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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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When Will It Be Safe To Take Suboxone Films?

I ve been on 50 mg s of methadone for form july 2014-april 2015. Then i detoxed down to 40 mg s, which is what I ve been on for 4 months. yesterday 8-6-15 was my last dose. When will it be safe to take suboxone films & how much should I start out with? Also could i take percocet in the mean time to avoid withdrawl?
Mon, 15 Feb 2016
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Addiction Medicine Specialist,  's  Response
wow, I'm getting a question from AUGUST (5 months ago). The rough estimate is 3 days at a minimum on the methadone. Since that is about the lowest methadone dose I've seen from a methadone program, the lower timing is probalby fine. 3 days. The problem of course is that suboxone blocks narcotic receptors. This causes withdrawal if narcotics are in the system (over a day for methadone, about 12-24 hrs for short acting). While percocet is an effective bridge, it sets up several bad consequences and really should be avoided.
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When Will It Be Safe To Take Suboxone Films?

wow, I m getting a question from AUGUST (5 months ago). The rough estimate is 3 days at a minimum on the methadone. Since that is about the lowest methadone dose I ve seen from a methadone program, the lower timing is probalby fine. 3 days. The problem of course is that suboxone blocks narcotic receptors. This causes withdrawal if narcotics are in the system (over a day for methadone, about 12-24 hrs for short acting). While percocet is an effective bridge, it sets up several bad consequences and really should be avoided.