I’m on bupe as well, but both together is a bad news with the hot water. It increases the chance to sleep, and falling asleep in a hot tub will make you drown.
Add to his known addictive personality that he has had a problem with for decades, he shouldn’t have been on that combination.
I personally hate bupe because it rarely works on my chronic pain I’ve had for the last 20 years. The media blew up the legal fentanyl patches I safely took almost 10 years ago that gave me a normal life. This will be just another excuse to restrict medication that works. A buddy of mine has stopped his suicidal issues because of ketamine therapy.