On Fentanyl - How Long To Wait To Take Suboxone (Top voted first)

i am on 100 mcg fentanyl patch every 48 and given the certain amount of waste each month with one or more galling off and whatnot i keep a couple suboxone from an old script on hand. how long should i wait to take a half an eight mg sub.??? thank you in advance

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I took A half of a Subutex 8 hours ago, will I be ok to put the patch on right now

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Warning! I just went through this yesterday. I was on fentanyl for a month 100 mg a day. Took my patches off saturday night well technically monday morning about 1 or 2 am. I dosed again till about 4 am so that i could sleep through the night. monday afternoon at about 2pm i took my first dose of suboxone about 20mg. Within ten minutes i began to spiral out of control. i didn't know what was happening but it was scary as s***. diarrhea, sweating profusely, severe pain, anxiety, uncontrollable shaking, restless leg syndrome, and all making normal withdrawal seem like a walk in the park. so i immediately hit the web and found out it was called precipitated withdrawal.. found lot of advice. most say ride it out it will get better and it does. the drug web sure says to take more in small intervals until symptoms dissipate, tried did not work! and most say DON'T DO IT. its now been at least 36 hours no opiates and 24 hours since last dose of suboxone. my symptoms have improved marginally but dr recommends waiting another 24/48 hours before taking again. the pharmacist said to take again 24 hours from last dose and should be fine, but doesn't give a 100 percent that i won't react again. so I'm now in normal withdrawal, which take it from me is a cake walk compared to precipitated withdrawal and am trying to hold out another day because the alternative is way worse. So moral of story is WAIT UNTIL YOU ARE IN FULL FLEDGED WITHDRAWAL NOT JUST STARTING TO FEEL WITHDRAWAL BEFORE TAKING SUBOXONE OR ANY DRUG CONTAINING BUPRENOPHINE. TRUST ME LEARN FROM MY MISTAKE! you will spare yourself the most horrendous crisis you could ever experience. if this keeps one person from experiencing precipitated withdrawal i have done so so much good. I had experience with suboxone and had never been aware of this aspect of it so take heed!

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I was on fentanyl 100 patch also, I took my first suboxone 20 hours after I removed it an was feeling so much better! Don't believe what all these wanna be doctors tell you.If you waited 48 to 72 hours to take one you've gone through the worst part and shouldn't take anything.Good luck on what ever you decide!

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I took a sub 8mg 7 hours ago. How long until I can do me 100mg fentanyl patch and feel the full effect....? Plz Harry some1 and let me know plz.

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Storm,

Go ahead and take another (1)mg. Try to do it with as low a dose of sub as possible. People, including dr's, take and prescribe way too high of dosages of bupe and then the patient can't get off the subs. You should be able to stabilize at 3mg or less having been in 50mcg patches. I have quite a bit of experience with these topics if you need assistance. Good luck.

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Yes The naloxone in suboxone will put u in withdrawal but only if u take one within 1 through about 10hours after u take off the patch or stop taking methadone within at least a day they say that it could kill u if u take a suboxone within like a couple weeks but that is overkill i was always good within a day or two easy with done im not quite sure about the fentanyl as much as i am the methadone. Naloxone is some nasty business i overdosed on methadone and xanax they shot me up with pure naloxone and adrenaline and the paddles but the naloxone was the worst its like going through a week of withdrawels all at once its gnarly. but this is just my experience and advice take or leave it.

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If i were you i would wait absolutely no less than 36 hours from when you remove patch. you have to account for the time it takes for it to work in through your skin and into your bloodstream and then out again. generally when you feel the onset of withdrawal is when you're safe to take suboxone. and take it from me you do not want to jump the gun on that. my last transition was from fentanyl and percocet to suboxin and I only waited 24 hours and immediately went into precipitated withdrawals. trust me my friend you've never felt any kind of withdrawal like precipitated withdrawal. it basically packs 3 days were the withdrawal symptoms into 12 hours. despite what anyone tells you once you're in that state there's nothing you can do about it except ride it out. so my advice is be sure you feel really really lousy before you take suboxone. that's the only sure fire way to know that you're ready to make the transition because that means the opiates are no longer at your opiate receptors and therefore can allow the burprenophine to take its place at the opiate receptors. good luck and be careful

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Question: For the first time today I tried Fentanyl for my pain. I cut a 75mcg fentanyl patch in half and put one have one my arm and stored the rest away. I wore the half a patch for about 11-12 hours and just took it off. Would it be okay to take a piece of a suboxone strip in 10-12 hours for pain and withdrawal? Or how long do I have to wait to take the suboxone after taking the patch off?

