Posted by undopaminergic on June 2, 2008, at 20:34:51
In reply to Re: Suboxone???? Is it only for Opiates or an Ad T » undopaminergic, posted by Crotale on June 2, 2008, at 16:31:20
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> > If you wish to explore, use whatever dose of BUP is effective enough for your pain.
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> For pain (if you aren't tolerant) the lower doses should be sufficient. I don't know off the top of my head what the dose equivalence is for oxycodone, but for morphine it's 15mg MS = 0.3mg BUP (both IM), according to the PDR.
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> > 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.
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> Why do you suggest another opioid? Additional buprenorphine should work for breakthrough pain.
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> > Low doses of BUP combine well with other opioids, whereas high doses will antagonise their effects.
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> I once received MS Contin with buprenorphine (same dose as now -- I've been taking Buprenex for quite a few years & haven't needed to increase it). I found the MS Contin didn't work.
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> CrotaleI'm not very impressed with the efficacy of BUP for pain so far - I certainly don't feel 0.3 mg BUP is anything like 15 mg codeine, let alone morphine. I do find that it diminishes pain, but not so effectively - especially not doses as low as 0.3 mg.
poster:undopaminergic
thread:831072
URL: http://www.dr-bob.org/babble/20080528/msgs/832592.html