Have been on suboxone for 13 years and recently had surgery. The plan was to use suboxone and ibuprofen post op. However, in recovery I was in so much pain I couldn't breath. The anesthesiologist gave me fentanyl in IV twice, the pain was gone (with no euphoria) and I got up walked around and eventually went home. Thank God that doctor could see on my face how much pain I was in and took good care of me. I wish more doctors wouldn't be so scared to do their job.
When you have been talking any pain medicine including methadone and Suboxone for addiction you are going to have a base tolerance for your everyday life. Doing anything to increase the pain by getting hurt or surgery is still going to be painful. I take high dose methadone and it's a big fear of mine to get hurt or anything like that and not get the pain management to be comfortable. I watched my mom get surgery and then she was not getting enough for her to even stop screaming. That's in a tiny old lady who is not taking any opiates. The wrist surgery an ex boyfriend got became a huge problem after the normal meds that are used for pain were not even close to helping. He was maxed out of what he was able to get without the approval of some sort of committee and it's not there 24 hours So anesthesia department came in with a nerve block for the entire arm to make sure he was comfortable.iy lasted 3 days and he was sent home with the I've and bag of blocker stuff
You are absolutely correct. They ended up tripling my Dilaudid dose post op because I had been on bupre for a number of years Nevertheless I was happy to get off Dilaudid as surgery 10 years earlier was how my addiction started. INitially 10 years earlier they were prescribing me 10 mg of oxy a day. After the two surgeries and a couple months later, before I sopped taking oxy, I was taking 380 mg oxy a day for post-op pain (at least I thought it was post-op pain). I was a fucking zombie so fired my doctor, retirned about 5000 mg of oxy to her and started with bupre.
I was having horrible bladder spasms on subs. I took Percocet 10mg and it didn't help. We all know Percocet is much stronger than hydrocodone so this is not going to work.
Just what you need when you're in acute pain. A behavioral approach 😂. I'm dying in pain so I think I'll go to a meeting 😂. Who knows? You might find some good drugs at the meeting 🤝
I totally disagree with this useing Buprenorphin as a pain med when ur having a knife used on ur body in any kind of surgery it simply is not strong enough for the pain .
@@daphnietudor2953 How about having a total knee replacement and needing intense physical therapy.......google how painful that procedure is. google how important physical therapy is for recovery
My pain doctor told me that I need to make sure that the surgeon will treat me as if I am any normal person off the street. If they are uncomfortable with treating my chronic pain while on Belbuca then they need to find a Dr who is. I am on it for pain management though not addiction.
It's very concerning that doctors know very little about this. I'm supposed to get bunion surgery, told my md that I'm on 2mg suboxone daily, and he looked perplexed and asked "What's that?". Update: I have since tapered down to 1.5 mg of Subs. Eventually, I'd like to be off of them completely.
@@madamlt5758 I will chime in on that. I have been on Suboxone for 6 years and started with 16 mgs. I eventually went down to 8 with almost no side affects. Then I went down to 6 with no noticeable side effects. It’s when I went to 4 mgs per day that it got tough for me. I stayed on 4 for about 3 months before I went to 2 mgs. That’s where I am now, 2 mgs a day. Apparently everyone has their therapeutic level and mine was 4 mgs a day. Anything below that dosage and it’s been tough. I will say it gets easier with time. 5 months ago I couldn’t imagine taking only 2 mgs per day. Now I am living quite comfortably with it.
I think this line of thinking toward relapse is a bit off. I'll explain... A huge relapse trigger for a lot of these people is pain. Thinking that you'll increase relapse chances from prescribing pain medications in a setting where they're indicated is backwards. Keeping them in a state of high pain by not prescribing enough, is when the chances skyrocket. Couple that with a high tolerance from taking these meds to the point that a lot of surgeons and docs won't feel comfortable prescribing the necessary doses for pain control, and again, you have a bad situation for this population of people. Increased doses of pain meds following surgery or for acute pain doesn't raise relapse chances. Not treating pain, and under prescribing pain medications does that. Source, ex addict. I think this doesn't get enough attention with how many people are on this medication now.
yes!!!!! I just got a tonsillectomy. they under prescribed me and I was crying when I woke up from surgery. they refused to give me anything, and only sent me home with 7.5. I'm not taking it because it does NOTHING. I'm going back to my subs.
Oh my word thank you for expressing that so correctly. I'm terrified that when I get my surgery that the doctors won't take me seriously as far as my pain management. A C-section is a major surgery and I've told my doctor's many times that I was going to appropriately go off my medication before pregnancy. I ended up becoming pregnant before someone decided to approve that and now they are telling me not to do that because they are scared I will relapse and I'm simply a person that has no issues with relapse thankfully. I feel that I'm just not being listened to and being treated under a statistic and not on my own personal experience. And it's very true if I were to continue to not be listened to and was in too much pain the thought of relapse would enter my mind.
@@dahliapothos1434 Notice how they never responded to my comment, while commenting on almost all of the others? Yeah... I'm an ex addict, who's worked in the medical field, and have a degree in biology. Most of the people in addiction clinics, have no actual experience in being an addict. So, they can only speak through papers, also written by non addicts. Or, through what they're told. The best way to get people clean, is to let people with real experience in overcoming addiction, to start treating them.
@@RustinChole I know. I have been on it for five years, at first I used it because I couldn't find drs to treat my constant pain from what I now know are from osteoarthritis, bone spurs in every joint that led to two surgeries this year from complete cartilage tares in my shoulders, knees, a total hip replacement, my spine fusing together with my hips and multiple disc herniated, now gout in every major joint, the medication helped me manage my pain, im allergic to NSAIDS, most drs listen but then there are so many that dont. Having surgery I have had drs prescribing pain killers that under treat the pain, but a few that understood. Pharmacist are the worst as they think you can over take the medication to get high, there is no way to do this, if you take more it just is waisted in urine as the receptors when they are full, they are full and the narcan (forgive my spelling) blocks any opiode , do to have surgery I have to go without for days actually going into withdrawals before pain medication will work....it took me years to find a good dr to treat me, no more urine test that I have never reverted, no more waiting in line once a month, my dr actually if I dont have the money to pay, will still call in my medication until I can pay him, sometimes even a month late. Which has led me to using less medication on some days if I dont need it, the entire relaxed experience from my dr for a year now is making life so much easier. I may never come off it, but I am prepared for that. with it I can actually live and move, sure I still have pain, but no more highs and lows from regular pain meds, I think all drs in emergency rooms, urgent care, should have to take special classes for this!
This is vert concerning I was in very severe pain post-op I would not have been okay if I stayed on buprenorphine thank god my Dr allowed me to use methadone for pain. to me, this is the logical option. How can you say hydrocodone offers any pain relief when the receptors are fully occupied by buprenorphine. Methadone is approved for opiate addiction and pain. Methadone seems to be the logical choice for real pain relief post-op in patients with a history of OUD.
I'm on 45 milligrams of methadone but I was on subs for 6 months and was just in to much pain to stay on it so got on methadone and it works great for me
Better than what they did for me. They prescribed me 10mg oxy every 8 hours after major surgery. I take 24mg of Suboxone a day... I told them from the start that wouldn't be enough and I didn't want to do the procedure. I said I'd rather come off the suboxone and switch to full agonist pain medication before the surgery to make sure I was actually getting relief from it. They told me no, and reassured me I would be fine. Against my better judgment, I had the procedure done. As soon as I woke up I knew I was, and pardon my language, fucked. All I got was the low dose of oxy, and Tylenol. I highly recommend not doing it this way. The doctors don't know what they're talking about on this subject. Depending who you ask, you'll get a totally different answer on what to do. If you need surgery, get off the suboxone, switch to fill agonist, take them until you don't need them anymore, and switch back to suboxone when you are out of pain. There's no reason to not do it this way other than having a chicken shit of a doctor. If they won't do it, find one who will, because they are out there. You don't need to suffer because you've struggled with addiction. We've suffered enough already.
