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Re: Suboxone???? Is it only for Opiates or an Ad T

Posted by undopaminergic on June 1, 2008, at 19:52:44

In reply to Re: Suboxone???? Is it only for Opiates or an Ad T, posted by okydoky on June 1, 2008, at 13:39:46

> This is all very interesting. I see my urologist tomorrow. He had wanted me to try Suboxone several months ago. My gp says he can and will prescribe it, (took a special course and got special DEA number or something)

Remember, that the special number should not be used on a prescription of Suboxone/Subutex for purposes other than opiate addiction. I don't know what the practical consequences of erroneously including the number would be - perhaps it is just for statistics, or perhaps you would be "flagged" as an opiate-addict in some database, causing you to be more carefully watched in the future and making pharmacies more suspicious about your prescriptions, etc. I'm just speculating.

> but never heard of it for anything but addiction and will ony do so if he gets the okay form someone else. Not me!. He is supposed to get in touch with some Rep to discuss it.

Did you print out the DEA letter and show him?

> All that aside. I will of course need to take some equivalent dose as per the 30mg oxycintin bid. Probably more as I also occasionally take oxy ir or fentora for breakthrough pain.
> I would also like to get as much benefit from it as an antidepressant. So which one would be the preferred drug? Pain management is the priority here.

In general, the antidepressant doses of buprenorphine (BUP) have all been less than 4 mg, but the optimal (or useful) range of doses for this purpose hasn't really been sufficiently investigated. If you wish to explore, use whatever dose of BUP is effective enough for your pain. If you would rather stick to doses that have been found efficacious in depression, use up to about 4 mg of BUP, in combination with another opiate, such as oxycodone, for additional pain control, as required.

Low doses of BUP combine well with other opioids, whereas high doses will antagonise their effects. One of the reasons for using high BUP doses - up to about 32 mg - for addiction-treatment is that they block the effects of heroin.




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