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took 1 mg suboxone this morning. ER SURGERY 2 hours later Please help!!!

M

munchbawks

Greenlighter
Joined
May 1, 2014
Messages
22
Hello. I am going to keep this short and sweet as I am just waking up from sedation from having emergency surgery on my right testicle from having a torsion. ( I had 3 stitches put THROUGH my only remaining testicle. To affix it to my scrotum. Not sure that anyone cares about that ( I lost ol' Lefty from cancer) Basically. I am wondering how long it will take before the pain medication I am being given for post op pain will actually work. Or in other words. When will my receptors be empty enough from the bupe to get actual pain Relief from the dilaudid they are giving me. I have been taking 1 miligram of suboxone each morning for the last 3 days. As of now. It has been 3 hours since my last dose. I know this topic has been beat to death. And I lurked a while to find info. But the information is contradictory and confusing. Especially while on a ton of ativan and waking from propofol. Thanks ahead of time.
 
Tell them about it, and they'll change your meds around accordingly. There are pain killers, like fentanyl for example, and analogs of fent even stronger, that have higher binding affinities than bupe and are used in patients who are on maintenance.

But, taking only 1mg, it wont be that big of a deal. That's a small amount of bupe and easy to break through.

You'll be fine, but just make sure you tell the doctors about it first..
 
Ya with that low of a dose just let your docs know and you'll probably just have to wait a lil' longer and take a slightly higher dose - bottom line- tell your docs
 
DO NOT tell your docs unless you are having a real bad time/pains! Hydromorph should cut through such a few tiny sub doses anyway (you can try and ask for more too), and being honest with the docs in this case could cause them to treat you like shit. Trust me on this. Keep mum about it unless you have to speak, for you will be labeled, probably flagged forever, and quite possibly be under-medicated anyway.
 
^^^

They often use pain killers in combination with other drugs for anesthesia..not telling the, could cause them to give an improper dose, and having him wake up during surgery, which needless to say, would be a disaster.

Either way, whatever surgery this poster had, is already long done as his post was days ago.
 
There's a lot of opioid analogues based on morphinan skeleton that could be relatively cheaply produced, they'd break through buprenorphine and they'd have a long half-life. Maintenance for people addicted to opioids seems to be spread enough for a new opioid developed to help in pain when you're on a ultra-potent partial agonist. The difference between fentanyl's and buprenorphine's affinities is not as great as between e.g. morphine's and buprenorphine's, but among those truly stronger binding is 3-methylfentanyl that I used myself in the past, but after that I can't now imagine myself letting someone try to break through buprenorphine with straight fentanyl. I've got 4 teeth of wisdom that should be extracted and I don't really know if I'm going to do it before I quit Suboxone.
 
^^

Yeah the fent analogs are incredibly strong. Sufentanil is a commonly used opioid for pain specifically in bupe dependent patients. It's about 5-10x more potent than fentanyl and can break right through a bupe blockade.

If you wanna get really crazy, there's Carafentanil, which is 10,000x stronger than morphine. Ha. It's used to knock out elephants and shit. That would break through anything.
 
Lol at the thought of a carfentanil patch the size of a tiny band-aid with nanogram dosing.
 
citizenuzi said:
DO NOT tell your docs unless you are having a real bad time/pains! Hydromorph should cut through such a few tiny sub doses anyway (you can try and ask for more too), and being honest with the docs in this case could cause them to treat you like shit. Trust me on this. Keep mum about it unless you have to speak, for you will be labeled, probably flagged forever, and quite possibly be under-medicated anyway.
Click to expand...

I don't think that anybody can get 'flagged forever' as if there is a database out there that lists people as 'drug seekers' unless getting multiple prescriptions filled from multiple doctors . There are other systems in place that aim to prevent doctor shopping and the like, but they are prescription monitoring programs that record all the drugs that you have been prescribed and by who, so that you can't see multiple doctors for the same or similar types of drugs.

A doctor can mark down in your chart that you are an addict or drug seeker, but that chart is not universal, meaning that it's not leaving that office unless you give permission for it to be or if they refer you somewhere and send your chart over to the next doctor. If you just go to a doctor and don't say anything then you don't have to worry about that as long as your prescription history isn't problematic.

If you have been prescribed suboxone and go to a new doctor that may be considering prescribing you narcotics then it may be a problem since doctors are encouraged to search through the prescription database to make sure that you aren't being prescribed pain meds by another doctor or aren't being prescribed something like suboxone for addiction.

My suboxone doctor would type my name into the database before writing my prescription each month to make sure that I wasn't getting prescribed any benzos, subs, or pain meds from other doctors in between seeing him, and iit's becoming common practice for all doctors to do this before prescribing you scheduled drugs, if not before then definitely if they suspect that you are a drug seeker.

Most, if not all states have a prescription monitoring program in place, with some of them keeping records of all prescriptions within the last 2 years, and some states may even go back 5 years. They prune the records dating back a certain number of years, but the records can only go back as far as when the program started, meaning that although a program may keep the records for 2 years, if it was only started 1 year ago then anything before that will not show up on a search.

