Buprenorphine vs hydrocodone

Common Questions and Answers about Buprenorphine vs hydrocodone

suboxone

Some of you may have seen the recent news surrounding hydrocodone, but I wanted to share it here for those of you who haven't as it’s an important issue that could potentially affect millions of people. To give you a brief overview, an advisory panel to the FDA has recommended tighter restrictions on hydrocodone-containing drugs, which would essentially classify them among the most dangerous prescription medications available to patients.
Suboxone contains buprenorphine, an opiate that is a partial agonist at the receptor and that has been around for over 30 years. If you read any 'goodman and gilman' (the bible of pharmacology) you will read that 'buprenorphine is less addictive than other opiates because of the partial agonist effects'. But for anyone addicted to opiates, even codeine is very addictive!
What's the difference? I don't get it....is the difference you take just one Sub vs 10 vic's in a day? One drug for another...? My name is Newgirl and I'm ignorant... Thanks for your patience, thanks for your responses... p.s. I'm sure I'm not the only one with this question...
There is one problem with buprenorphine worth mentioning. I want to switch from methadone to Bup. eventually but I must be down to 40=50 mgm's. of methadone to accomplish this. I am @ 60mgm now and slowly lowering my dose. There are certain things about buprenorphine that are not clear to me yet. It is not a pure agonist opiate. It has some antagonistic properties. Which is why it cannot be used for addicts with very high tolerances without causing withdrawls.
Ive heard a lot of people say Sub did nothing for pain or very minimal at best. I am planning on going on one or the other to get off hydrocodone once and for all, but I have both chronic and acute pain and will need pain control. difficult spot.
I became addicted to Lortab (hydrocodone) 7.5, and was taking about 4 a day after a brutal assault where the man strangled me, beat my head against a wall, then the floor (knocking me out cold both times) raping me, and cutting me. The headaches were UNBEARABLE, and they did every test imaginable to find out what was causing them. Nothing showed up, and they called it "post-concussive syndrome" that can last for up to a year after the head trauma.
I think there is a misconception out there that 50 mg of painkiller A is equivalent to 50 mg of painkiller B in terms of potency, half-life, withdrawal, etc. This is just not true. The quantity matters when making comparisons, as does the method of administration (oral vs injected vs snorted vs smoked). Just google "equianalgesic table" and you will see what I mean.
Percocet is the brand name of the generic drug oxycodone and acetaminophen and Vicodin is a brand name of the generic drug Hydrocodone and acetaminophen. Both oxycodone and Hydrocodone is a narcotic drug and are often used in combination with acetaminophen or APAP, a no steroidal anti inflammatory drug which helps in increasing their potency.
The treatment plan for tapering off of Norco (hydrocodone/acetaminophen) will vary depending on the dosage your have been taking and the duration of time you have been taking it. Also, you will need to discuss with your doctor how your pain will be managed when you do stop taking Norco, as you may need to review other pain management options.
i have chronic back pain too. got hooked on hydrocodone for 4 years. kicked it 2 years ago. this is how i looked at it. there is no miracle pill to make it all better. so the sooner we accept that , the better. the doctors are a bunch of useless information they have had crammed down their throats. i researched and climate and humidity can really affect pain. i moved to the desert. phoenix and it has helped my pain tremendously. if they can operate on you, than that is something.
for long lasting strong potency pain relief, and sinec you admitt that you have an addiction to hydros you might as well ty suboxone or subutex, the main drug in it is buprenorphine, which is 25-40% stronger than morphine, so its quite potent, suboxone tablets are taken by placing the octagon pilll under the tongue adn elrtting it dissolve into your veins under your tongue, if you takes it a different eay like orally or shoot it up it will render the buprenorphine uselss and the other drug in su
you might have a bad reaction w/ the main drug buprenorphine, since both are posing problems but i beleive that the subutex was given to soon after suboxone was in your system...suboxones main chemical buprenorphine is very potent and a mixed agonist/antagonist opioid so it will bind tightly to the receptors and fight any other opiate/opioid competing to come on, so it rarely loses,...
Put me on Butrans 10 MCG and Clonidine .1 for withdraw. I have been on hydrocodone for about 3 years on and off. Last year pain a lot worse and used more often. My problem is I really liked the hydrocodone as I felt great and finally had energy and felt like I had a normal life. Anyone know what kind of withdraw I will be going threw, how long? Will butrans help with pain? Will Clonidine help with withdraw? Going cold turkey started patch last night and still have pain after epideral?
Greetings, A while back I posted (under the name Frank) a request about w/drawing from Hydrocodone. Am currently on 50 mgs. of Hydro a day, 2 codiene #4 a day, and 10 mgs of valium. I have been on the valium for 11 years and never exceeded my dosage. The hydros have gotten away from me. Qestions (hope this is permissible) WHere is "TOM" his advice below is invaluable and I would like to get more insight from his experiences.
One thing that I can reccomend to you is lowering your dosage drastically. Buprenorphine is a highly potent drug... when used for chronic pain management, the drug is titrated in micorgrams, not milligrams! A typical dose of Temgesic which is Buprenorphine in Europe is around 0.3-0.5mgs! Your hydrocodone addiction was over three years ago so there is no way that you could benefit from the Mu antagonistic properties of Bupe...
