Just Switched from Suboxone® to Generic Subutex®

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Karbine-Kyle
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Hello Everybody!

I just switched from Suboxone® to Generic Subutex®. I was just posting this so I could help others or if anyone else had any information about the Generic. They are made by Roxane Laboratories™. They come in 2mg and 8mg strengths. I use to take Methadose® (Methadone) 40mg dispersable tablets 2-4x daily, and before that, every opioid that I could get, for back pain. My parents detoxed me off of Methadone, and took me to a walk-in clinic, whose doctor also does detox. After going through H*** of withdrawals from the Methadone, I was given a shot of Buprenex® at the doctor's office. He then dispensed 4 Subutex® tablets for the first couple of days, and then a couple days later, he put me on Suboxone®. It really helped me, not just for addiction or pain, but I also feel that it has helped my depression. The only problem is the cost. I have been clean for almost 2 years now, but I don't have insurance. My parents had to pay for most of the visits once a month and the Suboxone®. When the generic formulation of Subutex® (Buprenorphine) came out, my doctor did not want to switch me, so I wrote him a letter, telling him how expensive the Suboxone® was, and how much money we were losing, and how it was effecting us financially. I begged him to put me on the generic Subutex®, which I will now just call "Buprenorphine". He was very hesitant, but he went through for me. I take 4mg 2x daily (8mg Buprenorphine), in the morning, and the evening. I also take 2mg of Klonopin® (Clonazepam) 3x daily, because I have ungodly panic disorder. Honestly, I feel fine. The only difference is, is the tablets are a little "harder", when I mean "harder", I mean how much the tablets have been pressed. They aren't as soft as the generics, but they do dissolve just as fast, in my opinion. I really don't see any difference between the Suboxone®, and the Buprenorphine. They are about the same size as the Suboxone® sublingual tablets, but they are white, flat, round sublingual tablets, with one side saying "54 411" and the other side is blank, no scores, nothing. They are bitter, just like the brand name, but they are just as effective as the generic so far. This is my 5th day taking the Buprenorphine. It doesn't contain Naloxone like the Suboxone®, and they honestly are a lot cheaper, by about ½ the price. A Qty. #30 Buprenorphine sublingual tablets are ~$112, still, pretty pricy, but the brand Subutex® Qty. #30 sublingual tablets are ~$220. That's a approximately $100 cheaper. I live in Florida, so the costs may be different, depending on where you live, or what pharmacy. I use Walgreens®. I do have a discount card, but it only saved me about $10. I find them just as effective as the brand name Buprenorphine sublingual tablets, W or W/O Naloxone (Antagonist/Blocker). They do help my back pain just a little, but to be honest, I'm in a much better mood, and I'm more "lively". My depression has dropped dramatically, which I found strange. Harvard Medical Studies shows that Buprenorphine might have antidepressant potentials. Check that out on Wikipedia, and type "Buprenorphine." Don't take it for depression, that's not what it's for, (except in my case). It has really helped! Since there isn't a generic for Suboxone® yet, try asking your doctor to switch you to the generic Subutex® if you want to, or have to, like I did. I did submit a picture here on what the tablets look like and what the bottle looks like (for the 8mg tablets) by Roxane Laboratories™. It can be found in the "Contrib" section. I'm just posting this to let you know there is a generic for Subutex®. The cost is about ½ that of the brand. I just wanted to let you all know. I am NOT a doctor, so don't attempt, or take anything without talking to your doctor first. This is just information on the effectiveness of the generic VS the brand Subutex® or Suboxone®. I hope all of you who may be in my position will get help! Talk to your doctor, and tell him/her the truth about your situation! I hope and pray for all of you, and I hope that you will all have a Merry Christmas & a Happy New Year!

- "Karbine" Kyle

someone123
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I'm going to ask my doctor to

I'm going to ask my doctor to switch me from Suboxone to Generic Subutex.

TJVJR
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does subutex work better for pain?

does subutex work better for pain?Ive been on suboxone for about 3 months now and doing well as far as helping addiction,although i still have pain.Ive been told that subutex works better for pain but i don't see how it could.they are both the same basic drug aren't they? please give me some advise if you've seen better results from subutex for pain.thanks-Ted                                                                                   sorry ive posted this in the wrong place ill try to move it

Bromaze
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Thanks!

