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Suggest Ways To Wean Off Zubsolv

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Posted on Wed, 24 May 2017
Question: Im zubsolv 2 lower my pain med tol plus i ran out early. I have been on 5.6mg bid x7 days. I get my oxy 10mg tid refill monday can i just stop one start other

My question is medically will I have withdrawals from the medication when switching or will the Oxy stop tany such with drawl
doctor
Answered by Dr. Bhagyesh V. Patel (24 hours later)
respected user, hi I don`t recommend any such decisions on your own.
have detailed discussions with your treating physician before taking any steps
hope this clears your doubts
thanks regards


Brief Answer:
Respected XXXX,some extent withdrawals but lesser intensity with Oxy.

Detailed Answer:
Respected XXXX, hi I evaluated your query thoroughly.
* Zubsolv withdrawl symptoms are dependent on many factors as
- since how much time consuming ( long time more )
- ratio of buprenorphine to naloxone in it ( high ratio more )
- cold turkey vs. tapering ( immediate withdrawl as cold turkey more )
- individual physiology & other factors like stress, social support, alcohol,
smoking ( more for anxious , alocholic , smoker )
* I would recommend to taper dose from 5.6 mg bid to 5.6 mg once daily for y
days before switching to Oxy .
* Certain amount of withdrawl symptoms predictable medically to some extent
as - agitation - anger - anxiety - body ache - brain fog - craving - depression
- diarrhea - dizziness - fatigue - headache - insomnia - heart rate changes -
irritability - joint pain - mood change - nausea - sweating etc .
which will be less when you start Oxy .
* I will suggest Oxy also in bid dosage initially for 5-7 days & then immediately
taper to once daily for its early quit .
* Highly recommended during Zubsolv dose tapering time :
- avoid smoking / alcohol totally
- do regular basis light exercises, meditations & YOGA for 1 hour daily without
failure which is most important
- engage more in social activities / likely activities
- maintain hydrations , nutritious diet
- manage sound sleep of 6-8 hours
- avoid stress / anxiety episodes
- Be Positive attitude for every moment of the precious life
- advisable to do under someone`s information, if any untoward incident that
person can immediately handle it
Hope this clears your doubts.
Thanks for using Health care magic & giving me an opportunity to assist you.
Welcome for any further queries.
Wishing you a very happy healthy life ahead.
Regards dear take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Bhagyesh V. Patel (30 minutes later)
Thank you doctor. I have been on 5.7-mg/1.4-mg
buprenorphine/naloxone for 8 days was tid now bid x2 days i will decrease to 1 x day in 3 days.i will do all your suggestions. At what point ahould i start oxy 10mg bid and after 1 week do 1x daily for how long then hopefully off or prn if ever. The reason for this is I need a colonoscopy and EGD's for my crowns and cannot do it until I'm off the zubsolv. And thanks for your compassion
doctor
Answered by Dr. Bhagyesh V. Patel (2 hours later)
Brief Answer:
From second day of stopping Zuboclav, take Oxy.

Detailed Answer:
Welcome back,

* from second day of last dose of Zuboclav , can start Oxy bid for 7 days, then
1/day for 10 days & then stop it. No thoughts to continue it in any manner whatever
happens. Be strong never think it to continue .
* I am sure you will be off zuboclav & Oxy both one day .
* Every sunshine brings rays of new hopes for every person in the world, it is
upon the person how she take it for her own life .
* Very honestly indulge in deep concentration exercises & meditations right now
from this point & the following course would be very easy .
* Promise yourself to quit smoking / alcohol if using for rest of your life, real
devils of your life.
* Be firm from inside & it is your inner will which will take you to your desired
destiny in your life , Quit all your dependency on these artificial molecules of
the so called fascinating world, once you realise the truth of happiness of your
soul, everything like this would be of no importance in your life for you I am
sure for that.
Hope this helps you.
Praying for all your well being in the future.
Welcome for any further assistance or else please rate the answer accordingly
& close the discussion.
Regards take care dear.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20405 Questions

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Suggest Ways To Wean Off Zubsolv

respected user, hi I don`t recommend any such decisions on your own. have detailed discussions with your treating physician before taking any steps hope this clears your doubts thanks regards Brief Answer: Respected XXXX,some extent withdrawals but lesser intensity with Oxy. Detailed Answer: Respected XXXX, hi I evaluated your query thoroughly. * Zubsolv withdrawl symptoms are dependent on many factors as - since how much time consuming ( long time more ) - ratio of buprenorphine to naloxone in it ( high ratio more ) - cold turkey vs. tapering ( immediate withdrawl as cold turkey more ) - individual physiology & other factors like stress, social support, alcohol, smoking ( more for anxious , alocholic , smoker ) * I would recommend to taper dose from 5.6 mg bid to 5.6 mg once daily for y days before switching to Oxy . * Certain amount of withdrawl symptoms predictable medically to some extent as - agitation - anger - anxiety - body ache - brain fog - craving - depression - diarrhea - dizziness - fatigue - headache - insomnia - heart rate changes - irritability - joint pain - mood change - nausea - sweating etc . which will be less when you start Oxy . * I will suggest Oxy also in bid dosage initially for 5-7 days & then immediately taper to once daily for its early quit . * Highly recommended during Zubsolv dose tapering time : - avoid smoking / alcohol totally - do regular basis light exercises, meditations & YOGA for 1 hour daily without failure which is most important - engage more in social activities / likely activities - maintain hydrations , nutritious diet - manage sound sleep of 6-8 hours - avoid stress / anxiety episodes - Be Positive attitude for every moment of the precious life - advisable to do under someone`s information, if any untoward incident that person can immediately handle it Hope this clears your doubts. Thanks for using Health care magic & giving me an opportunity to assist you. Welcome for any further queries. Wishing you a very happy healthy life ahead. Regards dear take care.