DR. When I hear a dr. mention Toradol for the treatment of postoperative pain. This reinforces my position on opiate-phobic Drs. The exact people are directly responsible for the opioid crisis and the Fantinly Poisoning of people who use opioids Legitimately. Now, these people are forced to submit to a routine of Peeing in a cup, in the office of some G.P. who Makes $400,000 per year. Hello from Toronto, Canada. P.S. Our Government Pays the tab for our treatment, unlike Americans who have no health Care. All the best John Kelly

Sweet Carole, I had a brain aneurysm /artheria carotis interna/ in 1995. But unruptured. But anytime I can have a new one, I am on Methadone 40-50 per day. It is a good pain management and good for my depression. I would switch to Subi, but doctors are ignorant or some of them judgmental. It would be horrible if I have to beg for a proper pain management or if I was not able to answer I would depend on them. Because docs are human being so etical or not, they could be mean. So I know Subi is not good for everyone but I would be happily give a chance to Subi, if it has the same mood, energy effect and painmanagement effect.

How did they help u? I work in er and we had a patient that had a horrific fall. He was screaming sedate me sedate me. He was on suboxone they were giving ketamine and morphine but it didn’t touch it

I'm happy your alive. My dad passed away after having multiple brain aneurysms

@@mrs.childers8333protocol is to give high doses of the strongest pain medication available. You administer it in periodic doses until the patients pain is controlled, while monitoring vitals of course. Sometimes, the pain meds won’t work. Sometimes they will. It depends on how much Suboxone the patient is on.

I am sorry to hear that. I hope things are changing little by little. Thank you for sharing.

We're treated like 2nd class citizens by most of society. And what's extremely sad about that is that we are some of the ones who need the most help, love, and support. I'm sorry you were treated that way. I've been treated similar. 🍄💗

You should sue them are you okay

Ritalin is the solution for all addiction except Porn addiction! Suboxone is for withdraw symptoms only

Oh 😂 yeah I dealt with that since I was 13 it's the worst lot of water try to stay active to loosen it up lot of water not real cold it's easier to down when room temperature good luck

Suboxone might ALSO be helping create those kidney problems. I've been in MAT treatment for 3 years and a lot of the side effects say 👉 liver and kidney issues can arise

I am so sorry to hear about your experience with that doctor, Cindy. That is horrible!

He’s so much better. It shows how finding and researching good doctors help. But sometimes for emergency help, you can’t choose!

I hear ya Cindy and I am sick of the attitudes of these doctors. I am really grateful that I ran across a video by Dr. B yesterday. It is so nice to be informed without judgement!

It is horrible. Unfortunately addicts are treated as lepers.

@@DrBAddictionRecovery from my experience, i have had similar treatment with ANY possibly addictive medications. Ive been on suboxone for over 10 years and am so tired of it. I am tired of the stigma and labels at come with it. Tired of not getting equal or atleast better treatment as an individual and not some recovering addict. Actually i am treated as i am still an addict and its really distressing. I have skipped my last doc appt because of this and now nervous about what to do.

My pleasure. Hope it helped.

Anony mous I agree, many are avoiding their regular doctors and relying on emergency care, clinics, and OTC products.

It's possible. That doesn't mean the Dr's will prescribe what you need.

Ritalin is the solution for all addiction except Porn addiction! Take Ritalin as a pill

Can you explain how the Ritalin helps??

How did the two interact? How long had you not taken suboxone?

I'm glad you enjoyed it Cindy and very much appreciate that! Thank you!

Thank you for the kind words. Yes, what you said is absolutely true. I think I answered it in some of the other videos. Please let us know if we can answer other questions in a video.

Naloxone is simply ineffective when combined with buprenorphine in general do to the bupe having the higher affinity. The addition of naloxone was a marketing tactic.

Lindsey Ormsbee I’m still really confused about precipitated withdrawals. What wld happen in an emergency situation if someone on subs was given high doses of morphine by paramedics? Would they work for pain relief or would the victim’s morning suboxone stop them from working?

