Taking Subutex And Percocet Together
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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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291
kkh Says:
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ME: I've done PLENTY of research, as well as having been on Subutex. (that's actually how it's spelled) Sure you CAN take them together, but you won't like the results. Maybe if you take a TINY amount of each, really far apart. MAYBE. So you can shove your attitude.

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290
kkh Says:
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ME: I've done PLENTY of research, as well as having been on Subutex. (that's actually how it's spelled) Sure you CAN take them together, but you won't like the results.

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289
me Says:
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You can take perc with Subtext. Do your research before you comment

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288
kkh Says:
 
NANAROBIN67: I am completely shocked that a DOCTOR would do this! Give buprenorphine together with a full-agonist opioid! How incompetent can one be?? Are they TRYING to throw this person into precipitated withdrawals? I have had them, and the are HORRIFIC! Not to mention the fact that yes, the Percocet is not going to be all that effective after taking bupe. This blows my mind. If I was this person, I would get another doctor as soon as humanly possible!!

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287
nanarobin67 Says:
 
I agree, i cant believe a doctor is giving buprenorphine with percocet...because just back in the fall, i know that bup. wasn't approved by FDA etc. for pain management...even though for years its been given for pain in other countries. unless the dr is telling them its for pain but documenting otherwise, even so, it would be harder to explain why their giving perc. also..just because a med is approved, drs must chart why its given and they must not say its for anything besides the diagnosis it says its for..some drs will give stuff for one thing but document another. Posted below is a website with a couple links to specific articles that explain things...yes buprenorphine and percs shouldn't take them both same time, taking the perc just a few hours after bup. and shouldn't cause withdrawal...taking percs first and bup. immediately after...bupenorphine is a synthetic opiate, its part agonist (full agonists are oxy, hydro, methadone etc.) partial agonists activate opioid receptors in brain, but to much less degree than full agonists like percocet, but bup is also part antagonist (full antagonist example is Naloxone). part antagonists blocks other opioids while allowing for some opoid effects to suppress withdrawal symptoms and cravings....put it this way, if someone thinks they have withdrawal symptoms taking subutex and percocet close together, they dont know what very bad symptoms similar to withdrawal really are until they take suboxone even 24 hrs between taking say percocet....thats what true 100% withdrawal symptoms feel like..i know because ive seen people take opiates and suboxone a couple hours apart and some say the opiate wasn't as noticeable as usually and some said the buprenorphine (subutex) effects seemed more intense than if taken alone...but every time ive seen or heard of anyone taking a opiate like percocet in the same 24 hr day as suboxone, they got so sick and threw up they didn't notice if they felt either, the nausea and vomiting is all noticed, and usually they throw both medications up that afterwards they feel nothing... [1] naabt.org/education/opiates_opioids.cfm and [2] naabt.org/education/opioids.cfm and last [3] naabt.org/faq_answers.cfm.....bup is partial synthetic opiate but methadone is probably one of the most effective meds given for pain, it actually helps pain more so than giving so much euphoric effect and lasts longer than most pain meds...

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286
nanarobin67 Says:
 
james, i just responded to the subutex post, then saw yours about your condition..i can relate to your situation completely. like i said, i injured my back as a nurse 20 yrs ago at 29..total disability 3 yrs later, when i said that was just the beginning and afterwards, not only did my back worsen day by day, in 2002 i was in a car accident and i was hit 3 ways causing a neck injury and surgery, but then i was diagnosed with fibromyalgia then osteoarthritis had set into my entire spine, back and neck...i assumed because surgery and injury sites usually get arthritis, usually any kind of deep injury, arthritis is usually guaranteed after injuries that take a while to heal but never the same, stress from injuries usually cause arthritis eventually..so i didnt worry, until 3-4 yrs ago i started having knee, hip, shoulder, the list kept on, i was told i had osteoarthritis in every joint i had, even my jaw joints..but that usually it takes up to 20 yrs before arthritis completely destroys all cartlidge, therefore rubbing bone to bone, requiring joint replacements. ine was worsening quickly, and it was very painful just up and down 2 porch steps, so i agreed to synvisc gel inj's. in knees, its helpful..but my hips kept getting worse, down into my sacral area and thighs, i thought it was my sciatica worse, and dealt ..then the pain started down my groin, my back surgeon said, thats your hip, not all sciatica..got mri, it only went into groin on rt. got results, immediatly, after 1 mri, was told i needed rt hip replacement..i was shocked since i never was told of any childhood problems, dr was shocked didnt understand why in just short time the arthritis damaged all cartlidge, i was bone to bone and grinding..i just fiqured why not, it was continuous after back hurt, it started it all...i got second opinion and finally set surgery....afterwards, i was in recovery, the dr went to talk to my parents and 2 grown kids..said i was apparently born with hip dysplasia (hip joint was not properly formed) so the ball of hip didnt fit securely, usually fits tight, so when the arthritis set in, it destroyed the cartlidge alot faster..and my other hip would need done in 3 yrs or so...rt was worse cause my rt side is predominate, put more stress there...when i saw your post about your childhood problems and your joints, i related to you...i was 46 when i had mine replaced, 48 now, but have suffered with my body falling apart continuous for years, nothing healed, only progressed, and like a virus spreading, i got worse and worse and after one part was destroyed, another started..now my entire spine is like a tower ready to fall, basically nothing holding it stable anywhere, and my back has caused nerve damage, sciatica is like nothing compared to the rest of the nerves, then my tissue around joints is consumed by fibromyalgia and when bad, i get knots that feel like right under skin, plus all joints just ate up with arthritis..thats just part of it..i have CRPS/RSD, migraines, gastritis/reflux with hx of ulcers due to the years of NSAIDS, my legs/feet/hands swell constantly without even using them, i can relax and elevate my feet and get up and be so swollen my skin is red and hot..i cant believe noone had any idea i had deformed hip joints, i was active, athletic, even in army reserves right after high school...if they had found it before i was 35, they can reconstruct the hips, after 35, replacement is only choice..i didnt suffer from much illness when i was young but its more than made up for now...good luck, they say joint replacements are easier when young cause heal better, that doesnt count when rest body is broke down and falling apart..im like you, i am fortunate i dont suffer with addiction, the physical dependence was bad enough right after stopped pain meds...if it werent for what i experienced with someone close and addiction, i may not have been so lucky..but i fought taking them, not always good because i thought i could tough it out, so i usually was in severe pain before taking anything, wrong answer...thats why they say take something before gets very bad, then it makes it more difficult to get relief..i sometimes think i cant take it anymore, the pain, losing functioning so early in life, lost my career, so i commend those who keep on through all that PLUS addiction...i would break....and yes people who are fortunate enough to have suboxone are lucky because its expensive and as a medical professional, i know insurances arent generous when comes to expensive meds...so people shouldnt take it for granted ur right.

