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#105366 - 07/23/05 07:44 PM
Re: Buprenorphine - Temgesic & Hydrocodone?
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GRAND Pooh-Bah
Registered: 03/25/04
Posts: 8800
Loc: Right Here
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taken from: http://en.wikipedia.org/wiki/Buprenorphinewhat it is and the other names as well as they are different, Buprenorphine is a partial opioid agonist and also an opioid antagonist. It came out as an analgesic in the 1980s, but is nowadays used also for the treatment of opioid addiction. It is sold under trade names such as Temgesic (sublingual tablet of pure Buprenorphine, used mostly outside the US), Buprenex (pure injectable buprenorphine), Subutex(lemon-lime flavored sublingual) Subutex is an oval shaped tablet in 2mg,4mg, and 8mg dosages. Subutex contains pure Buprenorphine, Suboxone(orange-tang flavored sublingual) Suboxone is a 6 sided hexagon shaped tablet, comes in 2mg, 4mg, and 8mg dosages. Suboxone is combined with naloxone). The naloxone is to deter addicts from trying to inject the tablet. Buprenorphine is a Schedule III drug under the Convention on Psychotropic Substances[
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Takes a Lickin' & Keeps on Tickin'
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#105370 - 08/11/05 07:54 AM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Pooh-Bah
Registered: 04/02/04
Posts: 1020
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Interesting, just found this. (bold added by me) http://dpt.samhsa.gov/pdf/2005_statement_buprenorphine_30%20patient.pdfFor Immediate Release Contact: Leah Young August 4, 2005 Phone: 240-276-2130 Statement Charles G. Curie, M.A., A.C.S.W. Administrator, Substance Abuse and Mental Health Services Administration U.S. Department of Health and Human Services “The Congress and the President have removed the 30 patient group practice limitation on the use of buprenorphine for the treatment of opiate addiction. By removing this barrier, our healthcare system can greatly improve access to recovery for many of our citizens currently addicted to prescription painkillers or heroin. “I want to applaud the physicians who are prescribing this medication to help their patients who became addicted to opiates and I am reassured that early concerns about the abuse potential of buprenorphine have not come to pass. We at the Substance Abuse and Mental Health Services Administration pledge to continue working with the medical community and addiction treatment experts to ensure that any person who is in need of addiction treatment for opiate addiction can find a qualified physician in the community who can provide treatment.” # # #
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#105371 - 08/11/05 09:08 AM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Enthusiast
Registered: 11/08/03
Posts: 178
Loc: CALI-DREAMIN
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Pocahontas -Thanks for posting...would you mind sharing your taper schedule? I was in an automobile accident too. I won't go into details, but I was in and out of hospitals, doctors, and dentists offices for 2 years after that and had to take pain meds constantly. This got out of control 10 years later and my hydro usage was super high & not helping the pain. THANKS to DB I learned about suboxone, and found a great doctor who is reasonably priced...($250-$300 every 3 months). Unfortunately, I have been back and forth between suboxone and hydro for quite a while, maybe a year, and the really weird part is that lately, I NEVER have any hydro cravings (thank goodness!) because I can't feel it anymore! ~ This is a huge revelation for me and it's only been this way the past couple of months.... In fact, I cannot "feel" hydros ~even 5-6 days after my last sub. I WOULD LOVE to get off suboxone....this is kind of hard to explain... but I just feel "bad" and "down" 2 days after my last suboxone. I am very tired, yawning constantly, some sniffles, restless legs, and diarrhea, so..... I end up taking hydro at this point and it works! It stops all w/d's but I don't have the euphoria feelings anymore...a good thing! Now I will admit at first, when I went back to hydro, I definitely "felt" it and I'd end up taking the huge doses I use to take before I got on sub...350mg++ daily. However now, since I can't "feel" it, so I only take 1/4 the hydro I use too...(which is still too much)....but it stops the blues and sniffles, ( very minor symptoms compared to hydro w/d) so I take it......I'll do this a couple of weeks, at which point should try a hydo taper....but I don't.... I hate hydro w/d's, so.... I go back on sub (8mg daily).... ~I hope there is someone out there who can understand this!!! ~~ I still have pain, I believe I could manage it w/o opiates...but....I don't know... I am 1000 times better off physically & financially, and than I was before I started suboxone....and I would love to stop taking all meds like you did... however, I have some serious discipline issues! If you don't mind, could you share your taper schedule? It's time for me to get off meds and off this crazy roller coaster I keep jumping on! ~ I am curious if any one else has found sub seems to permanently block the "feel" of hydro?..... Or am I the only stupid one who keeps taking it? --Hope 
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#105373 - 08/12/05 10:15 AM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Member