Thanks for posting that pic of the generic Subutex KK!

ginipigjustsayno
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reply to the person switchin suboxe 4 subutex

i new on this sit but i was on SUBUTEX for bout 3 years ,n soboxne goin on 7 ,dont u think your gona have the urge to use again???theres no diff. exept the naltrexone,isent in it, so your basicly just putin urself at an 100% risk to relapse,and beleive it or not thers .31 mgs of another form of blocker in the subutex,i got of of it because you can it put me back in a ""messed up mindstate""/old thought habits.there strong but id stay on methodone if i were u,there more expesive 2,and im nit sure theres a generic ????yet it just a white oblong pill without the citrus flaver...i aalso take the same dose of klonipn u do,the combo is deadly.Plese relpy back 2 me bout this....

CMBEAR
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Going to switch from Suboxone to generic Subutex

I was wondering if anyone knew if switching directly from Suboxone to generic Subutex causes any initial w/d's?  I've been on Suboxone for almost 2 years and all indications have me to believe that generic Subutex is cheaper.  Just lost my insurance and my doctor is charging $50 more per month starting the first of the year.  Right now the cost of Suboxone is $6.00 per pill (cheapest in town) at a count of #60 per script plus the doctor's fee; that's approximately $630.00 per month.  Sometimes I feel just as bad as when I was buying pills on the street (far as the cost and trying to pay bills, etc.).

Anyway can anyone tell me about possible initial w/d's (upon switching)?  Also, does anyone know an average price of subutex?  (I try to ask my doctor, but I only get vague answers.)

Dr. Lois
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Generic subutex causes a real

Generic subutex causes a real dilema because subutex can be abused more readily than suboxone.  The small amount of Naltrexone in the suboxone has no effect when taken orally, but prevents people from injecting suboxone.  But at less than 1/3 the cost of suboxone, it puts doctors in a real ethical conumdrum when a patient asks for the cheaper drug.  Right now many insurance companies will not cover subutex, but will cover suboxone, presumably because suboxone is better for maintenance because it is less likely to be misused.  Now that generic subutex is available it will be interesting to see if that changes.

HollyG
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Generic Subutex

I live in Arkansas and maybe thats my problem. haha  But I've called my doctor and many pharmacies around here and they say that a generic version does not exsist.  Has anyone else had this problem?  Or am I just in hickville thats 20 years behind.

Karbine-Kyle
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Switching has been about the same for me...

I have swithed to the generic, and I have been on it for almost 2 months so far. The Buprenorphine seems to work for me just as well as the Suboxone®. It is more expensive than Methadone by far! To be honest, I don't want to switch back to Methadone! It caused me to many problems. I was taking more, to achieve the same results, and the doctor who was giving it to me died, God Bless him, but he was a great doctor, but he "dissapeared" so I had to get it from my Psychiatrist, and he was nice enough to give it to me for more than 2 years, and he honestly didn't want to. My parents finally took me to this doctor (who does detox too), but unfortunately, I have to pay $90 a walk-in, and all I get is a refill. He gave me an extra refill this month, which was extremely nice, I didn't think he would. It's outpatient, which is the only good thing. To be honest, I think it is just as good as the Suboxone®. The only thing I can't get used too, is that its absorption rate is a lot different, it's more like chalk and no lemon-lime flavor (which I'm used too), and the fact that it doesn't have the lemom-lime flavor, makes kind of a "psychological effect", because your used to that flavor, so your brain is telling you you're taking something different or less effective, or just plain bitter (the taste). The tablets are a lot harder "pressed" too. They don't work on my back pain, but nothing did. Not even Methadone or Morphine. The reason I take it, is because I believe it has this "Antidepressant Effect." If you go to Wikipedia, there is a small article about Buprenorphine as being a possible antidepressant. SSRI's don't work for me at all. This is the first year I've not had to worry about SADD (Seasonal Affective Depressive Disorder) AKA "The Winter Blues". Although, for pain, I'm not sure. I don't see that it is much different for pain. Also, I'm not sure of the generics' effectiveness. Some generics can have up to a 30% decrease, than the brand. The only way I would know is if I were to take the brand first, which I can't afford... I would like to try it though, but I don't want my doctor thinking I'm in some sort of "drug seeking behavior". He's not very thoughtful, either. He's all about the money. He could care less about me... The fact is, it does work, it takes getting use too. The lemom-lime flavor is what really messes with your head. It's just different, because it's very bitter. I'm not used too it yet, but it's seems to work, and it did NOT cause any kind of withdrawal for me from when I was on Suboxone®. I switched directly to it too. It's bitter, and it has a different "feel" to it, when it dissolves. It's half the price, about $110 for a Qty #30. I thought it was cheaper, like $77, but I must have misunderstood the pharmacist, or vice versa. I don't know it's effects as much yet, but they seem to work quite well. Also, I've been having a lot of issues with my family, and that doesn't help my state of mind at all! I'm sorry I wasn't here, I'm just trying to reply to everyone, because I've been busy this past year. I will keep everyone posted, and share as much information as I have. I hope this helps! Good Luck! God Bless You All, Good Day!

