Moving from oxycontin to buprenorphine

[Simkin]

Am speaking to my GP today.Before I do I would like to know if I can switch straight from 10mg oxycontin long release over to buprenorphine or do I have to do that very gradually??

Do Joolsg or Sue or anyone else know??

[Madlegs1]

As long as they are coequivalent, then there should be no problems.

There are tables on the internet for finding out.

[Joolsg]

Straight switch. I stopped taking Oxycontin on a Sunday and I started Buprenorphine at night on the Monday.Start Buprenorphine slowly at 0.2mg and increase by 0.2mg until it stops the RLS.

If the GP suggests a patch, point out that many on here report it stops working before the allotted 5 or 7 days and they suffer opioid withdrawals and increased RLS. It doesn't happen to everyone on the patch, but enough for it to be a problem. Some replace the patch after 4 days, rather than 5/7.

[Simkin in reply to Joolsg]

Did you have to ask for anti sickness pills as well?

[Joolsg in reply to Simkin]

I didn't know I was going to have such extreme nausea. I tried kwells but they didn't help and then read that Zofran is used. However, where I live, only a hospital can prescribe it. I called my MS nurse who arranged a hospital prescription. But I didn't collect it because I had already decided to start taking my medical cannabis. Chemo patients use cannabis to stop chemo nausea.Sure enough, the cannabis stopped the nausea instantly.

You may not experience any nausea. Shumbah and others on here didn't seem to have nausea. I was bedridden for a week and lost 7 pounds as I couldn't face food. It really was bad.

Clearly I was hyper sensitive.

You can ask for a prescription for Zofran. Different health authorities have different rules about drugs.

[Simkin]

Oh gosh. Poor you.

[rls-insomniac]

Hi SimkinI also did a straight switch from Oxy to buprenorphine with little or no problem. I did have slight nausea initially, but it went fairly quickly.

[Simkin in reply to rls-insomniac]

Gosh you are all so helpful. Thanks.

[Nanpat]

I had no nausea at all, but bowel problems and tummy pain still on going

[J296]

My Neurologist is reluctant to prescribe buprenorphine because it causes augmentation.. Is she correct?

[Simkin in reply to J296]

I jolly well hope not!!

[Shumbah in reply to J296]

Not possible to be correct , ignorant, it does not hang onto enough receptors

,google buprenorphine and ceiling effect print it off and give to the duffose.

[J296 in reply to Shumbah]

Thanks Shumbah. I will write to my Neurologist again about this.

[Shumbah in reply to J296]

There is no evidence of that anywhere not one case .

Make sure you present some evidence

[J296 in reply to Shumbah]

Thanks Shumbah. I was only repeating what my Neurologist said to me and why she was reluctant to prescribe it for me.I'll tell her that buprenorphine seems to be helping lots of people on this forum with RLS. I hope she gives me a chance to trial it.

[Shumbah]

Clean switch

If you look a my profile you should see my oxy to Buprenorphine journey