Thanks for this. I used to be on suboxone, and woke up mid surgery during a dental procedure that involved full anesthesia. Glad to know I don’t need to worry about bu on its own.
I was on suboxen for a couple months prior to surgery. The day before surgery , the family doc said the suboxen would be out of my system in a couple days and proceed with opioid pain relief post op. the surgeon said it would take 2 to 3 weeks to get it out of my system. He convinced me that I probably wouldn't even need pain meds after surgery so I proceeded with surgery. Now my primary care wanted me on buprenorphine for 2 weeks before surgery but insurance wouldn't cover it. so i proceeded with surgery and I am a MONTH out of surgery and the opioids still are not working. Not only is there no euphoric effect but its doing nothing for pain. I had a meniscus repair as well and have other chronic pain. ....what do I do? I have 3 more surgeries to go through and I can not do this again with no pain relief.
This is an awesome video and an excellent explanation overall. I am a Buprenorphine patient - and I just had knee surgery. My surgeon at Kaiser in CA and my psychiatrist communicated, I had 4 anesthesiologists working on my case and I think they did a great job overall. My surgeon gave me a realistic idea of pain post-op, which kind of scared me but it helped me prepare for some pain. I did have quite a bit of post-op pain but I just took acetaminophen and some extra doses of Buprenorphine for a few weeks. This seemed to really work for me. You’re right in that it’s a combination, and not a perfect science, and it’s a team job.
I just had one of the most painful surgeries, tonsillectomy. I'm a recovering addict and I have 3 years under my belt. My Suboxone doctor told me to stop taking my subs two days prior to surgery so I could start my pain meds. well, I'm here to tell you that was an awful idea. 2 days is not enough time for someone who takes subs on a regular basis. I could literally feel everything and while I was waking up from surgery I felt tears rolling down my face. I was in so much pain but they wouldn't give me anything else for it. I was sent home with 7.5/325 liquid hydrocodone, which also didn't do anything. I'm now in the middle of switching back to my Suboxone. My best advice I can give you is don't even take the pain meds, continue taking your subs. the pain meds won't help at all. also, a happy middle ground for an addict is not feeling pain!! I became an addict because I was getting daily migraines. we need to stop being afraid to help addicts while they are going thru surgery. doctors need to treat us like any other person off the street. if you want chance of relapse then under prescribe the pain meds.
What if you take a mg to 1.5 mg for pain control. I fell and hurt my back and I take it off the street so I don't hurt as bad cause drs these days want treat my pain. I was referred to a neurosurgeon for my pain but haven't went yet. Do I need to tell the anesthesiologist??
Unfortunately you do. When I had my surgery I met a guy that had woken up mid surgery before. It's very dangerous and if you survive it is very traumatizing.
I’ve had several surgeries while on Suboxone and sure I had some pain that I had to tolerate but it wasn’t unbearable at all. However, these were more minor surgeries like having tubes tied, dental surgeries, cervix removed, etc. and not any joint replacements. If you’re taking buprenorphine for any reason, having a major surgery, you’ll need a stronger opiate like fentanyl unfortunately bc the buprenorphine doesn’t occupy ALL of the receptors and the fentanyl is fairly a lipophilic drug and they work extremely well together- when administered by a medical professional only! But if taking it for addiction, please just try to take the buprenorphine and see how you do instead of assuming it won’t work. It’ll make you mentally stronger/confident and you’ll be so proud of yourself! 🤗 Also, you can ask for Propofol as a matter of fact! That worker wonders for me while having a major surgery and I don’t remember any of it! Ha! Always talk to an anesthesiologist first!
Michael Jackson dies on that shit. Though I agree with you. They tried using Dilaudid for me but it had no effect whatsoever. When they ACTUALLY CHECKED MY CHART AND FOUND OUT I had been taking bupre (but not that week) they switched me to fentanyl....that worked. However post op they prescribed Dilaudid (no bupre). They had to triple the initial prescription dose of Dilaudid just to get minimal pain relief. I was so glad to get back on bupre. Dilaudid just made me a numb zombie
I’m on 128mg buvadel injection per month. I’m going to have reconstructive for surgery which is extremely painful. I’m on it is been awesome but it’s in an injection so I cannot stop taking it super important that I have my pain managed as I also suffer from Heds connective tissue disorder which is gonna even cause more pain for me. Do you have any suggestions? I can see that fentanyl is probably the best way to get through this.
A few years ago I was on Suboxone for pain management. During this time I was having major trouble breathing and my O2 level stayed in the mid 80's which was terrifying. The ER mis-diagnosed me with congestive heart failure because of this. Is this common?
I have several hernias Around the area that I had mesh implanted to repair a hernia five years ago. I am a 32-year-old female and I’ve been on Buprenorphine for probably six years. I have had several surgeries in my life but waking up from a hernia repair surgery was the most pain I have ever felt. Ever. Now I am facing that again but even more so because I have multiple hernias now. I am terrified.
I hope it goes well for you 😔 I'm supposed to have all my upper teeth cut out on Thursday & I'm terrified.. just getting over a NASTY abscess that was so painful absolutely nothing touched it.. I've watched several of these videos that talk about taking suboxone for the pain but it doesn't work for me much at all
Mëłïşşä how did everything go for you? I've been on Suboxone for over 6 years and I have to have a few dental surgeries as well. I swear being on methadone for 3 years and then Suboxone for 6 has completely ruined my teeth, I've always brushed and flossed and still am having horrible problems. I'm terrified to go in for these procedures. Especially because suboxone really doesn't give me any pain relief. I'd love to know how things worked out for you and how you made it through the pain. Thanks so much!
I'm probably having surgery too again. It would be my 5th. I completely feel you. I hurt really bad after surgery. Im taking subutex from a friend because a pain clinic recommended it. Im scared I'm gonna get labeled or drs are gonna judge. What should I do.
Jodie Harbison I don’t know what resources you have and where your at on your journey but I will say you should go to a Suboxone clinic and just be real with them and if anyone else has anything to say about your personal health just remember they only have to know as much as you want to tell them. Quite frankly it’s nobody’s business that you don’t want involved. This is your pain, your life. You can lie, but never lie to your Doctor that’s how many of us have lost good friends so take care of you, listen to what your body is telling you, and at some point be brave and jump off all these meds. None of us are meant to be on these meds forever. That’s no way to live. Good luck 👍 if you ever want to talk just HMU
@@psychopathiiic I had oral surgery removing all my teeth. Suboxone worked for me along with ibuprofen and tylenol. I set the 2nd 2 meds up so that I was taking one or the other every 2-3 hours and it worked well.We sometimes forget that over the counter medications do work well. Good luck
How is it that when a patient comes in post op you can "remove" them from their bupenorphine regimen? Do they have to wait atleast 72hrs before surgery? Because bupe has a 72 hour half life.. I'm confused🤔
Because I don't think he's considering people who are on Suboxone which is bupe and naloxone not bupe by itself which is Subutex that you can just stop and take an opiate if needed. I hardly ever see a doctor comfortable giving just bupe so they're confusing me telling me they'll just stop it one day and start pain control the next cause Suboxone doesn't work like that.
The one that deals with suboxone which has naloxone in it (unlike plain buprenorphine). There’s a different video that deals exactly with that. Same channel.
This has always been a concern of mine. Like what if I get into a horrible car accident and need to be rushed into surgery 😳 from what I've gathered about (buprenorphine which is what I was on) they would have to give you something like fentanyl to kick the buprenorphine out. And because buprenorphine and suboxone have such a strong affinity it can be tricky.
@@kimbershark no no - as long as you’re on buprenorphine (the generic that doesn’t contain naloxone) there’s no problem. I had this happen once when I was on suboxone with the naloxone, and I woke up mid surgery. Suboxone is buprenorphine with nalaxone. Subutex, or the generic buprenorphine, is just buprenorphine. I switched to the nalaxone free one after a dental procedure that required anesthesia - no problems. And I have an extremely low pain tolerance. Buprenorphine is also very effective treating post op pain in combo with more traditional pain killers. As long as you’re nalaxone free, you don’t need to “kick the buprenorphine out of your system.” Nalaxone can cause a host of problems. I woke up mid surgery after 72 hours free of suboxone. It’s important to understand the difference between suboxone, subutex, and the generic buprenorphine. Good luck!!!!
