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How long does Subutex remain in the system?

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Posted on Wed, 16 Mar 2016
Question: Hello, I've been on subutex for the past year, I've been off of it for 4 days. In 9 days I'll be having my 10th back surgery. How long does it take for the subutex to be out of my system in order for the hospital opioids to work properly. Thank you for your time.
XXXXXXX D.
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
drug will be out of the system maximum 10 days after last intake

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

Subutex is burenorphine- an opioid analgesic. Its half-life mean values ranges from 3 to 44 hours. Considering this aspect and your one year of use, drug will be out of your system maximum within 10 days of last intake. You have already stopped since 4 days and within next 5-6 days it will be completely out of your system.

You are likely facing severe withdrawals currently as it has been stopped cold turkey. Demerol and norco cannot help much in this withdrawal, however it is better to have something than nothing.

However these strategies will likely help after surgery, when doctor will again prescribe opioid analgesics for pain relief.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Chintan Solanki (16 hours later)
Hello Dr. Solanki,
Thank you so much for your informative advice. I've been in recovery from my addiction for years. But, due to my chronic back pain I've had to take the subutex for the past year. The neurosurgeon is looking at performing another surgery, after my 10th. I'm lucky to be walking. My G.P. Wants me to go back on the subutex two weeks after surgery. I'm afraid because the detox is so horrible. How do you recommend detox from this drug? Or is a detox center best?
doctor
Answered by Dr. Chintan Solanki (9 hours later)
Brief Answer:
tapering the dose can prevent/reduce withdrawals

Detailed Answer:
Hi,

Sorry for delayed response.

Subutex itself is used in detoxification of other substances. Detoxification from subutex requires gradual tapering of the dose with supportive medications for withdrawal symptoms. Usually 20% reduction f dose every week or 10 days is used by me.

In your case I think you can ask your GP to give you the lowest possible dose which can help you to tolerate withdrawals for a while. You are likely going to receive other opioids after surgery which will automatically stop your withdrawals.

Hope this answer will help.

Feel free to discuss further.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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How long does Subutex remain in the system?

Brief Answer: drug will be out of the system maximum 10 days after last intake Detailed Answer: Hello XXXXXXX Thanks for writing to us. Subutex is burenorphine- an opioid analgesic. Its half-life mean values ranges from 3 to 44 hours. Considering this aspect and your one year of use, drug will be out of your system maximum within 10 days of last intake. You have already stopped since 4 days and within next 5-6 days it will be completely out of your system. You are likely facing severe withdrawals currently as it has been stopped cold turkey. Demerol and norco cannot help much in this withdrawal, however it is better to have something than nothing. However these strategies will likely help after surgery, when doctor will again prescribe opioid analgesics for pain relief. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.