I am also on buprenorphine. Buprenorphine is not a success story, it is stratagy of harm reduction. It definately less addicting than other opiates and you can function much better on it. But when you boil it down to it's essence, you are just trading one drug for another. All things considered, if you must be an opiate addict, use buprenorphine, it will get you as close as possible to being a "normal" person.
In this article I will use the name ‘Suboxone’ because of the common reference to the drug, but in all cases I am referring to the use and actions of buprenorphine in either form. The unique effects of buprenorphine can be attributed to the drug’s unique molecular properties. First, the partial agonist effect at the receptor level results in a ‘ceiling effect’ to dosing after about 4 mg, so that increased dosing does not result in increased opiate effect beyond that dose.
For my part, I'm still weighing the pluses and minuses of methadone or ORLAAM vs. buprenorphine. There's a research and treatment group operating out of UCLA called MATRIX that has opiate-addicted individuals both detoxing and maintaining on buprenorphine.
Hi:) I am new to this...Tomorrow I start on Subutex" for 3 days, then Suboxone after that. Can somenone please tell me the difference between Subetex vs Suboxone for the "induction"? I have been on about 25-30 Norco(10mg) for years and I am unclear as to how long I have to wait between my last dose of norco and my first dose of Subutex. Also, is it true that with Subutex, you won't suffer withdrawls from the norco?
For now I have the mental part under control, it’s been awhile since I’ve taken the drugs for a buzz vs just to feel normal so I can function. Whenever I start to detox I get RLS (restless leg syndrome) really bad, that is my biggest concern for this drive. One more and sorry to ramble, is it difficult to detox off Suboxone? Take long?
I work in the financial industry which is extremely strict in its insistance upone a drug-free workplace. I have also been abusing hydrocodone for 6 months, was also taking Dilaudid and percocets, and a small amount of diazepam (valium). Needless to say, I was a bit nervous as to how this issue. I was simply told that, as long as the drug is legal, I was to bring the bottles with me (showing they were prescribed) and these chemicals would be noted and their presence completely ignored.
And then, overestimating my wellness and underestimating my addiction - I had a fall and sustained another injury on top of others, soon increasing tramadol to 800-1000mg, sometimes even 10X200mg-2000mg DAILY again PLUS Buprenorphine patch 20micrograms per hour through the skin...Shocking. I had little support from my ex (even when detoxing and 4months rehab for Methadone), so, when he saw I am getting better - he opted out..
First thing - keep all these meds away from the daughter. I suggest you invest in a home safe (seriously) they aren't that expensive. Hopefully Luke spook will respond as he can give you the "COMPLETE and ACCURATE" pharmacological take. Hydrocodone is a fancy synthesis of codiene. Morphine has for ever been the benchmark for dose vs painkilling effectivness and I suspect that is where your doc is coming from.
It was also good to find out how truly strong buprenorphine is, as I had no clue and focused more on the literature that called it a "partial agonist vs. a full opiod receptor agonist like oxy/hydro/heroin". Do you believe this to be true? From what I've read, it causes less dopo..release and less high/euphoria and is therefore less likely to be dose abused, though withdraw is long due to the long half-life of the drug?
Yeah... percsnomas is dead on with the monkey vs. gorilla thing. Had I known what the use of methadone was going to do to me long term, looking back over 10+ years of methadone use, I would have absolutely taken the hit on the pills vs. a methadone kick. It's rough. ALL WD's are rough, but I've been through pill WD and it was pretty short term compared to Methadone. All I can say is different strokes... just get ALL the info up front before you opt for methadone.
There have been many studies done on buprenorphine vs methadone. I have read the results of many, but I unfortunately haven't saved them. I could find some again, and I will post the links to them. Basically, they tested buprenorphine, methadone, and placebo. In all cases that I saw, methadone had the highest retaining rate of all three. More people on methadone finished the study. I have never had buprenorphine, so I obviously can't write from experience.
Despite my late-night confessional post admitting to loving drugs last week, I am SOOOO ready to get off of opiates using buprenorphine. But it seems like buprenorphine is the exclusive province of this Dr Gooberman guy! Who is he? Why is he the only source of this apparent wonder drug? Please, someone, anyone reading this post who knows how I can get on buprenorphine in Southern California right now PLEASE help me. I simply don't understand why everytime I hear about bup, this Dr.
like Buprenorphine??? There are lots of people here(and at other addiction sites) that have to deal with chronic pain and narcotics, and i am hoping that you stay here to get to know some of them(and all of us) Please post more.
Again this is only my opinion but using Sub to kick an addiction to a class 3 narcotic like Norco (Vicodin) would be like using an atomic bomb when you only need a hand grenade. Even heavy doses of Hydrocodone can be tapered and then quit with only a week or two of withdrawal symptoms. However Sub withdrawals can last for months. As long as someone is taking Sub they will not have W/D’s but only a very few on this site have testified that they are glad they used Sub for their addiction.
Ive used hydrocodone for three years averaging 150mg/day. In the last 3 months I've quit xanax,valium,soma,sleep aids and cigarettes. I'm on day 7 with no hydro, I'm taking .324mg buprenex twice a day and feel pretty good. Tuesday is my last day, will I still feel the the full w/d of hydro or will the buprenex have gotten me thru the worst of it? Any and all input is appreciated.
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