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How will Suboxone help in case of cervical fusion?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am having cervical fusion 3 levels 5/17. I am on 8 mg of Suboxone daily. I told the surgeon that I did not want opioids. Can I stay on 8 mg up to the surgery morning? I do not want to stop and have withdrawals or take any opioids before or after the procedure. Please guide.

Thank you.

Answered by Dr. Nagaraj Malipatil

Education:

MBBS

Professional Bio:

Dr. Nagaraj Malipatil is a specialist in internal medicine, internal medicine, and diabetology. He has expertise in managing chronic conditions such as diabetes, hypertension, thyroid disorders, and other lifestyle-related illnesses. Known for his patient-focused and holistic approach, Dr. Malipatil is dedicated to providing accurate diagnoses and long-term treatment plans tailored to each individual’s health needs.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Suboxone (Buprenorphine) is given to treat opioid dependence. Prozac is an antidepressant. I think because of your disease process, cervical radiculopathy (pinched or irritated nerve in the neck causing pain, numbness, or weakness radiating into the chest or arm), you have been taking some painkillers, mostly opioids, for a long time.

Your doctor might have prescribed Suboxone to take you off opioid dependence. Suboxone can cause a certain amount of drowsiness and has the potential to interact with many drugs to cause side effects, some of which may be significant. The decision on continuing Suboxone (Buprenorphine and Naloxone) and Prozac (Fluoxetine) until the day of surgery should be taken in discussion with your surgeon and anesthesiologist. It also depends on what anesthesia they are going to use during surgery.

It also depends on your respiratory system, and how well it is functioning. Your fear is that if put on opioids again post-surgery, you may get addicted again. Be assured that as long as you are under medical supervision and adhere to instructions, addiction potential will be less. As far as my knowledge, they will definitely consider stopping Suboxone before surgery. If this is continued, further analgesics prescribed post-surgery may not work.

Do not be scared. Discuss with your surgeon and anesthesiologist and they will suggest what is best for your health.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At February 2, 2020
Reviewed At November 14, 2024

Education:

MBBS

Professional Bio:

Dr. Nagaraj Malipatil is a specialist in internal medicine, internal medicine, and diabetology. He has expertise in managing chronic conditions such as diabetes, hypertension, thyroid disorders, and other lifestyle-related illnesses. Known for his patient-focused and holistic approach, Dr. Malipatil is dedicated to providing accurate diagnoses and long-term treatment plans tailored to each individual’s health needs.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Nagaraj Malipatil is a specialist in internal medicine, internal medicine, and diabetology. He has expertise in managing chronic conditions such as diabetes, hypertension, thyroid disorders, and other lifestyle-related illnesses. Known for his patient-focused and holistic approach, Dr. Malipatil is dedicated to providing accurate diagnoses and long-term treatment plans tailored to each individual’s health needs.

This doctor is not available for online consultations on the platform anymore.

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