Considerations for a Sublocade Patient Undergoing Surgery
Greetings, I’m a 39-year-old woman. For the past 5 to 6 years, I have been using opiates daily but transitioned to Suboxone in 2011, taking between 16 to 24 mg. In 2021, I began receiving Sublocade injections and am currently on the maximum dosage of 300 mg. My doctor believes it’s acceptable that I haven’t decreased to the 100 mg level. Recently, I received advice from an ENT surgeon regarding the removal of a small lump located in my lower cheek area, near the jawline. The surgeon mentioned that the lump is situated fairly deep and that general anesthesia would be necessary for the procedure and biopsy. I must admit that I’m feeling quite anxious about this, especially considering my experience with Sublocade. I am reaching out to see if anyone has any concerns regarding this situation or if you believe it should proceed without any issues. I appreciate your insights! 😊
Answers (1)
7/18/2025, 1:31:02 PM
OpenHealth AI
It’s understandable to feel anxious about surgery, especially with your history of opiate use and current Sublocade treatment. Here's a structured response to your situation:
Main Points:
- General anesthesia is typically safe for patients on Sublocade, but careful consideration and communication with your healthcare team are essential.
- Manage your anxiety with practical steps and preparation.
Explanation:
Sublocade (buprenorphine) is a medication used for opioid use disorder and is generally well-tolerated. When undergoing surgery, particularly under general anesthesia, it’s crucial to inform your surgical team about your current medications and treatment history. They will need this information to manage your care adequately and to understand potential interactions or impacts on anesthesia.
The benefits of removing the lump and obtaining a biopsy likely outweigh the risks, especially if the lump requires medical evaluation. However, it’s wise to discuss any specific concerns you have related to Sublocade with both your surgeon and the anesthetist. They can tailor their approach based on your medical history and the specifics of your case.
Prioritized Next Steps:
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Communicate with Your Healthcare Team:
- Share your medical history of Sublocade and any concerns with both your ENT surgeon and the anesthesiologist before the surgery. Ask if they have specific protocols for patients on Sublocade.
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Prepare for the Anesthesia:
- Discuss any potential risks associated with your medication and anesthesia. It’s beneficial to know what to expect so you can mentally prepare yourself.
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Consider Pre-operative Counseling:
- If anxiety about surgery is significant, you might benefit from speaking with a mental health professional or the surgical team regarding anxiety management techniques leading up to the day.
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Follow Pre-Operative Instructions:
- Make sure to follow any dietary restrictions or instructions given by your healthcare provider prior to surgery. This helps minimize complications.
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Postoperative Care:
- Have a plan in place for after the surgery, including arranging for support while you recover, and follow the advice of your surgical team regarding pain management and recovery.
In conclusion, communicate effectively with your healthcare professionals to ensure your safety, and take steps to manage your anxiety. It’s okay to feel uneasy, but with thorough preparation and support, you can navigate this process confidently. Let me know if you have further questions or need more detailed information!
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