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Does Subutex Block Opiates

Yes I've been on suboxone for about 6 months but my doctor took me off and put me on subutex.
I would like to know if it blocks opiates, I have to go and get injections of probably fetynal for getting
my wisdom teeth taken, and then prescribed fetynal or oxy-contin after the operation.

Thank You
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Avatar universal
This is a 7 yr old post, click. 'Post a Question' at the top of the forum and start one for you. There are many consideration with sub induction. No set amount of time will be right for all.
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Avatar universal
I took half a morphine 60 and 2 methadone 10mg.how long before i can take my subutex now??
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Avatar universal
Sorry dude you are almost completely wrong in every statement made. 10000x stronger??? That would kill almost anyone who used even 1mg and they make 8mg tabs?? Pretty dumb, because its only 40x stronger than morphine. You can find that fact anywhere; and that is only in binding affinity, which is how strong it attaches, while intrinsic activity is how strong it's effects are and that is way way way lower than morphine or any full agonist that exists. There are over 6 common narcotics which are not heard of outside of the hospital or ER, one being Sufentanyl, thats even stronger than fentanyl; also fentanyls affinity is WAY STRONGER than subs and will displace the molecule from the ligand binding site. I don't want to be mean, but I wan't you to know the facts.
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Avatar universal
Man some of you people are something else. The question is :is subutex an opiate blocker........it depends on your does, but in my experience it does block like suboxone does. good luck with your surgery and if this person is just asking cause they want a fix, WHO CARES! Some of you sound like a bunch of addicts who wish you could get your hands on some fent. and oxy. damn!
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Avatar universal
This comment is geared towards the dental aspect of the post. I am a DMD, and just wanted to offer some information. Each patient is treated on a case to case basis. There is no stamped plan on any procedure or treatment following said procedure. True, I always follow a set of procedures, but those procedures evolve as it develops. As far as whether or not someone will be "put under" using GA, or more simply heavily sedated during the procedure? That once again all depends on the case and the status of the patient, but they are BOTH a possibility. True, I would rather not have to put someone under GA, but if the patient requires it in order for me to perform the procedure then that method will be used.
As far as post-op or post procedure and prescribing pain medicines go, once again it depends on the patient and the circumstances. Oxycontin, Demerol, Roxycodone, Dalaudid, and stronger narcotics ARE given by DMD's, but for the same reason any other MD would prescribe them. If it's deemed needed. I usually start off with something simple such as a Lortab ( Hydrocodone ) and then to Percocet ( Oxycodone ) and so on and so on. The reason most people would find it odd that a DMD would prescribe some of these stronger narcotics is because they have never found themselves in the situation where the medicine is deemed needed. Not to say that you haven't experienced HORRIBLE discomfort with your situation, but trust me on this one...It can always be far worse. Occasionally, it is far worse with some patients, and that is why certain Rx's are given.
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Avatar universal
This thing is sobackdated now is 11032011
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1047946 tn?1332608029
Never believe anything from snyone off the internet without some form of solid evidence.

The main ingredient in Subutex and Suboxone is buprenorphine which is the main ingredient and is an opiate blocker. The only difference between Subutex and Suboxone is that Suboxone has naloxone in it which sole purpose is to prevent abuse.

http://en.wikipedia.org/wiki/Buprenorphine
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Avatar universal
Sbutex is a painkiller just thought id let you know that too!!!
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1283506 tn?1271528899
I am on 8mg of subutex. I take it in the am. By 4pm I have noticed it only slightly blocks opiates. Everyone's bodies are different though. I get severe migraines and 2 Vicodin are enough to work after 4pm
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986593 tn?1283532211
Both contain buprenorphine which blocks the receptors. They dont block them all but they block enough so the other drugs dont cling to the receptors so the other drugs dont work. The only difference between the two is the naloxine. Hope this helps
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Avatar universal
To the moron that just said that Subutex does not block opiates!!  It does, and here is the molecular reason.  Subutex is 10,000 times more potent than morphine!!!  No, you did NOT hear me wrong!!!!  However, b/c of Subutex has a huge molecular ring configuration, it is HUGE compared to your receptors.  Imagine morphine being a regular plug that you put into the wall.  Now imagine that Subutex be a plug with a huge, huge, huge nightlight directly attached to the face.  Now, everybody knows when you plug a nightlight like that into that socket, you can't utilize the other socket b/c the nightlight is covering.  Well, same concept is going on here.  The morphine can't reach the receptors, and thus will FLOAT in space in your brain.  Yes, it will be a complete waste of money!!!!! In fact, when I am taking my subutex, and take those morphine, oxy's or whatever on top of it, I waste it, and I also CRAVE my subutex bigtime.  Now, that *****, b/c subutex will NOT make you high at all!!!! What's the beef anyway????? Sick of the ******* propaganda!!! If I want to get high then it is nobody's business.  I am tired of hearing how dangerous it is.  It is NOT dangerous!!! It is far more dangerous getting the wrong stuff on the street.  The absolute worse thing that will ever happen to anybody for taking an opiate is that they will get chronic constipation.  Now, the worst thing for taking N-SAIDS is all kinds of death related problems.  Worst thing that can happen to you on Acetemitphen is Liver Failure, and death.  Wake up guys, thank the little special interest groups that media and legislative attention, b/c the truth of that matter is THEY DON'T WANT YOUR *** "FEELING GOOD."  It is as simple as that!!!!!!! For every 100,000 peeps that use morphine, one will die of an overdose.  For every 100 peeps that take Nsaids, one will suffer severe complications from longtime use.  They don't want peeps feeling good!  They don't want peeps feeling good!  They don't want YOU feeling good!!! Okay!!!!!!!!!!!!  Opium has been around for 250,000 years to man!  Who the **** do they think they are telling you, you can't have it!!!! It's ********, and a lot of peeps fall right into it thinking that it must be so bad.  Peeps, wake up!!!! It's propaganda, meant to BRAIN WASH you!!!! Period!!! The brainwashing has gotten so pervasive that women, and especially women, are being undertreated in pain managment.  It's a crime!  Can't wait till 2012...when it all goes doomsday, b/c your opiate intake will be the last thing that is on their mind.  As for now, they have an AGENDA!
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Avatar universal
suboxone will block opiates.