All that the database lists is drug name, dosage, and prescribing doctor. You only get flagged if you are doctor shopping and pharmacy records indicate this so the state will send you a letter basically telling you that they know what you're up to and if you do it again you're getting locked up. As long as you go back to just one doctor you are alright, but if you were to go back to more than 1 and try to get similar prescriptions filled then you would get arrested.
 
^On that note, the databases vary from state to state. Some of the databases only show C-II substances (which is how they all originally were to keep the potent opioid abuse down), but most databases now show the prescribing of all controlled substances. I think it was 2012 when the Texas DPS database changed over to include all controlled substances.

I hope that guy's genitalia is better. He's certainly been through the ringer in that department lol.
 
Hey all. Thanks for the help. They ended up giving me a bunch of fentanyl while I was in the hospital. And for all that were asking. I'm doing a lot better. My nut hurts like hell but at least I'm no longer at risk of losing it!
 
Actually I only have one! My dear friend cancer took ol' lefty 8 Years ago.

An interesting tidbit of information the doctor gave me. He says he prescribes bupe all the time in doses of .02 miligrams as a opiate potentiator. I was really high when he told me and nodding off. But he said something about the bupe flushing opiates off receptors to give a clean slate for the next dose. Does anyone have any experience with this? Or was he full of poppycock?
 
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citizenuzi said:
DO NOT tell your docs unless you are having a real bad time/pains! Hydromorph should cut through such a few tiny sub doses anyway (you can try and ask for more too), and being honest with the docs in this case could cause them to treat you like shit. Trust me on this. Keep mum about it unless you have to speak, for you will be labeled, probably flagged forever, and quite possibly be under-medicated anyway.
Click to expand...
.

You were right about this.I was treated as a junkie immediately after I told them I was taking suboxone. Good thing my primary doc has hospital privalages where I was. As soon as he caught wind of me being there he took over my care and had me nice and comforable. I wanted to abduct the fentanyl drip when I left but he wouldn't let me. Now I am taking oxy and feel like hell because of the switch from fentanyl.
 
Yikes. I'm in the same boat. Was being prescribed some serious dosage fent patches (I think the highest dose available) then had complications from the patches falling off during exercise. When they fall off & you don't realize it, man - the withdrawals are worse then anything I'd experienced before. I'm now also on a low OxyContin dose that doesn't quite stop the withdrawals. So just this morning my Dr's prescribed something called tramadol (I think). So far no fantastic changes, but at least no worse are the side affects.
I wish you much luck & hope in finding relief from the fent. Ugh... That's some SERIOUS Mojo.
Peace & Aloha,
~ N3f
 
Wow. I just read up on Carfentanil (also known as "Wildnil" lol, notice the word "Wild") and it says the Russians used it in the "Moscow Theater Hostage Crisis" in 2002.

http://en.wikipedia.org/wiki/Carfentanil

Not to hijack the thread but this story is crazy.

They actually sprayed an aerosol form of this opiate (like someone mentioned its 10,000xs stronger than morphine) into the theater, and basically knocked out EVERYONE. The Moscow Emergency Services were told to bring an opioid antagonist (naloxone or naltrexone) due to the easy reversibility of this powerful opiate. But nobody every told them WHY to bring it. They weren't told it was in the aerosol spray. So noone brought the antagonists.

In the end 125 of the hostages wound up OD'n on this ridiculously strong opiate. Which is crazy because the drug was never approved for use in humans, only large animals. And the Russians authorities never admitted to using it but tests found it in the blood, urine and clothes of the dead hostages.

Crazy stuff.

-Bo
 
W.. T.. Funk..?!
OMG, Do you mean an official & legitimate Govt entity actually (thankfully NOT ours) allowed the use of that chemical on UNKNOWING & UNSUSPECTING civilians (the innocents/victims in that Particlular case) which resulted in actual OD's &/or deaths???
0_o..?!?!
Omg... Not that I've ever "knowingly" judged another culture against my own (or at least I've tried reeaally hard NOT to) but that's just terrible. I'd hate to be that specific govt official that was responsible for this rather drastic (& most likely unnesseccary) decision. That's so sad to hear of soo many people unkowningly subjected to that kind of Chemical exposure.
That breaks my heart as well as scares the living daylights outta me, simply because of what some people are so willing to do, under the deceiving cloak of "for the benefit of the **greater good**.
My heart goes out to those that suffered in that horrible situation. I sincerely hope that the Russian govt has realized what it had done & is taking appropriate measures to ensure it won't happen again :'(

Edit:
Forgot to update my recent Rx for the supplemental tramadol. Haha.. This stuff works great. Even helps (albeit just a small bit) with my pain. Gonna call my Dr's & ask if it's possible to use this INSTEAD of the OxyContin that I'm being prescribed now. Wow, unless there's some kinda negative/adverse side effects from the tramadol, I hope to be oxy free in a short while (I'm kinda a headstrong type of guy, so **if this works** I don't expect to keep using this OxyContin for any longer then ABSOLUTELY necessary/just another day or two @the most). Hehe ;)
 
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