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285
nanarobin67 Says:
 
hi James, i am not on suboxone, but i am a nurse, a nurse who was injured on the job 20 yrs ago at age 29 and now suffer from chronic disease and pain that ive been told have no cure and gradually debilitating, the injury just triggered just set the wheels in motion by breaking me down and one by one diseases/illnesses have taken over not just my spine but my whole body, i am not an addict (i know this because i chose to stop all pain meds, after trying multiple things, but still suffered, drs said i will always be in some pain, so if i have to deal with the pain on narcotics, i chose to deal with pain without them ande an idea of my not have the neg. effects pain meds cause)...i just wanted to give some idea of my situation before responding about the suboxone/subutex posts..the 2 are not the same. although i dont understand why any dr would give subutex with percocet...its just not commonly done, but the subutex will not reverse the percocet or cause withdrawl because subutex only contains buprenorphine, but suboxone on other hand contains buprenorphine and naloxone therefore if it was combined with percocet, not only could it trigger withdrawl, it would block the effect of the opiate, and most often cause nausea and sudden vommiting, because the naloxone is a opiate blocker and the two are not compatible. the buprenorphine is actually a opioid, its different that percocet because it is just a partial opioid antagonist. I only responded because of my medical knowlede as a RN, not trying to come across rude. but recently there has been studies that buprenorphine is effective reducing pain. before it was approved in US it was used in other countries as a pain med for years, but in early 2000 or so when approved here, it wasnt "suppose to be prescribed for pain" although many foreign drs said it helped pain, and last year i read that in early 2016 buprenorphine was gonna be FDA approved for "Pain relief"..so the drs may be already prescribing subutex for pain and with other pain meds...i dont think it would help pain alot, i would think perc would help more..but that may be why they r given together now, maybe either alone dont help alot but maybe they found if combined they work better...i dont know i do know that suboxone is only one incompatible with opiates, because the naloxone is a blocker and not compatible with the opiates..have you seen where they have made naloxone injections over counter, hoping that will prevent opiate and illicit drug overdoses, because if given after the drugs, it will reverse the effects of them...

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284
James Says:
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Kkh yup it took tough love for me ..I made the choice to switch to sub but my loved ones stopped helping me to kinda push me along
. I sometimes forget the lengths I would go and the bad choices I made but these clinics that treat us are limited in the amount of patients they can treat and its sad to see slots wasted on people who are not "ready" and have those who are desperately seeking help good luck warrior for thats what we are those who battle addiction

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283
kkh Says:
 
JAMES: I agree with you. I am an addict too, so I am also no one to judge. And the only reason I am on here is to help and to answer questions. But yes, when someone's only question is "how can I use my drug of choice more effectively", it does make me sad. It also makes me wonder if I should even be helping someone like that. I mean, do I want someone to go into precipitated withdrawals? Do I want someone to catch HepC, or to overdose? No, of course not. But then again, maybe a little "tough love" would go a long way with some of these people.

