Im not possitive but I think the reason beupenepherine is the strongest opiate is because it has such a long half life and I think that has been taken into consideration when they give the potency equivilences. plus 2mgs can hold over a heavy oxy user(160mg+/day) over for a day so itis actually pretty strong stuff it is just designed so people cant abuse it. I think it has something to do with how it attaches to your receptors. But if its working who cares continue with it, wean down and kiss pills good by. Im also in the process of kicking pills. Good luck with recovery!
Im not a doctor, I just reseach alot and have eexperience in the feild.
(edited by TeamPharmer)
Your saying that suboxone (buepinephrine +naloxone) and subutex just(buepinephrine) override as in cover up or satisfy the receptors, making it unable to get high of other opiates. And does this take a while to start working fully. Plus are you saying that just subutex(buepinepherine only) has a very high potential for abuse because of the potency and if so is it because just doesnt have time to bind to the receptors or something.
(edited by TeamPharmer)
We're not saying anything about abusing either drug. We're not here to discuss abusing drugs. I still am not convinced that anyone has a firm grasp on how suboxone, or subutex works. There is conflicting literature on both of the medications. Depending on what cite you reference, one lists subutex as having nalaxone in it. Other cites do not make mention of the nalaxone. In short, only take the Subutex or Suboxone the way your doctor has told you to take it.
Gtrplayer
Suboxone is most deffinately Buprenorphine with Nalaxone and Subutex is Buprenorphine alone. At the very bottom of www.suboxone.com down there at the bottom where you usually find stuff like Home-Contact US-Legal Statement-Site Map theres one that says PI its the full prescribing information.
I am not a doctor just a chronic pain person that chooses to take advantage of a lot of new meds for us people.
I have never taken subs before but I sure have been hearing a lot about them, to the person that just wrote in " sleeper " in your honest opinion do you really think that 2-4 mg of suboxene would hold you over as much as 100 mg of brand methadone pills a day would ? I am very curious because I have been thinking of getting off the methadone and switching to something else, how do you think the pain docs view suboxene towards methadone treatment for chronic pain clients ? please write me back I really would like to know. Thank you.
Both of you are wrong in stating that buprenorphine is the 'strongest opiate'. It is the second strongest opiate prescribed in the US for medicinal use in humans, number one being fentanyl. They are close, but according to Rawoody's Conversion Chart you can see that fentanyl is 50-100 times the strength of 10 mg morphine, while buprenorphine is about 40 times the strength of morphine. Carfentanyl is on there too, being 100,000 times the strength of morphine, but is only used for zoological purposes. Please do not post information that is unfounded on this site, as it could be misleading to some readers and be construed as fact.
To answer your question above, I believe there are many advantages to switching to suboxone from methadone, but then again, it depends on what you're on methadone for. If it is for opiate addiction maintenance, then the suboxone (IMO) would be a better route to go--however, 2-4 mg may not hold you over for a day. I think a lot of doctors start a patient out on anywhere from 8-32 mg/day, depending on the patient, and then taper you down.
If you are on the methadone for pain management, which I'm guessing is your case since you asked about chronic pain docs, then suboxone (again, IMO) is probably not the best choice of medicine to treat your condition. Some would argue, and I guess it would largely depend on your chronic pain condition, but suboxone is not really proving to be great for managing chronic pain. But since each individual's case is unique, you should ask your doctor about what choices may be best for your condition.
i have been on vicodin for over a year, taking 10 pills at least a day, went to the dr. and got subox and it is a Godsend to me! No body aches, no irritability, it is great! I would highly suggest it to anyone who is tired of chasing the pills around and wants to get clean. It works for me, and I am soooo happy to be getting off the pills!
Just my opinion, and thought I would let you know, best of luck to all who try, I wish you success and being clean is so wonderful. Thank God for these pills! Finally I can feel better about me, how great is that?![]()
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Rock on!
It is really not appropriate to refer to one opiate as "stronger" than another. The mg dosages to achieve the same level of pain relief differ with each narcotic. In addition, people metabolize or absorb medications at different rates, and it depends on the method of administration.
For pain, Fentanyl iv or transdermally or transmucosally is very potent, but useless if you swallow it. Buprenorphine is very potent iv, and moderately potent transmucosally but is useless if you swallow it. Taken orally, codiene is more potent than fentanyl or buprenorhine.
Hey congrats on the decision! I am getting prescribed my first dose of sub today at the doctor, and will probably start this evening around 4pm or so. If you get back on here, Id like to hear your experience (specifically the first time you took the sub) if you don't mind posting it. I was on at least 12 10/325's per day (was prescribed 3 per day) for a long time (its been about 2 and 1/2 years for my habit) and haven't taken anything in almost a month now, ready to start on the subs today! I have another thread in this forum titled "Starting on Suboxone" if you don't mind replying in there, I'd love to hear your experience. I plan on really documenting my progress in that thread so maybe it may help others struggling to make the decision as I was. (And to kinda give me an outlet to describe how Im feeling and all :) )
i was doing some research and come across this website and thought I would offer my expertise. If anyone has any medical related questions, post and I'll try to answer to the best of my abilities. I will only be answering medical related questions, nothing on any recreational drug use or anything of that nature. Just here to help and provide some info to people with chronic pain, etc. This is alot of misinformation out there regarding pain relief and opiate use. I practice in an area with many established pain management doctors, so I have a good deal of experience in this matter. I will not be giving any particular advice about what to do, but will try to give as much info as I can.