Wow good for you for speaking out about this I don't know how many times when I was on Suboxone You are already on pain medication you don't need any or the pharmacy would decide for me
ANd yes I believe the kappa affinity works spinally as well. I had to explain that Ketorolac is available IV and the only NSAI that is. Some ativan and staying on medsurg until I was trimmed off the PCA I refused the 5mg IR oxycodone and dosed bupe and did great.
Wow I'm so happy and furious that this is an educated and practice-backed plan that I needed every administrator and patient care advocate for. Understood there are operating procedures, but medicine is medicine and thank you for educating on best practices.
I am having knee surgery Tuesday. My Dr. Didn't even know what my med was. I am concerned about if I am going to make it through surgery, he told me I was going to be in severe pain afterward. At the time of the surgery, I will be off of it for about 50 hrs. I only use it for the pain I am not addicted to pain meds.
@@jukodebu that's honestly not true. it doesn't block the pain control anywhere near as much as it blunts the euphoric effects but ive taken methadone after taking bupe many, many times and the methadone worked on top of it so i think its a myth that buprenorphine actually completely blocks off receptors.
I have a question I was opiate dependent do to multiple conditions such spinal degenerative arthritis, neuropathy, and arthritis in ankle due to prior fracture playing football I was completely dependent on oxycodone, hydrocodone, tramadol drugs like that. I made the decision with my doctor to try buprenorphine HCL 8mg at 3 times daily it's been 5 years now and I have been doing great pain control has been great and just being able to not depend on short acting opiates has been a miracle I am currently on 24mg and have been for years but lately I have noticed the pain returning slightly on some days where I say to my if I could just be on one more dose daily which would put me at a therapeutic dose of 32 mg daily. Now my question is would it be out of bounds to ask my dr to put me on 1 more tablet a day which would be 8 mg buprenorphine HCL Sublingual every 6 hours or would this be out of bounds for treatment because I would rather do that then return to opiates and oxycodone for pain?
I've been on 16mg of Suboxone for a year and have a hip replacement surgery coming up very soon and I have no idea how I'm going to do this cause Suboxone isn't doing anything for pain believe me I also have osteoarthritis autoimmune disease and it's never done anything for pain while on it
I had massive lower body injuries with shattered femurs bilat, and a T-Spine fracture in traction with a pneumo and after raising hell and getting the pain team, the anesthesiologists to demand as many catheterized bupivacaine blocks and a ketamine drip with some trycyclica and a fentynal PCA with a loading dose and it worked after about 4 bone grafts and using a patient advocate that could speak without screaming. Luckily now I'm not at a bupe mill and have an Emergency Physivian, Clinical Pharmacologist, and surgeon with pull at his alma matter medical center.
Josh Cohen You don’t sound like you have any medical training at all in addiction nor do you sound like a doctor. Different people have different needs. I don’t know how many surgeries you’ve had but remember not everyone is the same and different people have different pain. You’d do well to remember that next time you want to call everyone out. Addiction specialist for 10 years Sober for 20 Good luck 👍
Julianna King yes but everyone’s situation is slightly different but be careful who you trust in CZcams comment section. I’m not trying to sell you anything, but I am an addiction specialist and just remember you can’t compare your situation to everyone else’s. we all have different needs and pain levels so what’s going to work for someone else may not necessarily work for you and vice versa but again you need to just find an ok middle ground for pain that you can your Dr. can work with
People should never judge. More people need to be upfront with addiction and or dependence. No one want's to grow up to be an alcoholic or addict. No one want's to be diabetic. These have all been considered disease's for years and years. sometimes heredity. Addicts are good people with a bad disease. If they are lucky they can get help. Please don't judge people but feel free to judge Purdue Pharma for lying about OxyContin. It was all about$$$$
@@3monkeysandamoose they do judge though. My partner just had complicated bowel surgery and the pain team just wouldn't do anything for him. The moment I heard the Dr saying "we're not judging you " I knew they were. They discharged him from their care after two days of trying to mess with his Subutex dose and refused to liase with his treating Dr.
Personally i think we should only use bupenorphine for all pain treatment dose dependent of course. then we lower the likelihood of abuse and keep everyone on the same page
It doesn't work like that. People even abuse whiteout... Also buprenorphine causes other side effects like QT prolongation. AND it's rarely enough for pain.
WE are all different. WE have different surgeries. Try having a total knee replacement with only bupenorphine. That could lead to relapse. Common Sense. Orthopedic surgery can be very painful. Total knee replacement pain is worse than hip replacement and then there is physical therapy which is super important for healing. I'm going with the opiods to get thru the surgery and PT. I know from experience that Suboxone can be great for pain and had extensive oral surgery needing only Suboxone with Ibuprophen and tylenol. Cutting bones and tendons is another story. I'm an RN and have been on Suboxone for yrs. It saved my life and worked for pre op pain and I know it will work great a couple weeks post-op. I'm not going to ruin my life again.
@@3monkeysandamoose I've had 2 TKR the first one was a total stuff up. I woke up in agony, they hadn't even put a nerve block and they titrated my buprenorphine. The second TKR was better due to a epidural and nerve block above the knee. I was in terrible pain on discharge, but just had to cope. Now I just watched my partner go through major surgery with no postoperative pain relief because they were on subtex, acetaminophen was the pain teams answer because apparently "opioid don't work any more" Those who actually know what buprenorphine was assumed it was pain relief and the preoperative dose was sufficient to manage postoperative care. But as one Doctor said "we're not judging you" that said it all.
After elbow surgery and after revision surgery (yep it failed) I used only bupe for pain. Doctor wrote for 14 oxy;s but I did not fill the script. During surgery they insisted on fentynal. I asked them not to useit but they do not listen My point is bupe is enough!
I think next surgery (I may need yet another revision because it hurts and wobbles) I may ask for some IV bupe because it may help and should not hurt. BTW ibuprofen added seems to help with inflammatory issues
@@HMAInstituteonAddiction on top of it, as I said in another comment, access isn't what drives relapse. My source for this is that everywhere drugs get decriminalized, use goes down sharply. You want someone to relapse? Put them in severe pain from surgery and barely treat it. That is a much better way to get them using again, especially considering that's the reason most addicts started down that road to begin with. Pain. No one wants to be an addict or on this maintenance crap. No one woke up and was like, I think I'll be an addict today! We have this problem, because our Healthcare system at its core is more concerned with money and making sure the Sacklers remain billionaires, than it is with making people healthy. If I could make a suggestion. Read the book, in the realm of hungry ghosts, close encounters with addiction. Dr Gabor Mate. This will show you a different angle on addiction that I think is far more accurate. If doctors knew this stuff, they'd be better equipped to handle this issue in general.
I don't have opioid disorder. I refused them. I've been stupid a pain doctor for years and finally told them I'm done, need help, I don't want oxycodone. They recommended the patch. While it isn't perfect it did take the edge off of the pain. A lot of the aches are more manageable.
a stable patient should be encouraged to stop buprenorphine 5 days prior to surgery then be treated like any other patients. anything less is criminal. A stage patient is no different than you. Stop your prejudice.
This just sounds like way too much nonsense I'd rather gradually just go off of it and then have my baby via C-section. With one to two normal medications
It all depends on the dosage ! The pharmacology of this mix and match 💩is the hardest part to figure out. Plus the overall ignorance of Drs. when it comes to buprenorphine BY ITSELF ! Not Suboxone , which is a combination of buprenorphine and naloxone .
