Discussions that mention suboxone

Pain Management board


Hi Mark and Welcome! I started on Hydrocodone, moved to Methadone 60 mg/day, and finially was put on Oxycontin 40 mg 2 x a day to start. I stayed at that dose for only a few days due to puking in pain and was moved up to 80 2 x per day. I stayed at that dose for about 1 year and then was moved to 80 mg 3 x per day. The total time I was on Oxycontin was 3 years. My tolerance built up very fast after year 2 of the Oxycontin 80 mg x 3 per day. I was refilling at the 23 day mark during year 3 and finially ran out of a 90 day supply 30 days early. That's when the train wrecked and decided to go on Suboxone for a year.

So I guess I would caution you not to move up in dose unless you absolutely feel you need to do so. Let your body be your guide.

Looking back, I wish my PM doc had worked with me on a taper instead of washing her hands of me. It's never good to take more meds than prescribed and refilling early even if the doc is aware of what is going on. I told my former pain management doc that I was having tolerance issues and she abruptly told me to "just make what I had work". I tried that and failed big time. Just keep the PM doc in the loop on how you are feeling. If they are good, they will not boot you out the door. There are so many drug seekers out there, it makes it very difficult for us with Chronic Pain.

To answer your question, I would just tell the doctor that the meds are not working as well as they used to and your are in pain. If it is affecting your day to day livelyhood, they should increase your dose.:angel:
[QUOTE=Kev32;3534747] I was refilling at the 23 day mark during year 3 and finially ran out of a 90 day supply 30 days early. That's when the train wrecked and decided to go on Suboxone for a year.
It's never good to take more meds than prescribed and refilling early even if the doc is aware of what is going on.

Yes this is the #1 reason that PM patients are dropped in a heartbeat. You are lucky that you even got on the Suboxone. Most PM docs would walk you out the door and not even prescribe you anything else. This is also how you become an addict without even realizing it unless it is too late. I am not saying that you are addict but getting early refills and taking more than prescribed can get you into trouble not only with the current PM doc, but can also follow you with every doc you go to if you are labeled and addict. I have some experience because I am a recovering addict and have seen lives shattered and torn apart because a person starts out saying "well it's just 1 more" or "I really need it" and then once your brain actually changes and you do become an addict there is no going back. And then if you ever take an opiod/opiate it will set off your addiction. I just try to warn everyone about this becuase I don't want anyone else ending up on that path. It's not fun at all.

brian