Please use this thread to discuss Buprenorphine - Temgesic.

Thanks

if i was an MD, i could prescribe bupe for opioid dependence because i took an 8 hr, 13 module online course required of physicians to prescribe it.

Buprenorphine in the Treatment of Opioid Dependence: Physicians' Course

it's at danyalearningcenter.com. the course is free, but the cme certificate for completing it isn't.

The Pain mgmt Doc I worked for prescribed this for the past several years.

Used to only be available in injection form or a pharmacy that could compound it into sublingual. He felt it was far less physically addicting than other drugs and did a great pain management job.

Kathy

ive heard only a few doctors are licensed to give it, but i had a fried who used it to withraw from opiods and according to him it worked wonderfully.
it was given under the tounge, not sure the mgs, but i know in 6 days they were completely detoxed and only had minor stomach cramping (no direa) for two more days and they were completely detoxed!!! they were takeing 10-15 lortab 10s per day when they went to detox.

its shame only a few doctors are able to even rx this , most are addictionoligist and there prices are generally over 100$ per hour !!! not for the average joe or jane seeking to stop lortab or for those wishing to take a hydro holiday in order to get there tolerance issue down!!
as far as i know hes still doing well and spoke very highly
of the method used above!! later gage

when I took suboxone 4-8mg daily it didnt give me a kick but put me in a generally good neutrel mood for two days at a time, eliminated withdrawal 90%, and cut cravings down by about 75%.

Howdy. When I am able to order this, I do. I take less and less to handle the pain, and am able to go longer and longer between doses. It also doesn't make me "fuzzy-headed," and allows me to function pain-free, instead of bordering on the edge of screaming pain just so I'm able to do my job, and function in general. Its just too bad that the FDA doesn't like it being prescibed in this manner and tries to restrict it to detox programs (which I do heartily support), I just wish some docs would take the off-label use more seriously instead of prescribing Oxycontin, Duragesic patches or ridiculous amounts of short-acting hydrocodone or oxycodone. Really addictive things could easily be replaced with bupe.

Cheers

I just started reading about this drug, and I don't know much about it. Does it block other opiates if you take them the way methadone does? How much of a doseage does someone take at one time? I saw 8mg doseage and a 2mg doseage posted on different threads. Anyone know the info? Thanks in advance.

Yes it blocks other opioids but not quite like methadone does. On bupe in the correct dose (too low of a dose and this doesn't happen) you just can't feel it no matter what you take. It takes much less bupe to have a blocking effect than an equivalent dose of methadone.

The dosage depends on what your doctor tells you you need But since no one cares about that, the dosage you should take is based on how what opioids you take, how much you take, and how long. If you can't or won't go to a doctor, you are really playing with fire and IMO set yourself up for relapse; but anyway, start low and take as you need, taking more every hour as you see you need it to relieve withdrawal. Unless you have a huge habit, use the 2 mg's. Both Suboxone and Subutex comes in 2 mg and 8 mg strengths.

Suboxone is buprenorphine and naloxone (to prevent you from injecting it), Subutex is straight up buprenorphine.

-yawkaw

Listen to Yawkaw..I did! Happily I'm Hydro-free (6 days now)--AND Pain-Free!
NO W/D's either! Hooray for Me! This is definately what I have been searching for..Its worth your time (& life) to find a doctor and try it!-Hope

I need your help here. I took my last bit of hydrocodone today, and I received my Temgesic sublingual tablets, .02mg today. My question is: Since I already took quite a bit of hydrocodone today, is it still okay to take one Temgeisc, .02mg, tablet today? I'll check back for your answer soon. Thank you.

I owuld wait until your hydro is wearing off and your body is asking for you (You know what I mean). Depending on your hydro useage, you should only take one or two tems at a time under your tounge but if you are a heavy user you might need more but these little white pills are very powerful.

I take 2 in the AM and one several times throughout the day and they work great.

PM if you need anything else!

