Subutex for very short time?
I have been in pain mgt for 6 months and ALL of the meds have made me extremely ill. Hydrocodone was perfect and I only took 4 of the 10/500.
Because of the second back surgery, I did need one more in 24 hours. The PM MD would not use it and jumped to Opana ER and IR and withing 6 weeks had me up to 30mg ER q12hr with the 10ngIR for breakthrough.
I was vomiting all of the time and was dizzy. After two months he lowered it to the 20mg which made no difference. Then one 20mgER q24hr with the IR for the rest – still sick. Changed to Oxycontin and oxycodone which even at 10mg made me sicker.
Then he gave me Nucynta which was the worst yet. He refused to see me the next morning after an entire night of vomiting AFTER THREE DOSES of the Nucynta. He told his nurse to tell me to STOP MEDs for 72 hours and then start the Nucynta again. He did not take withdrawal into consideration !!!!!
I had no intention of EVER taking the Nucynta toxin again. I was given fluids by my internist on Monday (6-6). Internist called PM MD to ask about using Subutex for pain until I see a neuro for a spine stim this Friday.
He was not too receptive and wanted to perhaps use Suboxone. Will Subtex at a low dose help with my back pain which is way passed 10? I don’t want to use Suboxone as the naltrexone would negate any pain med given by this new surgeon. Is this an option since the PM MD will not give me hydrocodone?
I have had no meds for 7 days now and I had no help with this withdrawal and subsequent detox. My need for pain control is real and is the reason for a spinal cord stimulator. I do not want to take meds if I can avoid them.
Right now something is needed besides my TENS unit and the 3 acetaminaphen and 1 extra strength tylenol. That combo was recommended for some relief by my internist. It does help, minimally. It is not for use for more than a few days.
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Establish a Baseline
Subutex is sometimes used short term because it does not produce the “high” that drugs like oxycodone produce, but depending on the report you read, may or may not be effective at all. Some people with chronic pain, such as rheumatoid arthritis, use ibuprophen or other over-the-counter meds and claim they work sufficiently. The pain management issue is best discussed with your doctor and if this is going to be a long-term condition, alternatives to pharmaceuticals is an option. You may not find the perfect solution, but you will likely find something acceptable. |