@@maclardy Morphine is probably not going to be as effective as Fentanyl, Dilaudid, or something like that. Precipitated withdraw only happens when buprenorphine is introduced after opiods are already occupying the receptors.

I’m in a situation where I need a wisdom tooth pulled. I’ve come down from 12mg subs to 1mg… took it 2 days ago… how long will this 1mg block others?

@dustinsanchezmusic5851 I'm not sure, but I'd assume the blocking wouldn't be as bad as your full dose, but at least a day off, you should be okay. Not good, but okay. If you're into withdrawal, it's most likely out of you enough to stop blocking other opioid sites.

@@mkp3824 thanks for the info… I’m avoiding the dentist cause a wisdom tooth pulled at my age will be very painful! I’m slowly coming off suboxone though… down to about 1/5th of an 8mg strip

Hi June

Dr. B Addiction Recovery Hi Dr

Good Morning Dr thank you for ALL you do!

Ritalin is the solution for all addiction except Porn addiction! You won’t crave Ritalin but you will want to have sex

Can you please tell me how many hours did you have to wait to take the hydromorphone from your last suboxone dose?? Please this would help me very much ASAP

Thank you heart. Hope you are great! Dr. B (work email)

There is actually some research showing it actually helps with certain resistant depression types. This is consistent with the dopamine hypothesis. Some people do say what you say as well. Hope that helps.

I have been tapering too. Tired of the unfair treatment by most doctors. Ive been refused ADHD meds for years and am suffering bc of it. I cant function and my life becomes chaotic and very disorganized then leads to depression and anxiety and i currently am so upset about this. If im not on that med i end up sleeping a lot of the day and avoid going out. Skipped my last doc appt bc they arent helping.

Gems by Jackie I’m sorry to hear you’re having troubles too. I 100% believe that Suboxone has caused my depression, chronic fatigue, brain fog and lack of focus. But I do think that tapering, VERY slowly, is the key. I got down to .25mg/day and was feeling normal again. But I got lazy/comfortable and hurt my neck again so went up to 1.0mg thinking it wouldn’t be a big deal. I don’t feel good at all...again! I know it’s all a mental game and the brain needs to “heal.” I hope, I hope it does get better! I just try to stay busy and push thru... that’s all you can do.

@@Anonymous-im9ob thank u for advice...its certainly a process. But good luck and keep it up hope u and i realize we are capable of this😊

Um, it actually Helps with depression …

Thank you for your input and I agree about the high issue

Dr. B Addiction Recovery I have had pharmacists refuge low grade pain killers after surgery like I was giving them a forged Rx. Both drs knew about my suboxone and approved it! But the pharmacist is uneducated! But I always before any procedure let everyone involved what’s going on! I’ve actually changed pharmacy over these issues

It isn’t true that you cannot get high off suboxone. But the high is so subtle it’s really not worth it.

I was on Suboxone for 3months,I had to get off it My side effects wore horrendous. Suboxone got me really high 🥴

Yes.

BUT WHAT ABOUT OVERDOSE??) THAT'S WHY I'M WORRIED

I didn't get a reply to my message so....

@@laurapeters813 hi Laura, I apologize I have been getting many messages lately. Can you kindly let me know your question again so I can do my best to answer it for you?

@@DrBAddictionRecovery basically I was in withdrawal kinda unexpectedly and was asking if I could go to the ER for bupe and how to get started....I went this am. It is crazy I live in the San Francisco bay area, not like some rural area. ER doc told me she had never prescribed bupe before and "wasn't comfortable" with it. Also I'm 39, am a wife and a mom, a house and a pain pill problem. No one would probably guess I can pop 100 mg of oxy and barely catch a buzz..... Anyhow, a coming together of circumstances has made getting painkillers not an option (well not rx ones, I can get fentanyl or heroin all day long but I haven't ever gone there and really don't want to now) So, after insisting she consult with someone in psych she gave me a single 4 mg dose, given in the ER and none to go home. I have an appointment with someone in mental health/chemical dependency next Thursday.🙄 I have Kaiser btw. The meds def took the edge off and I'm feeling okay right now, but I don't know how long this single dose is going to last and what the heck am I going to do until next Thursday....

