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#105334 - 08/27/04 01:07 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Stranger
Registered: 07/07/03
Posts: 15
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It's far from the miracle drug its touted as...why else would the feds allow it for narcotic addiction treatment, out of the goodness of their hearts?  Before its use as a treatment for addiction, bupe was classified as schedule V! I get migraines, but have never had them at the frequency I have since going on bupe and they are usually induced by allergens, never drugs, until this one. Bupe is made from a different alkaloid(thebaine)of the poppy than the more common opiates/opioids. It stimulates the mu recptor, but not nearly as much as morphine, codeine, etc. But it dissociates more slowly, comparatively, making it a good candidate for preventing withdrawl without much euphoria(though as someone mentioned) it is a pretty good painkiller, apperantly not for headaches though!
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#105335 - 08/27/04 01:28 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Journeyman
Registered: 05/23/04
Posts: 62
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Hope,
Sorry to be so late with an answer , but I asked my PCP for Sub. and he wrote me a prescription for 30 8mg. 1 every 4-6 hours as needed, w/3 refills. It was approx. $210 per and my ins. would not pay. I noticed no w/d going from 6-7 10/500 lortabs per day, however I did not taper from the sub. like a dumb***!!!
The 3rd day after I ran out of the sub. I was climbing the walls!!! I was too embarrassed to call my doc.(2nd time) so I ended up back @ square one.
It is a miracle drug in my opinion, if directions are followed.
Feel free to PM me.
Ken
Ken
Edited by Leroy47 (08/27/04 02:14 PM)
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#105341 - 08/29/04 10:34 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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GRAND Pooh-Bah
Registered: 04/02/02
Posts: 2113
Loc: Southwest U.S.
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Quote:
Hope, No he was not on the list. I told him my story, he asked me if I got them from his office,and I assured him I did not. He asked me if I wanted to do outpatient, I said yes, and he wrote me a script.I don't think he ever prescribed them before. I read somewhere that any doctor can take an 8 hour course, but I have no idea if that is the case. Good Luck to all, Ken
If he was not on the SAMSHA list then maybe he didn't take the one-day course. I think that doctors who have the special DEA # for outpatient detox/maintenance with Bupe don't have to be listed if they don't want to. Doctors with regular DEA #s can use Subutex and Suboxone off-label for pain, depression, whatever they deem fit. They take a risk, though, when they prescribe anything off-label. In addition to the controlled substance concerns, they need to worry about malpractice. When a doctor prescribes according to the label, it's hard to sue them over the outcome. Not so for off-label prescriptions.
If your doctor prescribed it for opiate dependence without that special DEA # and without being board certified in addiction, he was taking a big risk.
_________________________
Vote Libertarian if you want freedom. If you're not part of the solution, you're part of the problem.
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#105346 - 01/04/05 08:22 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Old Hand
Registered: 03/11/03
Posts: 399
Loc: East Coast
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Quote:
This forum is not to discuss suppliers. This thread is to discuss Buprenorphine - Temgesic and not the compnaies offering it. We have other forums for that.
Thank you for your support.
Edited by Melody (08/08/05 01:11 PM)
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#105347 - 01/12/05 07:51 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Pooh-Bah
Registered: 05/23/03
Posts: 1079
Loc: ID
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Questions regarding withdrawal from oxyc and oxycodone... My PMD feels that he found my pain generator and that a procedure will help me later this month, then start a taper, with bupe. What can I expect? I will be in the same office, same doc, everything, IF everything works(fingers crossed) So experts out there, step up and tell me what you think of this drug, and if it works, and how long it takes..I am not on a heavy dosage. Total of 40mg of oxycontin and 10 oxycodone for b/t. Any experts out there? trixxie
_________________________
Dream outloud
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#105348 - 01/12/05 10:19 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Member
Registered: 10/31/04
Posts: 98
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According to my doctor, there was a Fall, 2004 conference in Paris (where Buprenorphine therapy was pioneered) and they all agreed that many of the initial assumptions about Buprenorphine were wrong. Make sure you get a sufficient dosage. I was at 32mg by the end of my first week. You cannot OD on this stuff (so long as you do not drink or use benzos), so higher doses are fine. My doctor had a patient who was unresponsive until 70mg. That is common in Europe where they have had more success.
You insurance company will complain, but it is worth it. Methadone can be pretty devestating. I swithced off of it ASAP. I have been very happy with Buprenorphine, but I do believe that a high dose in the beginning really dose help. Higher doses are the best indicator that someonw will continure treatment in the first few weeks. For your current meds it is better to dose liberally.
Also, if you ever do need pain meds after taking Buprenorphine, remember that only Fentynal can override it without complications. Morphine and oxycodone can, but they often require a respirator. It is a bad deal. So if you are hurt, tell the doctor to use "IV Fentynal titrated to effect." I hope that helps. I have really liked Buprenorphine. I have tapered off of it after a car accident, and now I am back on at 4mg. It is really a great way to taper off opiates, or for side effect free long-term maintenance.
