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    Tramadol with Suboxone ? 
    #1
    Bluelighter benzo bars's Avatar
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    So my one week appointment from first starting Suboxone is tomorrow. I get to drive an hour out of my way to my Sub doc because that was the closest available doctor. Anyway, I have been getting HORRIBLE headaches on subs. They are the worse migraines, it just feels like my head is expanding. Do you think it would be a good idea to ask my doctor for a solution to this ? I'm positive it's the Naloxone so perhaps switching to Subutex? If not I was going to propose getting prescribed to Tramadol. I figured he'd be willing to do it because it's not an opiate, not a controlled substance, and would help with the severe headaches.
    Let me know what yall think
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    #2
    Bluelighter Znegative's Avatar
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    First of all, it's most likely not the naloxone, as buprenorphine out-competes naloxone to the receptor site (meaning the naloxone is pretty much an inactive ingredient), if anything, it's one of the binders or the buprenorphine dose you're in that is giving you such bad headaches.

    Secondly, tramadol is an opioid, though a weak one, so it would most likely be useless for pain (though the serotonergic effects will still work)
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    #3
    Bluelighter toothpastedog's Avatar
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    No complications between tramadol and suboxone, fyi, unless you don't like to get high that is...

    Don't they have more specific meds with a higher efficacy when it comes to treating migraines than opioids? I have to agree in both respects of his response with Zneg here. And what's more, it's probably the norbupe that's fucking with your head. I have heard of cases where people are actually allergic to naloxone, but these people are also often allergic to other opioids too like bupe... Headaches are actually a relatively common side effect of suboxone, especially at higher doses (or for people who are able to get a lot of bupe into their system fastest; i.e. many people who shoot suboxone or subutex experience headaches, they don't sound as bad as what you describe OP).

    It's good you're talking to your doctor regardless. If possible try to get referred to a specialist who is expert regarding migraines and their treatment.
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    #4
    Bluelighter benzo bars's Avatar
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    Well I talked to my doc and he gave me 50mg Tramadol (:
    @ toothpastedog, so you're saying I can get high off these because I've gotten pretty high off 100mg a few years back
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    #5
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    Quote Originally Posted by benzo bars View Post
    Well I talked to my doc and he gave me 50mg Tramadol (:
    @ toothpastedog, so you're saying I can get high off these because I've gotten pretty high off 100mg a few years back
    You won't experience tramadol's opiate effect while you are taking Suboxone. I have no idea why this doctor prescribed this medication for you. I doubt that it will help your headaches at all.
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    #6
    Subs sell for 3 pretzels a jam donut and two hotdogs.
    Last edited by Tripman; 28-03-2012 at 02:08. Reason: No pricing.
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    #7
    Bluelighter The Dope Man's Avatar
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    no price decision. Delete your post before you get banned or something. and by the way your getting ripped the fuck off. I know ALOT of people literately GIVE subs away.

    and to the op. I would find something more usefull to do with the Tramadol then take it while on subs. Save em all up for when you get off your subs in a few months. Or one day for when your in withdraw.

    Tramadol is one of the weakest opiates ( my puppy was prescribed 50mg's ). and is fairly dangerous because higher doses could cause a seizure and its ganna take you a high ass dose to get high especially because subs fuck your tolerance for life.
    Last edited by Tripman; 28-03-2012 at 02:59.
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    #8
    Bluelight Crew Tripman's Avatar
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    Quote Originally Posted by Subpatient View Post
    Subs sell for 3 pretzels a jam donut and two hotdogs.
    Post edited no price discussion.
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    #9
    Bluelighter laCster's Avatar
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    damn 3 pretzels? i usually pay 4 LMAO

    tramadol and suboxone mix well together, but i wouldn;t advise it if you didn't have any anti-convulsants on hand (benzos, lyrica, ect..)
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    #10
    Bluelighter KillCops's Avatar
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    Quote Originally Posted by Subpatient View Post
    Subs sell for 3 pretzels a jam donut and two hotdogs.

