Bupe using tramadol before bupe induction? addicted to oxy

[jiveturkey11]

Hey all,

I've tried the search, but couldn't quite find the answer, so sorry if this has been covered. My question is about sub induction....

More specifically, my question is about using tramadol as a bridge to suboxone. Can it be used as a bridge? or would it be considered an opiate and certain period of abstinence (say 12-24 hours) be required?

On average, I dose approx 400-500mg per day of oxycodone. I've used suboxone before, and got all cleaned for a short period, but got cocky and fell right back into my addiction....usually, i'll wait 12 hours after my last oxy dose (usually take my last dose at approx 6pm, and then take my first sub dose (usually 1mg) around 6am). BTW, i've never experienced PW - not sure if its because i start really low with the bupe, but i dont usually wait for moderate w/d - i just simply wait 12 hours...sometimes i'm afraid to take the sub, due to fear of PW, but thankfully, it's never happened!

Anyway, I am wondering...say i were to take my last oxy dose at 6am, and say around lunch time take some tramadol (mb 2X37.5mg) to hold me over until after work...do you think it would be okay to take the sub (0.5-1mg) around 6pm? Or would the tramadol be considered an opiate, and I would need to wait until 6am?

If that's the case, then I would just take the sub instead, as tramadol does zilch for me in terms of euphoria, but will help stave off minor wd's for a short time....but if it doesn't affect suboxone induction, then i'd rather just take the tram and delay the sub until later in the evening....

I've read plenty of posts saying that tram + sub is great, but nothing specifically about tram before sub induction?

Also - if u take sub, but later mess up (same day - ie take sub @ 6am, then slip up around 3pm with some oxy {but still catch a lil buzz as the sub dose is so low}), do i need to wait the initial induction period again? or would it be okay to take sub later that evening (say around 12pm)? as the sub is still floating around in your system, and it did block most the oxy....

Again, sorry if the answer is right in front of me - but i just couldnt seem to find it!

Thanks! signed - one jiveturkey

 

[crzydiamond]

Far as I have read, you can take tramadol then take bupe without pw. I have read stuff on here about it but I couldn't begin to tell you what threads lol

If you have bupe in your system, normally you won't go into pw even in the scenario u described. Something to do with the extreme affinity of bupe for the receptors...

Interestingly, I went into pw from LOPERAMIDe trying to use that as a bridge. So I can say *do not* try that. I was in disbelief, but the pw was awful. Guess I didn't realize how much of the wd it blocked !

Hope that helps. I'm sure u will get more technical explanations from those with the knowledge.

 

[thesameoldfears]

I am scripted both tramadol and bupe and have never had a reaction between the two, going either way, and often take them together. I believe it can be used as a "bridge". Also, I think the reason you've never gotten precipitated w/d is due to the low dose of bupe. If you've had success in the past your timetable should work for you again. That being said you should always wait as long as possible before dosing bupe and take the minimum amount you need. I also advise against iv bupe, that ROA has given me precip w/d when sublingual hasn't, I assume due to the higher BA. Start your bupe dose low and titrate up and you should be okay, if you notice your withdrawal getting worse after taking it hold off on redosing. If you slip up and take oxy after bupe, if it gives you a "buzz" then the bupe was most likel not blocking it so the risk for precip w/d still exists.

 

[jiveturkey11]

thanks so much! i'll post later as to whether this worked - still have some of my DOC left

 

[Redrawl]

I took tramadol +- 2x 150 mg's a day to combat the heroin withdrawls, so i was able to function at work and school.
It's an opiate agonist, if you know how the effects of tramadol feel like, you know you have to see it as an opioid.