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Re: buprenorphine for chronic pain? » Elizabeth

Posted by shelliR on March 23, 2002, at 19:11:39

In reply to Re: buprenorphine for chronic pain? » shelliR, posted by Elizabeth on March 23, 2002, at 13:43:30


> I'd be surprised if the effective sublingual dose (again, any single dose) wasn't higher than the effective IM dose for any particular person. Have you ever determined what dose you'd need if you were taking it IM?

I only know that the info that comes with temgesic says after two or three hours (I can't recall), the levels in the body were exactly the same for sublingual and IM. The only difference was when they peaked. BTW, I did try inhaling it this morning and I *was* able to get by with less. I felt like a junkie, though.


> I think you're right that your previous use of methadone and oxycodone may have had a lasting effect on your tolerance.

One reason I'd like to sue that bastard. I had asked him after I went up once on oxycontin to try buprenorphine instead, and he said no. With no reason.

> p.s. You said you're having trouble getting buprenorphine from overseas? I'm having trouble getting it from the U.S. -- the pharmacy orders it, but the wholesaler doesn't have it (or doesn't have enough of it). I've heard there are a lot of drug shortages lately (at the manufacturer level). I hope this isn't one of them.

I'm getting very nervous because all the sites I know on the internet are out of it. It can't be coincidence; it must be the manufacturer. ALso they've all been out of the generic for months--that's why it really concerns me that they're out of the name brand. If it's months, I will be in a pretty bad position.

And now I'm wondering even if I can get my pdoc to write a prescription in an emergency, will I be able to get it anyway. He's not saying no yet, but he is absolutely up front saying he is afraid of getting sued. And everyone agrees that even through I take it now, he wouldn't be clear of a suit. I'd better try to get vicodin, just in case.
I don't want to go off it now; I'm just starting to catch up on work and I don't want to go to the land of living hell again. I'm up to 250mg of lamictal; I know it will take at least 400mg for me to feel anything and maybe more.

Shelli


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poster:shelliR thread:97162
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