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Bupe Tramadol and Suboxone

I haven't been to this site since the last time I kicked dope in february 2010. Im in court ordered rehab where I have been given suboxone for 10 days. My last dose was thursday night which is also the last time I was able to get more than 30 Mins to an hour of sleep at night. I started at 8mg daily and tapered to 2mg when I jumped off. Before coming here I was going back and forth between 4-6 a day dilaudud or about a gram of heroin. Needless to say im going fucking crazy from lack of sleep and am starting to actually hallucinate a little. Its only 7:30am and I have another day ahead of me. Anyway im not really expecting an answer but what should I expect considering my habit and short term sub use? If I were at home I would have already got a handful of benzos and slept for 24 hours but that's not an option.
 
Can't you get on a maintenance dose of Suboxone?
My dh has kicked Suboxone several times because he doesn't go get his own, he uses mine, and if I run low he won't put me out, he is cool like that. He says it is little worse than the flu. However, he amazed me once by jumping off like 40mg of Methadone cold turkey. I guess that isn't that high, but I couldn't do it! He got sick of the clinic and said "that's it" and he went to work and about his business. He said it sucked but I never heard him complain.
Personally, I get a little "goose flesh" going and I am whining like a child. I guess we are all different.
 
Has anybody tried combining Subutex/Suboxone with O-desmethyltramadol currentely available as a RC? As stated earlier I´m one of those who finds the combo awesome,specially at relatively low doses of both (currentely this would mean 2mgs Bupre + 100-200mgs Tramadol)...I´ve already ordered a gram of O-desmethyltramadol anyways so I´ll be keeping you guys informed as soon as I get to experiment with said combo...nod on !!
 
I took them both several times. Mainly to control the vomiting from the suboxone. I happen to experiment with both of them and it helped alot. After three knee surgeries and chronic pain in my knees I have a small collection of pain relievers. Not to mention my love of long distance running that I refuse to giver up. I did however notice the high that I got from taking both, No sickness and no pain makes for a great 10-12 miler when you take the two together. But it really helps the nausea.
 
This is probably a futile question, but has anyone ever asked their pain specialist if it is possible to
be prescribed ultram & subutex at the same time for pain? I know most would look at you like you were crazy, but some doctors are considerate & like to help...
 
The highest dose I have taken is 1400mg. You are right -- this is extremely dangerous and NO ONE should try this. I did add a few milligrams of clonazepam to the mix to raise my lowered seizure threshold though.
 
I have a question. I have been on subs for 6 mo, 12mg a day. How many Tramadol do I need to take to feel an effect? 8)
 
You should tell the dentist that your tolerance is higher than most people. I had a nasty car accident in '08 whilst being on subutex, 16mg/day. I had to battle a little with the doctors, but I managed to get prescribed 100mg mscontin twice daily and percocets as needed to take home. That is about 5x the usual I believe. I just told them...buprenorphine is around 20-30x more potent per mg than morphine and I take 16mg a day. Also I know someone that got percocet 10's for his wisdom teeth after telling the dentist that his tolerance was a little higher. Hope this helps.
I always wondered what would happen if I had a accident while on suboxone. So I talked to my Dr. and he said, you would need a shit load of pain killers.

First I would like to say that the below post is purely speculative and hypothetical.

I'm finding the idea that, if injured, you could leverage suboxone usage as a method to elicit better narcotic scripts. Conventional wisdom tells us that as another poster says, ongoing addiction treatment is a "death sentence" for good pain relief meds. On the other hand, they are mandated to ameliorate pain after, say surgery, as much as possible.

So, what if you were able to a legit bupe script for chronic pain (it is prescribed for this as well) and just not take it regularly. Then, if you ever have an issue caused acute pain. They'd have to give you enough pain meds to actually outcompete the bupe, if thats even possible. That could really set you up for a while. Even if you don't suffer chronic pain, it'd be damn easy mimic.

Free thought time people. Any input/feedback?
 
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So I have been on sub matinence for exactly 1 week tomorrow. I take the tablets total dose 12 mg spilt into 4mg doses 3 times a day. Ill admit I've been getting a little bored and antsy lately. Its the longest I've been not being fucked up in a long time. Well I have about ten 50mg tramadols I haven't used. They are not extended realease just regular ol trams. I have done a tons worth of reading on this combo today, from this site and others. I def wouldn't mind a pleasent buzz or even this nod that I'm reading people are getting from this combo. My question is how much of each. I don't wanna go crazy with the trams I was really only thinking 100mg, hell maybe just start out with 50. The whole seizure thing scares me. I remember the trams just making me sick feeling in the past. And how much suboxone. I don't really want to snort it I was just going to place it under my tongue as usuall. Another question that has been answered so many different ways is which do you do first ? I've read everything from 8mg of sub first then half an hour later take your tram. To take your tram and an hour later only take 2mg of your bupe. That's where it gets really confusing. Any help on this would be great. Got the shit to do it just don't know the correct way about going to do it lol. Its eating at me just looking at them lol. Like I said I've been on the bupe maintance for a week now. I have not taken any suboxone today. Took my last one last night before bed and just picked up my refill about an hour ago. I wanna feel a buzz and like I said would love to possibly nod. What I don't want is to feel speedy at all. Hate that feeling hence why I love opiates, and def def don't wanna feel like thatbird when he said his heart started pounding fast and his chest hurt. I'm not trying to induce a panic attack here lol. So yea if I could some ansewers to basically how many mg of each orally and which comes first and the time frame to take the other I would greatly apprieciate it. Id also ask what the expierence is like but I see that varies also. Oh and the sub maintince won't effect this ? I'm off for about an hour nap. Hope to see you guys help me out when I check back in. Thanks
 
