Buprenorphine 8mg 460 (Page 2)

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I have been prescribed the 54 411 buprenorphine pills for about 7 years now. After my last doc visit I filled my script and they told me the same thing about the 54 411 not being available anymore and I got the 460's from them instead. My opinion...they SUCK! Feels like it has about 1/4 the amount of the 8mg it's supposed to have in it. I've been struggling all month with trying not to take more than I'm supposed to. I'm prescribed 1 8mg pill a day and have been happily taking that dose for about 3 years now down from 2 a day. Why this change has happened I have no idea but for me it's not a good thing at all. Besides the huge difference in price I have nothing good to say about the 460's. Does anyone know of a pharmacy that still carries the 54 411? I use CVS

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21

Re: riggsk0915 (# 3) Expand Referenced Message

So is it the sun 460 ones you like even over Rhodes or 54 411 now owned by himka?

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22

Re: Manders (# 19) Expand Referenced Message

yup a sun agent lol he said same thing on my thread about the Rhodes generics which are at least 3x as stronger than even the 54 411 now owned by himka

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23

I have been looking all weekend for the Rhodes too. I'm in Florida the only place I can find them is target stores pharmacy. But none have any on the shelf. They said they are on back order humm anyone who lives in Florida knows where to find them please post..

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24

BRIAN 101

The online tuff guy is right, I can tell u that everyone I know likes the 460s better. So hes not trying to be tuff, hes just right in whaat hes saying,

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25

It's because your using CVS. CVS switched to that brand. I would suggest going to Walgreens that carries the orange oval shaped ones or going to a pharmacy that isn't a big name like CVS. That's what I do but sometimes I have to go to Walgreens to get the orange one's bc of location and timing. Walmart doesn't carry the one's CVS does either but they don't do partial fills anymore so that's why I stopped using them. I know what your talking about though with it not feeling like it does the same job but the orange one's at Walgreen's, I think would be your best bet as far getting close to the one's your talking about. But again I would definitely check one of the local pharmacy shops that aren't as well known as CVS, Walmart, etc.

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26

Absolutely, the same thing is happening to me now. Been on 54 411s or 8->s (arrows lol) for 4 years and had to swap my pdp for Medicare and now have to use "preferred pharmacies" and these preferred pharmacies are only buying the sun pharmaceutical 460s bc they are much cheaper than other makes..I was told this by the pharmacist at cvs in St marys, ga. They are forced to get those now, they're under contract, but all the customers are complaining about the 460s saying they get sick, terrible withdrawals, etc... and that I should complain to the fda. That's all I can do. I personally am swapping to another pdp with Medicare should I can choose what pharmacy I use. That way I can go to a smaller, local pharmacy who isn't under contract with anybody and they order ehatever I ASK FOR...my doc writes the script and makes generics ok so it the only way I see that I can control what I put in my body. The 460s feel like poison.

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27

Re: KristenGfromGa (# 26) Expand Referenced Message

I agree with you... you mentioned the 460 make most feel like they are sick and somewhat of a withdrawal feeling..if somehow you or someone could get together even from the other medschat forums on buprenorphine, look through them and find the ones that are only able to get the 460s..together get signatures and go to the head honcho to fight this battle. Because the chain Pharmacies cant, or let's say won't do..they are only workers and want their paychecks at the end of the week..all your chain Pharmacies at least in my area one has one brand. The next another..so I found out a long time ago to use a mom n pop pharmacy. They need your business way more than a big chain Pharmacies. I've never bumped into the few brands like sun, mylan. I've been on subutex since 2007 so its really surprising to me I never even bumped into either one... now in such you bvb all have heard about the new generic Rhodes, they are comparing it to original brand subutex and then teva comes out next. Between teva and Rhodes I was just told they only have one inactive ingredient difference between the two. So that makes Rhodes now even better than the hikma buprenorphine 54's....and I never thought one would ever come out so closely to teva..because everything else that followed has been junk..everyone has a comment about one of them because of the inactive ingredients in each one....not to mention that out of all the generics only 3 have a lower dose of buprenorphine in them. Most will say 8.64mgs of buprenorphine equivalent to 8mgs. So see that's another biggie when choosing your brand of subs. Look at the chart on Google first then choose one and try to get it..some are still listed just not available anymore.

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28

Re: jj (# 16) Expand Referenced Message

I don't know what inactive ingredients they changed in what was old roxanne... then westward...now owned hikma 54s..but you can go to Google & type in BTODREMS - all the generics buprenorphine will be listed. Any info one might need is there for us that use subutex or suboxone or zubsolv. You will also notice if you look and compare the amount of bup in each generic most will say 8.62 I think equivalent to 8mgs. Mylan has less 8.624mg bup equivalent to 8mg...only two have just plain 8mg bup, that is sun and actavis. So you can check it out. It's a useful tool for us to use along with doctors and pharmacists who use it all the time so look at the ingredients and compare to see what each one has.

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29

Try walgreens...I got the orange 8s from them recently in Georgia....cvs is swapping to 460s from Sun Pharmaceuticals. .look it up...they SUCK!!!!!! I also used walmart and got 54 411s....there's a small pharmacy here called Medicine Cabinet that has small 8s with arrows....hope this helps....

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30

Re: Charlene (# 27) Expand Referenced Message

Exactly...i.posted a link to complain to FDA awhile back...it said online when two or more people were having same bad reaction to a med that an investigation would begin....so I encourage all who've gotten sick from 460s to speak out!!! We only have power if we scream together!

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31

Same thing happened with me but I was switched to Hi-Tec brand which are smaller and dissolve faster.