Buprenorphine is not only prescribed for opioid use disorder. Assuming a diagnosis based on a prescribed medication is harmful to patients. This medication is also prescribed currently for chronic pain not just for OUD. I have some other medical issues limiting use of common pain medications and this drug is an alternative treatment for me. I am not an OUD patient. I stopped watching because you kept repeating the diagnosis based off the person taking the medication. Teaching that it’s okay to assume a diagnosis without actually reading a persons chart. I get tired of doctors not reading my chart especially anesthesiologists. I have had life threatening complications because anesthesia hasn’t even read the drug allergies on my chart, Or assumed it was inaccurate and gave the drug anyway.
The lecture was informational, but it is concerning that the Dr seemed to "bucket" someone or everyone into the OUD pile of bad folks vs many of use who have debilitating pain. Regardless if you have a dozen disc that are shockingly degenerated, MS, bone Spurs or even IBS. Chronic / debilitating pain patients also need surgical procedures and in truth it seems reasonable that this type of compliant patient may possibly need more surgeries then the average person. So, the presenter was able to present well, speak well and appeared empathetic. But but and but, I would love to see him present a lecture in a way that solely focus on true chronic pain sufferers that while being compliant either have an emergent surgical need or a planned surgical intervention scheduled to hopefully improve quality of life. Honestly, the presenter looses credibility by failing to focus on those that suffer injury or illness that are not addicts. So, that is the challenge, that is really what is needed for people who have been injured, have true mechanical, degenerative disease. Stop the broad strokes of his opening statement that "most likely" the injured or ill patient is labeled as a "user" vs a chronic pain patient.... Just a thought....
I love this response. Apparently the medical professionals or folks who make these decisions based off of the information relayed to them, react and respond as if they believe EVERYONE is an addict. Those of us who are in extreme and constant pain have been affected from these forever and constant changing of dropping doses and insurance blockage on what we can or cant have. sometimes they wont even allow a person to pay for medication if their insurance wont cover it. Also even pain management drs will treat you like you're an addict if you have any complication with what theyve given you. I absolutely hate that those with addiction issues have made it extremely hard from us who dont have them to get what we need. I was put on dilaudid 3 times a day. The dr left his practice so I went to a different facility and they dropped it in half claiming I DIDN'T need that much. I told them I was having trouble managing my pain from them immediately dropping my dose in half. They could care less. So I've been taking buprenorphine for pain because after years of pain meds that I feel wasn't much help as it shouldve been, I tried something different after being referred to an office because they felt after a month off medication, that I was still in some form of withdrawal because I couldn't stand straight up. so bupe works better for pain if you ask me. But the brain fog and a few other issues are challenging as well. I saw some Pain management drs to see about options outside of medication and was severely judged for being on buprenorphine and denied even the basic care. I am not insensitive to those with addiction illness. I understand the psychological and physiological affects/effects from them, but boy those who scammed to get more pills have screwed it up for the rest of us who only want to have some semblance of a normal life. Constantly being in pain has ruined in so many ways.
@@Angel-gp6tx Purdue Pharma and the Sackler family messed it up. They sent out drug reps who lied about OxyContin saying it didn't cause dependence and addiction. Blame them. Now I'm hearing nurses in Dr Offices bragging that Dr doesn"t prescribe narcotics. Just stupid. I became addicted to hydrocodone when my Dr. keep upping the dose for back pain. I never planned to grow up and be an addict.
All patients should be treated with respect regardless of how they ended up buprenorphine. My Husband had undiagnosed Crohns disease for a least a decade. He was in constant pain and self medicated until he found a good Dr. Unfortunately he's had to have two emergency bowel surgeries and the pain teams have been incompetent and not managed his pain. They assumed the buprenorphine would be sufficient and told him "opiates don't work any more" and " were not judging you ". That said it all really.
Who here would do open heart surgery bypass, with subs and Tylenol 😮 are they fuckin crazy 😧, i need surgery or will die suddenly, but no fuckin way am I going to suffer and be on a ventilator in massive pain 🤬
I was on Suboxone for three months taking 4 mg in the morning and four at night. They told me to stay on it when I had my gallbladder removed. So when I had the surgery I woke up in so much pain it was so awful. They tried to give me strong pain meds in the hospital but they did not help, it was awful. Doctors that think you should stay on Suboxone or buprenorphine and have surgery are definitely not understanding how much pain meds do not work when you’re on Suboxone, it blocks out the pain meds 100%!!!!!
I am very sorry for your experience. You are correct that "most" pain meds will not work well with Suboxone. Meds like morphine, oxycodone, or hydrocodone do not have enough affinity, and will not be able to bind to the receptor. That is why the specific use of fentanyl in hospital settings would be recommended.
As a current user of Suboxone for the past 14 years, it does not work for pain. I am being forced to use it because of its addictiveness. No doctors want to prescribe them us with pain meds for fear of being sued if something happens. I had back surgery and let me tell you it gave no relief.
I'm about two minutes in. Still want to see what you have to say, so I'll update this if need be. I had a hip replacement in 2019. The surgery team knew nothing about Suboxone. Told me to stay on it till the day of surgery. Think you're tough? Try having a hip replacement and no way for pain medication to work after the spinal wears off. When I see people complaining of a backache, or a toothache, saying "this pain is a 10!" I laugh. I was in misery. I didnt even sleep for the first 24 hours. Sure, they could've used fentanyl, but they didn't. Took three days just to get pain medication to work. You have to stop before and take a short-acting opioid 3 to 5 days before, which is what i did a year later, in 2020, when i had to get a tendon fixed in that same hip. I have to get my other hip replaced in a few months. So, it will be that again. 5 days before, start morphine time release. For three weeks after, 10mg of percocet 4 times a day. I actually stopped taking dilaudid two days after my second hip surgery because it didnt hurt that bad. Luckily, i was only addicted to pain pills. I got prescribed way more than i should've been prescribed. I look at starting/stopping Suboxone now just like a temporary change of medicine. I've been clean so long, no chance of relapse. If someone was a street drug user, that would be worrisome, because they only took it to get high. If you've been on Suboxone for a few years, you don't get bad withdrawal stopping before surgery, using a weaker pill. The people who say Suboxone withdrawal is horrible are people that never fully recovered from their other addiction. I went two days before I started the morphine before surgery. Easy peasy!
Have been on suboxone for 13 years and recently had surgery. The plan was to use suboxone and ibuprofen post op. However, in recovery I was in so much pain I couldn't breath. The anesthesiologist gave me fentanyl in IV twice, the pain was gone (with no euphoria) and I got up walked around and eventually went home. Thank God that doctor could see on my face how much pain I was in and took good care of me. I wish more doctors wouldn't be so scared to do their job.
Im totally agree with u 100%
When you have been talking any pain medicine including methadone and Suboxone for addiction you are going to have a base tolerance for your everyday life. Doing anything to increase the pain by getting hurt or surgery is still going to be painful. I take high dose methadone and it's a big fear of mine to get hurt or anything like that and not get the pain management to be comfortable. I watched my mom get surgery and then she was not getting enough for her to even stop screaming. That's in a tiny old lady who is not taking any opiates. The wrist surgery an ex boyfriend got became a huge problem after the normal meds that are used for pain were not even close to helping. He was maxed out of what he was able to get without the approval of some sort of committee and it's not there 24 hours So anesthesia department came in with a nerve block for the entire arm to make sure he was comfortable.iy lasted 3 days and he was sent home with the I've and bag of blocker stuff
You are absolutely correct. They ended up tripling my Dilaudid dose post op because I had been on bupre for a number of years
Nevertheless I was happy to get off Dilaudid as surgery 10 years earlier was how my addiction started. INitially 10 years earlier they were prescribing me 10 mg of oxy a day. After the two surgeries and a couple months later, before I sopped taking oxy, I was taking 380 mg oxy a day for post-op pain (at least I thought it was post-op pain). I was a fucking zombie so fired my doctor, retirned about 5000 mg of oxy to her and started with bupre.
I was having horrible bladder spasms on subs. I took Percocet 10mg and it didn't help. We all know Percocet is much stronger than hydrocodone so this is not going to work.
