So the choice to jump from 8mg to 24 mg is a decision of pain management. It is a very high dosage of
Suboxone for addiction treatment, but not very uncommon
for pain relief. The drug buprenorphine, Suboxone's opiate ingredient, has been used for chronic pain relief for decades, mainly in the UK. Suboxone was introduced to the US around '92 for opiate treatment only, but many Drs are beginning to use it for its original use.