All regular use sublingual opioid medications etc how to protect your teeth.

[Shumbah]

REGULAR use of sublingual medications, from opioids to Valium etc

I break mine into tiny pin head size pieces with a pill cutter.

I know 200 mcg Temgesic or 2 mg of Buprenorphine looks very small, however I have followed this process for over 3 years now.

- Reasons

- Absorption in seconds

- Better Absorption.

- You are not swallowing any residual medication.

- No residual medication getting near your teeth.

Also Doctors hate this next one

- I can moderate my dose . I may not need the whole dose and can set aside quarter or half in a bottle.

I have had zero issues with my teeth

I take one when full tablet place in pill cutter cut in half and then quarters.

Currently I set aside a quarter for later date and I continue chopping the restinto tiny splinters.

I place them into a tiny bowl on my bedside and take them whilst reading my book or watching TV

Doing it my way there really should be no residue .Because the pieces are so tiny like crumbs that they absorb instantly in seconds. When I cut mine sometimes there are pieces like dust too small to pick up I dab my finger the dust sticks to finger and pop under tongue to ensure I do not waste any .

I know this may feel inconvenient I have found it works well for me and saves my teeth.

I have NEVER gone over my 2 mg dose and if you do not require it all that can help you to have a little spare incase you drop one or have supply issues.

RLS suffers hate taking medication we are the least likely cohort to abuse opioids. People who suffer addiction no they do and avoid opioids.

Buprenorphine is good for those who suffer addiction affliction as it does not give a high and has a ceiling effect so it cuts out at a certain level and blocks other opioids.

SUBOXONE Dr Glen Brooks said he would never recommended Suboxone for RLS and that most doctors sadly do not know the difference between Subutex and Suboxone.Suboxone film takes 2 to 5 minutes to absorb. I have not used it.

I would be concerned as they still leave residue and a lot of people put it in there cheek which would make this more likely to create a problem with teeth.There is a study that’s was done on Suboxone splitting and storing for up-to 7 days.

pubmed.ncbi.nlm.nih.gov/310...

 Asking doctors to switch to Subutex from Suboxone that would be optimal . It is hard because we are so desperate.If I had no choice I would choose being free from RLS even if it meant having dentures.I can only speak from my experience and medical advice I’ve received sadly then it’s up-to me to educate doctors around me. Subutex I believe is called Buprenorphine in America.

LINK Study on splitting Suboxone

pubmed.ncbi.nlm.nih.gov/310...

Once fully absorbed you can have a drink .

PS Never cut slow release opioids you will die , if you cut and swallow slow release oxycodone etc

you will not be able to breath when you get the full dose in minutes instead of hours.

[smilingjane]

Thanks ShumbahHelpful as always.

Out of interest when the pieces have dissolved, do you spit the residual into your bowl after a couple of minutes?

Also, do you think it's ok to clean teeth afterwards? Or would that affect absorbsion do you think?

Jane 😊

[Shumbah in reply to smilingjane]

If do it my way there really should be no residue .Because the pieces are so tiny like crumbs that they absorb instantly in seconds.

When I cut mine sometimes there are pieces like dust to small to pick up I dab my finger the dust sticks to finger and pop under tongue to ensure I do not waste any .

[Jerry57]

Thank you, Shumbah. I appreciate the information. I am always looking for ways to moderate my dose and take the least amount of medication needed.

[Shumbah in reply to Jerry57]

what r u taking Jerry ?

[Jerry57 in reply to Shumbah]

tramadol

[TeddiJ]

Hi. So, you are saying your prescription is not sublingual, correct? So whether you splinter the pill or not, you are still swallowing it and it is away from your teeth...right?

What about the true sublingual, under the tongue prescriptions like Suboxone? Any thoughts?

Some have said it is the acid that does the teeth in, but others say, no, it is the resulting dry mouth.

Thanks!

[Shumbah in reply to TeddiJ]

Yes it is sublingual

Yes it absorbs under the tongue tiny piece buy tiny piece not in one whole sublingual pill.

however the absorption rate is not fast enough to keep away from teeth.

Example Zofram is a wafer absorption time a lot quicker now the generic brand ondasetron same medication still sublingual made differently does not absorb as quickly so can leak onto one’s teeth due to the time it takes to absorb.

If you are using Temgesic or Buprenorphine or Subutex, everyday.

I would splinter it into about 8 to 10 pieces .

The smaller the piece the faster the absorption.

I have done this since night ONE

I am a mouth breather do to difficulty breathing through my nose

I have no issue with my teeth.

SUBOXONE Dr Glen Brooks said he would never recommended Suboxone for RLS and that most doctors sadly do not know the difference between Subutex and Suboxone.

Suboxone film takes 2 to 5 minutes to absorb. I have not used it. I would be concerned as they still leave residue and a lot of people put it in there cheek which would make this more likely to create a problem with teeth.

There is a study that’s was done on Suboxone splitting and storing for up-to 7 days. I will find the link then edit this post

If your doctor would switch you to Subutex from Suboxone that would be optimal . It is hard because we are so desperate.

If I had no choice I would choose being free from RLS even if it meant having dentures.

I can only speak from my experience and medical advice I’ve received

sadly then it’s upto me to educate doctors around me.

Are you using Suboxone film ?

Who prescribed ?

Will they switch to Subutex ? Or Buprenorphine as it is called in America.

[TeddiJ in reply to Shumbah]

Thank you, Shumbah! Dr. B prescribed it and also one other doctor. I asked them both about the naloxone and giving me the subutex instead and both said it was not enough to be an issue and it did not affect surgery. The second doctor even said his patients had no teeth issues when on suboxone. So, I have resisted using it. Losing my teeth and rls are both equal to hell, for me. DAMN! when will this end? it seems that the answer is never-there will never be a tolerable solution for me.

[Shumbah]

Not sure how far you are from New York , Dr brooks will only prescribe Subutex he is an anesthetist he should know about surgery more than a doctor. Maybe it is ego and they don’t like people knowing more than them.

Should you sadly loose a tooth not saying you will , ensure you keep it

and take it in and put it on the desk then insist you are switched .

[TeddiJ in reply to Shumbah]

omg-lol-that is so awful to envision! but a great FU-lol.

I am in Chicago and already bucked up and flew to see Dr. B. I agree with you and have read your argument and info about this before. Then I asked them both. Sigh.

Thank you! xo

[Shumbah]

All the best 😊

[TeddiJ in reply to Shumbah]

Thank you!