Generic Subutex/buprenorphine. Ranking From Best To Worst. (Page 3)

This is for people who actually take Subutex for the intended purpose for which it is used. So if you actually take the medication sublingually, this thread will help you. I have been taking buprenorphine for three and a half years now. This is what I have found: (8mg) Best: Actavis 153/half moon (orange) Middle: Roxanne 54/411 (white) Worst: Hi-Tech 8/arrow Again, this is for people who take medication as prescribed. You can actually break the medication in half and put it and the front of your lip like dip & chewing tobacco. It will take longer for it to dissolve like this but you will get much much more of the bupe.

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Re: Mike (# 40)


You began this whole name calling thing by saying I was a shill for preferring the Actavis brand. Then, I reply to you by calling you out... and then you say everyone has their own preference... It is abundantly clear that you have the brainpower of an amoeba. So, I need to get a life huh? I started this thread to try to help people... based on MY PREFERENCE... and then along comes Mike running his mouth. Do everyone a favor... and try to formulate intelligent thoughts before you embarrass yourself again.

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Re: Texpert (# 27)


Sorry for the wrong info. The Sun pharmaceutical the imprint 460 we're terrible!!! I called Westward as many others. They informed me that there brand was equivalent to the former Roxane. Even sent a analysis which was equal. I'm still on them yet very hard to find them. Finally got them at Walmart 20 mls. away. Good luck God bless

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Re: BigDaddy8484 (# 41)

Sorry for the confusion but there are 2 Mike's. Mike 35 and Mike 37 are 2 different people. I am the Mike that agrees with you. I think the antacid pills are the best.

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Hey all. Just wanted to put my 2 cents in. I am currently on Subutex (as of recently) 8mg & was previously on Suboxone (have been on both before a number of years ago). When I was switched to Subutex, I didn’t pay attention to the manufacturer as it didn’t really occur to me to do so. My first prescription contained the arrow pills. I just got my second script filled today & realized they were different pills. So I looked them up (hence, how I came across this message board) & they are the Roxanne 54 411’s. So yes, they do still make them. Both scripts I had filled @ Giant Pharmacy (don’t think anyone has mentioned getting their scripts there). I’m in Virginia so just wanted to let those of you who prefer this brand &/or live in the MD/Va/DC/Metro area, Giant does in fact supply the 54 411’s. Just taking my first 1 so don’t know how I feel about them yet but we will see. Also, ppl are going to have different preferences so there’s no reason to lash out @ another if they prefer a brand that you might not. This is about supporting one another by offering advice through personal experiences guys so let’s keep it civil. Life is hard enough on its own. Just saying.

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Re: bupeODorol (# 6)

If you don’t mind me asking, what state do you live in? I was on Subutex for about 6-7 years for chronic pain, after trying every opioid pain medication and not getting relief just withdrawals, and my pain doctor had no problem with prescribing me Subutex. Sadly, he passed away in 2016 and every doctor I’ve seen since only prescribes Suboxone, and they are saying now that it’s illegal to prescribe Subutex to anyone except for pregnant or nursing women! I realize that there is a true opioid problem in the US, but it’s very unfair that I am now treated like an addict because of that. I have never abused drugs. I’m not saying anything negative about people who have or had a problem, I know people who have battled addiction, and I understand. It’s just really sad that people with chronic pain are now paying for the bad choices others make. I’m now seeing a new doctor because I have Dysautonomia, and I have been on Klonopin for well over half my life for that, and my last doctor wouldn’t prescribe that for me. He was actually weaning me off though he said he knew I needed it for the Dysautonomia and said I could see another physician in his practice and pay another $80 per month just to get a fraction of what the dosage that I started on so many years ago. He did put on my records that he was prescribing the Suboxone for pain. So now I’m seeing a doctor who knows that I’m on it for pain, but he says he doesn’t prescribe it for pain and he requires that I go to meetings! I’m looking to move to another state, but I don’t know where to even begin looking for a place where doctors can help me. Thank you!