Just what you need when you're in acute pain. A behavioral approach 😂. I'm dying in pain so I think I'll go to a meeting 😂. Who knows? You might find some good drugs at the meeting 🤝
I totally disagree with this useing Buprenorphin as a pain med when ur having a knife used on ur body in any kind of surgery it simply is not strong enough for the pain .
I don't and I'm taking buprenorphine. I dont agree taking pain meds.
@@daphnietudor2953 How about having a total knee replacement and needing intense physical therapy.......google how painful that procedure is. google how important physical therapy is for recovery
My pain doctor told me that I need to make sure that the surgeon will treat me as if I am any normal person off the street. If they are uncomfortable with treating my chronic pain while on Belbuca then they need to find a Dr who is. I am on it for pain management though not addiction.
@@candeezymarie9827 same here!
YES it was plenty pain control for me after breaking and shattering my heel. Half my dose actually
They should call it a Doctor Abuse Disorder!
Hydrocodone on top of buprenorphine? That will do absolutely fucking nothing.
Nope Suboxone binds so tightly to the receptors it won’t let hydrocodone bind. It is worthless to take a partial agonist if your on Suboxone.
It's very concerning that doctors know very little about this. I'm supposed to get bunion surgery, told my md that I'm on 2mg suboxone daily, and he looked perplexed and asked "What's that?".
Update: I have since tapered down to 1.5 mg of Subs.
Eventually, I'd like to be off of them completely.
Tania Jones and even after tapering down to 1.5mg, they continued to treat you like a drug addict?
That's so bad isn't it???
lol how does any doctor not know what suboxone is lmao
I am at about exactly that too. How is your taper going?
@@madamlt5758 I will chime in on that. I have been on Suboxone for 6 years and started with 16 mgs. I eventually went down to 8 with almost no side affects. Then I went down to 6 with no noticeable side effects. It’s when I went to 4 mgs per day that it got tough for me. I stayed on 4 for about 3 months before I went to 2 mgs. That’s where I am now, 2 mgs a day. Apparently everyone has their therapeutic level and mine was 4 mgs a day. Anything below that dosage and it’s been tough. I will say it gets easier with time. 5 months ago I couldn’t imagine taking only 2 mgs per day. Now I am living quite comfortably with it.
I think this line of thinking toward relapse is a bit off. I'll explain... A huge relapse trigger for a lot of these people is pain. Thinking that you'll increase relapse chances from prescribing pain medications in a setting where they're indicated is backwards. Keeping them in a state of high pain by not prescribing enough, is when the chances skyrocket. Couple that with a high tolerance from taking these meds to the point that a lot of surgeons and docs won't feel comfortable prescribing the necessary doses for pain control, and again, you have a bad situation for this population of people. Increased doses of pain meds following surgery or for acute pain doesn't raise relapse chances. Not treating pain, and under prescribing pain medications does that. Source, ex addict. I think this doesn't get enough attention with how many people are on this medication now.
yes!!!!! I just got a tonsillectomy. they under prescribed me and I was crying when I woke up from surgery. they refused to give me anything, and only sent me home with 7.5. I'm not taking it because it does NOTHING. I'm going back to my subs.
Oh my word thank you for expressing that so correctly. I'm terrified that when I get my surgery that the doctors won't take me seriously as far as my pain management. A C-section is a major surgery and I've told my doctor's many times that I was going to appropriately go off my medication before pregnancy. I ended up becoming pregnant before someone decided to approve that and now they are telling me not to do that because they are scared I will relapse and I'm simply a person that has no issues with relapse thankfully. I feel that I'm just not being listened to and being treated under a statistic and not on my own personal experience. And it's very true if I were to continue to not be listened to and was in too much pain the thought of relapse would enter my mind.
@@dahliapothos1434 Notice how they never responded to my comment, while commenting on almost all of the others? Yeah... I'm an ex addict, who's worked in the medical field, and have a degree in biology. Most of the people in addiction clinics, have no actual experience in being an addict. So, they can only speak through papers, also written by non addicts. Or, through what they're told. The best way to get people clean, is to let people with real experience in overcoming addiction, to start treating them.
Pain is what got us started in the first place.
I have found most doctors are very uneducated about the subject
That’s an understatement.
@@RustinChole I know. I have been on it for five years, at first I used it because I couldn't find drs to treat my constant pain from what I now know are from osteoarthritis, bone spurs in every joint that led to two surgeries this year from complete cartilage tares in my shoulders, knees, a total hip replacement, my spine fusing together with my hips and multiple disc herniated, now gout in every major joint, the medication helped me manage my pain, im allergic to NSAIDS, most drs listen but then there are so many that dont. Having surgery I have had drs prescribing pain killers that under treat the pain, but a few that understood. Pharmacist are the worst as they think you can over take the medication to get high, there is no way to do this, if you take more it just is waisted in urine as the receptors when they are full, they are full and the narcan (forgive my spelling) blocks any opiode , do to have surgery I have to go without for days actually going into withdrawals before pain medication will work....it took me years to find a good dr to treat me, no more urine test that I have never reverted, no more waiting in line once a month, my dr actually if I dont have the money to pay, will still call in my medication until I can pay him, sometimes even a month late. Which has led me to using less medication on some days if I dont need it, the entire relaxed experience from my dr for a year now is making life so much easier. I may never come off it, but I am prepared for that. with it I can actually live and move, sure I still have pain, but no more highs and lows from regular pain meds, I think all drs in emergency rooms, urgent care, should have to take special classes for this!
@Kraftsi Bead Threads all drs and pharmacists should have to take refresher courses on it!
This is vert concerning I was in very severe pain post-op I would not have been okay if I stayed on buprenorphine thank god my Dr allowed me to use methadone for pain. to me, this is the logical option. How can you say hydrocodone offers any pain relief when the receptors are fully occupied by buprenorphine. Methadone is approved for opiate addiction and pain. Methadone seems to be the logical choice for real pain relief post-op in patients with a history of OUD.
I'm on 45 milligrams of methadone but I was on subs for 6 months and was just in to much pain to stay on it so got on methadone and it works great for me
Better than what they did for me. They prescribed me 10mg oxy every 8 hours after major surgery. I take 24mg of Suboxone a day... I told them from the start that wouldn't be enough and I didn't want to do the procedure. I said I'd rather come off the suboxone and switch to full agonist pain medication before the surgery to make sure I was actually getting relief from it. They told me no, and reassured me I would be fine. Against my better judgment, I had the procedure done. As soon as I woke up I knew I was, and pardon my language, fucked. All I got was the low dose of oxy, and Tylenol. I highly recommend not doing it this way.
The doctors don't know what they're talking about on this subject. Depending who you ask, you'll get a totally different answer on what to do. If you need surgery, get off the suboxone, switch to fill agonist, take them until you don't need them anymore, and switch back to suboxone when you are out of pain. There's no reason to not do it this way other than having a chicken shit of a doctor. If they won't do it, find one who will, because they are out there. You don't need to suffer because you've struggled with addiction. We've suffered enough already.
Thanks for this. I used to be on suboxone, and woke up mid surgery during a dental procedure that involved full anesthesia.
Glad to know I don’t need to worry about bu on its own.
I was on suboxen for a couple months prior to surgery. The day before surgery , the family doc said the suboxen would be out of my system in a couple days and proceed with opioid pain relief post op. the surgeon said it would take 2 to 3 weeks to get it out of my system. He convinced me that I probably wouldn't even need pain meds after surgery so I proceeded with surgery. Now my primary care wanted me on buprenorphine for 2 weeks before surgery but insurance wouldn't cover it. so i proceeded with surgery and I am a MONTH out of surgery and the opioids still are not working. Not only is there no euphoric effect but its doing nothing for pain. I had a meniscus repair as well and have other chronic pain. ....what do I do? I have 3 more surgeries to go through and I can not do this again with no pain relief.
Very informative. Thank you!!
