suboxone treatment

Suboxone is a drug that combines buprenorphine and naloxone. Buprenorphine is an opioid pain reliever that is also known as a narcotic. Naloxone counteracts the effects of opioid medications, such as pain alleviation and feelings of well-being, which can lead to addiction.

12/21/20228 min read

What exactly is Suboxone?

Suboxone is a drug that combines buprenorphine and naloxone. Buprenorphine is an opioid pain reliever that is also known as a narcotic. Naloxone counteracts the effects of opioid medications, such as pain alleviation and feelings of well-being, which can lead to addiction.

Suboxone is usually used for a narcotic (opiate) addiction treatment. Suboxone is not intended to be used as a pain reliever.

Suboxone alternatives

Alternative medications in various kinds are available to treat opioid use disorder Consult our Suboxone physician to determine which choice is best for you.

  • Buprenorphine

  • Sublingual injection (Sublocade), Implant (Probuphine), IM injection (Sublocade) (Subutex)

  • Buprenorphine and naloxone are two drugs that can be used to treat opioid addiction.

  • Bnavail, Zubsolv

  • Lofexidine

  • Lucemyra

  • Methadone

  • Dolophine

  • Naltrexone

  • Vivitrol

In the event of an opioid overdose in an emergency situation, follow these steps:

  • Naloxone

  • Naloxone injection, nasal spray (Narcan, Kloxxado)

  • Other drugs that are similar:

  • Buprenorphine is a drug that is used to treat severe pain.

  • Sublingual (Belbuca), IM injectable (Buprenex), and transdermal patch (Belbuca) (Butrans)


Suboxone has the potential to slow or stop your breathing, and it may become addictive. ADDICTION, OVERDOSE, OR DEATH CAN RESULT FROM THE MISUSE OF THIS MEDICINE, EVEN IN CHILDREN OR OTHERS WHO DO NOT HAVE A PRESCRIPTIONSuboxone use during pregnancy can result in life-threatening withdrawal symptoms for the baby.If you combine this prescription with alcohol or other drugs that induce drowsiness or decrease your breathing, you could die. Before you start taking any medication, make sure you have everything you need.

If you are allergic to buprenorphine or naloxone, you should not use Suboxone Tell your doctor if you've ever had any of the following conditions to ensure Suboxone is safe for you:

  • Sleep apnea, breathing issues

  • prostate enlargement, urination issues

  • illness of the liver or kidneys;

  • improper spine curvature that impairs breathing;

  • gallbladder, adrenal gland, or thyroid issues;

  • a brain tumor, a head injury, or seizures; or

  • Whether it's alcoholism or drug addiction, it's a serious problem.

If you use Suboxone while pregnant, your kid may develop a dependency on it. After the baby is born, this might induce life-threatening withdrawal symptoms. Opioid-dependent babies may require medical treatment for several weeks.

If you are breastfeeding, consult your doctor before using Suboxone. If you find your nursing baby is drowsy or breathing slowly, call your doctor.

What is the best way to take Suboxone?

Suboxone should be taken exactly as directed by our doctor. Read all drug recommendations and follow the directions on your prescription label. Suboxone should never be used in greater doses or for longer than recommended. If you have an increased desire to use more of this medicine, tell our doctor.

Drink water to wet your mouth before ingesting a Suboxone sublingual film. This makes it easier for the film to dissolve. One film should be placed on the inside of your right or left cheek. If your doctor instructs you to take two films at once, place one on the inner of one cheek and the other on the inside of the other cheek. Keep the films in place until they've disintegrated entirely. If your doctor advises you to take a third film, do so after the previous two have dissolved and place it on the inside of your right or left cheek.

Do not chew or swallow the film while it is dissolving since the medicine will not function as well. Suboxone sublingual pills should be placed under the tongue and allowed to dissolve completely.

Never give Suboxone to anyone else, especially someone who has a history of drug addiction or abuse. ADDICTION, OVERDOSE, AND DEATH CAN ALL RESULT FROM MISUSE. Keep the medicine in a secure location where others will not be able to get it. It is illegal to sell or give out Suboxone.

You may not use the same dose for each buprenorphine-containing drug if you transition between them. Pay close attention to all of the instructions.

If you suddenly stop using Suboxone, you may have unpleasant withdrawal symptoms. Inquire with your doctor about how to safely discontinue taking this medication.

Your liver function will be monitored via blood tests on a regular basis. You should inform all of your medical providers that you are being treated for opioid addiction and that you are taking Suboxone. Make sure your family members are aware of how to convey this information in the event that they are called upon to speak on your behalf in an emergency. Never crush or break a Suboxone sublingual tablet in order to inhale the powder or combine it with a liquid in order to inject the medicine into your vein. This procedure has resulted in the death of a person.

Suboxone should be kept at room temperature, free from heat and moisture. The films should be kept in the foil pouch. Place an empty pouch somewhere out of reach of youngsters and dogs. Keep track of the medications you're taking. If someone is using it inappropriately or without a prescription, you should be alert.