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Re: Kai (# 45)

Hey Kai! I know your message wasn’t directed to me but I thought I might offer a suggestion. There is a site I found that helps you find a provider. I read a little info on it & found out that a person can actually make a request to a provider for them to become certified in prescribing Subutex/Suboxone (literally an 8 hour online certification process) though not sure how many drs would be willing to do that. Nurses as well as PA’s are also able to get certified. This site not only has a dr locator link but a link to a matching system where drs contact you (you can submit your info anonymously) once they have available openings. You can read further info about it if you choose to but that’s the specifics. Even though I am a recovering addict, I understand your frustration with having chronic pain & the difficulties with finding a dr who will prescribe you with Subutex/Suboxone for that when it is most commonly prescribed for addiction. My thinking is because it is a partial-agonist unlike regular opiates that are full agonists, many drs might presume that for patients with chronic pain, these drugs can only relieve your pain to a certain cutoff level as they block pain receptors but the plus side is that they are less likely to cause a person to become addicted upon taking them. However, if it has worked for you (& I’m sure many others since it use to be commonly prescribed for pain) I don’t see the problem. Methadone has similarities as far as being used primarily in treating addiction & having been originally manufactured for pain management. I went to a clinic for several years (about 5 or so years ago) & tons of ppl went there specifically for pain management. So I don’t see how that isn’t a problem but providing Subutex/Suboxone for pain is? Have you looked into the other forms of Subs like Butrans which is solely for the treatment of around-the-clock pain & comes in a patch form?

*FYI* I believe you said you have been taking Klonopin for a long time for a condition you have. I, as well take it & have on/off for years but if you’re not aware, any benzodiazepine is warned not to be taken in combination with Buprenorphine because of the lethal interaction it can cause. Because of that, my assumption is that many drs will not prescribe Buprenorphine if a patient tells them they take a Benzodiazepine. So having said all that, check out the site that I mentioned above [naabt.org] & it will give you the links to the other major sites for locating a dr, getting matched to one, & even clinical trials. Lastly, I read about how there are promotional Co-pay cards for Suboxone & for Zubsolv (another form of Buprenorphine) where you can save $50 & $75 a month, respectively. Oh!! On the link to the site I gave you, at the bottom of page there’s a paragraph that states any dr can prescribe a 3 days dose of whichever form of Buprenorphine for an emergency basis whether they have a license or not. Thought that was interesting to know. More resources are listed as well but I really think it’s worth you checking out. I hope the info helps & you are able to find a resolution. Praying for you & if you need any more help, I will do what I can!

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Re: bupeODorol (# 1)

So having cotton mouth after cleaning mouth, tounge etc (even the toothbrush again after tounge and using floss 1-2 hours prior, plus and important for smokers and eating gargling warm water. Warm opens the glands absorption as running opens a lungs capillaries. Most people dissolve an 8mg Suboxone in 20 min so they say. I generally take 45 min without moving and gargle because 20 min after brushing teeth often food mixed with floride comes back up throat via lugy and compromises your absorption by calling extra flem down the mouth to be swallowed. 1/5 of bupe is said to absorb swallowed. I've never felt it, if so it has a really slowwwww action of effect so u already absorb another one under the tounge and don't notice. As for Subutex, it's more effective for me. Yet strips are far better absorbed than pills. Subutex strips aren't around. Although I've been overdosed on nalaxone/narcan by paramedics and had major instant migraines from them. Subutex works better. I feel clear headed, also less anxious and less chronic pain which if not mindful can cause injury because of the fake security the body feels. Plus as opioid addicts we tend to be hyper aware of our feelings. Uhhm methadone sort of tears that away.......I've had a few minor seizures mostly due to sleep paralysis due to over stressed environments and lack of sleeping catching up. Never on Subutex.