This is an awesome video and an excellent explanation overall. I am a Buprenorphine patient - and I just had knee surgery. My surgeon at Kaiser in CA and my psychiatrist communicated, I had 4 anesthesiologists working on my case and I think they did a great job overall. My surgeon gave me a realistic idea of pain post-op, which kind of scared me but it helped me prepare for some pain. I did have quite a bit of post-op pain but I just took acetaminophen and some extra doses of Buprenorphine for a few weeks. This seemed to really work for me. You’re right in that it’s a combination, and not a perfect science, and it’s a team job.
Doctors need to be taught what a buprenorphine blockade is and that normal amounts of traditional narcotics wont work.
I just had one of the most painful surgeries, tonsillectomy. I'm a recovering addict and I have 3 years under my belt. My Suboxone doctor told me to stop taking my subs two days prior to surgery so I could start my pain meds. well, I'm here to tell you that was an awful idea. 2 days is not enough time for someone who takes subs on a regular basis. I could literally feel everything and while I was waking up from surgery I felt tears rolling down my face. I was in so much pain but they wouldn't give me anything else for it. I was sent home with 7.5/325 liquid hydrocodone, which also didn't do anything. I'm now in the middle of switching back to my Suboxone. My best advice I can give you is don't even take the pain meds, continue taking your subs. the pain meds won't help at all. also, a happy middle ground for an addict is not feeling pain!! I became an addict because I was getting daily migraines. we need to stop being afraid to help addicts while they are going thru surgery. doctors need to treat us like any other person off the street. if you want chance of relapse then under prescribe the pain meds.
What if you take a mg to 1.5 mg for pain control. I fell and hurt my back and I take it off the street so I don't hurt as bad cause drs these days want treat my pain. I was referred to a neurosurgeon for my pain but haven't went yet. Do I need to tell the anesthesiologist??
Unfortunately you do. When I had my surgery I met a guy that had woken up mid surgery before. It's very dangerous and if you survive it is very traumatizing.
I’ve had several surgeries while on Suboxone and sure I had some pain that I had to tolerate but it wasn’t unbearable at all. However, these were more minor surgeries like having tubes tied, dental surgeries, cervix removed, etc. and not any joint replacements. If you’re taking buprenorphine for any reason, having a major surgery, you’ll need a stronger opiate like fentanyl unfortunately bc the buprenorphine doesn’t occupy ALL of the receptors and the fentanyl is fairly a lipophilic drug and they work extremely well together- when administered by a medical professional only! But if taking it for addiction, please just try to take the buprenorphine and see how you do instead of assuming it won’t work. It’ll make you mentally stronger/confident and you’ll be so proud of yourself! 🤗
Also, you can ask for Propofol as a matter of fact! That worker wonders for me while having a major surgery and I don’t remember any of it! Ha! Always talk to an anesthesiologist first!
was you put to sleep for any surgerys ? tube down your throat surgerys? having gastric sleeve surgery and im just concerned im on suboxone.
Michael Jackson dies on that shit. Though I agree with you. They tried using Dilaudid for me but it had no effect whatsoever. When they ACTUALLY CHECKED MY CHART AND FOUND OUT I had been taking bupre (but not that week) they switched me to fentanyl....that worked. However post op they prescribed Dilaudid (no bupre). They had to triple the initial prescription dose of Dilaudid just to get minimal pain relief. I was so glad to get back on bupre. Dilaudid just made me a numb zombie
I’m on 128mg buvadel injection per month. I’m going to have reconstructive for surgery which is extremely painful. I’m on it is been awesome but it’s in an injection so I cannot stop taking it super important that I have my pain managed as I also suffer from Heds connective tissue disorder which is gonna even cause more pain for me. Do you have any suggestions? I can see that fentanyl is probably the best way to get through this.
A few years ago I was on Suboxone for pain management. During this time I was having major trouble breathing and my O2 level stayed in the mid 80's which was terrifying. The ER mis-diagnosed me with congestive heart failure because of this. Is this common?
I have several hernias Around the area that I had mesh implanted to repair a hernia five years ago. I am a 32-year-old female and I’ve been on Buprenorphine for probably six years. I have had several surgeries in my life but waking up from a hernia repair surgery was the most pain I have ever felt. Ever. Now I am facing that again but even more so because I have multiple hernias now. I am terrified.
I hope it goes well for you 😔 I'm supposed to have all my upper teeth cut out on Thursday & I'm terrified.. just getting over a NASTY abscess that was so painful absolutely nothing touched it.. I've watched several of these videos that talk about taking suboxone for the pain but it doesn't work for me much at all
Mëłïşşä how did everything go for you? I've been on Suboxone for over 6 years and I have to have a few dental surgeries as well. I swear being on methadone for 3 years and then Suboxone for 6 has completely ruined my teeth, I've always brushed and flossed and still am having horrible problems. I'm terrified to go in for these procedures. Especially because suboxone really doesn't give me any pain relief. I'd love to know how things worked out for you and how you made it through the pain. Thanks so much!
I'm probably having surgery too again. It would be my 5th. I completely feel you. I hurt really bad after surgery. Im taking subutex from a friend because a pain clinic recommended it. Im scared I'm gonna get labeled or drs are gonna judge. What should I do.
Jodie Harbison I don’t know what resources you have and where your at on your journey but I will say you should go to a Suboxone clinic and just be real with them and if anyone else has anything to say about your personal health just remember they only have to know as much as you want to tell them. Quite frankly it’s nobody’s business that you don’t want involved. This is your pain, your life. You can lie, but never lie to your Doctor that’s how many of us have lost good friends so take care of you, listen to what your body is telling you, and at some point be brave and jump off all these meds. None of us are meant to be on these meds forever. That’s no way to live. Good luck 👍 if you ever want to talk just HMU
@@psychopathiiic I had oral surgery removing all my teeth. Suboxone worked for me along with ibuprofen and tylenol. I set the 2nd 2 meds up so that I was taking one or the other every 2-3 hours and it worked well.We sometimes forget that over the counter medications do work well. Good luck
I found fentenel or ocycodone works better, you don’t get a high out of it but pain is control. I have a nsaid allergy so little choice.
It doesn't get you high lol???
How is it that when a patient comes in post op you can "remove" them from their bupenorphine regimen? Do they have to wait atleast 72hrs before surgery? Because bupe has a 72 hour half life.. I'm confused🤔
Because I don't think he's considering people who are on Suboxone which is bupe and naloxone not bupe by itself which is Subutex that you can just stop and take an opiate if needed. I hardly ever see a doctor comfortable giving just bupe so they're confusing me telling me they'll just stop it one day and start pain control the next cause Suboxone doesn't work like that.
The one that deals with suboxone which has naloxone in it (unlike plain buprenorphine). There’s a different video that deals exactly with that. Same channel.
This has always been a concern of mine. Like what if I get into a horrible car accident and need to be rushed into surgery 😳 from what I've gathered about (buprenorphine which is what I was on) they would have to give you something like fentanyl to kick the buprenorphine out. And because buprenorphine and suboxone have such a strong affinity it can be tricky.
@@kimbershark no no - as long as you’re on buprenorphine (the generic that doesn’t contain naloxone) there’s no problem. I had this happen once when I was on suboxone with the naloxone, and I woke up mid surgery.
Suboxone is buprenorphine with nalaxone. Subutex, or the generic buprenorphine, is just buprenorphine.
I switched to the nalaxone free one after a dental procedure that required anesthesia - no problems.
And I have an extremely low pain tolerance.
Buprenorphine is also very effective treating post op pain in combo with more traditional pain killers. As long as you’re nalaxone free, you don’t need to “kick the buprenorphine out of your system.”
Nalaxone can cause a host of problems. I woke up mid surgery after 72 hours free of suboxone. It’s important to understand the difference between suboxone, subutex, and the generic buprenorphine.
Good luck!!!!
@@kimbershark I am on Suboxone too and that is exactly one of my fears too. I want off this stuff but it’s so difficult to get off of.
