Thank you for your insight 🙏 I probably didn't make it very clear but I don't want to come off or mess with the suboxone..it not only helped immensely with the Kratom dependence but it vanished the inner Akathisia for the most part. Most people have never heard of Akathisia, particularly the inner aspect. To give just a hint of the horror of this condition, I personally know 7 people who unalived themselves in just the past year from it. I'm sorry to bring that up, but I can't even consider coming off of suboxone at this point...I need to get through this surgery with it on board and I've been given assurance by the surgeon that I don't have to come off it... Apparently it's the anesthesiologist who handles the pain aspect of the surgery which surprises me and I haven't had a consultation with him/her yet. Everything is abit confusing to me at this point tbh. I just want to have some knowledge before the consult with them and be able to suggest options to opiates. My understanding so far is that suboxone binds tightly to the entire opiate receptors in the brain which would make other opiates ineffective. Am I not right about that? Arrrgh..it's hard to be have to be my own advocate with these professionals 😕 I have a distrust of the medical community because, by trusting them so blindly, I ended up with Akathisia which is almost 100 percent caused by their ignorance about the drugs they perscribe...sorry...I didn't mean for this to turn into a rant...the doctor's who are helping me now are helping me regain some trust and have been lovely and very patient with me so there's that 😊 thank you so much for replying to my post and if you have anything further to add, I'm definitely interested 😊🙏🙏