Columbia-Wenatchi dialect, which means pretty blue skies. In the Columbia - Southern Interior Salish language, spoken on the highly prevalent Colville Indian Reservation, kara means “reach for the stars in heaven”.

Do I need to remind you that each and every one of you did reach for the starts at one point in your life? We all did. And we don’t have to resign to be the losers that society tells us we are! We are NOT LOSERS!!! We had our life stolen from us. Or maybe we gave it away, but we could NOT get it back even if we wanted. Today is 3/2/2014. Most of us are paying CASH for the Suboxone doctor. Starting tomorrow, 3/2/2014, the start of the new week, is kara week. That is the week of getting our money's worth out of these doctors. Then we all write back to this website with hopefully ACCURATE information. I went to college too. I worked hard during college and graduated cum laude, with honors in General Education, 3.9 GPA, with a BS, Deans List every semester, a BS major and minor. But I didn’t take that to mean that I never had to do any work after college in my life again (like these doctors do), I worked very hard at NASA writing software until I got pregnant 12 years later. And ended up with a drinking problem and problem with painkillers. But I always did my job. And these doctors DO have to EARN their salary, just like you and I do! They count on us to be stupid morons. BUT WE ARE NOT! I know all of you have heard your doctor saying some incorrect things about these medications but you just let it slide. Well I’m here to say we’re not going to do that anymore!

Sorry, but I'm just so sick of this, addicts are treated like s*** by the medical community and I just won't take it anymore!! You shouldn’t either. I am a VERY smart girl with credentials to match. And I promise, I am going to make some changes with or without your support. I would rather have you guys with me!! A doctors “Hippocratic Oath”, which they all have to promise before God like a wedding vow, is to "first do no harm". Their first oath isn't to "make sure that someone doesn't maybe abuse their meds". Also, the 8th amendment, which is in the Bill of Rights, what our very country was founded upon, prevents ANYONE from "cruel and unusual punishment". Even a serial killer can’t be punished in a cruel or unusual way. When someone is in legitimate pain, and is denied pain medication only because of their history, that is “cruel and unusual”. Why should this person have to suffer when they paid to see this doctor, simply because the doctor doesn’t know for sure, and there is medication to alleviate the suffering available for about $8.00? You have to err on the side of not harming the patient. Not the other way around. Bring this up all the time. Call it the kara week, I promise you I’m going forward with this as far as I can. They will know this word if it is the last thing I do.

The discrimination we all experience at doctors, urgent care centers (especially Patient First), and ERs gets much worse and much deeper, as some of you have probably unfortunately experienced. I have the smarts to make a difference, and I am crazy enough to try. We are going to do it!!! We are NOT all the exact same person as the stereotype of an addict. We are all unique and different, we were born as innocent kids with hopes and dreams, we aren’t BAD people! Even my only 2 family members think I should NEVER get pain medication, no matter what. What is this, the Holocaust? Slavery? Yes, I screwed up with some pain medication 3 years ago, and then went on Suboxone and never took any since then. So that means that I have to suffer through SEVERE pain without any meds, just because I might be faking it? I was denied pain medicine after crying and really begging, offering up all of my medical records showing no request for pain meds in the last 3 years, or whatever I had to do to get treated (I was in a lot of pain). They dismissed me, treated me quite badly, and gave me NOTHING. Luckily 2 months later I ended up with proof for this pain because I had a CT scan showing broken ribs. They can’t always be seen on an X-ray. I was excited to tell my family but they still sided with patient first saying, well they didn’t know…. But they “didn’t know…..” when my mom and sister both got scripts for Percocet for broken ribs/ pulled muscles that had no proof offered. My family was completely okay that I was given nothing for pain and just told to suffer. No more!! We are taking it back. The first step is this celestial week, and we will ask these doctors to do their jobs. Don’t feel guilty, we pay them to do this. Or, you pay your health insurance company that pays the doctor (same thing). You are paying for it. They need to know how Subosone works.

EVERYONE WRITE ME BACK TO TELL ME WHAT HAPPENS!! I CAN'T WAIT TO HEAR!!!

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If you don't have Medicaid the Pharmaceutical Company will help you. I had the same problem. Call them!!!!!

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