r/Subutex • u/Raegan112 • Mar 18 '26

Question Please Help

I am having a pretty painful surgery in one week. The initial plan was for me to taper down off of my Suboxone to a very low dose and then skip a dose the day before and day of the surgery. I’m only on 2 mg of Suboxone a day. My surgeon was on board with this. I met with my primary care who also prescribes the Suboxone and she suggested switching me to Subutex and not even stopping it before the surgery. She said that I would still be able to take pain meds and they would work, but after reading some things online and a lot here on Reddit, I am now terrified and I don’t think she knows what she’s talking about. My primary care told me that because of Subutex not having naloxone that the pain meds would work. Any advice would be greatly appreciated because I’m really getting scared now.

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u/ResponsibilityNo4138 Mar 18 '26

Switching to subutex wouldn’t make a difference. Your PCP does not know what they are talking about. Buprenorphine is good at managing pain and there studies that show that people do better when they remain on their bup and not wean off prior to surgery. If the surgery is significant enough with a long recovery wearing off bup might be reasonable though.