Taking Subutex And Percocet Together (Page 20)

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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Thanks for the support. Yes, both ways, Subutex is the same as Suboxone!

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That is surprising because like I mentioned, even when folks go to an inpatient rehab to detox from regular opiates, they are given Subutex pills without the Naloxone. And they absolutely wait the necessary 24-72 hours so that the person doesn't go into precipitated and rapid withdrawal. I wold imagine that the reason why you are taking Subutex after a real opiate is to avoid withdrawal. It is very surprising that rapid withdrawal is not occurring for you.

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MOLLY: I think if it is Subutex, and the dose is low enough, you are ok. But I certainly wouldn't take the chance after what I experienced. And I mean think about the logic, or ILLOGIC of it actually. Take an opioid, then take an anti-opioid drug afterwards?? Um.....HUH? Even if it doesn't put you into withdrawals, the full-agonist opioid isn't going to be all that effective after that anyway! And the thing is, these doctors have to take a certification course before being able to prescribe Bupe, so they are taught all this!! Seems that some of them slept through the class, which is a friggin TRAVESTY.

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You won't have withdraws mixing opioids and subutex at all now if you have just started taking subutex of course it will make you sick most people do get sick but that's not from withdraws its just like most opioid medications like roxy's or lortab's they tend to make you sick to your stomach expecally at first but the more you take it the less the nausea will occur and if you can get ahold of promethazine you won't have to worry about getting sick to your stomach or vomiting at all but another point I'd like to say is the more large doses of subutex you do day to day will bind to your opiate receptors and when you mix the opioids with it will give you a headache cause your receptors are filled with subutex and the opioids bounce off of the receptors trying to attach but can't cause there already filled up to the max from the subutex witch is why you get headaches from mixing the two

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ENVI: I have to say that what you wrote has to be the biggest load of mis-information I have read on here in a LONG time. Please do some more research before posting. Unbelievable.

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Finally, a correct response.
Suboxone contains naloxone, so if switching from any longterm use of opiates, especially Methadone, waiting tI'll withdrawal onset is essential, or you're screwed. Subutex contains no naloxone, so not the same applies.

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JUST ME: Here we go again. You are completely incorrect. BUPRENORPHINE ITSELF is also a "blocker", so yes, the same does apply. Just not as much. You can probably get away with doing Subutex a little sooner than Suboxone (as long as it is a very small amount) but Subutex ITSELF is a partial opioid antagonist (scientific term for "opiate blocker") so Subutex can and will give you precipitated withdrawals. I have been through them personally.

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I don't get that either because when I first got off the Suboxone doctor prescribed me Subutex because he said there were still opiates in my system and if he gave me suboxone it would get me sickk so he was going to write me Subutex so I wouldn't go into immediate withdrawals and I even asked him are you sure it's not going to make me go into withdrawals because I've heard it will and he said no. Subutex doesn't contain the Naloxone (that's why Suboxone gets you sick if you use opiates) so I don't understand how some people get sick using Subutex and other opiates because I heard out of the doctor's now that it doesn't get you sick and from my experience it did not get me sick and I was an i**** when I first got on the Subutex. I was still using and it didn't get me sick, I just didn't feel it as well.

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seen your post and even tho its almost a month old I wanted to reply and give any good advice that I could. you need to quit taking the percocet atleast 3 days before starting your suboxzones or it will prolly make u sick. I have been on suboxzones for 4 yrs and they have changed my life so much. I actually have a life now. I had a very bad opiate addiction for several yrs. but you can also become dependent on the suboxzones too so take the good with the bad I guess. hope this helps. and good luck!!

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I have had a similar situation where I have long-term prescription use not as much as you have been on they're not to cause drastic withdrawals if I just stop taking the medication. I recommend waiting a couple days until the first signs of withdrawal 1st signs start to kick in like runny nose, the shakes restless leg syndrome and bubble gut that's when you start taking subs right before you get nauseous this way you know you're not too bad but have a good feeling that it's out of your system trust me you'll know it'll feel like a truck hit you it will feel like you have the flu in your skin crawls right when that feeling comes that's when you take the subs and only take a small amout at first like a quarter or a half see how you feel Within half hour to an hour if symptoms don't subside take the other half. First time I took Subs I took the whole sublingual film underneath my tongue and it made me sicker than a dog I took too much sub to start off start off slow and then work up and then cut up the rest of the strip take it and quarters than 8 and 16 throughout throughout a week or two once a day twice a day weaning off and you'll be good as new, just don't look back

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RICK: Please see my last comment, right beneath yours. It explains why Subutex will get you sick if done too soon after full-agonist opioids. It isn't just about the Naloxone.