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#105351 - 02/06/05 06:26 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Stranger
Registered: 09/16/04
Posts: 3
Loc: Gulf Coast
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Quote:
This forum is not to discuss suppliers. This thread is to discuss Buprenorphine - Temgesic and not the compnaies offering it. We have other forums for that.
Thank you for your support.
Edited by Melody (08/08/05 01:12 PM)
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#105354 - 02/07/05 06:20 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Veteran
Registered: 01/28/03
Posts: 553
Loc: North
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Quote:
do you go thru any withdrawls from buprenorphene as well since you stay on it for awhile until you get a stable dose and gradually lower your dose? i would imagine some type of withdrawl symptoms, but im assuming it's just less severe than hydro withdrawl, is that correct? i know methadone withdrawl is horrible, even with a gradual taper off, is bup like that too? thanks.
From my own experience, Suboxone w/d is NOTHING. Hydro w/d is hell.
I have been on Sub for over two months now. I had a week of no medicine and was abruptly off Sub for that week and I had no w/d at all!
When I began Sub, I was tapered up in dose from 2 mg to 8 mg daily. I will take 8 mg daily for now and later on, maybe a year, my doc will taper me down and off of it.
Since my experience has shown that I tolerate Suboxone very very well, I don't fear Sub w/d, or minor, if anything. Sub does have a long half life so that 3-4 days after stopping the med is when you might feel any w/d if there is going to be any. Hydro was just about 24 hours on the dot...I could predict my "flu" ..
_________________________
~Princess Pocahontas~
Better living thru the Pharmaceutical Sciences
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#105355 - 02/08/05 11:40 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Stranger
Registered: 09/16/04
Posts: 3
Loc: Gulf Coast
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From my experience.....Unfortunately I "detoxed" 3 times as noted in my post above regarding prices. Thankfully the 3rd time did the trick and I have been opiate free for over 8 months now.....Please believe me when I tell you that the shorter the length of time you take the Bup or subs, the better. If you stay on past a few weeks, you WILL have w/d's from the subs. Not nearly as bad as from hydro, but not pleasant nonetheless.
Think about it...the subox or subutex is a synthetic opiate, which satisifes your need for opiates, and yes there is also an antagonist in the med which blocks the euphoric effects....but still, you will become "addicted" to a large dose, or even 4mgs per day, and will go through w/d similar to opiate withdrawal,though not as bad. The general consenuse, after reading about the topic for 8 months now, is the shorter the time, and the lower the dose of the sub, the better. The long term maintenance is advocated by some docs who do not personally go through the detox, so who knows better than the patient. ( me in this case.) After 3 trys, the one that worked best for me and most cases I read about was 4 to 6 weeks on the sub until you taper down to 2mgs per day....then take naloxone, for another 2 weeks....then stop!! A bit uncomfortable and craving at first, but nothing as bad as "quitting" the subs and nalox following an extended maintenance program I know maintenance is the less scary route to opt for in the short run, but in the long run you will be in what we refer to as "bup" hell....plenty of stories on the net. I can personally vouch for the less, the better. You will pay for long term maintenace and have w/d from the long term use of sub.....it is a synthetic opiate........ In the case of sub or bup...less is more!
Good luck....used correctly, subutex or suboxone is a blessing. It is better to detox with subox than subutex, as the subutex just makes you feel "too good" due to the opiate and euphoric sensation that does not have the opiate "blocker" that subOXONE has.
The meds are a Godsend....try to use a Family Practioner who is on the list. THe psychiatrists, in my experience, ar MUCH more expensive.
Good luck and God Bless.
Nicki
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#105357 - 06/10/05 03:10 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Banned: soliciting
Registered: 10/25/03
Posts: 108
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Quote:
This forum is not to discuss suppliers. This thread is to discuss Buprenorphine - Temgesic and not the compnaies offering it. We have other forums for that.
Thank you for your support.
Edited by Melody (08/08/05 01:12 PM)
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#105358 - 06/12/05 05:49 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Banned: soliciting
Registered: 10/25/03
Posts: 108
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Quote:
This forum is not to discuss suppliers. This thread is to discuss Buprenorphine - Temgesic and not the compnaies offering it. We have other forums for that.
Thank you for your support.
Edited by Melody (08/08/05 01:13 PM)
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#105359 - 07/03/05 09:19 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Member
Registered: 04/11/04
Posts: 144
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Quote:
This forum is not to discuss suppliers. This thread is to discuss Buprenorphine - Temgesic and not the compnaies offering it. We have other forums for that.
Thank you for your support.
Edited by Melody (08/08/05 01:13 PM)
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