Taking Subutex And Percocet Together (Page 15)
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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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MOMMY: Are these people being prescribed Roxys AND Subs by the same doctor? Because that is completely unscrupulous. Precipitated withdrawals aside, why would you even put someone on Subs when they are still taking pain pills? That just seems really WRONG.

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I have been on 24 mg of Subutex for 4 1/2 years now... Before I started taking it regularly, someone gave me one to try because I told her I was going to in withdraws from pain pills soon (30 mg roxy's).. I told her I hadn't had one simple the night before (about 12 to 14 hours) when really I had a quarter of a roxy that morning.. stupidest lie I've EVER told.. I thought I was going to die, literally! I was sick all day long..
Fast forward a little while and I started going to my first Sub clinic and taking subutex. I had (honestly) not had a pain pill in about 12 hours. The doctor was still worried about sending me into withdraws and only let me take a half of an 8 mg subutex at a time while I stayed in the clinic to be observed for a few hours. I finally finished the 3 subs and didn't get sick at all.. I did NOT however, change my behaviors because I thought the sub was supposed to be a "miracle drug" I guess and I started taking subutex in the mornings and Roxy 15's (up to 2 a day) in the evenings every day.. didn't get sick but didn't feel them either unless I took 2. Finally got a good counselor and changed my behaviors surrounding my addiction and was able to drop the pain pills completly after about the first 2 weeks at the clinic...
Fast forward a few years and I was in the hospital after giving birth to a child and in a lot of pain.. the first day I didn't take anything except my subutex. The second day I finally accepted their offer of a percocet because I couldn't handle it.. it worked great.. and I didn't get sick.. gave me energy too...
Fast forward a couple more years and I just had a miscarriage (still on 24 mg subutex) and have tried IR Oxycodone 5 mgs and Oxycontin 10's.. neither have helped at all...
I'm miserable.
So yes I think it may be that you have just been taking them so long now...
Btw: I know 2 people that are prescribed Subutex AND Roxy's AND one is also prescribed Xanax on top of those 2 things... so I didn't even realize it was that uncommon until reading these comments. When I first started taking subutex I thought you had to be off pain pills or coming off to get the subutex prescribed, but nope you dont.. hmm.. still sounds odd to me but that's just because I'm an addict and if I would have kept taking pain pills while I was trying to get treatment for my pain pill addiction, I would have stopped going to treatment altogether very shortly.

Best of luck to all!

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GARBAGEHEAD: You are wrong. The buprenorphine itself IS the "blocking agent". It's unreal to me how many people get this wrong.

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You should be fine. Subtext doesn't have blocking agent suboxone does. Wait at least an hour though

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DEB: No problem, glad you got it all straightened out!

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LIZ: Because it is the Buprenorphine itself, the active ingredient in Subutex and Suboxone, that is the actual "blocker", so to speak. The Buprenorphine will attach to your opioid receptors and completely saturate them, knocking any and all opioids off of said receptors, and throwing you into precipitated withdrawals. The Naloxone is in Suboxone to keep people from administering it intravenously. But it is the Bupe ITSELF that can "make you sick".

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BUTCH: I don't care if you ARE a nurse. You are wrong. The only reason the Naloxone is in Suboxone, is to keep addicts from injecting it. Buprenorphine is a partial agonist, partial antagonist opioid. It has a HUGE binding affinity for opioid receptors, and will knock any and all full agonist opioids off of the mu-opioid receptors, throwing the patient into precipitated withdrawals. It is not the "Naloxone" that is "blocking" the opioids, it is the BUPRENORPHINE ITSELF. No offense, but I don't doubt that at a nurse, you do not know this. There are a few DOCTORS out there that don't know this. I went into FULL ON PRECIPITATED WITHDRAWALS from using Subutex too soon after full agonist opioids. I was never even on Suboxone, it was the Subutex, the one that has NO NALOXONE.

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KKH: Hi there, not sure if I responded to your message. Being new to this site, I might have to get used to it. I see the pain management doc tomorrow. I couldn't be happier as she is one of the most thorough doctors I have ever been to. She actually gave me a physical. My primary has never even touched me with all the pain I have, I find that absurd! I did get some blood work done though and chest x-ray being I am a smoker. Ugh...Anyway, I just started painting in mid Jan and I love it! I have actually sold a watercolor painting just recently! Why am I telling you all of this? Well, just a little history of myself. I had never been able to find anything that interested me. I couldn't stay still long enough, all through my childhood and adult years. Now at 59 yrs old, my life is better than ever! I also suffer from chronic depression, which I take zoloft for. Ok, well I guess that's enough. Haha! Good day!

