Maximum Dose Of Suboxone/subutex & Chronic Pain (Page 27) (Top voted first)

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What is the maximum dose of suboxone or subutex when you have severe pain?

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38

Subutex is the best pain killer in the market not Subaxone is not 100% pure like Subutex the doses are between 2-3 -8mg a day I take 3 and cero pain and non addictive and not more abusing the Oxycontin etc.

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44

Swim has been feeling TERRIBLE he just had 8mg film, says it works great, fixed busted foot pain for now too, doesn't know anything about max dose, but the doc posted above somewhere, reckons it can't kill ya?

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60

Gma in pain 2, I have a Gma that has extreme pain in her knee's, She just turned 96yrs. old and she is doing just fine otherwise, but her knees are just killing her! She is gaining weight, less mobile and Im afraid she will end up not enjoying the few yrs. if that she has left on this earth if she doesn't get this under control. She is of an age where even a 2.5mg lortab(hydrocodone) is too much narcotic for her to handle. She had tried almost all the fancy expensive supplements $ can buy and any and all NSAID's(advil, aleve, etc..)and nothing worked. She even tried 5diff.muscle relaxers but all they did was put her to sleep and she told me that she would rather be in pain and life than be out of pain and sleep her life away. I finally got he to open her mind as she is very close minded in general and w/ older age, it seems to have got even worst. She's been let dwn by so many diff. docs that she almost gave up. I now put her on a high protein Isolate diet, which contains tons of BCAAs, L-glutamine, etc... along w/ 25g. protein Isolate per serving. w/ the most expensive IGF-1 and 2 money can buy. She gave me the ok to do whatever I felt would help since Im a weight lifter myself and CCMA-C in CA so I know a ton about meds/supplements and how they react in the body. At this point she was willing to try anything and everything non-narcotic as at her age 2 5mg vik's could kill her in her sleep. Well after 3mo. of taking both these products she started to call me and say I think its working a bit, I still have pain, but it has deff. decreased! I was not surprised but thrilled 4 her and now shes been on the same routine now for over 6months and I also after 3mo. added extra Joint support supplements since the ones she was on were good for a 40-60yr. old, but not enough 4 a 96yr. old in a diff. situation! I raised her doses 3X what the bott. stated for 3mo. and added an extra 6mg's of l-glute per day as well. I wrote all this dwn for her of course and the times she should take what and when! This combo alone w/o any medications, Opiate meds, w/ dangerous even fatal side-effects brought her pain dwn she said by 60-65% I just started her on a few others, some muscle rubs I made myself out of benzocaine, lidocane, menthol, etc... and uped the dose of her l-glutamine and added 3g. per day of free-form L-Arginine so she gets more nutrition out of her food and better blood flow to muscles. I don't ever think I will be able to cure her pain completely but were on the right track and as I adjust, and add, new and research new age meds Im pretty positive I can get her dwn to an 80-85% decrease in pain in 1yr. Its already helped her so much and shes able to bend dwn and do a bit of gardening which she has not been able to do for yrs. so were deff. on the right track! also, Subutex and suboxone are heavy duty pain meds meant for addicts getting of pain pills such as Vicoden, Oxycontin, and street drugs like H, etc.. They are not suppose to be rxed for pain and when they are, the doc. is just trying to give u false hope and most of what ur feeling IMO since I've been on Suboxone and subutex both for over 4yrs. is a slight decrease in pain(mostly placebo effect 4sure) since it effects the Mu pain receptor only and is not a full agonist like oxy, vicoden, etc... But if that works for u that great but I would depending on ur pain level and tolerance to pain start w/ a milder real opioid, IMHO codeine is a great start b4 u go to the opiates like oxycodone, hydrocodone, etc... this will not just concentrate on one receptor and will offer a full agonist not a agonist/antagonist such as buprenorphine. This is the very addictive active ingredient in Subutex/suboxone and will not create the same level of pain control of even the weakest pain killer Codeine! Ok reply to this and Ill try and get back if there are any questions but ur doc. should have known better than to use subox 4 pain, as multiple sites even state and tell doctors not to use this 4 pain. Ur doc must have missed that seminar or was not paying attention! Anyways Ill stop w/ that and leave comments or question 4 me if any below. Thanx guys and may u have a pain free day! Good luck Gma w/ pain 2 as I know what ur going through as I see it all the time w/ my own Gma! Peace out everyone- Chris B-

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224

You can only take 32mg of Suboxone a day period , 8mg that is.

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301

You ARE the one of the narrow minded on this forum.

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320

Yes the ceiling is between 12-16 depending on the person. Taking more will only make you feel worse.

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380

Great question, im in the same situation.....meds work for awhile then they start not to work so well.frustrating and depressing.i wish there were more answers but it seems they only push drugs.i hope someone answers your question soon.all i know is i have no quality of life.hope your situation gets better.

