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Dear Lisa,

I am very sorry for your chronic pain...and can relate. It's agonizing to hurt all the time and you are sick of it and want relief. I just detoxed after four years on Oxys (and Suboxone) and much of the original low back pain is still there. I was masking it for four years! Taking anything like this will give you relief, but it's not a permanant fix. It's like being "between the devil and the deep blue sea."

I have questions for you: What is the source of your back pain? What type of doctor are you seeing who wants to put you on Suboxone for pain? Is this an internist? Psychiatrist? Orthopedist? Most importantly, I have not yet heard of Suboxone being used for pain relief exclusively, although I was told when put on it that it does have some analgesic effect (but not the narcotic "high"). I'm suprised that this is his or her first recommendation, passing over the hydro/oxys. NOT that I'm recommending them. How much experience does this doctor have dosing Suboxone for pain relief? If he or she can dose it, I'm sure they took the "Suboxone course" required by the drug company, which is really four hours of information about the drug. Has your doctor dosed this to anyone else for pain and has he had experience with people trying to stop? He or she will tell you that Suboxone is supposed to be easier to detox off off than opiates; this is how it is marketed by the drug company according to their clinical trials. But ask some people here who have stopped using it what their experience was like. Most doctors (psychiatrists) prescribing it only know what the drug company has provided; they don't have experience prescribing it; i.e. patients taking it over the long term and how they react to it. They do know people can go on it from big doses of narcotic, but they don't know really how people go off it, which is really to me the main goal. Before deciding to take it, please made a list and ask your doctor these questions. Also, have you tried physical therapy, exercise, a chiropractor, stretching therapy, etc.?

It's a conundrum; the pain you have sucks and you want relief. Taking narcotics helps, but taking it long term and regularly will make you dependant. I don't say this to scare you or be a jerk. But read some of the posts here. So many people begin narcotics for pain and end up.....addicted. I know too, that many people can take them only when they need them. As far as the Suboxone for pain.......I just don't know. I know that some here might think me anti-Suboxone but I just finished taking it for six months after four years on Oxycontin, and when I tried to stop had terrible withdrawls. I know for many people, the Suboxone has gotten them off of heroin and other strong narcotics. And it does do that. I went from 100mgs of Oxys a day to one 5 mg pill of Suboxone. But I'm coming to believe that it does it's job a little too well. I don't believe it is meant to be taken long term and is just as addicting as the rest.

HI Lisa - I think you are misunderstanding what Suboxone is used because your Doctor doesn't have a clue what he's doing - I'm sorry, that's how I feel!

Suboxone should not be prescribed for pain. It is prescribed when someone has become addicted to pain pills/methadone/heroin (basically - Opiates) and wants to stop taking the drugs they have become addicted to. The Doctor then instructs the patient to stop taking their drug of choice for 24 hours, then he gives them Subutex. Subutex is straight Buprenorphine. Suboxone is Subutex with an added ingrediant (Naxolone) that if someone tried to take a drug using an iv - that person would then go into immediate withdrawals.

Sub/Bup = VERY POWERFUL DRUG!!! My husband was taking 320 mg of Oxycontin daily for 5 years and the five years before a very high dose of Vicodin - he went on sub for 47 days and the sub worked really well for him. He started at 24 mg a day and tapered down to .12 mg and then stopped. It wasn't easy to taper once he got down to 3 mg but he did it. He's been off the sub for over a month and is drug-free and doing great....but the sub is so powerful that is knocks out any opiates that are currently on your brain receptors - it should never be prescribed to someone who is looking for pain relief!!!!!

I have read many, many horror stories from people who went on Sub to get off their DOC and stayed on sub too long, and went thru months of withdrawals - it is very very powerful. It is an opiate, but it's an opiate antagonist and an opiate agonist - which means that even though sub is an opiate you won't feel 'high' and if you took any opiates while on sub you wouldn't get high then either. That is why the sub is so effective in helping people get off opiates - it also really helps with cravings and it gives the person time away from their DOC in order to get over the mental addiction of taking the pain pills for the high. It mainly helps the person get off their DOC w/o the awful w/d's of cold turkey.

In your situation I agree with the other posts - you should be prescribed vicodin or something like that (try and stay AWAY from the Oxycontin - it takes control of you like no other pain pill!!!!) and as long as you take it as prescribed - don't 'up' your dosage you should be fine.

I hope I haven't come off too strong, but I can't believe your Doctor is prescribing you Suboxone for pain relief when you aren't even on any opiates for pain currently - it doesn't even really help much, if any, for pain-relief. I wish you the best and pray that you find a Doctor that is caring and really listens to you and knows what is best for you. RoyalSecret

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