Quote from Topaz7
For opiate w/d we use what we call the blue light special valium clonidine and bentyl.
I like that...blue light special
We would often use phenobarb in place of the Valium, particularly if the patient is to start suboxone down the road. Benzos and Suboxone are a nasty combination because they can cause severe respiratory depression. If buprenorphine definitely wasn't in their future, then we'd go with Valium.
Yes, some doctors use benzos and Suboxone in combination, but that should strictly be under a doctor's close supervision. IMO it should be discouraged, since research has shown that many of the fatalities associated with mixing Suboxone and benzos came from patients attempting to self-medicate.