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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488
Tumi77 Says:
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Hi guys, I too am a pharmacist. Diagnosed with RA few years ago I found myself hooked on Fentanyl. Now, I'm self employed and have a business to run so I wanted to fix this asap without having to go into rehab and stuff, so I considered Subutex. Took it without waiting for withdrawals, HUGE mistake! Went into an insane withdrawal almost killed myself. In the middle of it I thought maybe I shouldn't have started this way, should have probably tried wearing myself off the stuff, but subutex was in my system...for the next 36+ hours, remember the amount in your systems halves every 36hrs, meaning if for eg you have 10mg in your system, 36hrs later it would be 5, and next 36hrs you'll have half of that(2.5), and then half of that(1.25) etc. In that time, no opiate is going to work, so with RA it was a nightmare, plus opiate withdrawals come with their own muscle and joint pains so I was a mess. I'm not playing scare tactics, but this is what I went through. I locked myself away from my kids and wife during withdrawals and decided, the business will be fine, i need to do this for myself and my kids. Plus I had already gone through hell, might as well complete the race. I'm still not 100%, still on subutex but back to opiates is not an option for me, NEVER!!! I figured I survived RA pains without opiates for over a week, so why not another week...and another week, and another etc! My back was hell bcos it's the one the most affected by RA but with time the pain subsided substantially! So in short, at all costs avoid starting too early on subutex, regardless of what the package insert says! You could go into withdrawals, I did....so why risk it? So I agree with KKh....avoid starting too soon! Withdrawals are no joke!

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487
Ambieee Says:
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So I have been through a c-section while on subs; worst pain in the world. I was told if I stopped taking them my child could die. It was my first son and I was so upset when they told me this bc I did not want my child to be born with drugs in mine or his system. So I've done alot of praying and started cutting myself back myself to a very small dose, less then 2mg while preg. After the c-section the pain meds did not help but I didn't care bc I was just worried about my son but thank god he never showed signs of withdrawals. The doc. And nurses where so confused bc I was supposed to be taking three 8mg a day but when they gave them to me I disposed of them all except a little bit bc out of worry I could hurt my child if I completely stopped. But take it from me, if u plan on having any surgery or need any pain meds wing your self down very low until u can completely stop, go through a couple days of withdraws no matter how hard it is (unless ur preg) then start your pain meds otherwise the pain meds will not help you at all. I pretty much went through a c-section without any help from pain meds bc they gave me my subutex and pain meds and the two together is not a good combination bc it's like they cancel each other out. This is just my advice and in no way should u listen to me. Always talk to your doctor and let him tell u what is best for u in any case when it comes to your med and your pain. He knows what's best for u and what is safe for u. Best of luck and god bless. Also my best advice to anyone is get yourself clean with help from the subutex or suboxone and then wing ur self off that when ur comfortable so that u can control the urge to feel high, but stop them that way when something does happen and u need pain meds u will get help with the pain meds bc take it from me it's so hard when nothing helps the pain.. And in my opinion it takes a good 5 days to get the subutex out of ur system and even then it takes alot more pain meds then it would for a person who does not have a problem to get any kind of pain relief from the pain meds.. I have been clean from everything now going on three years thanks to the grace of god and the love I have for my children and I have never felt better. It was a long and hard journey but anyone can do it if they set their mind to it and work really hard at changing your life. Whether u are doing it for yourself or someone else u can do it, if you try really hard and work at it everyday. God bless and my prayers are with everyone on here. I know what it's like and how it feels as well as how hard this is!

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486
kkh Says:
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JAMES: I would say 48-72 hours if we are talking Methadone, or if the person has been taking a LOT of H for a long period of time. It is fairly short-acting, so 24 hours is usually sufficient. But also, you have to go by how you feel. If you are feeling pretty crappy, in pretty sufficient w/ds, you are probably ok. I have had opiates that weren't that great, where I could take my subs in 10 hours. The time I went into Precips myself, it was REALLY good opiates, and it still happened after waiting almost 24 hours. Very rare to find opiates that "hold" you for more than 10-12 hours. So that was MEGA! I really do hope that guy waits as long as possible! Thanks for the shout-out btw; I really am on here to try to help people stay safe.

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485
kkh Says:
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JOHNNYD: Unless you want to risk going thru one of the worst experiences of your life, I would wait. A good rule of thumb is 24 hours when talking about Subutex and H (which is what I have the most PERSONAL experience with) If you absolutely can not wait that long, what you at least need to do is wait until you are in LEGIT WITHDRAWAL. It depends on how long it takes for that H to get out of you, and THAT depends on how much you did, and the quality of it. You are obviously going to do what you want, but I do know what I am talking about here. People mistakenly think that it is the Naloxone that causes withdrawal, but 90% of it is the BUPE ITSELF. I would hate to see some go thru that horrible experience because they didn't wait long enough.

I used to do the "back and forth" with H and Subs, and it finally just got too ridiculous. Waiting until I was "sick enough" to start my Subs again became a joke. See, this is what Bupe is DESIGNED to do. Subutex is for people who REALLY want to stop using. If you want a break from the chaos, but you still want to be able to use H once in a while? You are better off on Methadone. No judgment whatsoever, I am of course also an addict. But these are the facts.

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484
James Says:
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I wouldn't chance it . Everybody is different. Suggests 48-72 hours. nobody can tell you what's going to happen with you when you take a bupe based drug shortly after an opiate .it's just plain and simply not recommended . Kkh gives very up to date and accurate information as I've seen so far. I'm on suboxone it blocks per the naloxone in it the bupe is what gives you the precipitated withdraws so subutex can do this also . My opinion is that I would go to the actual site suboxone/subutex and go to bottom of page they have a faq section and a toll free number ask the professionals or ask your prescribing dr. Withdrawl is a very horrible thing I would not chance anything on it . I hope I've given you pertinent information that will help you make an informed decision.