subutex does NOT block opiates.

they are NOT identical in their chemical make up.
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905290 tn?1242911628
obviously they didn't see that .... (whoops someone made a mistake).... why so rude....
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401095 tn?1351391770
Questionable
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198154 tn?1337787265
who are you talking to?? This thread is over a year old
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Avatar universal
and instead focus upon your so called substance abuse problem, the answer to your question is simply NO. Subutex and Suboxone are composed of the same chemical make-up: Buprenorphine. Beyond that, Suboxone contains the chemical Naloxone which causes the blocking effect to which you refer. I have taken Subutex on top of Methadone and other opiates, to which it did not cause any blocking effect nor any antagonist reaction. You may want to lower your dosage or stop taking Subutex whilst you're on medication for your tooth simply to prevent any kind of overdose. However, I can assume that you know yourself and your limits much better than I or anyone else on this board. Good luck to you, dear.
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Avatar universal
with root canals. Sometimes teeth are filled and an infection builds up under a filling, pain meds are useless UNLESS combined with an antibiotic, and removal of teh filling or crown so the tooth can drain. Ok I am done
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Avatar universal
you are not put under general anesthesia. You are SEDATED with soemthing like Valium and Vercet sometimes with nitrous oxide before. You will be sedated, and not remember anything.  General anesthesia is MUCH different.
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Avatar universal
are 2 different things. Also, abcesse's are treated with antibiotics BEFORE any surgery is done. Dentists do not prescribe Fenatnyl or oxycontin for a straight forward removal of wisdom teeth.  They cut the tooth in 4 sections and remove them, an extraction. Impaction may bemore invasive, and involve more pain. Also, nobody said that tooth pain is not bad, but once the teeth aree removed (barring any complications, such as dry socket) and as long as the bone in the jaw was not cut, there should be very little pain. There is also a myth that rtoot canals hurt, they hurt BEFORE teh nerve is removed, after that the tooth is DEAD, the nerve is gone which is the pain source.
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401786 tn?1309152034
Usually Subutex is given first, then the Suboxone for maintenance and further treatment.  There is no Naloxone in Subutex.  Naloxone is an opioid antagonist and it works by blocking (or competing) with the receptor sites the opioid would use.  Both Subutex and Suboxone are narcotics in the Schedule III Class I believe, which are considered to be less addictive than the drugs in the Schedule II Class, like oxycontin, fentanyl, etc.  Naloxone is in Suboxone, as someone said, to prevent abuse by I.V. use.  It is the drug that someone is given when they are taken to the emergency department and suspected of O.D.ing on something because after injection with it, it reverses the effects of the narcotic (the worst problem being respiratory depression) within 2 minutes of it's administration.  That's all I know about these drugs off the top of my head.  Hope this helps.  
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Avatar universal
yes, it does block. the naloxone in suboxone is only there to prevent misuse by IV addicts/abusers, that is naloxones only purpose...buprenorphine is the blocker, so to speak ..
you would have to be off either one before your procedure...good luck!!
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Avatar universal
WOW-- i know nothing about sub...But i will say this...I had a terrible abcess , and under a already crowned root canal..So i did what was called a retreat...My tolerence was already high from too much lortab...i did not tell my doc about that!  he persribed me tylox, oxycodone, and it did not touch the pain...my face was so swollen, and infection had set in, then i had a dry socket..OMG the pain....He then perscribed me diluded s/p?  that was the first time i had ever taken that, the pain finally went away..i know it was my fault because of tolerence..BUT to me tooth pain is the worst.....
SO i hope you get answers here , about the sub,i know nothing about..But wanted to tell you i know how bad tooth pain can be..hope all goes well
r2r
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182493 tn?1348052915
In fact I know someone who used to post here that had a emergency surgery, she was taking 32mgs of Sub and was given IV meds at the hospital and nothing could get through, she was miserable.
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182493 tn?1348052915
Yes Subutex blocks opiates as well. Its because of the partial agonist quality. It attaches to the receptors so tight that it prevents others opiates from getting through. It would be wise to taper off the Sub a week or two before the surgery so that you get adequate pain relief.
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