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282
James Says:
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Not judging for im a recovering addict but I see many posts on here of people asking questions like I've just took a suboxone or subutex, how long before I can take a hydro a perc or oxy??? Duh never!!! So many would give an arm or leg to have suboxone or subutex available to stop using. This brings me to my question.......why did you take a suboxone/subutex if your getting ready to take an opiate within hours of it? Suboxone/subutex is a miracle drug to me and many others. Think about it before you take either. If your in that position give the sub a try. You will thank yourself. God bless to all.

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281
James Says:
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Amen just belle thats my situation both hips replaceded per juvenile degenerative bone disease and being a slave to opiates for almost 30 yrs I grew tired of the damage to my body and tge withdrawal from running out to soon I take suboxone instead of the subutex for a safety net so I wont get weak and use these drugs are for those of us who have grown sick and tired of being sick and tired from opioid dependence there's a very fuzzy line there on switching from a bup based drug to a opiate pain killer I function 300 percent better on it than any other opiate my favorite being dulaudid and roxy hence the addiction problem the suboxone gives me thr get up and go to keep moving and those of us with chronic pain conditions know this we neen to keep moving or it gets bad I wish you well and still from my own experience suggest to all others if you use suboxone or subutex or any other bup based drug please refrain from opiate use its never good it ineffective and the precipitated withdrawal are horrible and if you are considering switching to a bup base drug wait till your in full withdrawal good luck and well wishes to all

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280
kkh Says:
 
CHAD: Bad advice from you. Subutex absolutely will throw a person into precipitated withdrawals if taken too soon AFTER opioids. If he takes the Subs BEFORE the Percocet, he should be ok, but he most likely will not feel the effects of the Percs.

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279
kkh Says:
 
PARAMEDIC: You are so wrong. THE BUPRENORPHINE ITSELF WILL GIVE YOU WITHDRAWALS. I was never on Suboxone, only, Subutex, and I went into HORRIBLE precipitated withdrawals from doing Subutex too soon after opiates. I have posted this many, many times. DO NOT TAKE SUBUTEX TOO SOON AFTER OPIATES/OPIOIDS!!

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278
James Says:
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Just to also clarify AGAIN AS A FEW HAVE CORRECTLY stated subutex has no naloxone in it so if your using it you can theoretically feel euphoric effects from naroctic analgesics but most likely you wont. The bup in it is stronger than most all opiates out there and over powers it. You will not withdrawal if you cross use these medications. Now suboxone is different and also different with each individual. It will put you in withdrawal and the time for which this happens varies person to person. Best advice is to be in withdrawal before you take it and even better advice is to refrain from opioid use if your taking either. The drug's purpose is to maintain your wellness while detoxing ..or getting off pain killers in some cases where someone has legit chronic pain but has a problem controlling opiate use. It's used for pain management. That's why I use it. It keeps me clean and controls my chronic pain... MY QUESTION IS WHY ARE PEOPLE TAKING THESE DRUGS WITH OPIATES? MAKES NO SENSE. IM NO DR BY ANY MEANS BUT I QUESTION A DOCTOR'S KNOWLEDGE AND SKILL AND ETHICS IF HE IS PRESCRIBING THEM TOGETHER. GOOD LUCK ALL.

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277
just belle Says:
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I agree completely with what you said! I had my hip replaced, had to taper off subutex, to start taking narcotics (they WERE needed because of the surgery). But now my pain Dr wants me to STILL take the narcitics (they make me feel CRAPPY) & the pain is mostly controlled with OTC anti-inflammatory meds. I have been tapering off opiates very slowly, but the withdrawals are kicking my butt, especially at night. During the night (last night) I couldn't handle the sweats, jumpy legs, feeling sick, etc. So I took 2 mg if Subutex & it worked like a miracle! I WANT to be off opiates & just get back to Subutex, I feel SO MUCH better on them! I suffer from chronic pain & some may argue that Subutex doesn't help with pain. It helps ME to live a semi-nornal life, narcotic-free!

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276
me Says:
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You can't take other opioids when on a suboxone program. You can on Subutex. If you take other opiates on Subs it will throw you straight into withdrawal.

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275
Question Says:
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How long does it take after taking half a does of suboxone can I take other opiates?

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274
schemo Says:
 
You'll be fine. As long as you took the subutex first. Don't do the reverse tho, that's what will get u sick, percs the subs will get you sick because the bupe has a higher affinity for your receptors than oxy does. And then withdrawal occurs because the bupe fits in your receptors but doesn't turn them on like oxy or any other opiate does. Got. It???

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273
amy Says:
 
Do it!!! I use to be addicted to pain pills like crazy and ever since I went on subutex I have been my real self. I never had any withdrawals. Just make sure you take enough. The starting dose of subs may be one 8mg pill or strip if suboxone... If you feel sick take another half. Im telling you I love the subs... they take away the withdrawals and the mental cravings. You actually can live a life without obsessing over pills. and it can also help with moderate pain but you wont experience any kind of high.

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272
Rachel Says:
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I took a piece of a subutex three hours ago and was wondering how long I have to wait to feel a Roxy 30.. I use IV as well

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