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429

Re: Blue Valentine (# 1) Expand Referenced Message

You can decrease the frequency. Speak with your physician. I am sure you will arrive at a tollerable daily dose.
Prescribing guidelines are 4-16 mg daily divided.
My script. Take 1-2 every 6-8 hrs but do not exceed 6 tablets a day.
Works well fir me.
Please disregard prior comments on not using buprenorphine for pain, it works fine. It is the naltrexone component of Suboxone that blocks opiate receptors.

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91

Your doc is an idiot. No disrespect. If you need long term pain management methadone is the best option. It keeps you from getting addicted to chasing Vicoden and Oxys and has real MU receptor binding that WILL block your pain with out a partial antagonist. 1/2 these doctors got their head up their rear ends when it comes to suboxone. Suboxone is for junkies to get their lives together and then should be discontined once you are stable which could be a few years like in my case.

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107

Ash, was not meant as an insult for you. Was a reply to a James who basically called me a liar and a junkie when I told him that I did not have a problem with pain medication and I was in fact on suboxone ONLY for pain. Nothing to do with abusing pain meds. If you read the previous comments you will see that. Sorry if in not getting all the facts, your feelings were hurt. I am a very honest person and do not like being called a liar. Again, sorry that my comment upset you, but it was specifically for that guy who doesn't know anything, calling me a liar.

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23

Someone told me that snorting Subutex does not affect loratabs from still working on you ,I dont believe this to be true because I thought it killed the effects of opiates

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43

Methadone is very addictive and hard to get off don't take it for my experience of 10 years I highly recommend SUBUTEX you be safe and free of addiction good luck.

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27

Dr Chavez, I respectfully disagree with your overall evaluation of Suboxone. After 40 years of heavy opiate use, I was put on 32 mgs Suboxone daily and told I would need to take it for the rest of my life. After four years of Suboxone use, I could no longer accept that it (the Suboxone) was responsible for my "good" feelings and not my own brain's endorphins. I spent another two years on Suboxone, but titrating, getting down to zero. Three days after I got off I went into full-blown withdrawal that lasted for 23 days. 23 days!

I'm now free of all drugs (finally!) and my feelings of joy and elation are MINE. A number of addiciton doctors have told me that very few of their patients who are taking Suboxone can get off. I'll be very interested to see what the medical community is saying about Suboxone in 5-10 years. I have a feeling it will no longer be seen as the "magic bullet" that so many now portray it as being.

Lee (now free)

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57

I completely agree w/ everything u just said and Im one that was told to use my 16mg's and then take the extra strip for my back pain which it did nothing soon to find out your not suppose to even use it for pain. I use soma or flexeril for pain and it seems to work quite well. both are strong muscle relaxers but soma does matabalize into an old pain killer from the 50s and 60s that they no longer use. Starts w/ a B as my doc. told me once, and that's why it is more addictive than flexeril w/ is related to ssri or anti-depressant meds. But anyways Subutex does help slightly and max dose on this is 32mg and same w/ reg. subox! It is a perfect placebo tho and docs kno this and can act like there helpin u out big time by uping ur dose, when it will do nothing more then raise ur tol. levels which get sky high super fast w/ any form of bupe.

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12

You are easily impressed.........

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7

Most likely the most brilliant post I've ever read!

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11

i am running out of my zanax and suboxone, i cant get to the dr for a week, its been 7hrs since my last dose can i take roxycodoiene for a few days... and when will the suboxzone wear off?

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2

If u have true clinical pain suboxone will not work it is for opiate detox only. It is an opiate blocker which will in turn allow your brain to make its own dopamine.

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8

DO NOT use Buprenorphine in any form for longer than 3 months. 1 month is the longest I would take it. If you take it longterm you will find that over the years the pain killing effects will dull but the side effects won't! ALSO buprenorphine changes who you are. I can not believe these sick doctors. Hint - if the person you expect to treat your problem is ill looking, don't waste your time. If you block pain (it's meant to be there to say "hey man, you need to pay attention to me & fix me") out it will come back to bite you later in life. Please consider seeing a Chinese Herbalist as they have excellent treatments that focus on curing the problem, not blocking the symptons. My heart goes out to all you that are being abused through misinformation.
Long Live the Vedruss!

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6

The doctors that are prescribing subutex for pain need to go back to med school. Or better yet maybe they are on to something. The power of suggestion is incredible. The doctors convince the patient that it can be used for chronic pain and in turn the patient who has confidence in their doctors knowledge of medicine will subconsciously manifest a feeling of pain relief. Basically it's a psyche job. Bravo doctors for finding a way to make most patients want to stop taking true opioids.

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