One, only after taking Adderall either with Suboxone and it was extremely large stress with exhaustion. Dopamine, gaba and epinephrine, norepinephrine and seratonin all are working together. When dopamine's depleted the other chemicals especially epinephrine takes over and imbalances over time cause shrinhypocampul region enlarging amygdala. If your extreme your not going to fall into Dr categories much talked about. You'll notice nurses not having a clue and Drs also not getting you. I recommend studying nih studies and journals through Google about case studies that helps confidence in non confirmation bias type ways. IN SHORT, DON'T TAKE SUBLINGUAL MEDS WITH OVERLY WET OR DIRTY MOUTHS, BAD TEETH NEED TREATING THEY LEAK ACIDIC CHEMICALS THAT DEMOLISH SUB MED. IF COTTON MOUTHING, MAKE UP LATER in water intake. Also, grapefruit works well even though it's said not to by assuming people who are dogmatic thinkers to need to eat the pills, but pills go through the blood stream building up in the liver where the extra potential enzyme in grapefruit juices lies. Don't use if have low tolerance or benzos especially. I'm a guy who defies the dogmatic laws of physiology, hence nerdy. Also extract of the grapefruit (white) will do better on pH in blood than having to pound too much juice. Hunter Thompson saved money but was he happy at age 65?

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Hello, I guess nobody is going to answer my question about whether the pill or strips work better for pain. I'm on the strips and I take them "the correct way", correct enough that I have 925 days of clean U/A's, miss no meetings, stopped my progression in my program and purposely kept myself in phase 2, meaning I continue on a weekly basis. I feel more comfortable like this. I have the option to switch over to just pain management but I have an opiate addiction so this keeps me honest. Has anybody had experience with both? Any input would be greatly appreciated.

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Re: James (# 48)

Hi James! So I didn’t see your original question. Are you referring to Suboxone pills or Subutex pills & then the Suboxone strips?

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Re: Steph88 (# 25)

Honestly, I've tried the whole putting it under my tongue & letting it dissolve ... not talking, not swallowing my spit for at least 30 mins ... not drinking anything for 30 mins route ... but it just DOES NOT work for me whatsoever..

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Re: Laura (# 49)

Hello Laura, thanks for the reply, I'm on the sublingual strips right now , for my opiate addiction problem and chronic pain, question is are the pills better or same for use for chronic pain , and curious as to the differences in the two if any , which is better

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Subutex saved my life. The issue is the pharmacists. They treat me like a drug addict stll. Just to show u that ignorance is rampid with those who claim to be educated. I di not accept their judgment. We r recoverying!!!! F them!

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Re: Jessica (# 7)

I started on the ones from sun pharmacies and I had horrible reactions to it. I now am on the small one and seem to be doing ok

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Re: James (# 51)

Hi James! So Suboxone strips & whether you mean Subutex sublingual tablets or Suboxone sublingual tablets (not sure) are virtually the same & provide the same effect & reaction. The only difference with Subutex is that it doesn’t have the added component of Nalexone which Suboxone does contain. Both carry Buprenorphine equally. Since you asked about which one would be better for pain, I’m wondering if you’ve ever heard of Butrans? It’s Buprenorphine in a patch form & strictly prescribed for people with around-the-clock pain. Maybe worth looking into.

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Rhodes by Purdue which came put in October 2017 are by far the best and activas are garbage blah. gice them a try youbwont be let down. and the 54 411 have been bougjt oitbagain by himka recently so follow the money

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Re: Laura (# 54)

I've heard of butranz but never used it, I know the difference between Subutex and Suboxone, I was referring to the Suboxone sublingual pills . Was just wondering if one was better than the other , I will check into the butrans patch thank you for your help and information . I'm unable to use regular opiates for pain relief I've battled addiction for about the last 25 years which is a real bummer for some reason in my area they only give the strips except for the Subutex not sure if they make those in strips, they only give those to pregnant and nursing women. Again I thank you for your help and information, I'll be checking into those patches , how long do they remain active, how long do you wear them.

