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Re: buprenorphine for chronic pain? » shelliR

Posted by Elizabeth on March 26, 2002, at 21:13:55

In reply to Re: buprenorphine for chronic pain? » Elizabeth, posted by shelliR on March 23, 2002, at 19:11:39

> I only know that the info that comes with temgesic says after two or three hours (I can't recall), the levels in the body were exactly the same for sublingual and IM.

Was the maximum effect the same with the same dose taken by the two different routes?

> BTW, I did try inhaling it this morning and I *was* able to get by with less. I felt like a junkie, though.

Heh. Get used to it! (At least you don't have to go into a pharmacy. Those guys make you feel like a junkie just for having a prescription for Ambien or something. :-) )

> > I think you're right that your previous use of methadone and oxycodone may have had a lasting effect on your tolerance.
>
> One reason I'd like to sue that bastard. I had asked him after I went up once on oxycontin to try buprenorphine instead, and he said no. With no reason.

That's awful. Your doctor owes you a reason for anything he wants you to do -- it's your body, not his.

> I'm getting very nervous because all the sites I know on the internet are out of it. It can't be coincidence; it must be the manufacturer.

S**t.

> ALso they've all been out of the generic for months--that's why it really concerns me that they're out of the name brand. If it's months, I will be in a pretty bad position.

I would too. I can manage for a couple days with just the Effexor (tried it recently), but my energy is low and my thoughts aren't very clear. I definitely couldn't function adequately without buprenorphine.

> And now I'm wondering even if I can get my pdoc to write a prescription in an emergency, will I be able to get it anyway. He's not saying no yet, but he is absolutely up front saying he is afraid of getting sued.

I don't understand that, although it's a good sign that he's up-front about it.

> And everyone agrees that even through I take it now, he wouldn't be clear of a suit.

Sure, if he did something wrong (like that other guy you were seeing) then he'd be open to a lawsuit. Do you think he would do something wrong, though?

> I don't want to go off it now; I'm just starting to catch up on work and I don't want to go to the land of living hell again.

That's entirely understandable! Doesn't it feel amazing to come out of it, though? Several people I know (including my parents) have said that I came "back to life" when I started taking it.

> I'm up to 250mg of lamictal; I know it will take at least 400mg for me to feel anything and maybe more.

Good luck with that. I think it's important to have something "in the background" along with buprenorphine, to smooth things out.

-elizabeth


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poster:Elizabeth thread:97162
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