swollen ankles and feet on suboxone

Buprenorphine Post
Posts: 70

Postby mack86 » Mon Jul 20, 2015 7:03 am

If she had been using IV, don't forget the possibility of valvular endocarditis.

Posts: 24

Postby finkelmd » Mon Jul 20, 2015 7:03 am

thanks, I will keep you posted.

Posts: 1404

Postby drpasser » Mon Jul 20, 2015 7:03 am

I have had a handful of OBOT pts, with lower extremity edema on the combination product, that resolved on the mono product.

I would try therefore, switching to the mono product. If not resolved in two weeks, it's not the naloxone component. If this is issue, it could resolve or at least inprove in just a few days or so.

Let us know what happens.


Posts: 183

Postby MChaplin » Mon Jul 20, 2015 7:03 am

I have seen this- sometimes it goes away- one patient saw her internist (I am a psychiatrist) and was given Lasix which resolved the problem though I was uneasy about using Lasix for a unworked up side effect. several times it has resolved and on at least one occasion client decided not to take buprenorphine products.

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