Subutex information

[Lmr2424]

Hi my name is Lisa,  on Wednesday I started subutex after detoxing off fentanyl 100mcg and dilaudid. My pain management dr put me on subtext 8mg sublingual twice a day. I know my body is still adjusting, but I feel like at around noon I start to feel anxious. I'm just not sure if I should ask my dr. for an increase in dosage or just deal with it. I just don't want to fail. I've been searching for a chat room or just anyone to communicate with. I feel so lonely and scared.

[Lmr2424]

One more thing thank you guys much for replying. I can't even begin to tell you what a relief it is to talk to people who not only care but understand...

[Lmr2424]

Hi clean,  yesterday was my pm/primary. I did tell him about all the meds I'm on and if would consider communicating with my psych about what psych meds would go benter with the subutex. He had no time to listen to me all he said was he would not increase my subutex. Oh and the Dr who suggested the increase was one I met online not to smart right?  So now I go to see my psychiatrist next month. Maybe he will take some time to figure out a better cocktail of meds to help. Because I'm hanging on by a very thin thread. And jinx my pharmacist couldn't care less on what meds I'm taking he's so busy I doubt he even pays attention.

[Jinx_777]

do you use the same pharmacist for all your meds??  have they ever cautioned you about the mix of meds you are on?  sometimes they will catch things your doctors do not

[clean_in_ks]

Hi Lisa.....which dr did you see yesterday?  The psych dr?  Is the psych dr the one that suggested you go UP on the subutex from 16 to 24 mg/day but yet isn't even the dr PRESCRIBING the subutex???
And the one that didn't want to spend any time answering your questions? Also the one prescribing you all those meds you are on?

I understand that your primary dr is also your pain mgmt. dr.  And you said today above... that your primary does NOT agree with the increase in the sub?  (that's a GOOD thing)  LOL

I am still a bit confused about which dr is doing what?  I was hoping that ALL your dr's would get their heads together (your charts and medical history) and look at your CURRENT situation.  Getting off the fent and dilaudid and going on the sub is being handled by your primary/pain mgmt. dr, right?  So WHO wants you to increase the sub?  
You said the other day that you were currently on the following:

"Subutext, Wellbutrin, gabapentin(I stopped taking it), latuda, lamictal, klonopin, and levothyroxine(for some thyroid problem."

I am NO dr but I can see that being on an antidepressant, TWO antipsychotic/mood stabilizer drugs, a benzodiazepine, a thyroid med AND subutex is really messing with your central nervous system, your brain and respiratory system.  There ARE interactions with some of these drugs...and THAT'S precisely what ALL the dr's need to take the time to figure out for you.
I would be angry too.  
I don't think the dose of the sub needs to be UPPED....I think the interaction of all those other meds you are on needs to be checked as to how they interact not only with each other...but also WITH the addition of subutex.  
You are taking a lot of meds, girl.  They all affect your brain in different ways....and you need to seek someone you can trust to sort this all out for you.  
I definitely AGREE with your primary/pain mgmt dr though.....your subutex dose does NOT need to be increased.
I sure pray you can find some answers, Lisa.  I feel so badly for you~  

[Jinx_777]

at 3pm today it will be 8 days since i took off my 50 mcg fentanyl patch.  i take oxycodone for breakthrough pain and have for years.  i didn't like the way i felt on fentanyl.  felt like my brain was a marshmallow and i was walking through knee high mud.  exhausted, mentally and physically. so i asked to be switched to a different med.  what did she do??  prescribed 10 mg of oxycontin. yes, that is right. it is like adding 2 breakthrough meds a day.  NOT EVEN CLOSE to an equal switch..  needless to say it has been a week of he!!  still not through it.  fentanyl gave great pain relief, but the side effects were too much to take.  it is also THE HARDEST med i have ever detoxed off of.  it just won't let go.  hang in there.  

[Lmr2424]

22 days off the hard fentanyl and dilaudid. And 18 days on my subutex treatment plan. I'm so ANGERY!!! At everything and everybody. After my dr's appt yesterday it just escalated. I was told by one Dr that with my history and medical condition that 16mg of subutex was not enough that 8 mg should be added in the afternoon. My primary who is also my pain management Dr didn't agree. I brought a list of questions to ask him,  but I just gave up wrinkled up my paper shut my mouth and just went with everything he said. He handles alot of hight profile patients on South beach. Sometimes I feel they are his priority. And he just rushes through my appt to get back to them. Sorry to rant. I'm just all over the place in my head still. I know it takes time. Maybe I'm just being inpatient and feeling sorry for myself. I don't know. On top of the I'm trying to find a therapist who deals in duel diagnosis and some understanding of my malabsobsion problems. Because my psychiatrist is no help. Just feeling lonely and frustrated. Had to get it out before my head exploded. Thanks