Oxy to Buprenorphine? (Butrans patch)

[pnillyg]

So I’m currently on 5mg of oxycodone 3 x daily and doc thinks I should try 20mcg butrans patch to taper. Can I just slap it on while taking oxy or do I have to wait? How long? If that’s too much bupe can I cut the patch?

 

[HeadphonesandLSD]

Going from 15mg of oxycodone a day to that much bupe is going to make your tolerance skyrocket. You'd be better off tapering the oxy. You don't have to wait but taking them together would be a waste of the oxycodone most likely. I wouldn't let my doctor switch me given the choice. 15mg of oxycodone spread over an entire day is a really low dose. Bupe is more for people taking 20+mg of oxycodone a day multiple times a day.

To give you an idea when I still took oxycodone I was taking 40-100+mg daily. Usually 10mg every half hour to hour and 1mg of bupe would hold me and keep withdrawals at bay for nearly 24-36 hours.

Edit: I just noticed this is micrograms and not milligrams. I still wouldn't do it. Bupe is a horrible drug imo.

 

[pnillyg]

I’ve been on 16mg bupe sublingually before 8mg x 2 daily so I’m familiar with the drug. Ended up going cold turkey cause I couldn’t taper at the time. Wasn’t as informed as I am now about pharmacology. Never used the patch tho. I sauna every day and am wondering if I use the patch or some of the patch (if I cut it up smaller) if when I go in the sauna like I do daily I should take it off since it can make the absorption rate increase rapidly from my understanding but that’s what I’m trying to figure out I’d love some insights on my situation.

Going from 15mg of oxycodone a day to that much bupe is going to make your tolerance skyrocket. You'd be better off tapering the oxy. You don't have to wait but taking them together would be a waste of the oxycodone most likely. I wouldn't let my doctor switch me given the choice. 15mg of oxycodone spread over an entire day is a really low dose. Bupe is more for people taking 20+mg of oxycodone a day multiple times a day.

To give you an idea when I still took oxycodone I was taking 40-100+mg daily. Usually 10mg every half hour to hour and 1mg of bupe would hold me and keep withdrawals at bay for nearly 24-36 hours.

Edit: I just noticed this is micrograms and not milligrams. I still wouldn't do it. Bupe is a horrible drug imo.

Yea man I hear you two weeks ago I took .375mg of buprenorphine sublingually and was high for 2 days so the patches are .48mg daily (20mcg/hr) so I’m trying to see if I could slap like 1/4 or 1/2 on of the patch. I’m also worried about precip. I’m trying to taper the oxy but even going down 2.5mg my cravings go nuts hence the last 3 days was supposed to be down to 12.5 from 15 but I’m still at 15… I need some other peoples expertise

 

[SeaDoo42]

I’ve been on 16mg bupe sublingually before 8mg x 2 daily so I’m familiar with the drug. Ended up going cold turkey cause I couldn’t taper at the time. Wasn’t as informed as I am now about pharmacology. Never used the patch tho. I sauna every day and am wondering if I use the patch or some of the patch (if I cut it up smaller) if when I go in the sauna like I do daily I should take it off since it can make the absorption rate increase rapidly from my understanding but that’s what I’m trying to figure out I’d love some insights on my situation.

Yea man I hear you two weeks ago I took .375mg of buprenorphine sublingually and was high for 2 days so the patches are .48mg daily (20mcg/hr) so I’m trying to see if I could slap like 1/4 or 1/2 on of the patch. I’m also worried about precip. I’m trying to taper the oxy but even going down 2.5mg my cravings go nuts hence the last 3 days was supposed to be down to 12.5 from 15 but I’m still at 15… I need some other peoples expertise

@pnillyg I know this post is a few months old but did you ever find a decent way to taper below 15mg? I'm at 25mg a day and want to get to 10 or 12.5 or less while still being able to function at work, I could get to 15mg in the past with loperamide (Imodium) and tylenol for the hot flashes, and Flexeril to take the edge off, if I took extra klonapin. Also do ya still take the bupe? I read on here (in a thread about that grey market SR-17108 supposed miracle cure) that bupe was ORIGINALLY made to only be taken a week or 2, but then the docs started parking people on it for long term pain use. (And my new doc wants to switch me to bupe -either butrans patch or belbuca subutex- for long term. But my thinking is to maybe taper down as far as I can go on the roxy and maybe use a tiny amount of bupe to just be done with it all if I can handle the pain and PAWS since the WDs are apparently way worse for bupe than [r]oxy. Since that's my only option after a few months with this new doc, I'm trying to figure out a plan. (I posted more about my situation on the new member intro section today) But figured I'd ask here too since nobody replied to that yet..

 

[SeaDoo42]

Going from 15mg of oxycodone a day to that much bupe is going to make your tolerance skyrocket. You'd be better off tapering the oxy. You don't have to wait but taking them together would be a waste of the oxycodone most likely. I wouldn't let my doctor switch me given the choice. 15mg of oxycodone spread over an entire day is a really low dose. Bupe is more for people taking 20+mg of oxycodone a day multiple times a day.

To give you an idea when I still took oxycodone I was taking 40-100+mg daily. Usually 10mg every half hour to hour and 1mg of bupe would hold me and keep withdrawals at bay for nearly 24-36 hours.

Edit: I just noticed this is micrograms and not milligrams. I still wouldn't do it. Bupe is a horrible drug imo.

I read on here bupe was a horrible drug too and I've also read that some people are happy on it for the rest of their lives to get away from IR oxy or hydros. But I like your thinking about not switching up to bupe and if I do just for a really short time period. I just don't even remember what it's like to live without the glow up from oxy, even tho I'm not on that much, relatively speaking. I feel like a zombie in the mornings until I take it, but it does work ok for pain with Tylenol and nsaid like ibuprofen added to the mix... and NGL the glow up is nice but sometimes I gotta take 7.5-10mg to even get that buzz @HeadphonesandLSD would you still recommend not letting em switch me to bupe from the like 20-40mg oxy daily I take now?