instruction: hello doctor I am having cervical fusion levels 17 I am on my of suboxone daily I told the surgeon that I do not want opioids can I stay on my up to the surgery morning I do not want to stop and have withdrawals or take any opioids before or after the procedure
output: hi suboxone buprenorphine is given to treat opioid dependence prozac is an antidepressant I think because of your disease process cervical radiculopathy in your case you have been taking some pain killers mostly opioids for a long time doctor might have prescribed suboxone to take you off opioid dependence suboxone can cause a certain amount of drowsiness and has potential to interact with many drugs to cause side effects some of which may be significant the decision on continuing suboxone and prozac 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 ur respiratory system how well it is functioning your fear is that if put on opioid 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 goes they will definitely consider stopping suboxone before surgery because if this is continued further analgesic 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