Discussions that mention suboxone

Pain Management board


Good job Moldova.

What I understand to be the major issues are:

• never take opioid partial agonists or antagonists with full agonists like morphine, fentanyl, oxycodone, etc. The offending meds would be buprenorphine (Suboxone), Stadol, pentazocine (Talwin), Naltrexone, Naloxone, etc. These meds will usually send us into immediate withdrawal.

• some meds like the antidepressant SSRIs (Prozac, Celexa, Serzone, etc) can affect the performance of opioids. Usually they will reduce the potency of the opioids. Other antidepressants like the tricyclics (Elavil, Nortriptlyne, amitryptline, etc) can increase the potency of opioids.

•anti-seizure meds can make opioids either more or less potent depending on which one.

• Demerol and Darvon produce nasty metabolites when used chronically and should be avoided. When taken with Nardil or Parnate the results can be terrible.

Looks like we read similar stuff, although you've got a few I hadn't heard of.

Thanks again Moldova,

steve