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I Recently Used Suboxone For Withdrawal Symptoms After Cessation Of

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Posted on Tue, 24 Sep 2019
Question: I recently used Suboxone for withdrawal symptoms after cessation of Opiate medication. At first it worked great, but on the 3rd day I began to have pretty severe nerve pain in the right side of my face and head. My lips are numb on the right side & corner. Also moderate pain in right ear, swollen gland under right jaw, ear pain, eye pain jaw pain, face pain nerve pain shooting. I also feel that I may be experiencing salivary gland pain. I stopping using the Suboxone films after 9 days, but the symptoms stated above are not going away. I am already chronically ill with moderate back pain. Dealing with this constant nerve pain, etc is very hard for me. I'm worried it won't go away.
doctor
Answered by Dr. Dr. Matt Wachsman (10 minutes later)
Brief Answer:
OK, here's an answer

Detailed Answer:
Thanks for being at 'Ask A Doctor' service,

The location and movement of pain give clues as to what is going on. The FACIAL NERVE goes around the angle of the jaw and then to the ENTIRE side of the face. Where the swollen gland would generally be but a bit higher and against the jaw. There CAN be something going on like an infection going out from the jaw or a tumor in the neck.

But without an exam, I can only give general information.
The paralysis is deeper and there is a more sensory effect from this nerve than from a stroke. Often the mouth is so affected there is drooling.

BELL'S PALSY may have a variety of causes but the DRUG suboxone doesn't do it. The PLACEMENT of it... shouldn't but it is often put on the inside of the mouth RIGHT WHERE THAT NERVE GOES BY. So, stretching/manhandling the area at the far back of the jaw might be associated with BELL'S Palsy.

This was posted in the Harvard newsletter, "Most people start to get better within a couple of weeks and return to normal function after three to six months. During that time, you need to prevent the affected eye from drying"

Then, if it is both sides of the mouth being numb and not the eye being affected then more or less a panic attack is the most likely cause. but it would be BOTH sides.

If it is just the lower face and not the eye, then something else like a stroke would be possibly the cause and this is oging to require some physician input and radiological confirmation.

Bell's palsy can be painful. most of the causes of it are painful and include shngles, tumor, trauma, tooth infection. The nerve pain from these responds very well to simple, cheap, non-addictive nerve medicines. these include lidocaine either by jelly or patch., amitryptiline, anti-epileptics, or lyrica.

Let me know if I can assist you further.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Matt Wachsman (1 hour later)
Brief Answer:
this is why a face to face interview works best

Detailed Answer:
Please note, without an exam, I can only give general information. And, indeed YOU would be a better judge of what Bell's palsy feels like to you.
as mentioned,
"The FACIAL NERVE goes around the angle of the jaw and then to the ENTIRE side of the face. Where the swollen gland would generally be but a bit higher and against the jaw. "

The tingling with suboxone on the tongue is due to a direct effect locally where it touches. Not this.

And... you've got something (node, probably exactly like you say a node) right where the nerve runs by.

And you are mentioning ALL the SIGNS of infection.

While I can only give general information, I must mention that the really BAD consequence of a tooth/jaw/sinus infection (not related to drug abuse nor suboxone that like a sinus or bad tooth anyone might get) IS the Infection traveling down through spaces between neck areas into deeper parts of the neck involving nerves and blood vessels. Mostly the usual simple antibiotics fix this BUT they have to be given PROMPTLY.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Matt Wachsman (11 minutes later)
I don't think it's Bell's Palsy. I had that once in my 20's and it didn't act anything like this. I do know that one of the side effects of Suboxone mentions pain and numbness in the tongue or lip, but this isn't the same side of my tongue that I put the Suboxone film under. Also this afternoon I've begun to spike a low-grade fever. The sharpest pain right now is the spot right in front of my ear. Every one in a while I get a sharp, stabbing pain there, like every 10-30min or so. Does this help? I'm feeling more and more ill too... can't eat anything or even get comfortable laying down to rest. I know the withdrawal is over now, so it's not that it, either. But I'm going through mild "hot & cold" issues this afternoon which coincides with the fever starting to spike I think. The temp is only 99.5 but for me, that's always been enough for me to feel "sick" overall.
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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I Recently Used Suboxone For Withdrawal Symptoms After Cessation Of

Brief Answer: OK, here's an answer Detailed Answer: Thanks for being at 'Ask A Doctor' service, The location and movement of pain give clues as to what is going on. The FACIAL NERVE goes around the angle of the jaw and then to the ENTIRE side of the face. Where the swollen gland would generally be but a bit higher and against the jaw. There CAN be something going on like an infection going out from the jaw or a tumor in the neck. But without an exam, I can only give general information. The paralysis is deeper and there is a more sensory effect from this nerve than from a stroke. Often the mouth is so affected there is drooling. BELL'S PALSY may have a variety of causes but the DRUG suboxone doesn't do it. The PLACEMENT of it... shouldn't but it is often put on the inside of the mouth RIGHT WHERE THAT NERVE GOES BY. So, stretching/manhandling the area at the far back of the jaw might be associated with BELL'S Palsy. This was posted in the Harvard newsletter, "Most people start to get better within a couple of weeks and return to normal function after three to six months. During that time, you need to prevent the affected eye from drying" Then, if it is both sides of the mouth being numb and not the eye being affected then more or less a panic attack is the most likely cause. but it would be BOTH sides. If it is just the lower face and not the eye, then something else like a stroke would be possibly the cause and this is oging to require some physician input and radiological confirmation. Bell's palsy can be painful. most of the causes of it are painful and include shngles, tumor, trauma, tooth infection. The nerve pain from these responds very well to simple, cheap, non-addictive nerve medicines. these include lidocaine either by jelly or patch., amitryptiline, anti-epileptics, or lyrica. Let me know if I can assist you further.