@@laurapeters813 Ok, send me an email with your phone number fbanimahd@caimm.org. I will call you tonight and help out. I am very busy but hat to see this. I am in Orange County

@@DrBAddictionRecovery Done. Thank you....

How much subs?

That was my question! I’m down to 1mg of sub. It’s been 2 days since. I’m having major wisdom tooth pain. If I take a hydrocodone, would that put me in withdrawals? Or do I have to take a larger dose of hydrocodone?

They will have you stop taking your suboxone 3 days before surgery

@@DrBAddictionRecovery Won't that put you in withdrawal from Suboxone?? I've tried to get off Suboxone, even tapping and it is hard. Going off cold turkey for a planned surgery even, would cause Withdrawal. I don't understand your response to this question ❓ I'm facing several surgeries and the Suboxone dose I was on didn't do enough for the pain. I too am finding that too many Doctor's don't have a clue about Suboxone. I fear too that in an emergency situation, I'd suffer tremendously.

@@BflyMom_212 You’ll just have to go without … then be on pain meds after surgery .

And If you went in withdrawal when u started sub, you started it too soon . You’re supposed to wait 3 days .

Dr B saying they’ll have you stop suboxone 3 days before a surgery seems to contradict what he says in the video. He said during surgery, whether planned or emergent, they’ll just start pain meds ON TOP OF suboxone! So, which is it Dr?

Yes, those are the new recs. Thank you for your comment. Dr. B

Were you pregnant and on subs??

Ritalin is the solution for all addiction except Porn addiction! Suboxone is for withdraw symptoms only

Same.

@@fooddrugadministrator4079 I would absolutely disagree with statement. Suboxone is a medication used during all phases of recovery......from active addiction (when abused), detox, early recovery, as well as the maintenance phase of recovery. Some people need this medication long-term & there is nothing wrong with that! This type of thinking only perpetuates the discrimination people in recovery already receive in their own communities & it is important to educate & support those in recovery.

Touch more. Check w providet

BTW after being on bupe for pain for many years, I am maxed at 32mg a day X 4 eight mg dose

Great question and point. First of all, I hope the MS is well managed. Great choice for pain meds. Now, you are talking about breakthrough pain vs our discussion. With out going into details, you are correct in my point on old video, but does not pply here. As for your case, if you are having that much pain on 8mg of suboxone that you feel need to visit ER than one thing to consider is increasing the subs. If you think about it, the point of it for your case (chronic pain) is so you do not use straight opiate agonists. I would suggest talking to the doctor to increase the dose. Ultimately that is up to you and him, but my MS patient is on 24mg a day. I sur hope this helps and thank you.

Zephyr Medical Group, thank you for your reply. It's kind of complicated, I started out on 12mgs, but the doctor I was seeing left the practice, so the new doctor took over. He slowly started to wean my dose, without listening to my concerns. He said if I didn't start weaning now, I would never get off of it. Long story short, he is no longer with the practice, and they bumped me back up to 8mgs from 5mgs. I have an appointment next week, I'll talk to them about increasing the dose. I'm looking for a new physician, since the practice I've been going to isn't the best. I live in Northern Cali, not many choices where I live.

@@Lisasanti1 I disagree with rationale of his thought. Dr B

Zephyr Medical Group, me too. He didn't even look at my chart to understand why I was there. Thank goodness I've found a doctor that listens. She said that he had been weaning everyone that he was seeing, with no reasoning. I didn't start Suboxone to wean off of it, at least not in the near future. It helps.

Choose The Red Pill, thanks. I might check into it, I’ve always had bad migraines though. Worth a shot I guess.

Sedation isn’t needed for a tooth extraction. It takes minutes & you don’t feel a thing.

@@crooked-halo I beg to differ. At times it is, especially when there is an abcess/infection and the infection eats up all the novacaine. Nobody wants to feel that! Some people have a very hard time getting numb. I'm one of them.

