Author: TeeJay
Posted: Wed Oct 31, 2012 7:23 pm
Hey. I’ll answer this thread methinks and leave the other one. Sounds like you’re really wanting some answers with this.
Are you having trouble sleeping? Do you think your sleeplessness is related to Sub?
To be honest I have really little experience with tricyclics. I did some research at one stage when my doc was considering them for me. There doesn’t appear to be any huge interaction. There is a "moderate" warning, because both medications can have a depressant and sedative effect. In my experience, these warnings are largely precautionary when a person’s already tolerant to buprenorphine. It’d only become an issue for those that have no opioid tolerance. Taking depressants / alcohol / sedatives on top of bupe for those people can tip them over the edge.
I really recommend you talk to your doc about it just to be safe. Also, when my doc and I were discussing me going on tricyclics, he mentioned he likes to do an ECG before going on to make sure the heart beat isn’t irregular at all. Something about QT-elongation or something.