Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

I am addicted to oxycodone hcl and was put on subutex from…

Customer Question
Hello, I am addicted...

Hello, I am addicted to oxycodone hcl and was put on subutex from my doctor. I’ve heard from some people that subutex does not put you into precipitated withdrawals because it does not have nalaxone in it, is this true? My last dose was about 8 hours ago and I’m starting to feel weird. Can I take subutex?

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Stomach cramping, muscle aches, starting to sweat a little, and pressure in my head.

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

Well this is the first day I haven’t taken my oxy in a while but I usually never get headaches.

Submitted: 6 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 32 minutes by:
12/28/2017
Doctor: Dr. D. Love, Doctor replied 6 months ago
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 19,734
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Verified

Hello from JustAnswer. This is Dr. Love.

No, it is not true, but not for the reason that you state. The people that have given you this information do not understand the buprenorphine or the naloxone.

Let's deal with the naloxone first. As long as the drugs are taken as directed, the presence or absence of naloxone does not alter whether withdrawal occurs. The naloxone in Suboxone is not really absorbed, and what is absorbed is metabolized in the liver, so does not get into the general blood stream. The only reason that naloxone is present in Suboxone is because of concern that people might crush Suboxone and inject the medicine. If the patient were to do so, the naloxone would block any opiate in your system and precipitate withdrawal. But as long as the Suboxone is taken correctly, the buprenorphine will be absorbed and the naloxone will not. The doctor will decide whether there is a concern that any specific patient may inject the drug, and if the doctor is concerned, then the doctor will prescribe Suboxone rather than Subutex.

The reason that Suboxone and Subutex can precipitate withdrawal is because of the buprenorphine. The buprenorphine will partly stimulate the opiate receptor and partly block the opiate receptor. There are several characteristics of buprenorphine that derive from this mixed effect.

First, there is a ceiling effect from buprenorphine, also called a plateau. With most opiates, as you take larger doses, you get a greater effect, but with buprenorphine, the increased effect with an increased dose is only true for mild to moderate doses, and higher doses will not have any greater effect. As higher doses of buprenorphine are used, the blocking effect is stronger, including blocking additional stimulation of the opiate receptor by the buprenorphine.

Second, the buprenorphine can induce withdrawal if there is a significant amount of other opiates in your system. If someone with no opiates in their system takes buprenorphine, the predominant effect is the stimulation of the opiate receptor, up to the ceiling effect. But if someone already has a significant amount of opiate in the system, the blocking effect is more predominant, and this is manifested as induced withdrawal.

So, when someone is started on any formulation of buprenorphine, it is better to wait until it is certain that any other opiates in the system has essentially left the body. Small amounts are not so much of an issue, but if you are still getting significant opiate effect, then taking buprenorphine will induce some withdrawal. Within that context, yes, you can take Subutex, but it is better to only take the Subutex when the oxycodone is out of your system, or at least mostly out of your system.

If I can provide any clarification, please let me know.

Ask Your Own Medical Question
Doctor: Dr. D. Love, Doctor replied 6 months ago

Is there any further information that would be helpful?

Ask Your Own Medical Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 19,734
19,734 Satisfied Customers
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr. D. Love is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,788 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

