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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having A Full Hysterectomy Soon. On Suboxone. Trying To Ween Off. Fear Withdrawals?

I am having a full hysterectomy November 26 in 3 weeks. I have been on suboxone 2 8mg for about 1 year, however the last year I have been taking only 1 8 mg, then the last 6 months I have been trying to ween myself off completely. I had gotten myself down an 1/8 a day, with no problems or withdrawals. However, my Sub Dr. seems to want me to stay on the suboxone forever. I have plenty on file at the pharmacy enough to last an entire year, if I continue to take an 1/8 per day. however, I am afraid of going into withdrawals when I have the hysterectomy. If I do not come completely off and how many days prior to I need for it to be out of my system. So that I will not go into withdrawals. I ve also researched some blogs which said that because of being an addict, that all that would help would be Fentanyl patches. I don t even want a diladid drip, but this surgery has to be done. Please do you have any advice for me? My Sub Dr did give me toradol and ultram to take when i have cycles which are about 3 weeks out of every month.
Mon, 18 Nov 2013
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

I recommend that you should not show undue haste in tapering off the dose of Suboxone.

Stress - whether mental or Physical- tend to aggravate the condition. Hysterectomy surgery too is considered as a major stress.

It is therefore recommended that, in case you are comfortable and free from withdrawal symptoms on the current dose of suboxone, CONTINUE WITH THE SAME DOSE FOR AT LEAST 04 WEEKS AFTER THE SURGERY.

Thereafter, once the surgery scars- outside as well as inside- are healed, your Doctor can give a trial of reducing the dose of suboxone further, provided he feels it as appropriate. May I caution you of the pitfalls of self-treatment : GO BY your doctor's advice as he is the BEST JUDGE.

If you find my response helpful and informative, do not forget an “excellent” rating to my answer, to encourage all doctors- engaged in social service- to render sound advice to the FREE queries.

Fond regards and have a nice day

Dr. Rakesh Karanwal
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Having A Full Hysterectomy Soon. On Suboxone. Trying To Ween Off. Fear Withdrawals?

Hi there, Thanks for your query. I recommend that you should not show undue haste in tapering off the dose of Suboxone. Stress - whether mental or Physical- tend to aggravate the condition. Hysterectomy surgery too is considered as a major stress. It is therefore recommended that, in case you are comfortable and free from withdrawal symptoms on the current dose of suboxone, CONTINUE WITH THE SAME DOSE FOR AT LEAST 04 WEEKS AFTER THE SURGERY. Thereafter, once the surgery scars- outside as well as inside- are healed, your Doctor can give a trial of reducing the dose of suboxone further, provided he feels it as appropriate. May I caution you of the pitfalls of self-treatment : GO BY your doctor s advice as he is the BEST JUDGE. If you find my response helpful and informative, do not forget an “excellent” rating to my answer, to encourage all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice day Dr. Rakesh Karanwal