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32

Re: KristenGfromGa (# 29) Expand Referenced Message

I do not and will not ever except the orange half moon from actavis. I dont like anything about them not to mention they have less bup. In them and this is a very expensive medication. The only other one is sun . Now they Mylan is the one that has less bup it . All the others have 8.64 mg of buprenorphine equivalent to 8mgs. The only 2 generics I will accept is hikma 54 411s or the newest generic is Rhodes it's like 2x stronger than the rest , it's very smooth tasting and a very well made pill. They are made by Purdue who put out oxycontin. Purdue makes very good medications .they are manufactured by Rhodes that puts them out. Everyone should get a chance to try them . Everyone I have told this to is very very happy. Someone asked yesterday a question..... which one should I choose at the pharmacy they have both, everyone said Rhodes of course but one person said it correctly there is no comparison it's out of the ballpark get Rhodes.. he did and came back thanking us all for feedback try them follow the money Rhodes new generic buprenorphine came out in Oct 2017 and are showing up slowly us who have them had to hunt and we found them

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33

Re: KristenGfromGa (# 29) Expand Referenced Message

Do you really like the orange half moon??. Or is it because it's all you can find?? IM just curious about it because most pplni know run from actavis brand that Walgreens carries. I have 5 stores in my area that I can get actavis anytime I want to because that's all Walgreens has carried for many years now..I will always go to the next pharmacy and avoid the orange half moon. I have never found anyone that says they like then..I will always get the hikma 54 411s or new Rhodes Rb b8 they are white round and we finally have a generic worth bragging about I have done subs for almost 15vyears now and nothing ever compared to original brand subutex other than teva b799

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34

Re: Manders (# 19) Expand Referenced Message

i agree i got 12 today. Jus did 2mg n it feels jus as good if not BETTER no lie guys. I been on suboxone n tex for over 4 yrs. N these seem the same really. I jus hated the arrow 8s by hi tech. I actually feel an opioid warmth off these 460s n i feel great! No burn in nose or mouth. Is it possible ones getting these effects are either mentally tricking themselves. Or jus being how us addicts are. Me too lol. We want what we want when we want. Try to remember ritual is a huuuge part in addiction n e thing that changes up after using a trusted med for years, will make u anxious n freaky. Act like their good n thry will be. Im feeling fine rite now off 2mg

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35

Re: sativabupeyea (# 20) Expand Referenced Message

I agree. Just picked up 12 Sun Pharm 460s from my 60 tab script. at a mom n pop shop. N this is the first time i felt euphoria n opioid warmth since starting. (Mostly suboxone. N the 54 411 roxies or westward or w.e the f*** they are now) i almost feel like i took a blue. No joke. I feel amazing right now after 2mg ROA IN.. Instantly felt my stomach get better n a warm opioid euphoric blanket is over me. Feels like when i first started subs. I don't take them for a buzz. My 54 411 no one even could tell i was on a med. It just made me normal. These seem the same if not a bit better than 54 411s, hmm ill keep u updated. I cant believe 2mg has me feeling amazing. I get we all want what we know, but these 460s are doing me fine so far.

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36

Ok guys i have no idea why ppl are complaining bout the 460s. I literally dosed at 11 am w this for first timevafter yrs of 54 411s. Its 610pm rn n i hahvnt had to take another 2mg dose. Im absolutly SHOCKED ida had to do atleast 2 more doses of the 54 411s by this time. So until i find less desirable rezults from this brand this is my new fav. I cant believe i feel fine n good rn after just my morning 2mg dose. I have no reason to lie guys. Im a long time suffering addict whos life was saved by bupe. I now have a great paying job n bank account.. But boy i was scared all the negative feedback didnt psych me out n think they're bad. But woooww i feel great like 7 or 8 hrs w no dose. Normally i need atleast 2 more of 54s by now. My honest experience. First time i actually felt euphoria or subs in yrs

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37

The sun brand is one of the worst imo. The mylan and sun are my two least favorite brands. Ive been on buprenorphine since 2006 and Subutex since 2010 so I've tried all the Subutex brands over the years. Brand was the best, Teva's was the best generic but they are both gone. Now Rhodes is the best available and the old Roxanne now called hikima is second. The rest are pretty awful and I refuse to use any brand except for those two.

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38

Purdue makes a Buprenorphine product called Belbuca. It is a gel that is placed on the inside of your cheek. The benefit is that it is supposed to disintegrate (and thereby enter the bloodstream) within seconds. I have not tried it, but I wanted to. The most prescribed form of Buprenorphine is called Suboxone, a drug that is purported to help addicts go off of hard drugs. I tried it for pain, and since I don't do drugs, the additives were not a concern. But I could not keep anything down. Over six months I lost 50 pounds. My last hope was the Belbuca, but no one would prescribe it. In the meantime, I have concluded that I have some kind of allergy to the drug. I do believe it to be a useful pain med.

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39

Re: Michelle (# 38) Expand Referenced Message

Did you try Suboxone or Subutex? There is a difference. Suboxone has buprenorphine plus naloxone and subutex is just buprenorphine. I had a bad reaction to the nnaloxone in Suboxone and it made me very sick and depressed so eventually I was switched to Subutex. After about a 5 days on Subutex I started to feel better and eventually felt normal again. I went through alot of crap before a doctor would switch me to subutex.

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40

Re: Bobby (# 39) Expand Referenced Message

I tried the pill which I believe did not contain Naloxone - got sick each time though I attributed the reaction to the fact that it took a long time to disintegrate.The time it takes for Suboxone and the pills to disintegrate caused much of the drug to be swallowed. The drug apparently does not provide relief if swallowed. Hence, my interest in trying Belbuca. The different formula and promise of very fast entry to the system seemed worth trying. But I was never allowed to try it. I moved on. I now take Tapentadol ER (Nucynta) and SR for breakthrough pain. It is by no means perfect, but it does help on most days.

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