- Kyle

 

KK
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Kyle-I have been taking

Kyle-

I have been taking Suboxone since 8/2008 and the first thing my Dr did was take me off my Klonopin. He said there is NO WAY he will Rx both at the same time. He said the combo is deadly. I do take Ambien for sleep but he wants me to stop that med, too. Every month I go to see him he is hesitant to write for the Ambien but he does. I have a feeling when I go back to see him on 1/18/2010 that that will be the end of the Ambien.

I just want you to be careful with the Klonopin. I have been diagnosed with GAD but my Dr still refuses the Klonopin. Frown

Take Care..............KK

Karbine-Kyle
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Buprenorphine & Benzodiazepines:

Thanks! I appreciate your concern, but I'm doing fine. To be honest, I've taken Klonopin® (Clonazepam) for almost a decade, 2mg, the highest dose. I have Panic Disorder like you wouldn't believe! It's like the flu, but it never goes away, only taking the Clonazepam will help. To be honest, I've found that ALL OPIATES + BENZOS can be a dangerous mix. I've taken just about every benzo and opiate there is on the U.S. market, even together, but I have never had amnesia, or "blackouts", like when someone gets really drunk, even though I don't like alcohol, plus, I've never blacked out before. Also, I've heard a lot of rumors that a lot of doctors for example over-exaggerate about the combination of Buprenorphine + Benzodiazepines. I've had severe panic attacks, and I had already taken 8mg of Buprenorphine, and I took about 12mg of Clonazepam, just to fight off this Panic Attack. I'm so used to taking it... I can't even have a carefree day if I don't take at least 4mg in 12 hours... I'm also taking Restoril® (Temazepam) too, #60 - 30mg Capsules, which is the highest dose. It's more for sleep, but does work tremendously on panic for me. I've tried Ambien®, and it did nothing. I took it when I used to take Methadone (40mg Soluble Dispersable Tablets, which only Methadone Clinics can carry, no longer pharmacies can carry them...) and in my opinion, the Temazepam is even stronger than Clonazepam. It is considered a "High Potent" benzodiazepine. The most common "High Potent" benzos are Clonazepam, Temazepam, and Ativan® (Lorazepam). Sometimes, Xanax® (Alprazolam), even though it is short-acting. I don't know why, but I get through just fine taking the Bupe + Benzos. I've never had any breathing problems, ever, even in my life of taking it with other opioids. Honestly, I think the whole Benzodiazepine + Buprenorphine is overrated. That's just my opinion, and I've heard it from many others too. In my opinion, Alcohol is probably the WORST combination. I'm just letting you know what I experience. I believe, if you are TOLERENT, you will have little or no problems taking them together. Also, nowadays, doctors don't like giving out the "oldschool" drugs as much anymore. Those are the ones that work, well, at least for me! It just differs from person to person, everyone is different... Take care, and don't panic! That only makes things MUCH worse! If I were you, I would try to take a small dose of each, and let your doctor slowly increase the dose(s) until you are tolerent. Just thought that might help too. I am still on the look-out for when Generic Suboxone® hits the shelves of pharmacies. I will let everyone know as soon as possible. Thanks, and Have a nice day!

- "Karbine" Kyle