Well I got my answer to my concerns about pain emergencies on Bup(Subutex for me). I have mutlpile serious medical problems, but last tueday I awoke in excrutiating abd pain an went to ther ER to learn that I was suffering from a bowel obstruction & and DVT extending into IVC and attached to my clot filter. I was REELING, in pain...completely doubled over, and had my llittle card with me. Last SubuTEX dose 2mg 24 hr. before.
after my CT scan they bolused 2mg dilaudid...nothing whasoever. 15 mintues later 1 mg more.... nothing.
Spent 5 days inpatient @ 2mg every 3hrs, first three days did nothing ,may as well have been saline. (10 doses, 19mg...Nada)
Last two days it worked just enough feel it to dull the pain, temporarily, but then it felt like the bupe came right back)
Befroe discharrge, One Doc I talked to mentioned that there is a specific drug used to dispalce the bup - he mentioned it by name but I forgot it. I've been looking for it all over the net, but can't find it.
He said it's either that or go under anethesia/sedation-level monitoring w/resp. support, etc, and be given very high doses.
(This, I think is the "acceptable" practice- dunno many docs who'b be excited about doing though ).
Advice appreaciated.. surgery upcoming, bit that'll be easy with a a taper (I think!)