Registered: 04/13/03
Posts: 95
Loc: northern california
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day 8 no hydro, no w/d i've done only 1 .2mg temgesic today and about 3gr. of Kratom powder in capsule wonderful to be free again. i'm pretty confident that the slow taper i'm doing off the temgesics will also not bring about any w/d symptomn since by the time i'm finished i will be doing no more than 2 .2mg of temgesic a day. be well all.. i know chronic pain sucks, i myself use cannabis for the injury in my knee and the TMJ, it does wonders for me. I understand that it doesn't work for all and for some it makes them tired. I'm one of the 'lucky' ones, can toke cannabis all day and still perform my daily duties of worker bee, father, husband, friend, etc.. if you TRULY want to be FREE of hydro you can be. It takes discipline, will power, and the absolute desire to have your freedom back. be well all. boo
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#105375 - 08/12/05 10:43 AM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Member
Registered: 04/13/03
Posts: 95
Loc: northern california
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Yes I know. I had 8 months free of hydro, or any opiod for that matter then fractured my wrist, and whadda ya think they prescribed for me, HYDRO! And being the lover that I am for opiods I got hooked again. Dumbest thing I ever did, but I do know that you can quit, you can start over, and you can start to 'live' again without the dependence of opiods. Believe me I'm no angel. I like to drink on occasion, and I like my daily cannabis after work to just sorta let the day slip away -- it has never had the grip on my that the hydro did, I don't wait by my door for the ups/fedex man, and being in california is somewhat nice, they pretty much let you grow the stuff without hassle provided you aren't growing to sell for profit. So my current drug of choice basically is free. I hope to not be injured again and if I do I think I would request something else that wasn't so addictive. be well all stay strong -boo
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#105376 - 08/15/05 08:44 AM
Re: Buprenorphine - Temgesic & Hydrocodone?
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Member
Registered: 04/13/03
Posts: 95
Loc: northern california
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another weekend with no hydro.
down to 1 (.2mg temgesic) I take it in the morning on an empty stomach.
then i take 4gr. of super premium Kratom powder in capsule form (it's about 9 caps based on the size of the caps that I use)
I follow with a warm beverage (tea, usually green) this helps dissolve the caps quick. Within 60 minutes from ingest I'm a happy camper for the day.
Lunch bring another 4gr of Kratom.
Then after work I do another 4gr of Kratom.
I'm just about out of temgesics. Today or tomorrow and I'll be down to only Kratom. I plan on this method for the rest of the work week. By Saturday I hope to be Kratom free as well, although I'd still like to try an 8gr dose and see what type of effects I receive.
will update the thread as needed.
hydro free , feeling groovy.
be well all
boo
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#105386 - 09/28/05 08:34 AM
Re: Buprenorphine - Temgesic & Hydrocodone?
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GRAND Pooh-Bah
Registered: 10/27/03
Posts: 2169
Loc: Bearing Strait Ice/Land Bridge
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Whoa whoa whoa....I think you may confuse some people with your post.
Temgesic is only Buprenorphine, which is a partial agonist, not antagonist. The antagonist is present in Suboxone, as Naloxone, but not in Temgesic.
And so no, it wouldn't take 10 0.2mg tem's to equal a 2mg Suboxone, because Suboxone is a combination of medicines, in a 4:1 ratio I believe.
Also, lot's of people who were taking Hydro, maybe at higher amounts, but many of them have been given the 8mg doses...and pretty freely at that. Maybe depends on the Dr.
So don't try taking a ton of Tem's so as to feel like you're getting the same doseage as a person on Suboxone, because it won't be the same. Two different formulations. Anyway, start with one or two of the Tem's, they should be more than sufficient to take care of pain or withdrawls.
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#105392 - 09/29/05 05:54 AM
Re: Buprenorphine - Temgesic & Hydrocodone?
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GRAND Pooh-Bah
Registered: 10/27/03
Posts: 2169
Loc: Bearing Strait Ice/Land Bridge
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Quote:
Do you take Temgesic under your tongue like you do with Suboxone? Just wondering, cause if people swallow them and you are supposed to let it disslove under your tongue then you wont get any affects from the med, except being really constipated and have stomach cramps.
Good advice Max, and Temgesic also comes in an injectible form, called an ampule. Basically, it's a little glass container, you break the top off, and then use it to inject into the muscle, which by the way, is much more effective than sublingual or under the tongue.
I think I've heard of one person say that even though they swallowed the tab, it worked great for them. But for the majority of people, if the tab is designed to be dissolved under the tongue, you best do so at the risk of waisting a dose most likely.
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