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After about 140 mg or less a day oxycodone habit, I was given 3 fentanyl patches 50 mg I wore these for about 6 days. I've been clean now for 55 hrs. About an hour or so ago I took about 1 mg of suboxone. I feel about the same,except a very slight headache which I used to get when taking subs before. Anybody know if its safe to take more?

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Lindalou

The fentanyl will be excreted in your urine as soon your body begins metabolizing the drug and will continue to be excreted until the patch runs out of 'juice' and your body burns off what remains (3+ days). But, why would you want to apply a 50mcg patch if you are currently on Suboxone? You realize its effects will be greatly diminished given the high binding affinity of Suboxone right? You'd be likely to feel very little if anything from the fentanyl, and that's assuming you are taking a super-low dose of sub and have no other tolerance built.

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If 2mg gets you to the point that you are comfortable, that is great. Take that dosage daily for 3-4 days and try reducing from there.

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it all depends on how long you were on the opiates. I used to go back and fourth all the time and never had an issue until I did and learned the hard way. however once you are on heavy pain meds with long half lives like fentynel or methadone consistently with no switching between the two you have to make sure you are in full fledged withdraw before taking suboxone. ask anyone who has ever experienced precipitated withdrawal what a horrifying experience it is, and then ask them if they would take a chance on having it happen again.

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I have been taking about 4-5 grams of fentanyl daily for about 8 months. How long do you think I have to wait before I take a suboxone? I always take it too soon and it's the worst feeling ever - it's like dying.... I want to do it right & get off this s***! Plz someone hurry I wanna start tomorrow...

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Hopeless:

You have many variables in there that affect how your body will react, we don't know when you took the 2 subutex, 2 perk 10's but that yesterday was 1/6th of a sub. Depending on the mg of subs, and when you took the others, you could have compounded the sub in your system by a number we can't compute without knowing. Anywho, regardless, it's not a great idea to keep switching between fent and sub - you'll find your tolerance sky rocketing in no time, trust me. But, it's hard to say if you'll get relief not knowing the amount of sub in ur system or fent you plan on taking. And, you are so very wrong in the statement that you can take subutex without waiting until wd kicks in well, as opposed to suboxone because it has naloxone in it. The naloxone is not, I repeat IS NOT the reason you go into precipitated wd if you dose subs too soon after your doc. Naloxone is merely there to deter intravenous use of the sub, as it's bioavailability is near nilch orally but when taken intravenously, well, we know what happens to an I.V. - o.d. with narcan. Precipitated wd can happen with either subutex or Suboxone because it is the bupe itself that is the cause. If you are not in pretty heavy wd, then that means you still have some of your doc swinging along having a good time on your receptors (even if you're not feeling great, you know it gets much, much worse-so until you are there, you still have doc in your system). So, you decide to take bupe, in either form, BEFORE you are pretty ill from wd, and what happens, is the bupe-who has a binding affinity like Hercules, floods in and literally knocks all your doc that was still hanging around, off of those receptors all at once and wraps them in a protective layer of bupe that won't let anything back on. So now you just got kicked from no-mild wd, to complete worst wd in seconds flat. Which is why it seems so terrible. Make sense? I always try to clear that up, so many people end up sick thinking it's the naloxone, but it is the bupe, I promise.

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How long were you on the 100 patch? A year at least before you say 20 hours is ok

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Vonna,

Sorry no one replied right away, any updates on how things are going for you? I assume by now you have taken your suboxone (I know the hell of coming off of fentanyl), I hope it wasn't too soon. Hoping you are well.

-m

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Im on suboxone , I went 2 emergency room for stomach cramps. While in emergency room they gave me fenytanl. How long do I have to wait to take the subox.

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I just took off my fentanoyl patch 1hr ago. First time I tried one. It was 25 MIL. I didn't like it. I have subs now but, I'm not sure how long I should wait to take it. Anyone know?

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It's already a second pass drug bc of how it was administered. So half the metabolism of it is already done. Also more fluids and any food u can hold down that's light, no red meats...lol, will help speed it up.

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For 15 years I've been prescribed 150 mcg Fentanyl patches from a very reputable Orthopedic pain manager. My pcp told me he could help.After 24 hours without Fentanyl he gave me half dose of Suboxone. Within 5 min I was thrown into the worse withdrawal hell and to the emerg. room. you have to wait 3-to-4 days and be in full withdrawals before taking Suboxone. Sorry for the news.

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