    i remember how badass subs were to do receationaly with little to no opiate tolerance i could take a quarterof a pill and smoke some herb and be fucked up all day it was WELL worth the the pretzles, donut, and the hotdog.
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    #11
    Quote Originally Posted by Missykins View Post
    You won't experience tramadol's opiate effect while you are taking Suboxone. I have no idea why this doctor prescribed this medication for you. I doubt that it will help your headaches at all.
    Tramadol is often reported to retain recreational value even if used with buprenorphine. There are many anectdotal reports that back this up.
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    #12
    Bluelighter benzo bars's Avatar
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    Quote Originally Posted by Alex000 View Post
    Tramadol is often reported to retain recreational value even if used with buprenorphine. There are many anectdotal reports that back this up.
    Ok, I'm getting scattered opinions here...? Anybody know if the Tramadol will be effective at 100-200mg? Will I feel an opiate like high, even if it is weak. Does it conflict with buprenorphine. My doctor isn't an idiot, I doubt he would prescribe me something that he KNOWS wouldn't work with Subs...after all you need a special license to work with Suboxone exactly for reasons like this; i.e pain management.
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    #13
    Some people don't like tramadol to begin with, but since you said you had good exeprience with it, I would say a dose of 100 mg or 200 mg would have you feeling something. Try taking it in a divided dose, this will increase the metabolization of o-desmethyltramadol, which is what is mostly responsible for the opiod effects of tramadol. Some people report that even with large tolerances, they can still feel fairly low to moderate doses of tramadol, even on buperenorphine.
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    #14
    what if ive done about 6mg kpins earlier today about 7 hrs ago, and now i wanted to try 100mg of ultram and i havent dosed my subs since about 6hrs ago sublingualy. first is it safe and second will i feel anything at all at 100mg or do i need to go higher. and by feel something i mean a "little warmth" that i havent had in a while.
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    #15
    Bluelighter benzo bars's Avatar
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    Quote Originally Posted by srs1980 View Post
    what if ive done about 6mg kpins earlier today about 7 hrs ago, and now i wanted to try 100mg of ultram and i havent dosed my subs since about 6hrs ago sublingualy. first is it safe and second will i feel anything at all at 100mg or do i need to go higher. and by feel something i mean a "little warmth" that i havent had in a while.
    That's exactly what I want...just a little warm body glow, ya know ?
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    #16
    Bluelighter benzo bars's Avatar
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    Took 100mg. Definately feeling it about 40 minutes later. Feeling that warm body glow + a little bit of euphoria. Wish I had some buddha
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    #17
    update how long it last, the "glow" that is. and also did you take the sub and trammies together or did you already have sub in your system?
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    #18
    Bluelighter toothpastedog's Avatar
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    Quote Originally Posted by benzo bars View Post
    @ toothpastedog, so you're saying I can get high off these because I've gotten pretty high off 100mg a few years back
    Lol yes you can get high from tramadol, and especially tramadol+bupe. I looooooove that combo. Tramadol always seems like a love or hate kind of drug: some love it other hate it and few seem to be indifferent.

    Quote Originally Posted by The Dope Man View Post
    Tramadol is one of the weakest opiates ( my puppy was prescribed 50mg's ). and is fairly dangerous because higher doses could cause a seizure and its ganna take you a high ass dose to get high especially because subs fuck your tolerance for life.
    Tramadol and Bupe do not cause cross tolerance. If 100mg tramadol got you high before you started suboxone, 100mg will almost certainly still get you just as high (if not more often more high) once you've started suboxone... And whether you've been on subs for five days or five years makes no difference for this.

    Oh, and after my dog passed away, I got to eat all his tramadol. got me very stoned in combo with my suboxone for like a week. It's the same shit prescribed to humans, and I already knew I liked it and that it was safe to take with suboxone, so why the hell not? It's not like lucky was about to take any

    Quote Originally Posted by Missykins View Post
    You won't experience tramadol's opiate effect while you are taking Suboxone. I have no idea why this doctor prescribed this medication for you. I doubt that it will help your headaches at all.
    This is absolutely, positively, 100% incorrect information. A simple search here on bluelight will demonstrate such.