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That's really hard to believe.. Subutex has no naxolone in it so why would you be sick?? No way

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Please don't try to cold turkey any NARCOTIC, by yourself, or alone. And subs are NARCOTIC, and even though lowest dose possible may have minimal effects, try to have someone present, until your past the sickness that makes you desperately crazy, that the chronic pain that took you to where you were before. In Florida, since government guidelines went into effect, I've lost over 20 friends to illicit drug addiction, and or alcohol addiction, and death. Way to go DEA, you sure increased black market, and population control. Just saying.

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KKK: Hi there, I stopped the sub and back on pain meds. They are working now! So relieved as I've had chronic pain for yrs, acute for a yr. So tired of going back and forth as I know it's not a good thing. Thanks for your input!

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The sub cancels out the opiate! So if you take it, it will not help you. If you need the meds for pain, it will be like taking nothing at all. I was on subs for 5 yrs.

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That's ridiculous! Subtex & suboxone are given to people that are abusing opiates or trying to get off of them. When you take any kind of opiate with a suboxone or subtex, the sub cancels out the opiate so I don't understand why he would give you both of those together? That makes no sense at all.

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As a nurse,and familiar,with both medication. Briefly put Subutex,taken with a narcotic pain medication, will not cause you to have withdraw. I've had to do that,but you should try to titrate off the percs,at some point. NOW WITH THAT SAID PAY CLOSE ATTENTION, IF YOU TAKE SUBOXONE WITH A NARCOTIC YOU COULD HAVE WITHDRAWS OR ACTUALLY THE NARCOTIC PAIN MEDS WOULD NOT relieve ANY PAIN,BECAUSE SUBOXONE HAS NARCANE IN IT TO BLOCK NARCOTIC PAIN MEDS (opiates) FROM REACHING THE PARTS OF THE BRAIN THAT RECEIVE PAIN SIGNALS.
WITH THAT SAID,MAKE SURE YOUR DOCTOR ALWAYS WRITES (SUBUTEX)IF YOU CONTINUE ON OPIATES FOR PAIN.YOUR FORTUNATE,THAT YOUR DOCTOR IS EDUCATED AND WILLING TO GIVE BOTH,AND IM SURE HE MUST HAVE COUNSELED YOU TO TRY AND USE LESS AND LESS PAIN MEDS, AND USE THE SUBUTEX, MORE AS TO SUSTAIN, A CERTAIN AMOUNT OF SUBUTEX AS THE BASE,NOT FOR BREAKTHOUGH PAIN.BUT,I AGAIN REINTERATE,DON'T GO ON SUBOXONE, SAME AS SUBUTEX, BUT HAS NARCANE IN IT TO BLOCK OPIATES FROM REACHING THE BRAIN. GOOD LUCK, GOD BLESS, AND BE SAFE,AND KEEP STUDYING, WHAT YOU PUT IN YOUR BODY.YOUR LIFE DEPENDS ON IT.

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REALLY: Glad you got that all straight in your own head.

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DEB: Oh, ok, I gotcha. Well, they all need to get on the same page then. I hope they can get it all straightened out. There is no reason for you to be taking both, as you know it is just counterproductive. Good luck at your appointment.

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Right, no problems with your attitude at all. ????

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Good morning, it's not the same Dr giving me both. I've gone back and forth trying to stay off pain meds but each time I can't stand the chronic pain, so back on sub. It's such a vicious cycle I've gotten myself into. Dr's tell me one or the other...I have chronic back pain and need a knee replacement. This morning I'm not taking any sub, only pain meds. I can't stand the pain any longer. I see pain management dr this fri.

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DEB: Yes, the naloxone is in there to keep people from injecting the Buprenorphine (active ingredient in Subutex/Suboxone) But it is the Buprenorphine ITSELF that is "blocking" the effects of your pain meds. The Bupe has a HUGE binding affinity for your opioid receptors, so it keeps any other opioids from attaching to them. Basically, the Bupe is coating your receptors so completely, no other opioids can get in there. So giving you pain meds to take while you are already on Bupe is completely counterproductive. I'm not telling anyone on here what to do, but if it was me, I would get another doctor. Sorry, but I wouldn't trust a doctor who doesn't realize this fact.

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DEB: Yes, they should definitely only have you on one or the other, not both. Let us know how it goes with the doctor, I am curious to know what he/she said. My friend who is an MD and an addiction specialist, he just shakes his head when I tell him what some of these doctors do. I told him about the "taking percocet and Subs together" thing, and he was completely floored.

And no, my post about being a "whining sniveling baby" was to this "REALLY" person, not at all to you. When you click "reply" to someone on here, it doesn't actually address WHO you are replying to. That's why I always put the name of the person in my reply.

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