ReOkie

You HAVE TO be in w/d's for it to work for you....I waited 12 hours after my last dose and that is suppose to be the minimum amount of time--wait longer if you can! It will be worth it! Good Luck-Hope

How's it going? I PM'd you back-Have you checked your messages????....BTW, I DON'T know ANYTHING about temgesic....Can you...(OR ANYONE) tell me where to find it? I have a friend who's hydro-use is way out of control....Everyone in his family : mother, aunt, grandma, wife, & brother have medical cards (medicaid) It's a poor family & they ALL have health problems too! He is 33, had 2 heart attacks, 5 bypasses, needs 3 of they re-done...its sad... anyway, They all go to a local doctor every month and get several medications....plus pain meds they give to him!!! (no charge for their office visits w/ medicaid) He pays for the pain meds -usually 120-10's per relative every month! AND He goes to that same doctor PLUS another one in a bordering state. So, he takes all those hydro from his "sources" and his 2 scripts of 120 (actually 240) every month!__I'm AFRAID HE'S GOING TO END UP DEAD OR IN JAIL!! He tells me he wants to stop-I've seen him try & fail many times....I'm very concerned & was wondering if someone would help me who knows a reliable place to get temgesic? How much does it cost? That MIGHT be an option for him, oh yea, he went to a 28 day rehab last year, didn't help ....This temgesic definately would be better than the 25-30 hydros he's taking every day! I WISH HE could afford to go to the suboxone doctor I use...BUT....until then....can someone GIVE ME SOME INFO on TEMGESIC, PRETTY PLEASE? Thanks in advance!--Hope

If he's taking 25-30 hydros (assuming he's being honest, most people understate their usage I've found), Temgesic is not going to work unless he takes huge amounts.

The ideal thing here would be the Suboxone doctor.

If not, and he can somehow afford all that hydro but the suboxone doc (maybe one further away that doesn't charge a ridiculous price...then maybe should consider methadone.

Methadone will also work for his pain in a way that many opioids won't. If he wants to get clean, he could do a methadone detox (21-28 days). If he needs pain relief forever, he could ask his doctor about this, that way he wouldn't have to go to a clinic every day.

-yawkaw

I KNOW A SUB DOCTOR WOULD BE BEST, I mentioned METHADONE--HE'S AFRAID OF IT..LOL! KNOWS SOME ONE WHO OVERDOSED & DOESNT WANT TO GO TO A CLINIC EVERY DAY. I KNOW HE DOESN'T BELIEVE ME ABOUT HOW EASY DETOX IS ON SUBOXONE, I WAS THINKING IF HE COULD DETOX ON TEMGESIC, THEN PERHAPS HE'D GO FOR THE BUP PROGRAM. ...???? JUST A THOUGHT! HIS COST FOR HYDRO IS $22.00 FOR 120 .....HIS WIFE WORKS AT THE HOSPITAL (CLEANING) AND THEY LET HER & ALL HER FAMILY GET SCRIPTS FILLED AT HOSP. PHARMACY AT OR NEAR COST . I'M PICKING UP THE PHONE RIGHT NOW TO TRY AND FIND A C-H-E-A-P-E-R SUB DOCTOR, WHEN I DO, I AM HOPING HE'LL GO WITH ME. FORGOT TO MENTION HE'S ONLY EXPECTED TO LIVE 5 YRS MAX. SOME RARE INHERITED DISEASE-HIS ARTERIES ARE LIKE AN 80+ YR OLD SMOKERS. I"LL PM YOU STUPID THINGS MY QUACK IS REQUIRING ME TO DO --OF COURSE IT INVOLVES MORE $$ TOO--WISH HE HAD TOLD ME THIS AT OUR CONSULT, INSTEAD OF MY 4TH OFFICE VISIT! I THINK HE IS CHANGING HIS PROGRAM UP DAY TO DAY. ONE THING -HE SAID THE FED. GOV. REQUIRED ME TO SEE A COUNSELOR AS LONG AS I THIS MEDICATION & HE HAS TO HAVE PROOF DOCUMENTED......NOW HE HAS HIRED ONE WHO WORKS IN HIS OFFICE... ($95.00 FOR 20 MINUTES! )PLUS I CAN'T SEE HER ON THE SAME DAY THAT I SEE HIM! SO..THAT'S AN EXTRA TRIP EACH VISIT (5 HRS TOTAL DRIVING) I STILL DONT KNOW HOW LONG I TO GO SEE HIM WEEKLY? I'M GUESSING FOR A MONTH-WHO KNOWS?
WHAT ABOUT THE TEMGESIC, IN THE MEAN TIME? HE WOULD HAVE TO ORDER IT-I DON'T DO IOPS! DO YOU KNOW A RELIABLE SOURCE?-OR WHAT THEY COST? ANYONE???-THANKS-HOPE

I want to take a short break from hydro and try buprenorphine. I have a few 2mg Suboxone tabs. Maybe someone can answer a few questions for me?