J
sounds great buddy, but you should really start a new post to introduce yourself. Welcome aboard
Why start on Sub when you have not taken any pain meds in a month? You surely would be over any withdrawl symptoms by now.
Short version of my story..Ten years ago I did rehab for vics/percs and was clean up until 2 years ago after my dad died. I started to do recreational vics and lead to oc's.Have to stop, no question. Really nobody knows. I do have 2 friends that know and have their support. It isn't my mind anymore it's my body hurting that makes it hard to stop. I talk myself into "weeding" off but not working well. I am going to my regular physician in 2 days and will talk to him about it. I was hoping I could get some advice on how to discuss w/my dr. I have read alot about suboxone and am willing to do also do therapy but want to handle with my dr, friend support and myself.
Hey Everyone!
I want to start by stating that I have been an addict on pain killers for about five years and have just recently took the steps to get help! I have been treated for my addiction with suboxene for about two months now and I have never felt this good in my life!! At first, I knew I needed help from pain killers when I started taking almost thirty vicodens/percocets per day. Then I turned to fentanyl, which from my experience was the worst drug I have ever been on in my life and the hardest to get off. Fentanyl, is a drug that you can just blink and your body is already dependent on it!! I was in bed for a straight three weeks-I couldn't eat, sleep, or even have the energy to get out of bed and take a shower. I am not trying to make anyone feel uncomfortable by telling my story or in any way shape or form incouraging the use of any narcotic! I am here to tell my story and to help anyone who is need. The amount of drugs I was using at the time was way past the addiction level and was actually lethal to my body!! My friends around me, also addicts, were shocked at the amount my body could consume! My point of telling people the amount of the drug is to let everyone know I was well over my head and the treatment of suboxene still worked incredibly!! I was at a point in my life where I could not feel the high of the drug and was still taking the drugs just to be normal and not to go through withdrawal. That is what happens to you when you have took large doses of pain killers for five years! I know now that I am sooo lucky I am alive today and I told myself, even on the drugs, that when I felt the courage and when I feel I can get off I will help others to get off the pain killers and do anything to get the word out about suboxene! I didn't believe at the time that suboxene would help me at all-even if they increased the amount, but I was ready to try anything! The first day I tried suboxene over two months ago-I was shocked. I felt an instant relief to my withdrawals and a sense of calm bc I didnt feel that I was even craving a narcotic (you start suboxene when you are withdrawling from the drugs you have been on-that's the only time you can start it-I read in another posting someone sent earlier that they took suboxene a month after they were off their painkillers and to that person I question why they started back on a pill route when it seems they were doing so well themselves to be off for a month....anyways....). Back to the !^@& feeling-you know the feeling when you are withdrawling and you crave or your body needs that narcotic just to get through the day-suboxene took that feeling away. As the days turned I realized I had never once thought about using narcotics and I realized this is what is going to change my life. I was so scared while I was taking the narcotics! I constantly thought how am i going to get off these drugs-the drugs are taking over me. i couldn't wake up and have a normal day without the drugs -the drugs had to be there in order for me to function and be happy. That is such a scary feeling when its you life especially when you do not have any narcotics amd you start to go through withdrawal.....Life does not stop for all of us addicted to give us time to get over our withdrawals-life continues....we have work, families to take care of, possibly school to attend etc. I am a 24 year old female and a single mother of a one year old boy. These scary thoughts were completely erased from my mind on suboxene. It also gives me the strength to get through everyday since it doesnt allow you to withdrawal as long as you take it appropraitely (especially for the first time-you must be withdrawaling!!!!!!). Since I was ready to quit in my mind and ready to get off the narcotics, the suboxene has been a miracle drug for me and I am astonished at how great it works! I feel like for the first time in five years Im ready to start my life over and try to fix everything I screwed up in my past...as much as I can! I do not have the guilt in my heart for wasting money on the drugs and killing myself by the drugs bc I know I am doing something to greatly better my life! Like I said before...my family has supported me through the last past two months and it has help to regain alot of my confidence back I had lost being on drugs. If anyone out there needs a friend to talk to or someone to answer any questions about addiction, the experience I had, or my personal experience with suboxene please I would love to help!!!! I also want to apologize to anyone-I do not mean to offend anyoneon this site...I simply want to get my story out there and start changing peoples lives! I owe my change to my family and what I call "the miracle drug"...suboxene! My hopes and prayers are out there for everyone who is struggling with addiction-please find the strength to get the help you need and deserve. life is good!
~Ashley~



Yea it's the long-term ability of bup. to stay in the system that overrides getting high off of any other opiates while on it. The nalaxone has nothing to do with that despite what the doc might say...it's just there to prevent IV use of the suboxone, which in its abscence would send you through the roof!