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Re: James (# 56)

Hey James! So Suboxone strips & sublingual pills are the same. There is no difference in them whatsoever other than what form they come in. I have been on both in the past & no difference, I promise. I tried to look up a little bit of info for you on Butrans. Mind you, you can find a ton of info on the internet. It seems to be solely prescribed for people with mild to major chronic pain that tends to be around-the-clock. What I found interesting is that a dr doesn’t have to have a certain qualification &/or waiver to prescribe it as the FDA has not classed it as a drug for treating opioid dependence. As long as a dr can prescribe class 3 controlled substances, any healthcare provider can write a written script or even call it into a pharmacy for a patient. There are 4 doses & each patch is worn for a period of 7 days. Usually, when trying to find the correct dosage for the patient, adjustments will be made based on if the patient is having break-through pain or what not. The patch contains regular Buprenorphine like Suboxone & Subutex. It’s just specifically prescribed for pain management & again, has not been approved to treat opioid abuse. Also read that there are 2 unique savings plans offered for the medication, one being some sort of trial period & I think the other a discount card for Butrans specifically. I think it could be worth looking into for you. Given, I don’t have all the answers as I am relaying a lot of info I read on the internet. But maybe this would be something important to discuss with your dr & who knows, it could be the right medication for you in the long run!?? if you need any more help, please don’t hesitate to ask as I will do whatever I can.

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Re: Pattyh (# 52)

Next time that you feel discriminated against, ask to speak to the head Pharmacist. If he/she is unwilling to listen to you & take your complaint seriously, go to the front of the store & ask to speak to the manager. If they choose not to handle the situation appropriately, ask for a complaint form. They have them & they cannot deny you of one. I was a pharmacy tech for years. I know how it works, as well as the stereotypical attitudes & ignorance that comes from employees who are there to do a service for customers, not to judge..PERIOD!! And if you want to make them nervous, calmly mention (indirectly, but loud enough for them to hear) that you have or are planning on making contact with your local/nearby newspapers & new stations to tell them about the horrible ordeals you have to go through just to get your medications filled. Trust me, they will freak out!! Even if you’re just blowing smoke, watch the change that occurs when the head pharmacist & store manager fear that you will go to the press. I’ve seen it happen & it’s hilarious to see how quickly the judgemental ppl on positions of authority turn to complete cowards when faced with being exposed for who they really are! Hope things get better for you & remember, you now have the upper hand with that info so hold onto it &
If necessary, do what you have to do.

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Re: Laura (# 57)

Thank you, I'm looking up the butrans patch now to check it out , sounds like something I'd like to try. My primary care physician recommended me to enter the Suboxone program, due to my issue with the pain killers. I've battled this for years and was loosing the fight. I had an enormous tolerance to opiates, esp oxycodone. I would regularly run out of meds and that led to another whole different situation. At first I was sceptical about it helping with the pain , as alot of people claim it does nothing. It does, actually it's better, I can function and keep control of my usage, which is a Good send. Technically I being prescribed it for opiate dependency, but I can leave the program at any time and still receive it for my pain management, but remain in the program because it helps I enjoy it and it is very beneficial to me and my family. Brutal truth is I will be permanently dependent on some kind of pain management for the rest of my life. My first real victory was realizing and accepting that it's impossible to feel great and be totally pain free everyday. Again thank you so much for the information and talking with me I look forward to checking the butrans patch out and possibly trying it. I believe if others with this same issue with chronic pain would give bupenorphine a chance they would get better results and have a better quality of life . Thanks again and God bless

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Re: James (# 59)

You are so very welcome! I do think if buprenorphine works for a person’s pain, then it’s a much better bet than taking any number of the opiates as they are full agonists while Suboxone & Subutex are partial so the tendency for physical dependency as well as feeling the symptoms of euphoria (the high) that so many ppl begin to crave is not nearly as evident or effective compared to full agonists. I think Butrans could be a good alternative for you & I hope you’re able to get a resolution. If you need anything else or help finding more info, please lmk as I will do what I can to support you through this trying time. God bless!

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