If you are on suboxone
and it is working to keep you from having cravings, I would recommend continuing your regular dosing
. To clean yourself of the Vicodin
, you simply stop taking it and it will be out of your system within days.
In my practice, if a suboxone maintained patient is undergoing an elective procedure that we can predict, I will usually have them stop the suboxone a few days before the procedure and use another opioid
to control the pain. As the short term use of the pain med is tapered (as the pain from the procedure gets better naturally), I'll then restart the suboxone. In a pinch, if the patient has cravings as they recover from the procedure, we can even give some methadone
to prevent relapse.