19,734 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

16,284 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

14,060 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
I need some advice I've currently been taking Subutex for
Hi I need some advice I've currently been taking Subutex for about a year now I am on half a tablet a day but cannot get anymore tablets so have decided to stop taking them is there anything I can tak… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
2,097 satisfied customers
Dr love I'm starting my bruphnorphine script today find
Dr love I'm starting my bruphnorphine script today find withdrawals horrendous I've got some cloridine 0.4 micrograms can I take that to help with my transition to bruphnorphine subutex for the first … read more
Dr. D. Love
Dr. D. Love
Doctor
19,734 satisfied customers
I've developed a form of Sensorimotor OCD where I feel like
Hello, I've developed a form of Sensorimotor OCD where I feel like I need to control my breathing. This only happens when I'm not focused on anything or I'm feeling anxious, but my question for you is… read more
Dr. Sohaib
Dr. Sohaib
Fellowship in Medicine
3,350 satisfied customers
I've dealt with you in the past so from my email in Jan I'm
Hi Doc,I've dealt with you in the past so from my email in Jan I'm still on the same medication. However I have to get my lapband removed. I'm opting for a sleeve instead due to constant pain and vomi… read more
Dr. D. Love
Dr. D. Love
Doctor
19,734 satisfied customers
I understand how in my system or baby's. I am under a dr
I understand how long in my system or baby's. I am under a dr care on subutex as I am a chronic pain patient. However I was suplementing until my 29th week with oxycodone cause the subutex alone was n… read more
DIEGO BONILLA
DIEGO BONILLA
304 satisfied customers
I have been on subutex for 4 years and now have found I have
I have been on subutex for 4 years and now have found I have two herniated disks and have been switched from 8mg of subutex taken once daily to what my neurosurgeon says is a huge dose for him to writ… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
Cannot wait for answer addicted to heroin started with perc
cannot wait for answer addicted to heroin started with perc 30 tried subs worked when I was on the perc waited 12 hours took sub got violently ill almost called 911 heroin I thought was out of my syst… read more
Dr. D. Love
Dr. D. Love
Doctor
19,734 satisfied customers
Can you tell me if 5mg of Oxycodone is more, less, or same
Can you tell me if 5mg of Oxycodone is more, less, or same potency as Hydrocodone/APAP 5-300mg? I recently switched from the oxy to hyrdo and feel almost same pain relief but "feels" less addictive...… read more
DrRussMD
DrRussMD
Board Certified Physician
51,788 satisfied customers
I was on tramadol for some years due to arthritis pain, 300
I was on tramadol for some years due to arthritis pain, 300 mills a day, which lately I had been taking nightly only. As I live in Japan the pills only come in 50 gram size here so for the past year (… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,827 satisfied customers
My 40 yr old daughter has taken Oxy for about a yr. She has
My 40 yr old daughter has taken Oxy for about a yr. She has fibro. and also RA and OA. She also has past injuries of broken bones. When she takes the oxy she seems fine "normal, if you will, however, … read more
Dr Basu
Dr Basu
Physician
Doctoral Degree
11,307 satisfied customers
Iam taking subutex fore pain and oxycondone is their a
iam taking subutex fore pain and oxycondone is their a problem with this i was given subutex fore pain beause the dotor cannot give regular pain med because he is a aditctionist and was only able to p… read more
Dr. D. Love
Dr. D. Love
Doctor
19,734 satisfied customers
I just received and answer from Dr. Love regarding the
I just received and answer from Dr. Love regarding the length of time i could expect the Acute Withdrawal Symptoms from a 60 mg per day 2 year addiction to oxycodone precipitated by a motorcycle accid… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
I was recently pricribe oxycodone for sever neck and back
I was recently pricribe oxycodone for sever neck and back pain. I also take antidepressent ability. My moods were always gloom but when the oxycodone was added I felt great. I was on oxy for 8 weeks a… read more
Dr.Amita
Dr.Amita
Doctoral Degree
1,587 satisfied customers
I have never seemed to be able to get a straight answer from
I have never seemed to be able to get a straight answer from any doctor though it is clear that the effects of beuprenorphine neuro-chemically, and physically have been misinformed to the public. I wa… read more
DrRussMD
DrRussMD
Board Certified Physician
51,788 satisfied customers
I'm 36 years old. I've been having what I believe is
Hi my name is ***** ***** I'm 36 years old. I've been having what I believe is hypothyroidism symptoms. I haven't gone to a doctor yet because I'm not sure that I really have it…so I was wondering wha… read more
Dr Basu
Dr Basu
Physician
Doctoral Degree
11,307 satisfied customers
I'm addicted to opiates and I'm haing a hard time tapering
I'm addicted to opiates and I'm haing a hard time tapering on my own. I need to see a doctor. I took 9 7.5mg vicodens today. Thats low for me. I'm scared of suboxone withdrawls, and have been hearing … read more
Dr Basu
Dr Basu
Physician
Doctoral Degree
11,307 satisfied customers
I have been takeing methodone 80 mg a day for 3weeks now i
i have been takeing methodone 80 mg a day for 3weeks now i went streight back to oxy 40 8 times a day i am sweeting an haveing a lot of problems is it dangers should i start the meth back for now plea… read more
Dr.PMT
Dr.PMT
Hospitalist
Doctoral Degree
335 satisfied customers
My daughter has been prescribed oxycodone by her pain mgt
My daughter has been prescribed oxycodone by her pain mgt doctor. She has been taking it for a month now and is experiencing nauseau, dizziness and lightheadedness. She feels the meds are causing her … read more
Dr.PMT
Dr.PMT
Hospitalist
Doctoral Degree
335 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x