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483
Johnny d Says:
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So you for sure took subutex very soon after h and nothing happened? That really worries me I took a norco 5 hours ago and I really want to be back on my subutex. I know suboxone got me super sick doing that a year ago. It sucked. You can vouche for it though? Subutex?

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482
kkh Says:
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PHARMACIST: You are just plain WRONG. Absolutely, 100% wrong. The Naloxone in Suboxone is only in there to keep people from injecting the Bupe. Naloxone is less than 10% bioavailable when done sublingually. IT IS THE BUPRENORPHINE ITSELF that puts you in withdrawal, because it is a partial opioid antagonist. You are dispensing incorrect information. I PERSONALLY went through Precipitated Withdrawals from SUBUTEX, not SUBOXONE. (I am allergic to Naloxone, and was on Subutex for years) And I just helped someone else get through precips from Subutex as well. You are wrong, plain and simple, and if you are REALLY a pharmacist, you should friggin KNOW BETTER.

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481
Pharmacist Says:
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You do not go into withdrawals on subutex when you take other opiates. Now taking suboxone when you're on opiates is a different story. Withdrawals like a mf. Take opiates while on suboxone first and you won't feel them much but still no withdrawals. It sounds crazy but no matter what way you take them, the only way i have went into withdrawals was taking suboxone wich has naloxone unlike subutex, while I was on oxys, not vice versa. Sounds crazy but true. I don't do drugs anymore but always got jammed mixing subutex with opiates. Never did I go into withdrawals. Hope no one is trying to abuse these drugs but just telling the truth through experience, not what I read or think I know. Have a good life and stay away from these drugs unless needed for pain. Medical marijuana has helped me more than any pain med. I urge anyone in pain to try it before you get addicted to the pain meds that they give, they ruin you and do not get rid of pain. You may get a little relief while your health deteriorates slowly but surely. Medicinal Marijuana is the way to go. Hammer Head is a great strain.

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480
Pharmacist Says:
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I say bs. Withdrawals? I take subutex, oxycontin, oxycodone and whatever else and never have I experienced withdrawals...ever. y'all are way off. Maybe you won't feel the full effects of the oxys but withdrawals? Nah! Good luck though.

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479
YouAreWrong Says:
 
Everyone who is mentioning Narcan, Suboxone actually contains Naloxone... NOT Narcan... Educate yourself before you kill someone!

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478
kkh Says:
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AHU: Subutex and Suboxone are no different in how they affect or interact with full-agonist opioids. They can BOTH cause withdrawals when taken too soon after the opioids because it is the BUPE ITSELF that causes this. not the Naloxone. The Naloxone is only in Suboxone to keep people from taking Bupe intravenously; it's bioavailability is less than 5% when taken sublingually.

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477
Ahu Says:
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Subutex contains no naloxone. Suboxone on the other hand it will cause you to be sick. With subutex you should be fine. I've done it plenty.

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476
Ari Says:
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Thank you!! So irritating to read all that mess haha.

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475
Hjm Says:
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I find it very hard to believe a doctors put you on both of those ? What would be the reason for subutex ? I would think if they thought pain meds would help your situation they would just give you those.

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474
kkh Says:
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LAGUNAMAMA: I would wait at least 24 hours. 24 to 36 hours to be safe. Then I would start with a small amount of the Bupe, wait about 30 min., see how you feel...then take a little more. I don't know how much you are planning to take, but I wouldn't do more than one or two milligrams at a time until you see how you adjust. Good luck!

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473
Lagunamama Says:
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I am so sorry to bother you , I was just reading some of the posts on here because I just had a c section 2 days ago and I've been off Subutex for 3 days. The nurses have decreased my pain management to 1 - 5mg percoset every 4 hours which isn't helping me at all! I would rather go back in my subutex because at least I'll feel somewhat normal. I was really wondering how soon after the last 5 mg percoset do I have to wait to take the subs? I couldn't stand to go into precipitated withdrawal in the condition I am in , but on such low doses of the percoset I don't want to have to wait in misery too long either. Thank you for your help.

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472
kkh Says:
 
JEREMIAH: There is no "wrong kind of Subutex"...there is SUBUTEX, and there is SUBOXONE. They are BOTH, as you put it, "blockers". Taking full agonist opioids with EITHER ONE is a bad idea. Ugh, more mis-information? We don't need!!!

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471
Jeremiah Says:
 
I think the pharmacy gave you the wrong type of subutext, one has a blocker in it and the other doesn't.

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470
Bubba Cluff Says:
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I hope you found relief somewhere or somehow, if not I may now how you can find help

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469
kkh Says:
 
Wb1: No, you can NOT take buprenorphine with "other narcotics". You are dispensing bad advice and mis-information. And no, taking naloxone orally will not relieve constipation (unless you are talking about the diarrhea that accompanies withdrawal), but taking methylnaloxone will relieve constipation without withdrawal symptoms, because it can not cross the blood-brain barrier the way naloxone can, and only works on the opioid receptors in the gut. AND NO, you are not getting "withdrawal from the naloxone" in Suboxone. It is ONLY in there to keep people from taking it intravenously. The bioavailability of naloxone when taken under the tongue is less than 10%, but is 100% bioavailable when inj. IT IS THE BUPRENORPHINE ITSELF THAT CAUSES WITHDRAWAL.

It's amazing how much bad information you were able to cram into that short comment. May I suggest that it is YOU who could use more "education".

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