<s>[INST] Hi, I am a 47 year old male that has had 5 shoulder surgeries the latest being a partial replacement. They tell me I need a total replacement due to the arthritis has eaten my joint away. I was going to a pain clinic to deal with the chronic pain that I am in on a daily basis but have recently lost my insurance. I have read that suboxone is a good transition when coming off pain medication to limit the with drawl effects. Having no insurance tho how would I go about getting put on that [/INST] suboxone have buperinorhine abd it is a opoid derivate i long term it is adictive and you got yourselg drug dependance also in long time its effect willbe vanish down try some other medicine like aceclofenac/tramadol muscle relaxant like thiocolchicoside and physiotherapy </s>