Safety Of Taking Suboxone 8mg And Tramadol 50 Mg Together

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malonnia Says:

Getting back to tramadol and suboxone... I was put on tramadol hcl 50mg by my primary doctor. He started me out with 3 tramadol daily, now he dropped it to 2 a day. My question is, he said it was safe to take w/ my suboxone (i've been on sub about 15 years for opiate addiction), and he said Tramadol is the only pain med that you can take (strong enough to give my lower back some relief) and safe to take w/ the suboxone.

But i think I'm now dependent on the tram, i get the sweats, body aches, all the same withdrawal as w/ opiates, and i still take my suboxone which don't seem to bother me. But know i take anywhere from 15 to 20 tramadols per day, I'm supposed to take 3 suboxone per day, but i'm only taking 1. Please help, i have a lower back injury and my doctor who left town was prescribing 4 x 40 mg of oxycontin 4 times per day (that's right - 16 of the 40 mg per day). So i won that battle and it was the hardest thing I've done in my life. Now i need to get off these trams, and i want to do it alone. I don't want to go to a rehab facility.

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David Says:

Hi malonnia,

One thing I am confused about though is the idea of taking Suboxone with an opioid such as Tramadol (which is what labels it as). I often read that taking any opiate/opioid with Suboxone is a no no for the buprenorphine can throw other pain meds off your receptors causing precipitated withdrawal and/or causing them to not work as well as it should (hence the need to take more Tramadol or less Suboxone). I don't know what makes Tramadol an exception is this regard? However if you've already been taking them together as it is, I'd imagine that you'd just have to go off how you feel in so far as determining how far apart you should take the Suboxone / Tramadol for best results.

On the other hand if you're looking to stop Tramadol altogether, in many cases a slow weaning period is recommended when a patient has been on an opiate/opioid for an extended period of time. I would just encourage you to ask your prescribing doctor (or any other doctor if yours recently left town) for a tapering schedule that you can follow on your own without having to go to rehab.

I wish you the best of luck in reaching your goals! Sorry I couldn't be of more help.

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Subutex will block or throw off tramidol off the receptor. It's a synthetic opioid . It's no longer even supposed to be prescribed for humans. My vet gives it to my aging dogs. But it's considered unsafe. 15 to 20 anything per day is not safe. You probably have been in a state of WD for a long time. I encourage you to stay on your Subutex and see your Dr about stopping tramidol. How are you legally getting 15 to 20 trams a day? You obviously have an addiction. Im so sorry you are batteling with it. And not getting the treatment. You could be thrown out of a Subutex program if you abuse anything. Studies show GABA drugs may loose their effectiveness over time. Usually after about a yr. You might cycle on and off. Or change the dosage. You are fine to take GABA, subutex together. What worries me is you have been abusing and not addressing that . We as addicts every day fight the same ugly demons. These horrible demons creep up on us. We trust them at times more than anyone.plese be honest with your Dr. If that dr does not listen find a new one. All my best.

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LoLo RN85 Says:
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I'm a RN and just wanted to clarify that tramadol are NOT I repeat NOT being taken off the market for humans!! I don't know where you got that info from but it is definitely wrong! In fact I'm standing next to a pharmacist right now that just returned from a new pain med course in Boise and he said ABSOLUTLY NOT!! However you are right that they are prescribed for animals my old German Shepard is on them in fact! And yes they are now proven to be highly addictive and sometimes tend to be worse of a withdrawal than all other opioids except methadone which has proven to be the worst!! Sorry I had to clarify and fix the mistake this person just posted!!!!!!

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My Words Are Gems Says:
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You can take Suboxone and tramadol together because Tramadol is a synthetic opiate. There are a lot of misconceptions that taking Suboxone and tramadol together will cause a acute withdrawal... the only way that will happen is if you take 10 - 15 Tramadol tablets and then take Suboxone. But if you take suboxone first and then Tramadol you'll be fine I am on Suboxone for opiate addiction I've been on it for almost eight months now I also suffer from lower back pain as well and take Tramadol for the pain.. my suggestion is stick to the Suboxone and take your proper doses if you take it correctly you will not even think of pills..stay strong and know that it can't rain forever friend.. hey if you ever need someone to talk to I'm always here because I'm going through the same thing you are

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