Same experience in oral surgery. I don't remember a thing. My surgeon was aware I was on Zubsolv, but I don't believe he did anything different for my sedation than if I was not taking it. He did send me home with eight 7.5mg Norco tablets. I didn't think I would take them , but because I cannot take anti-inflammatory meds, I found I needed more than Tylenol as the Novocaine wore off. I called the addictionologist who prescribes my subs for direction. He told me I could take the Norco as prescribed as long as I continued to take my Zubsolv 2X/day. The Norco didn't relieve all of the pain, but it relieved enough for me to sleep. I had zero euphoria from the Norco and assume that's due to the naloxone. A few months later, I was being prepped for a different type of surgery (not oral) and the doc handed me a prescription for an opioid for pain relief afterwards. I asked her if she had spoken to the Doc that prescribes my Zubsolv (as I had made a point to tell her a few days earlier at our office appt). She seemed to recall it and realized she hadn't followed through. She took the prescription back and told me to just take Tylenol. Once home, I called my Zubsolv doc and he told me to take 3X my regular Zubsolv dose for 2-3 days. It wasn't as much pain relief as I would have liked, but it taught me the lesson that I need to make sure the surgeon in any future surgeries actually follows up w/my addictionologist BEFORE surgery. It's sad, but true that many doctors and nurses are going to treat us like lepers because we don't hide our addictions. I need to have my uterus and cervix removed and I'm petrified of not getting adequate pain relief afterwards. However, in both cases, the anesthesia worked perfectly. We all have a different pain threshold level. Ignore the other reply.

@@crooked-halo Perhaps, that has been your experience, but it is certainly not everyone's.

I tried this once and went into withdrawal bad! I was on 12mg subs.. I’ve lowered down to 1mg and have a major wisdom tooth pain. I took 1mg of sub 2 days ago. I’m needing a pain pill as this is killing until I get to the dentist. Wondering if it would put me in withdrawals again though…

That’s my question! How can you take subs and they give you pain meds, but if your at home and have a tooth ache or something and take a hydrocodone you go in withdrawals?

It sucks for chronic pain

I heard from a pain dr to take subokone for chronic pain so I tried I weaned myself off after two weeks because it did nothing for my pain. But I tried.

Just as a follow up, in case someone else is looking for info as I was, after I posted I waited about 16 hrs and then took my normal sub dose, 8mg. It was definitely the right decision for me and I wish I’d done this sooner. I can’t explain why I got so much pain relief, but I did. More so than a double dose of any of the painkillers I tried. I’m a month out from surgery and taking an extra dose of sub every day. Hoping to be able to start tapering back to my normal dose in another week or 2.

My question is… how can you stay on subs, they give you narcotics, and it works? But you can’t take 1-2mg subs and take a narcotic without going into withdrawals?

@@dustinsanchezmusic5851 my sub doc explained to me like this: it’s ok to take opiates on top of subs, but not the other way around. I stopped subs 12 hrs before surgery. There was no problem with anesthesia. The opiates I took following surgery did not cause withdrawal but they barely put a dent in the pain. I had previously been on 12mg suboxone so when I gave up on the opiates for pain control, I stopped opiates, waited 12 hrs or so and got on 16 mg suboxone and that worked beautifully. My surgeon really didn’t care what I did. Sad how the medical profession talks out of both sides of their mouth. They act like there is actually help for addiction. Just try finding some when you need it. To clarify, I was on 12 mg suboxone per day before surgery, now I’m on 16mg per day. It is going to be that much harder to taper when the time comes but I did what I had to do to get through the knee replacement.

Call your doctor first. If you can make police report. Hope that helps

How do you "lose" your medicine. I have never misplaced my medicine once.

John Wick nobody loses pain meds🙈

John Wick nobody loses pain meds🙈

Why would you ask if you should go to the ER on a Saturday or Sunday? Lol. Weird question. And people who are serious about the suboxone program and staying clean dont LOSE their meds. They know where they are every minute of every day.

You need to tell your Dr. You are taking methadone.

Teenie, they can easily work around methadone. but for goodness sakes, be honest with them. I had to have spinal surgery and was 100% up front about the methadone..and weed I then smoked. Anaesthetist was the one who picked up my ''Long QT'' heart issue from methadone../Plus he said ''Normal doses of morphine won't work..so we'll give you as much as you need.