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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Suboxone Necessary For Back Surgery?

I am on suboxone and have to have a major back surgery my sub. dr will not help me with this cricical situation he tells me I don t need any type of subutex or pain meds im sure I will have to in a ton of pain after do u know know what steps I take next
Mon, 17 Jul 2017
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Addiction Medicine Specialist,  's  Response
well, it isn't our place to give advise counter to what you are apparently getting, nor to interfere with you and the two doctors.
And, yes, generally people need a narcotic after surgery. It is tricky in the context of suboxone and the two ways to go are to go with the suboxone or to stop everything at least a day before surgery and to go with conventional narcotics around the surgery then go back to the suboxone afterwards. There is a limit to the pain effect of the suboxone that is LESS than the amount that can be obtained iwth conventional narcotics.
And, this is a common context fro tapering suboxone. Someone winds up on 30 or less total mg of oxycodone or morphine equivalents, this is less than 10 mg per day of suboxone.
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Is Suboxone Necessary For Back Surgery?

well, it isn t our place to give advise counter to what you are apparently getting, nor to interfere with you and the two doctors. And, yes, generally people need a narcotic after surgery. It is tricky in the context of suboxone and the two ways to go are to go with the suboxone or to stop everything at least a day before surgery and to go with conventional narcotics around the surgery then go back to the suboxone afterwards. There is a limit to the pain effect of the suboxone that is LESS than the amount that can be obtained iwth conventional narcotics. And, this is a common context fro tapering suboxone. Someone winds up on 30 or less total mg of oxycodone or morphine equivalents, this is less than 10 mg per day of suboxone.