Oxycodone To Belbuca

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Kim Says:
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I've been taking 30-40 mg of oxycodone #100 tabs per month for two years. Today my pain mgt doctor says "I'm not longer writing any pain meds except this, belbuca. He gives me 30 tabs of Tylenol #4 to take for withdrawal while pharmacy orders in new drug. He is starting me on 450 mcg films bid. 1. Aren't I facing serious withdrawal symptoms and a long weekend and 2. Should I be worried about resp depression at that starting dose?

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David Says:


Sorry to hear about your situation. For starters, I feel that it's best to just focus on remaining calm and not worry yourself to the point of stressing over things that may not occur. I think the doctor recommended the 450mcg films because in his medical expertise it seemed appropriate. However, you should always contact the prescribing doctor or local pharmacist if there are any concerns about the decisions they're making on behalf of your health and well-being; respiratory depression being an important one.

As an outsider observer looking in, I also theorize that the prescribed Tylenol #4 would probably suffice as a serious withdrawal preventative (i.e. at the very least, mitigating Oxycodone withdrawals to manageable levels).

Belbuca (Buprenorphine) on the other hand seems to me like it would run the risk of causing precipitated withdrawal (unless you're already in a state of withdrawal and don't have any opioids in your system). Buprenorphine has such a strong affinity to the mu-receptors that it would likely knock everything else off the receptor sites. Not to mention the ongoing risk of withdrawal under long term treatment. So these are just some things I'd discuss with the doctor if it were me.

Does anyone else have thoughts or suggestions to add?

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