No Benzos with pain meds!!!

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gtrplayer
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Not unheard of

I'm not, by any means, poking fun at your language skills, but I do have to say your phrasing is making it hard to understand. Most notably: "Now this dr wrote a script for buprenorphine and breakthrough?"

If what you are saying is that your friend receives buprenorphine for pain, as well as breakthrough pain medication- that's entirely plausible and in reality, I wouldn't see that as uncommon. The only time you don't want to mix a buprenorphine medication is when it is combined in a preparation that also contains naltrexone (naloxone). While I have read that taking a full opioid agonist after a bup/naloxone combo is fine and will not cause precipitated withdrawal, the same can not be said for the other way around. If you take a breakthrough opioid, and then take a bup/naloxone combination product, depending on how long you have been taking each one, you most likely will induce a precipitated withdrawal.

From what I understand, that's not a barrel of fun.

From personal experience, I had been on Suboxone for 6 years before being cut off out of the blue for taking my Klonopin, which hadn't been a problem for 9 years. I was taking Suboxone solely for chronic pain relief, and while everyone reacts differently, I never even thought about needing breakthrough medication for pain.Buprenorphine's half life is longer than most goldfish (that I've ever had) entire life. It binds extremely strong, for an extremely long period of time. For acute pain, like a headache, or even a sprained ankle on one occasion, I was perfectly fine taking just a couple of tylenol, or a motrin 800.

Lastly, if your friend is on Methadone, Buprenorphine, and a breakthrough pain medication; he or she is wasting their money. The methadone, and buprenorphine, alone, would negate all discernable feelings from any other opioid.

Rocker Dan
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BACK TO "NORMAL?"

Well what a year,as it stands now my medication  over taking and running out early is in my rear window as i found a balence wich allows me to have my Medminder automatic pill box and the keys to it as well.I now practice self control and have not sawed through my Morphine and Oxycodone fast like i used to!!! I for one am proud of myself because i corrected my overdoing it by myself!!! Also my Valium has been renestated back to near my former dose,my doctor said he will perscribe enough to not drive him crazy  and enough to calm me down(as he put it.)So allowing myself to take to much of the Valium was to blame for me running out of my Morphine and Oxycodone.All is well now and i am a better person having learned a lession and grown wise doing just that.Peace, RD

gaucho
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Nonsense!

Considering Prince's death certificate geve primary cause as acute fentanyl intoxication aggravated by acetaminophen, hydrocodone, oxycodone and alprazolam (which in such a person with high tolerance for both types of medicines), and my own 40+ year combination daily of opioids and benzos, I can not agree with any one of the 'do not mix' brigade. Without both, my quality of life would have been insufferable. Even now I have to supplement my regular Rx with EU prescriptions for dextromoramide and fentanyl, and UK (expensive) dipipanone, as well as less-than-legal deliveries of Dilaudid from USA. I use equivalent of 200mg diazepam daily in clonazepam, alprazolam and lorazepam as I have the mother of all panic disorders and epilepsy.

Withdrawals are horrific so I keep a constant supply of 250mcg nasal spray of fentanyl, HCl, citrate or freebase, whatever I can get at reaonable cost. My OxyContin is criminally underprescribed and I need to acquire extra 80mg daily, difficult on disability money.

Never once has the mix caused any problem, and I would imagine only opioid-naïve patients would suffer any adverse reactions.

Rocker Dan
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BENZOS

 My my hey hey!!!   200MGs of Valium???.  That cant be persribed by a doctor can it???     I was put back on some Valium after my doctor said I was driving him carzy and i am a nut bar...but we all knew that...But my pain medicnes are the same,  I just do not have to go every month anymore.  The town hall meeting on CNN was what started this country(USA USA)going nuts(after PRINCES DEATH).So long story short,   I had to see my doctor every month for a year and now am back to every 3 months once again.However the DEA,the FDA and the Atorney General has issued several warings since about 3 out of 10 people who used pain meds are doing other bad things.So "the wheel" turns round once more.Take care and peace................

gtrplayer
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Dan, I think what he said was

Dan, I think what he said was he takes around the equivalent of 200mg of diazepam. That's not really too hard to fathom, either, given that the equivalency of non-valium benzodiazepines is more of an art than a science (with a little bit of science). When I read that 0.5mg of clonazepam is roughly equal to 10mg of diazepam (or whatever it is, I have no clue), I think it's more of a way of saying, to a dr, "if your patient takes X amount of this drug, it is roughly equivalent to X amount of that drug" in terms of therapeutic action. Where I do have issues with benzodiazepine dose equivalencies is when they compare X amount of a long acting drug, like diazepam, to any amount of a short acting drug. 

I wouldn't earn my participation ribbon if I didn't ask you, where did that figure of "3 out of 10 people who used pain meds are doing other bad things"? I absolutely do not mean for this to sound rude, but you should know, as a pain patient, who still gets benzodiazepines, how much that statement just seems wrong. I will be blunt, not rude, and say that I do not believe that a member of the FDA, DEA, or CDC would actually use those words, publicly, even if their personal view "felt" that way. I am not a fan of the FDA, CDC, or DEA in regards to their pressuring doctors over what they can and can't prescribe.

For the record, I will say that federally, there is nothing set in stone forbidding the prescription of these 2 drugs, together. What did go out, in December of 2016, was a brief memo urging doctors to, on a patient by patient basis, re-evaluate whether a patient who is currently on both drugs is, in the doctor's opinion, still needing of both drugs at the same time, and if the benefit outweighs the risk of having a patient be on both drugs. 

 

 

Rocker Dan
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BENZOS

Dear gtrPlayer I did see the "powers that be" said the 3 out of 10 statement meaning mixing Benzo with pain medicne. I am all for Benzos and just took my allowed daily dose and this included pain meds and Valiums,so I guess I am dumb***. YOUR CCoolORRECT I AM A FREAKED OUT HIPPIE ROCK N ROLLER WITH ONE FOOT IN THE GRAVE! However I am HAPPY, so Peace Man!!!       p.s. What do you think could possably be even close to a drug in the 200mg range??? p.s.s. I  will find the letter (or letters)that say the 3 out of 10 statement and show you...Peace!!!-

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