So I have been on sub matinence for exactly 1 week tomorrow. I take the tablets total dose 12 mg spilt into 4mg doses 3 times a day. Ill admit I've been getting a little bored and antsy lately. Its the longest I've been not being fucked up in a long time. Well I have about ten 50mg tramadols I haven't used. They are not extended realease just regular ol trams. I have done a tons worth of reading on this combo today, from this site and others. I def wouldn't mind a pleasent buzz or even this nod that I'm reading people are getting from this combo. My question is how much of each. I don't wanna go crazy with the trams I was really only thinking 100mg, hell maybe just start out with 50. The whole seizure thing scares me. I remember the trams just making me sick feeling in the past. And how much suboxone. I don't really want to snort it I was just going to place it under my tongue as usuall. Another question that has been answered so many different ways is which do you do first ? I've read everything from 8mg of sub first then half an hour later take your tram. To take your tram and an hour later only take 2mg of your bupe. That's where it gets really confusing. Any help on this would be great. Got the shit to do it just don't know the correct way about going to do it lol. Its eating at me just looking at them lol. Like I said I've been on the bupe maintance for a week now. I have not taken any suboxone today. Took my last one last night before bed and just picked up my refill about an hour ago. I wanna feel a buzz and like I said would love to possibly nod. What I don't want is to feel speedy at all. Hate that feeling hence why I love opiates, and def def don't wanna feel like thatbird when he said his heart started pounding fast and his chest hurt. I'm not trying to induce a panic attack here lol. So yea if I could some ansewers to basically how many mg of each orally and which comes first and the time frame to take the other I would greatly apprieciate it. Id also ask what the expierence is like but I see that varies also. Oh and the sub maintince won't effect this ? I'm off for about an hour nap. Hope to see you guys help me out when I check back in. Thanks

Taking the tramadol before or after the buprenorphine should both be fine, but I have personally gotten better effects from taking a small dose of bupe sublingually followed by the tram. By "small" I mean less than your normal dose -- when I was on 2mg I took 1mg. The tram should be enough to make up for the difference. As to how much tram you should take, the prevailing wisdom is that anything above 400mg lowers your seizure threshold so it is said to be a big no-no to go above that. Since it seems like you have little tram experience, starting at 50mg sounds like a sound choice. To maximize the tram, you can take another 50-100mg an hour or two after the first dosage for optimal bioavailibility and conversion to O-Desmethyltramadol.

Tramadol is usually a hit or miss with people; you either love it or hate it. Considering your buprenorphine tolerance, you may not get much in terms of opioid effects from the tram. I get nothing from tram unless I take an ungodly dose of it. But this combination is indeed good for a pleasant buzz, I would say.
 
Yea I have little expeierence with tram. Was prescribed to me a while back when I was getting migraines out of the blue. I just remember feeling sick and kind of out of it after a few doses. My doc was herion. So I just took 4mg of my sub and bout to pop either 50 or 100 mg of the tram and see how I feel
 
I started smoking good quality h for about three weeka now and my dirst Ws start after 20 hrs. In my country we only get tamagesics which are 0.2mg tabs while we do have trams. Im holding on to both but wanted to know if i mix .6 mgs of bups with 100 or 150mg of trams per 24hr for 4 days will i be set as superjet? :) and i would like to point out that last week i did manage to stay off for two days pretty easy the only issue being a slight low mood thats where i feel the trams can be helpful. Plz do reply asap az i hAve 9 hrs before deciding what and how much to take. Thanks all :) cheers
 
I started smoking good quality h for about three weeka now and my dirst Ws start after 20 hrs. In my country we only get tamagesics which are 0.2mg tabs while we do have trams. Im holding on to both but wanted to know if i mix .6 mgs of bups with 100 or 150mg of trams per 24hr for 4 days will i be set as superjet? :) and i would like to point out that last week i did manage to stay off for two days pretty easy the only issue being a slight low mood thats where i feel the trams can be helpful. Plz do reply asap az i hAve 9 hrs before deciding what and how much to take. Thanks all :) cheers

Yeah, that should be fine. But dude, if it's only been a few weeks I'd just stop cold. At least don't prolong the detox with meds for more than a week at most.

I suggest quadruple dosing loperamide to counter the volcano butt syndrome. :)
You'll be fine.

Cheers.
 
If someone with a very small harry habit uses trams and bups for 6 days exactly, will he be facing their own Ws after the 6 days? Also, when would it be safe again to use H again. As in, will 6 days be enough to avoid Ws after a single use? Also, :p, i would love more feedback on my previous post. Thanks all, luv ya :) thank Jvan :)
 
After reading many of your posts, n still going back to read more, i decided that taking 50ml of trams and 8mg of subs would be fine, so i have and i will report back later on.As for the post above Jellicology, i would simply suggest leaving it 48hr or untill you feel w/d from the subs, its differant for everyone only you will know when it starts, but then you will be ok using again, anytime before that and you are just throwing your money down the drain, the H will simply not work. thats just my mind be it right or wrong.
 
Heroin to Bupe (Via Tramadol)

Evening all,

I regularly switch between Heroin and Suboxone, usually it is a fairly smooth transition when it is timed correctly, but occasionally it can be a painful experience. This led me to think of something. How can this transition be made pain free? I have been on Suboxone for over a year and whilst on Suboxone I have noticed that you are able to take Tramadol and shortly afterwards take Suboxone and avoid precipitated withdrawal. I'm not 100% on how it works but its supposedly to do with the fact that Tramadol is a partial and synthetic opiate. My thought was that to enjoy a pain free transition to Suboxone would be to stop using your opiate of choice then use tramadol long enough to ensure that the original full opiate was out of your system and then move onto Suboxone. Any thoughts?

Please do not respond if you are going to tell me that Tramadol use then Suboxone will cause PW's because it doesn't and science backs this fact up.
 
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