I'm taking suboxone for a previous heroin addiction but I have severe back pain and I am terrified to take any opiates for fear my addiction will rear it's ugly destructive head plus the suboxone I'm on will interfere anyway would ultram be ok to take with the suboxone I'm not taking it to get high, I just didn't know what interaction the two meds who have togetheR
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OD Moderators: Keif’ Richards | negrogesic
Bupe Recovering addict with back pain
- Thread starter Dca0518
- Start date
Cane2theLeft
Bluelight Crew
- Joined
- Jun 21, 2008
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- 12,673
Tramadol is still useful for pain in suboxone patients. It is a very weak mu opioid agonist and most of it's analgesic effectscome from other mechanisms of action (primarily noradrenergic as well as serotonergic and likely others).
Many buprenorphine users have found tramadol useful for pain because it synergizes with the buprenorphine to more effectively manage pain than either would alone.
There are also a lot of other non-narcotic medications that may be useful such as SNRI's or TCA's (which should not be combined with tramadol); muscle relaxants with little to no abuse potential such as methocarbamol or tizanidine; potent NSAIDs such as ketorolac or celecoxib; anticonvulsants such as pregabalin or gabapentin; lidocaine patches (a local anesthetic) and many more. Procedures such as steroid injections might be very useful as well and provide months of pain relief for many back pain sufferers.
The best thing you can do is work with a physician who understands your history and current medical problems to find the most effective way to manage your pain. Don't discount non-pharmaceutical options either said as Transcutaneous Electrical Nerve Stimulation, physical/occupational therapy, bio/neurofeedback, counseling to help you deal with it psychologically, meditation, accupuncture, the list goes on.
The most important thing is finding the exact cause of the pain because masking the pain with medication is only useful for a short time whereas addressing the cause has a shot at making it so you don't even need analgesics.
Many buprenorphine users have found tramadol useful for pain because it synergizes with the buprenorphine to more effectively manage pain than either would alone.
There are also a lot of other non-narcotic medications that may be useful such as SNRI's or TCA's (which should not be combined with tramadol); muscle relaxants with little to no abuse potential such as methocarbamol or tizanidine; potent NSAIDs such as ketorolac or celecoxib; anticonvulsants such as pregabalin or gabapentin; lidocaine patches (a local anesthetic) and many more. Procedures such as steroid injections might be very useful as well and provide months of pain relief for many back pain sufferers.
The best thing you can do is work with a physician who understands your history and current medical problems to find the most effective way to manage your pain. Don't discount non-pharmaceutical options either said as Transcutaneous Electrical Nerve Stimulation, physical/occupational therapy, bio/neurofeedback, counseling to help you deal with it psychologically, meditation, accupuncture, the list goes on.
The most important thing is finding the exact cause of the pain because masking the pain with medication is only useful for a short time whereas addressing the cause has a shot at making it so you don't even need analgesics.
tricomb
Bluelight Crew
Many people get decent analgesia from buprenorphine and tramadol together, ask your doctor about it, although I think you should investigate other non-opioid options as well, like hydrotherapy and guided imagery/meditation. I get a lot of relief from these relaxation techniques and mental willpower, in conjunction with opioid therapy.
ErgicMergic
Bluelighter
C2L and tricomb are spot on with their information, I just wanted to add that tramadol actually can add substantial opioid effects to the bupe, since its metabolite, O-desmethyltramadol, is a powerful opioid agonist with a binding affinity even higher than bupe's.Tram doesn't work for everyone, but if your 2D6 enzyme levels are high enough and enough O-des is produced, it's actually a pretty decent and powerful opioid.
So, be careful with it as far as adding on to your physical dependence and addiction, since its opioid effects (O-des) will not be blocked at all from the bupe.
So, be careful with it as far as adding on to your physical dependence and addiction, since its opioid effects (O-des) will not be blocked at all from the bupe.