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MARIE: You wouldn't need to stop the Percocets 3 days before starting Bupe. 24-36 hours would be sufficient. Methadone is really the only opioid that would require 3 days, since it takes for-freaking-ever to get out of your system.

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From my own personal experience I used to b a full blown opiate user until I hut rock bottom and decided I was done with the pain pills so I got on suboxone and then was later switched to subutex after getting pregnant and while breast feeding. I have personally mixed both myself and not had the god awful effects of with drawls vs the nightmare I had after taking suboxone too soon after pain pills so I could definitely tell a difference. I honestly tho think every individual is different and some may be bothered by it when others aren't. I agree tho about I don't see the point in taking a pain pill right after you have taken subutex or suboxone since the whole purpose of those 2 are to keep u from wanting to do the pain pills. But everyone is different so my only advice would be not to listen to what others think, feel or have experienced because that don't mean u will have the sane effects.

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SWEETPEA: I imagine you were probably on a fairly low dose of Bupe. It seems to be the higher doses, where people have a problem. The higher the dose, and the sooner they were taken together, the worse it is. By higher I mean anything over 16 mgs. 2, 4, 8 mgs, you will probably be ok. When I went through it, I had taken an 8, then another 8, then a half of one and BOOM.... I was on 24mgs or so at the time, which is fairly high. Either way, be GLAD you didn't experience it, it's not fun! I had no IDEA what withdrawals were!

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Dosage for myself is 2 of the 8s(subutex) a day. I did know exactly what withdrawals were and had been thru them over suboxone and opiates just not subutex and opiates. Mabey its because I have a very high tolerance idk every individual is different

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And I had mixed a 30 mg oxycodone with my subutex.

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And I had mixed a 30 mg oxycodone with my subutex. No withdrawals whatsoever

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Yeah, I think because you had taken 8mgs of Subutex and only 30 mgs of Oxy, you were ok. Trust me, over 16 mgs of Subutex combined with almost a half gram of H, NOT OKAY!! :)

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SWEETPEA: See, Subutex has no Naloxone, while Suboxone does. Buprenorphine itself is also a "blocker", so having the Subutex without the Naloxone is only one type of blocker, the Bupe itself. While Suboxone has the Bupe PLUS the Naloxone, so you are talking about TWO types of blocker. So you are able to take a bit more full-agonist opioids with the Subutex as compared to the Suboxone. BUT....people who are saying you are "perfectly ok taking Subutex w/ opioids" are wrong. Since the Subutex itself is ALSO a "blocker", it can throw you into Precipitated Withdrawals. As it did for me. For example, you could probably get away with taking up to around 16 mgs with Subutex (like you did) and be ok. But any more than that, you are taking a bad chance. While taking ANY dose of opioids with Suboxone is a bad idea. Me? I wouldn't chance it with either one, any dose. Been there, done that, not going to do it again! (I'm on tablet Methadone now anyway) Just be glad you haven't had Precipitated Withdrawals and don't chance it again!

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Sorry, but I'm sticking with Subutex pills still filling opiate receptors, even without the Naloxone! I just went through it! A site by the name of "helpmegetoffdrugs" has a good article on "tapering off Buprenorphine".... Interesting that their chart shows PET Scans of brains where at 16 mg., most people's brains are ALREADY filled up with Buprenorphine. (The blue-colored part). So the 24 mg. & 32 mg. are likely wasted on most folks. This article does not really differentiate between the strips and the pills, although to me, it sounds like they are referring to the Subutex pills. But it does give an excellent way to taper off of them without going into sub w/d. If you start getting sick, you can go a little back up, exactly like they say to do, and your tolerance will not increase. Hope this helps!

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