Suboxone: Take Back Your Life From Pain Medications

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Suboxone is restricted to federally regulated clinics for the treatment of opioid addiction, and those taking it for pain need to be exceedingly cautious and educated about this medication. Suboxone prescribers administer urine toxicology screens regularly and have strict contracts for patient safety. Valley Medical and Wellness adheres to the safest practices when providing Suboxone therapy. Patients will be seen in our office once a month for the extent of their prescription. Initially, patients will be seen frequently in the first two months for close monitoring and dose adjustments.

Vivitrol is an opiate blocker that effectively reduces cravings by blocking positive feelings associated with opioid use. It is a medication that is injected once a month during an office visit.

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Vivitrol has been tremendously successful for many patients battling both opioid and alcohol dependency. Pain Pills and Heroin Addiction. Suboxone Treatment Suboxone Buprenorphine and Naloxone is a discreet and effective treatment that can be taken at home. Ask your doctor or pharmacist if you do not understand these instructions. Use dry hands when handling this medicine. Place the sublingual tablet or film under your tongue. Place the buccal film against the inside of your cheek.

Allow the medicine to dissolve slowly. Do not chew or swallow it whole. If you switch between medicines containing buprenorphine, you may not use the same dose for each one. Follow all directions carefully. Do not stop using buprenorphine and naloxone suddenly , or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.

Dr. Byrne Describes Suboxone Treatment for Opioid or Pain Medication Addiction...

All your medical care providers should know that you are being treated for opioid addiction, and that you take buprenorphine and naloxone. Make sure your family members know how to provide this information in case they need to speak for you during an emergency. Never crush or break a buprenorphine and naloxone pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death. Store this medicine in the foil pouch at room temperature, away from moisture and heat. Discard an empty pouch in a place children and pets cannot get to. Keep track of your medicine.

This medicine is a drug of abuse and you should be aware if anyone is using it improperly. Do not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, remove any unused films from the foil pack and flush the films down the toilet. Throw the empty foil pack into the trash.

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Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. Seek emergency medical attention or call the Poison Help line at An overdose can be fatal, especially in a child or other person using this medicine without a prescription.

Overdose symptoms may include extreme drowsiness, cold or clammy skin, pinpoint pupils, fainting, slow heart rate, very slow breathing, or coma. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls, accidents, or severe injuries. Get emergency medical help if you have signs of an allergic reaction : hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Like other narcotic medicines, buprenorphine and naloxone can slow your breathing. Death may occur if breathing becomes too weak. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Anything that is done to reverse an overdose should not sacrifice time or oxygen. Preparing a Suboxone to inject takes precious time, and waiting for the pill to dissolve in the mouth takes even longer. Will naloxone work on an alcohol OD? Naloxone will not work on an alcohol overdose, only opioid overdoses. If it is an alcohol overdose that also involves opioids, it might help by dealing with the opioid part of the OD Can I give them a shot of coke or speed OR does Speedballing balance you out?

No- speedballing does not cancel out OD risk- it actually increases risk, especially cocaine which can also numb the urge to breathe. Speedballing is any combination of a stimulant upper and a depressant downer taken together, especially a mixture of heroin and cocaine or heroin and methamphetamine injected into the bloodstream. Stimulants actually constrict blood vessels, and cause the heart to beat faster, which can depletes the body of much-needed oxygen, which makes the overdose worse.

Naloxone will not work on a cocaine overdose, only opioid overdoses. If it is a cocaine overdose that also involves opioids, it might help by dealing with the opioid part of the OD. Cocaine overdoses are dangerous because they are not dose-dependent and they are a complicated medical emergency- call Clonidine: Is it an Opioid?


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A Benzo? Neither do not confuse with Klonopin, which is a benzo. When combined with opioids recreationally it increases the high. Lowering the blood pressure raises the risk of falls.

It is not as long lasting as benzos, no amnesiac effects short-term memory loss. Stopping regular use does cause mild physical withdrawal symptoms and in people using it for high blood pressure it can cause very high blood pressure. What about Phenergan Finnegan, Promethazine? For example, someone on high doses of opioid pain medication could lower dose of pain med and take Phenergan to get same effect…similarly, the effects of heroin would be increased. Some heroin dealers mix Fentanyl powder with larger amounts of heroin in order to increase potency or compensate for low-quality heroin.

If it is not well mixed a small bit of highly potent Fentanyl could cause an OD in a user that is expecting just heroin. Fentanyl patches can also be used by either slapping them on the skin to get the time released medication, and then using other drugs on top of that, or by placing the patch inside the cheek, which allows the medication to release quicker, or by shooting or snorting the gel inside the patch a bit of a process to get it into injectable form, but it can be done!

Very risky in terms of overdose, Fentanyl is extremely potent and short-acting and can flood the receptors in the brain very quickly.


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Fentanyl is designed to treat pain for people who are already dependent on opioids for pain management, so it is designed to be very strong to handle the pain someone experiences despite already taking sometimes high doses of opioids. What about salt shots? The salt shot causes pain 1. While salt shots may have appeared to have worked sometimes, they could also cause damage.

Naloxone is a safer alternative. Will hitting someone bring them out of an OD? You really do not want to kick, slap, punch, drag anyone…you might hurt them.

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The sternal rub basically does the same thing as hitting, but we want to cause pain but without causing harm. Call , do rescue breathing and give naloxone. What about ice or cold showers? Ice down the pants or a cold shower might work and it might not. Ice down the pants or cold showers can slow down the respiratory system and can send someone into shock or hypothermia.

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A safer, quicker, more likely to work action is: Call , do rescue breathing and give naloxone. Will using naloxone help someone give a clean urine? Naloxone knocks opioids off the opioid receptors, but the drug is still floating around in the body AND urine! Are police, probation officers, program staff allowed to confiscate my naloxone rescue kit? Your naloxone rescue kit is yours like any other possession. It should not be confiscated. Please tell someone at the naloxone distribution program where you got it if it does get confiscated.

Some programs and shelters have policies about needing to check prescription medications- you can expect to have to follow individual program guidelines as naloxone is a prescription medicine. Sometimes people like police or probation officers might assume that the only people who have naloxone rescue kits are people who might overdose themselves, so they might assume that it is a flag for illegal activity.

Can someone get arrested for being at an OD? There is no easy answer to this question, because it depends. It depends on the policies and culture of your local police department and community.

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For example some departments have unwritten policies to never arrest people at the scene of an overdose just for calling for help. Other regions, cities and communities take a much more punitive stance, and the chance of getting searched and arrested at the scene of an overdose is higher. What is the housing situation where you are at? What if the police still come and question us? PLAN in advance- remove all paraphernalia from view- if no reason for a search is obvious, it might not happen. EMS services across the country are now using nasal naloxone Boston and San Francisco, for example and some hospital emergency departments.