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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Would Switching Over From Subutex To Films Cause Anxiety Disorder?

I m 31 years old, 5 8 , 250lbs. My BP is on yhr high side, usually around 150/87. I take 8mg of Suboxone Film daily, and have for about 5 years. I was on Subutex for most of that time actually, I switched to the Films about 4 months ago because that is what my insurance will cover. I also suffer from Generalized Anxiety Disorder. About 6 months ago I begin to experience a sense of pressure and discomfort in my upper chest, slightly left and above of where of my heart is and severe pain in my mid back plus mild light headedness. I kind of feel off kilter, like I have the flu. Concerned and anxious, I went to the ER, worried about my heart. I was given blood tests, a chest X-Ray, EKG, and ECG, all of which came back normal. I was told it was probably something muscular in nature and that the lightheadedness was anxiety. That was 3 months ago and still the pain in the chest and back are still here, and the lightheadedness has only gotten more severe. Now I have also begun to develop headaches which seem to radiate from different points in my head, but are very severe. I also experience extreme senses of pressure in my head accompanied by a rushing sound in my ears if I stand up quickly. Recently, I ve also begun experiencing attacks in which it is hard to breath, or like I have to breath very deliberately. They pass quickly, but it is quite disconcerting. I m aware that several of these symptoms are known side effects of Suboxone, but I ve been on it for years and never experienced anything like these. The symptoms did show up around the time I switched to the films, but it seems very severe and long lasting for a side effect of switching. I know that anxiety can also cause a lot of these symptoms, but I don t feel anxious at all. My family and friends are quick to blame my anxiety, but I m not so sure or perhaps a pinched nerve. I want to go get an MRI, but already have racked up lots of hospital bills from the previous visits to check my heart. What could these symptoms be, or are they caused by unrelated issues?
Tue, 27 Feb 2018
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Addiction Medicine Specialist 's  Response
The key difference is that suboxone or zubsolv or bunavail have a narcotic blocker in them and subutek does not. Subutek is not a good choice for most narcotic addiction because of that. The long acting injectable of it is goiing to be a disaster.
so, adding in a narcotic blocker can cause issues, for further details I would need more info from you in a directed question
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Would Switching Over From Subutex To Films Cause Anxiety Disorder?

The key difference is that suboxone or zubsolv or bunavail have a narcotic blocker in them and subutek does not. Subutek is not a good choice for most narcotic addiction because of that. The long acting injectable of it is goiing to be a disaster. so, adding in a narcotic blocker can cause issues, for further details I would need more info from you in a directed question