Bupe Future surgery

[Andy C]

I'm having a full oral extraction, full sedation surgery late next week.
Ive been on 8mg of Subox for a year now. My current doc wants a letter from my oral surgeon stating what kind of pain meds I'll be
prescribed after surgery to detiemine when and how I'll be tapered off of the Subox.
I think thats a load of crap!
Also, when the Oral Surgeon finds out I'm recovering, he's liable not to give me any pain meds at all.
How long before the surgery should I stop, or start to taper my Suboxone, in order to gain some benefit from the pain meds.
I've been informed in advance that there will be substantial pain, and I may require more than one surgery.
Thanks to all, in advance for your responses!

 

[Ksa]

I'm having a full oral extraction, full sedation surgery late next week.
Ive been on 8mg of Subox for a year now. My current doc wants a letter from my oral surgeon stating what kind of pain meds I'll be
prescribed after surgery to detiemine when and how I'll be tapered off of the Subox.
I think thats a load of crap!
Also, when the Oral Surgeon finds out I'm recovering, he's liable not to give me any pain meds at all.
How long before the surgery should I stop, or start to taper my Suboxone, in order to gain some benefit from the pain meds.
I've been informed in advance that there will be substantial pain, and I may require more than one surgery.
Thanks to all, in advance for your responses!

It's material balance, when you got high on the pills you felt euphoric, now you feel pain, so I wouldn't look at it as a total tragedy. In fact, you may even gotten better off than a dude who never abused opioids and never felt neither pain nor pleasure. Just take the pain, better days will come.

 

[JackiePeyton]

Wow strict.
My doc allowed me the choice. Increase the suboxone or taper.
You could just basically stop the bupe for like 24 hours before the procedure imo. Someone correct me if I am wrong, but I think that should be enough time. I know I took Vicodin right on top of Bupe and never had any issues. They say many things that I never found to be issues. But I think that is crap. They could just temporarily up your bupe and you could supplement with Motrin. I never found anything but Motrin helpful for actual pain anyway. Good Luck.

 

[The Doc.]

Well 8mgs is going to be in your body a long time so tapering now until your at about 1mg should be the best way. Then don't take the 1mg the day of surgery just the pain meds afterwards and you shouldn't have any blocking if you've been on the low dose of 1mg for a few days. But with 8mg(a very high dose) there will still be lots of blocking happening even 24 hours later and can last for days before pain meds will work. If you don't want to go off sub and on pain meds I have used Suboxone for pain with a few dental surgerys myself with fairly good relief. I did so because I didn't want to go on percs for a while then back to Suboxone I feel the bupe helps my pain almost as much with just a Tylenol on top or another OTC pain reliever. You will not be getting much relief taking 8mgs once a day like how you have been to feel maximum pain relief from buprenorphine you need to be on a dose of say 1 mg taken every 4 hours (only effective on pain 4-6 hours and in low doses which convert to Nor-Bupreborphine a full agonist) but to do this you would need to taper your sub use the days before still. If you stopped using the 8mg for a few days until sick then started pain meds the amount of pain meds you would need would be too much for any doctor to want to prescribe due to how high your tolerance is right now from taking 8mgs of bupe for this long.