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Suboxone and Tramadol

How long should I wait before taking my suboxone if I took tramadol 12 hours ago? I know other opiates you should wait 36-48 hours, but what about tramadol? I'm so impatient that I may just take the Suboxone right now and find out for myself. Scary! If my arms and legs start going insane (more than they already are) I'll be back to let everyone know not to ever take Suboxone so soon after taking Tramadol.
5 Responses
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199177 tn?1490498534
DONT TAKE IT YET ....what did your doctor tell you ??????? you very well may throw yourself into precipated withdrawals it will be so much worse then what you are going threw now. I would wait at least 6 more hours.what dose are you taking of sub ?
Helpful - 0
657423 tn?1227280657
You should be in withdrawls b4 taking suboxone! If you are in moderate withdrawls go ahead and take it! I have been on suboxone for 2 years and if you have anyquestions feel free to ask me! Good luck
Helpful - 0
Avatar universal
What does moderate withdrawls look like?  I am scheduled for the suboxone induction on friday and I want to be sure I am in enough of a withdrawl state for the best result.    Also, what are the side effects of the suboxone?  Is the suboxone hard to taper off of?



Helpful - 0
199177 tn?1490498534
LOOK at this it will help you out ... COWS sheet  ....how long did your doctor tell you had to be in wd for and what are you coming off of.


GI upset
Over last 30 minutes
0 no GI symptoms
1 stomach cramps
2 nausea or loose stool
3 vomiting or diarrhea
5 multiple episodes of diarrhea or vomiting
0
1
2
3
5
0
1
2
3
5
0
1
2
3
5
0
1
2
3
5
0
1
2
3
5
Anxiety or irritability
0 none
1 patient reports increasing irritability or anxiousness
2 patient obviously irritable/anxious
4 patient so irritable/anxious that participation in assessment is difficult
0
1
2
4
0
1
2
4
0
1
2
4
0
1
2
4
0
1
2
4
Bone or joint aches
If patient was having pain previously, gauge the additional component attributed to opioid withdrawal only
0 not present
1 mild diffuse discomfort
2 patient reports severe diffuse aching of joints/ muscles
4 patient is rubbing joints or muscles and is unable to sit still because of discomfort
0
1
2
4
0
1
2
4
0
1
2
4
0
1
2
4
0
1
2
4
Yawning
Observation during assessment
0 no yawning
1 yawning once or twice during assessment
2 yawning three or more times during assessment
4 yawning several times/minute
0
1
2
4
0
1
2
4
0
1
2
4
0
1
2
4
0
1
2
4
Runny nose or tearing
Not accounted for by cold symptoms or allergies
0 not present
1 nasal stuffiness or unusually moist eyes
2 nose running or tearing
4 nose constantly running or tears streaming down cheeks
0
1
2
4
0
1
2
4
0
1
2
4
0
1
2
4
0
1
2
4
Gooseflesh skin
0 skin is smooth
3 skin piloerection can be felt or hairs standing up on arms
5 prominent piloerection
0
3
5
0
3
5
0
3
5
0
3
5
0
3
5
Total Score __________
Total score is the sum of all 11 items
• 5-12 = mild
• 13-24 = moderate
• 25-36 = moderately severe
• >36 = severe withdrawal
Helpful - 0
340590 tn?1290952141
how long do you plan to stay on the sub?  that will determine how bad youw/ds are...also how low you taper on it.  my daughter got down to a crumbe evry other day then every third day.  she had no ill effects from it, but she was only on it 6 weeks total.  sub is a powerful opiate so be very careful and do your research.  check out the health pages there is an post there with most of our memebrs stories.  you can see how it affected others.  good luck and DO YOUR RESEARCH
Helpful - 0
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