    People make the assumption that, since the bupe in suboxone will block most effects from most opioids while the suboxone is in your system, it will also block the effects of tramadol. Or that because tramadol is a "weak opioid" it will definitely be blocked by the bupe.

    The good news: bupe is not an opioid, rather it is a quasi-opioid. Like, if an SNRI and an opioid met and had a baby it would be like tramadol. Tramadol acts on different part of your brain in different way than opioids (by definition act like morphine, while tramadol acts differently from). So, therefore, those who assume the above are incorrect.

    IMHO there's not much more I find enjoyable drug wise these days than 300-400mg of tramadol, some tagamet and my dose of suboxone. Mmmmm

    Quote Originally Posted by laCster View Post
    tramadol and suboxone mix well together, but i wouldn;t advise it if you didn't have any anti-convulsants on hand (benzos, lyrica, ect..)
    As a general rule, especially if you have had a seizure or know you are prone to them, or are in benzo or alcohol w/d, or have never taken a high dose of tramadol before, you should not just eat 200mg or 300mg or 400mg for sure. That's just assssking for a seizure.

    That being said, many MANY people myself included can "safely" (okay, I mean without anything bad happening whatsoever) ingest over 1 gram of tramadol over the course of the waking day... In other words, for a lot of people 200-400mg in one dose will not cause any negative effect.

    This being said, if you don't know exactly how your body will react to such a high dose, especially if it is going to be 400mg+, it would be a really really REALLY bad idea to do so.

    The risk is too high under that set of circumstances.
    Last edited by toothpastedog; 28-03-2012 at 06:42.
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    #19
    Bluelighter benzo bars's Avatar
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    Quote Originally Posted by srs1980 View Post
    update how long it last, the "glow" that is. and also did you take the sub and trammies together or did you already have sub in your system?
    I took a sub around 9pm. I took the tramadol around 1130. It is now 12:24. Feeling pretty great. It's just a mild high though, definitely gonna smoke a cig (:
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    #20
    Bluelighter toothpastedog's Avatar
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    yea it's not gonna send you running to the toilet puking or nodding like crazy or anything. I found the high to be mildly stimulating too. Glad to hear you're enjoying yourself
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    #21
    Bluelighter benzo bars's Avatar
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    Quote Originally Posted by toothpastedog View Post
    yea it's not gonna send you running to the toilet puking or nodding like crazy or anything. I found the high to be mildly stimulating too. Glad to hear you're enjoying yourself
    I'm glad it worked and tomorrow im going to take 250mg and see how that goes.
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    #22
    is it safe to add about 2mg clonazepam to 200mg tram and about 2mg bupe? or would the clonazepam reverse the effects of the trammies? or wouuld i have a good nod off combo? i dont want to get a seizure or anything and have no experience with these combos, so im just trying to be safe about the whole thing.
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    #23
    Bluelighter lazylazyjoe's Avatar
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    @srs1980 Not safe to mix clonazepam w. tramadol and bupe. Mixing benzos + opioids is bad, theyre both respiratory depressants. You most likely would be ok, especially if you have a beno tolerance, but common sense dictates not to press your luck. Use with caution and supervision if you absolutely must.

    @OP Even tho your problem isn't most likely the naloxone, it still might be worthwile to get on subutex. If you have to self pay your meds, and get prescribed subutex, there's cheap generics available. About a third the cost of a suboxone.

    As for migraines, my mom had some luck w/ Lyrica. But, that's hit or miss on others.

    And save some of those tramadols. I realize that you're just starting and quitting is far away, but it wouldn't hurt to just stash 15-20 away for when that day comes. My first sub kick, I walked off 1mg/day IV. All I took was tramadol for 2 weeks, and WD was very mild.
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    #24
    Bluelighter benzo bars's Avatar
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    My doc said that most doctors are not willing to prescribe Subutex and that he'd rather scribe me Tramadol ha
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    #25
    Bluelighter Miss Kirsty's Avatar
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    My DOc told me yesterday that they are going to use tramal as a antidepressant now....
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