What if I want to have plastic surgery and I’m on methadone
What if I'm only taking 2mgs a day. Only 1mg in the morning and 1mg at night. And I'm in Suboxone which has naloxone. What do I think they would do?
Wow good for you for speaking out about this I don't know how many times when I was on Suboxone You are already on pain medication you don't need any or the pharmacy would decide for me
ANd yes I believe the kappa affinity works spinally as well. I had to explain that Ketorolac is available IV and the only NSAI that is. Some ativan and staying on medsurg until I was trimmed off the PCA I refused the 5mg IR oxycodone and dosed bupe and did great.
Wow I'm so happy and furious that this is an educated and practice-backed plan that I needed every administrator and patient care advocate for. Understood there are operating procedures, but medicine is medicine and thank you for educating on best practices.
I am having knee surgery Tuesday. My Dr. Didn't even know what my med was. I am concerned about if I am going to make it through surgery, he told me I was going to be in severe pain afterward. At the time of the surgery, I will be off of it for about 50 hrs. I only use it for the pain I am not addicted to pain meds.
Same... I am being put on it this week for my brain condition and I am really worried about future surgeries and operations.
taking hydrocodone on top of bupe ? Isn't that the whole point of taking bupe to stop that ?
yes, unless you need extra pain control from someone cutting on your organs :).
@@HMAInstituteonAddiction but we were always told it doesn't work if you take that because of the higher receptor binding affinity
@@jukodebu that's honestly not true. it doesn't block the pain control anywhere near as much as it blunts the euphoric effects but ive taken methadone after taking bupe many, many times and the methadone worked on top of it so i think its a myth that buprenorphine actually completely blocks off receptors.
I have a question I was opiate dependent do to multiple conditions such spinal degenerative arthritis, neuropathy, and arthritis in ankle due to prior fracture playing football I was completely dependent on oxycodone, hydrocodone, tramadol drugs like that. I made the decision with my doctor to try buprenorphine HCL 8mg at 3 times daily it's been 5 years now and I have been doing great pain control has been great and just being able to not depend on short acting opiates has been a miracle I am currently on 24mg and have been for years but lately I have noticed the pain returning slightly on some days where I say to my if I could just be on one more dose daily which would put me at a therapeutic dose of 32 mg daily. Now my question is would it be out of bounds to ask my dr to put me on 1 more tablet a day which would be 8 mg buprenorphine HCL Sublingual every 6 hours or would this be out of bounds for treatment because I would rather do that then return to opiates and oxycodone for pain?
@@NobleKnowledgeofphilly how the hell should I know
I've been on 16mg of Suboxone for a year and have a hip replacement surgery coming up very soon and I have no idea how I'm going to do this cause Suboxone isn't doing anything for pain believe me I also have osteoarthritis autoimmune disease and it's never done anything for pain while on it
How did it go? Just had a hip replacement have a story similar to yours day 27 post op…
My surgery is a c section, obviously there's differences right?
I had massive lower body injuries with shattered femurs bilat, and a T-Spine fracture in traction with a pneumo and after raising hell and getting the pain team, the anesthesiologists to demand as many catheterized bupivacaine blocks and a ketamine drip with some trycyclica and a fentynal PCA with a loading dose and it worked after about 4 bone grafts and using a patient advocate that could speak without screaming. Luckily now I'm not at a bupe mill and have an Emergency Physivian, Clinical Pharmacologist, and surgeon with pull at his alma matter medical center.
I actually felt better back to bupe predischarge, and required no take home agonists.
Norco for post op surgery on Suboxone? Aspirin? Really? I’m glad you aren’t my surgeon. Just do the surgery and let the patient heal comfortably
how can u heal without pain ?
Julianna King you can’t heal properly or rest properly if you are writhing around in pain. It won’t work.
@@joshcohen9327 THAT WAS MY POINT
Josh Cohen You don’t sound like you have any medical training at all in addiction nor do you sound like a doctor. Different people have different needs. I don’t know how many surgeries you’ve had but remember not everyone is the same and different people have different pain. You’d do well to remember that next time you want to call everyone out. Addiction specialist for 10 years
Sober for 20
Good luck 👍
Julianna King yes but everyone’s situation is slightly different but be careful who you trust in CZcams comment section. I’m not trying to sell you anything, but I am an addiction specialist and just remember you can’t compare your situation to everyone else’s. we all have different needs and pain levels so what’s going to work for someone else may not necessarily work for you and vice versa but again you need to just find an ok middle ground for pain that you can your Dr. can work with
Broke my arm n wrist and thank you 🙏 so much for this. Will share with my surgeon
Because I'm probably having surgery sometime. I dont want people to judge me.
People should never judge. More people need to be upfront with addiction and or dependence. No one want's to grow up to be an alcoholic or addict. No one want's to be diabetic. These have all been considered disease's for years and years. sometimes heredity. Addicts are good people with a bad disease. If they are lucky they can get help. Please don't judge people but feel free to judge Purdue Pharma for lying about OxyContin. It was all about$$$$
@@3monkeysandamoose they do judge though. My partner just had complicated bowel surgery and the pain team just wouldn't do anything for him. The moment I heard the Dr saying "we're not judging you " I knew they were. They discharged him from their care after two days of trying to mess with his Subutex dose and refused to liase with his treating Dr.
Personally i think we should only use bupenorphine for all pain treatment dose dependent of course. then we lower the likelihood of abuse and keep everyone on the same page
It doesn't work like that. People even abuse whiteout... Also buprenorphine causes other side effects like QT prolongation. AND it's rarely enough for pain.
WE are all different. WE have different surgeries. Try having a total knee replacement with only bupenorphine. That could lead to relapse. Common Sense. Orthopedic surgery can be very painful. Total knee replacement pain is worse than hip replacement and then there is physical therapy which is super important for healing. I'm going with the opiods to get thru the surgery and PT. I know from experience that Suboxone can be great for pain and had extensive oral surgery needing only Suboxone with Ibuprophen and tylenol. Cutting bones and tendons is another story. I'm an RN and have been on Suboxone for yrs. It saved my life and worked for pre op pain and I know it will work great a couple weeks post-op. I'm not going to ruin my life again.
@@3monkeysandamoose I've had 2 TKR the first one was a total stuff up. I woke up in agony, they hadn't even put a nerve block and they titrated my buprenorphine. The second TKR was better due to a epidural and nerve block above the knee. I was in terrible pain on discharge, but just had to cope. Now I just watched my partner go through major surgery with no postoperative pain relief because they were on subtex, acetaminophen was the pain teams answer because apparently "opioid don't work any more" Those who actually know what buprenorphine was assumed it was pain relief and the preoperative dose was sufficient to manage postoperative care. But as one Doctor said "we're not judging you" that said it all.
Thats a crazy person way of thinking…
After elbow surgery and after revision surgery (yep it failed) I used only bupe for pain. Doctor wrote for 14 oxy;s but I did not fill the script. During surgery they insisted on fentynal. I asked them not to useit but they do not listen My point is bupe is enough!
I think next surgery (I may need yet another revision because it hurts and wobbles) I may ask for some IV bupe because it may help and should not hurt. BTW ibuprofen added seems to help with inflammatory issues
Rather go to the grave than have this joker as a general practitioner
I concur 💯 SMH
Agreed guys a joke and not a very good one.
This is so wrong and the doctors have no idea...
I would like to understand why you think this.
@@HMAInstituteonAddiction on top of it, as I said in another comment, access isn't what drives relapse. My source for this is that everywhere drugs get decriminalized, use goes down sharply. You want someone to relapse? Put them in severe pain from surgery and barely treat it. That is a much better way to get them using again, especially considering that's the reason most addicts started down that road to begin with. Pain. No one wants to be an addict or on this maintenance crap. No one woke up and was like, I think I'll be an addict today! We have this problem, because our Healthcare system at its core is more concerned with money and making sure the Sacklers remain billionaires, than it is with making people healthy.