Should I take 2mg per dose? I've heard some people say they broke their tabs into halves or even fourths and took only 1mg or .5mg. What's the equivalency of hydro to bupe? Is there a formula...like if I'm taking Xmg of hydro 4 times a day, then I should be taking Xmg of bupe 3 times a day (or whatever)? I'm just looking for some general guidelines....

I know I should wait at least 12 hours (or when my body is starting to complain) before I take the bupe. But what about when I want to go back on hydro? Should I wait 12 hours from my last dose of bupe or can it be sooner? If I took hydro too soon, would it make me ill or anything?

Oh, and one last question. How many Temgesics would it take to equal one 2mg Suboxone (I'm terrible at math)?

I know this is a lot of questions, but even if you can answer only 1 or 2, it would be greatly appreciated!

TIA

Imago

Imago,
I hope I can answer at least 1 of your questions! My original reason for being on hydro was long gone, I was tired of all the BS,and out of meds. I took my last 10/500 @ 6:45am, went to my PCP (He is a Saint) and told him the truth!!!
He asked me what I wanted to do, and I told him I read on another board that Suboxone was the miracle drug. I had to call several pharmacies to find it, but I took 1-8mg @ 3:30p and I had no WD at all!! I felt great for 3mos. No pain,no wd but if I can offer 1 iota of advice it would be this:
Taper from the sub.
Feel free to send a PM if you have any more questions.

Ken

I know that they won't let a Methadone patient go to the Bup Program until you get down to 40ml daily. Personally still working on it, you can only decrease 5ml everyt 7-10 days earliest and you do start to feel it once you get out of the range you were use to, so you get a decrease feel bad for 3-5 days by the 7th day you feel ok but then you put in another decrease so you feel like Best if kept off the board again, I wish I would of listened to the warning's on methadone.
Parg...

Need some advise and help here...has anyone been through W/D from suboxone, or buprenorphine ? Is it similiar to Hydro w/d ? Hope

wohat is the average cost of one of these doctors any help at all would be so appreciated



Thanks in advance to all of you

I have been through temesic withdrawyl - Had it for legit pain after a car accident. It stops being effective for pain after 5 days. The WD was MUCH less severe than even hydro - I cannot imaging Methdone or Morph. Since by the 7th day you are not getting the euphoria - you dont miss that. a few (3 a day) 10mg hydros eliminated the temesic WD. It was ideal for me and crisis pain - since it is not effective (for PAIN) beyond 7 days there is NO danger you would take it for side effects (i.e. sedation euphoria)
.



Hope this helps

Post deleted by therhino

40mg hydro orally is = 7.5mg morph iv/in/subq. it takes .6-.8 mg temesic(sublingual) to = 10mg morph iv/im/subq. I was not sure if you were talking daily does or 40mg hydro per dose (that's OK by my DR's Rx).


Us the pain equivalance scales 10mg/morph = 60mg oxy (oral) = 60-80 hydro(oral) = .3mg temesix (IV/IM = .8mgt temesix (oral/sublingual) = 1mg hydromorphone(IV/IM/SUBQ) = 1mg oxymorphones (iv/in/subq) = .2mg stadol (IV/IM) or .4mg stadol nasally. All these are for = PAIN RELIEF. NOT FOR OPIATE WITHDRAWL MAINTNENCE USE - IF your are addictecd without your doctors knowledge - see him about treatment

Responding to timberland:

While the bupe equivalency for pain may seem high, it does not produce the euphoric"everthing will be ok" feeling brought on by the short term full agonists. This is because its mixed agonist/atagonist activity produces a ceiling effect. Also, at least in my case, it has induced horrible migraine headaches. I for one am happy to be getting off it. Anyone been through bupe withdrawl? When will it begin? What is the severity like? I've been on a taper schedule. Any advice how long does the drug block your receptors?

from what I've read and been told by the professionals the W/D from Bup is slim to none. That is why they are intoducing it into meth clinics to finish tapers with.
Parg...

They told you what? It's relative I suppose, but certainly w/d is a factor when stopping bup.....where did you get your info?-Hope