Surgery / Pain Managment/ Questions / Suboxone and Surgery

Author: Ironic

Posted: Thu Dec 22, 2011 4:22 am

LockSmithDog wrote:
so, i am on 8-10mgs of suboxone daily, but i have no prescription since finding a doctor around here is near impossible! i have an upcoming surgery for my hand which is said to be extremely painful for many many months. i think i will take the advice i heard earlier about telling the doc what i am taking, and making sure he understands that i do have a much higher tolerance than his average patient. i really hope he understands and comes up with the propper amount of pain management that will be right for me, or i could be looking at an excruciating year of recovery from the operation. in which it would be very easy to fall into the old self medicating patterns of "street" pain management to make up for the lack which the doc will give me. this is the last thing i want to happen. so i guess i am just wondering if anybody has any suggestions for me so i don’t have to fall back in that hole where my dragon sleeps? thanks for any replies.

There is not a dose of pain meds in the world that will break through 8 mg/day of bupe. MAYBE IV fentanyl, but that hasn’t even been proven.

If you come clean with your surgeon, one of two things could happen. He could give you a higher dose (which will not break though that much bupe. You will need to taper WAY down if you plan on taking full-ags) to accommodate the (monster) tolerance bupe leaves you with, or he could give you nothing because you once had a problem with opiates.

It isn’t fair. It is just how it is. I recommend you be honest with whomever is going to be anesthetizing you. It could be too dangerous not to.

Surgery / Pain Managment/ Questions / Suboxone and Surgery

Author: Ironic

Posted: Thu Dec 22, 2011 4:22 am

LockSmithDog wrote:
so, i am on 8-10mgs of suboxone daily, but i have no prescription since finding a doctor around here is near impossible! i have an upcoming surgery for my hand which is said to be extremely painful for many many months. i think i will take the advice i heard earlier about telling the doc what i am taking, and making sure he understands that i do have a much higher tolerance than his average patient. i really hope he understands and comes up with the propper amount of pain management that will be right for me, or i could be looking at an excruciating year of recovery from the operation. in which it would be very easy to fall into the old self medicating patterns of "street" pain management to make up for the lack which the doc will give me. this is the last thing i want to happen. so i guess i am just wondering if anybody has any suggestions for me so i don’t have to fall back in that hole where my dragon sleeps? thanks for any replies.

There is not a dose of pain meds in the world that will break through 8 mg/day of bupe. MAYBE IV fentanyl, but that hasn’t even been proven.

If you come clean with your surgeon, one of two things could happen. He could give you a higher dose (which will not break though that much bupe. You will need to taper WAY down if you plan on taking full-ags) to accommodate the (monster) tolerance bupe leaves you with, or he could give you nothing because you once had a problem with opiates.

It isn’t fair. It is just how it is. I recommend you be honest with whomever is going to be anesthetizing you. It could be too dangerous not to.