If I could make a suggestion. Read the book, in the realm of hungry ghosts, close encounters with addiction. Dr Gabor Mate. This will show you a different angle on addiction that I think is far more accurate. If doctors knew this stuff, they'd be better equipped to handle this issue in general.
@@HMAInstituteonAddiction czcams.com/video/I3WzMpjtkrs/video.html
Bull shit it doesn’t treat any pain
I don't have opioid disorder. I refused them. I've been stupid a pain doctor for years and finally told them I'm done, need help, I don't want oxycodone.
They recommended the patch. While it isn't perfect it did take the edge off of the pain. A lot of the aches are more manageable.
I'm currently on 8Mg Suboxone and taking hydrocodone after dental surgery and it's working great for my pain. Ijs 🤷🏾♀️ #EveryoneIsDifferent
a stable patient should be encouraged to stop buprenorphine 5 days prior to surgery then be treated like any other patients. anything less is criminal. A stage patient is no different than you. Stop your prejudice.
I am pleased that this medication is not damaging any organs
Ot will rot your teeth after long use…
This just sounds like way too much nonsense I'd rather gradually just go off of it and then have my baby via C-section. With one to two normal medications
Don't add any Buprenorphine. I know someone who did that. Now, they can't get back to their normal dose.
You can't mix buprenorphine with Hydrocodone, or any other opioid. It doesn't work.
It all depends on the dosage ! The pharmacology of this mix and match 💩is the hardest part to figure out. Plus the overall ignorance of Drs. when it comes to buprenorphine BY ITSELF ! Not Suboxone , which is a combination of buprenorphine and naloxone .
Buprenorphine is not only prescribed for opioid use disorder. Assuming a diagnosis based on a prescribed medication is harmful to patients. This medication is also prescribed currently for chronic pain not just for OUD. I have some other medical issues limiting use of common pain medications and this drug is an alternative treatment for me. I am not an OUD patient. I stopped watching because you kept repeating the diagnosis based off the person taking the medication. Teaching that it’s okay to assume a diagnosis without actually reading a persons chart. I get tired of doctors not reading my chart especially anesthesiologists. I have had life threatening complications because anesthesia hasn’t even read the drug allergies on my chart, Or assumed it was inaccurate and gave the drug anyway.
Sad not a lot understand this. I've been on bupe for 7 years for pain and I'm on it for life.
The lecture was informational, but it is concerning that the Dr seemed to "bucket" someone or everyone into the OUD pile of bad folks vs many of use who have debilitating pain.
Regardless if you have a dozen disc that are shockingly degenerated, MS, bone Spurs or even IBS. Chronic / debilitating pain patients also need surgical procedures and in truth it seems reasonable that this type of compliant patient may possibly need more surgeries then the average person.
So, the presenter was able to present well, speak well and appeared empathetic. But but and but, I would love to see him present a lecture in a way that solely focus on true chronic pain sufferers that while being compliant either have an emergent surgical need or a planned surgical intervention scheduled to hopefully improve quality of life. Honestly, the presenter looses credibility by failing to focus on those that suffer injury or illness that are not addicts. So, that is the challenge, that is really what is needed for people who have been injured, have true mechanical, degenerative disease. Stop the broad strokes of his opening statement that "most likely" the injured or ill patient is labeled as a "user" vs a chronic pain patient.... Just a thought....
I love this response. Apparently the medical professionals or folks who make these decisions based off of the information relayed to them, react and respond as if they believe EVERYONE is an addict. Those of us who are in extreme and constant pain have been affected from these forever and constant changing of dropping doses and insurance blockage on what we can or cant have. sometimes they wont even allow a person to pay for medication if their insurance wont cover it. Also even pain management drs will treat you like you're an addict if you have any complication with what theyve given you. I absolutely hate that those with addiction issues have made it extremely hard from us who dont have them to get what we need.
I was put on dilaudid 3 times a day. The dr left his practice so I went to a different facility and they dropped it in half claiming I DIDN'T need that much. I told them I was having trouble managing my pain from them immediately dropping my dose in half. They could care less. So I've been taking buprenorphine for pain because after years of pain meds that I feel wasn't much help as it shouldve been, I tried something different after being referred to an office because they felt after a month off medication, that I was still in some form of withdrawal because I couldn't stand straight up. so bupe works better for pain if you ask me. But the brain fog and a few other issues are challenging as well. I saw some Pain management drs to see about options outside of medication and was severely judged for being on buprenorphine and denied even the basic care. I am not insensitive to those with addiction illness. I understand the psychological and physiological affects/effects from them, but boy those who scammed to get more pills have screwed it up for the rest of us who only want to have some semblance of a normal life. Constantly being in pain has ruined in so many ways.
@@Angel-gp6tx Purdue Pharma and the Sackler family messed it up. They sent out drug reps who lied about OxyContin saying it didn't cause dependence and addiction. Blame them. Now I'm hearing nurses in Dr Offices bragging that Dr doesn"t prescribe narcotics. Just stupid. I became addicted to hydrocodone when my Dr. keep upping the dose for back pain. I never planned to grow up and be an addict.
All patients should be treated with respect regardless of how they ended up buprenorphine. My Husband had undiagnosed Crohns disease for a least a decade. He was in constant pain and self medicated until he found a good Dr. Unfortunately he's had to have two emergency bowel surgeries and the pain teams have been incompetent and not managed his pain. They assumed the buprenorphine would be sufficient and told him "opiates don't work any more" and " were not judging you ". That said it all really.
Doctor? More like butcher😂
Complete and utter rubbish. Terrible advice.
Who here would do open heart surgery bypass, with subs and Tylenol 😮 are they fuckin crazy 😧, i need surgery or will die suddenly, but no fuckin way am I going to suffer and be on a ventilator in massive pain 🤬
I was on Suboxone for three months taking 4 mg in the morning and four at night. They told me to stay on it when I had my gallbladder removed. So when I had the surgery I woke up in so much pain it was so awful. They tried to give me strong pain meds in the hospital but they did not help, it was awful. Doctors that think you should stay on Suboxone or buprenorphine and have surgery are definitely not understanding how much pain meds do not work when you’re on Suboxone, it blocks out the pain meds 100%!!!!!
I am very sorry for your experience. You are correct that "most" pain meds will not work well with Suboxone. Meds like morphine, oxycodone, or hydrocodone do not have enough affinity, and will not be able to bind to the receptor. That is why the specific use of fentanyl in hospital settings would be recommended.
As a current user of Suboxone for the past 14 years, it does not work for pain. I am being forced to use it because of its addictiveness. No doctors want to prescribe them us with pain meds for fear of being sued if something happens. I had back surgery and let me tell you it gave no relief.
I'm about two minutes in. Still want to see what you have to say, so I'll update this if need be. I had a hip replacement in 2019. The surgery team knew nothing about Suboxone. Told me to stay on it till the day of surgery. Think you're tough? Try having a hip replacement and no way for pain medication to work after the spinal wears off. When I see people complaining of a backache, or a toothache, saying "this pain is a 10!" I laugh. I was in misery. I didnt even sleep for the first 24 hours. Sure, they could've used fentanyl, but they didn't. Took three days just to get pain medication to work. You have to stop before and take a short-acting opioid 3 to 5 days before, which is what i did a year later, in 2020, when i had to get a tendon fixed in that same hip. I have to get my other hip replaced in a few months. So, it will be that again. 5 days before, start morphine time release. For three weeks after, 10mg of percocet 4 times a day. I actually stopped taking dilaudid two days after my second hip surgery because it didnt hurt that bad. Luckily, i was only addicted to pain pills. I got prescribed way more than i should've been prescribed. I look at starting/stopping Suboxone now just like a temporary change of medicine. I've been clean so long, no chance of relapse. If someone was a street drug user, that would be worrisome, because they only took it to get high. If you've been on Suboxone for a few years, you don't get bad withdrawal stopping before surgery, using a weaker pill. The people who say Suboxone withdrawal is horrible are people that never fully recovered from their other addiction. I went two days before I started the morphine before surgery. Easy peasy!