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Suboxone verses hydrocondone for pain mangement

I am taking hydrocondone for severe degenerated osteoarthritis and serum resistant rheumtoid arthritis. I have three big neck surgeries and a spine no one wants to touch.My feet are in such bad shape walking is becoming an effort. But I refuse to just sit down and hold my hands. My PC mentioned the suboxone and I have not heard of it being good for this. I worked with a Dr. that help pts detox off of drugs with suboxone.
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20803600 tn?1546262537
COMMUNITY LEADER
Suboxone is a medication used to prevent withdrawal symptoms in drug addiction treatment and to prevent relapse.
In chronic pain patients without a history of misuse/abuse/addiction - Suboxone can be used for a few days to manage withdrawal symptoms while stopping opiates- it is typically dosed very low in these situations because a typical chronic pain patient choosing to get off opiates does not need higher doses or be on the medication longer than a few days.
In some situations it can be used to manage chronic pain- typically again at very low doses - around 2-3 mg is the highest I have seen when used strictly to managing pain - however I have seen some chronic pain patients who have allowed a Suboxone prescriber to put them on doses of 8, 16, even 24 mg - the typical doses used in managing addiction and to prevent relapse.
The majority of CP patients even on higher doses of opiates seem to do much better pain relief wise at much lower doses under 2 mg.
One thing to give heavy consideration is Suboxone long half life- and the great difficulty stopping it when one it for extended time periods.
I wouldn’t use it myself - given all I have seen and read for anything other than stopping opiates and even then only for 1-3 days- then off.
That’s just my observations and opinion.
I would talk it over with your doctors- not the Suboxone Dr- your PM and RA drs and see what they suggest
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st. louis, MO
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