Keep any leftover opioid medicine out of the reach of children. A single dose of this drug might be fatal if taken incorrectly or inadvertently. Inquire with your pharmacist about a medicine take-back program. Remove any unused films from the foil pack and flush them down the toilet if there is no take-back program. Toss the foil pack in the garbage when it's finished.

Information on dosage

INDUCTION: For people who are addicted to heroin or other short-acting opioids:

TO AVOID PREVENTING AN OPIOID WITHDRAWAL SYNDROME, INITIAL DOSES should be started when objective indicators of moderate opioid withdrawal show and not less than 6 hours after the patient last took opioids:

Suboxone Sublingual Film (Suboxone Sublingual Film):

Day 1: up to 8 mg/2 mg sublingually; start with a 2 mg/0.5 mg or 4 mg/1 mg initial dosage, then titrate in 2 or 4 mg increments of buprenorphine every 2 hours.

Day 2: a single dosage of 16 mg/4 mg sublingually


Patients who are addicted to heroin or other short-acting opioids can be inducted with a buprenorphine/naloxone combination or buprenorphine monotherapy; to avoid precipitating withdrawal, induction should begin when clear signs of withdrawal appear, preferably when moderate objective signs of opioid withdrawal appear, and no earlier than 6 hours after the last use of heroin or other short-acting opioid.

Suboxone sublingual tablets are not recommended for induction therapy; Suboxone sublingual film for sublingual or buccal administration should only be used for induction to avoid naloxone exposure.

Buprenorphine monotherapy should be utilized during the induction phase for patients who are dependent on methadone or long-acting opioid medications, as naloxone may be absorbed in small doses and could cause or prolong withdrawal during induction.

On the third day, maintenance treatment begins.

Use: As part of a comprehensive treatment plan that includes counseling and psychosocial assistance for the treatment of opioid addiction.

Maintenance Dose for Opiate Dependence in Adults:

-Buprenorphine/naloxone doses should be modified to keep the patient in treatment and suppress opioid withdrawal symptoms; doses should be titrated to clinical effectiveness as quickly as feasible, since prolonged titration may result in increased drop-out rates.

Sublingual Film and Sublingual Tablets for SUBOXONE:

Adjust in 2 mg/0.5 mg or 4 mg/1 mg increments/decrements to a level that keeps the patient in treatment and suppresses opioid withdrawal signs and symptoms A daily dose of 16 mg/4 mg sublingually (film, tablet) or buccally (film) is recommended; the dosing range is 4 mg/1 mg to 24 mg/6 mg.

Maximum daily dose: 24 mg/6 mg


-Maintenance therapy is given after induction to keep a patient in treatment and suppress opioid withdrawal symptoms; there is no maximum suggested time for maintenance treatment, and some patients may need it perpetually.

Many buprenorphine/naloxone products are available for maintenance treatment; however, these products are not bioequivalent, and dose adjustments may be required when switching products; for example, Zubsolv 4.2 mg/0.7 mg buccal film provides equivalent buprenorphine exposure to Suboxone 8 mg/2 mg sublingual tablet.

Use: As part of a comprehensive treatment plan that includes counseling and psychosocial assistance for the treatment of opioid addiction.

What happens if I forget to take a dose?

Take the drug as soon as possible, but if your next dose is approaching, avoid the missed dose. Do not combine two dosages at once.

Suboxone dose information in detail

What happens if I take too much?

Seek emergency medical help or dial 1-800-222-1222 to reach the Poison Help line. Overdosing on opioids can be dangerous, especially if the person is a youngster or someone who is taking the medication without a prescription. Severe sleepiness, pinpoint pupils, slow breathing, or no breathing are all signs of an overdose.

What should I stay away from while on Suboxone?

Do not consume alcoholic beverages. It's possible that you'll experience dangerous side effects or maybe die.

If you don't know how this medicine will effect you, don't drive or operate machinery. Falls, accidents, and severe injuries can all be caused by dizziness or excessive sleepiness.

Side effects of Suboxone

If you have hives, difficulty breathing, or swelling of your face, lips, tongue, or throat, seek emergency medical attention right away.

Suboxone has the potential to halt or stop your breathing, resulting in death. If you have slow breathing with extended pauses, bluish tinted lips, or are difficult to wake up, someone caring for you should seek immediate medical treatment. If you have: Call your doctor right away or seek emergency medical help if you have: respiration that is weak or shallow, or breathing that ceases when sleeping;

a sense of dizziness, as if you're about to pass out;

Confusion, a lack of coordination, and excessive weakness are all symptoms of this condition.

hazy vision and slurred speech;

Upper stomach pain, loss of appetite, dark urine, clay-colored stools, and jaundice (yellowing of the skin or eyes) are all symptoms of liver problems.

agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, diarrhea; high serotonin levels in the body - agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, diarrhea;

nausea, vomiting, loss of appetite, dizziness, worsening weariness or weakness; or low cortisol levels - nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness; or

Shivering, goose bumps, increased sweating, feeling hot or chilly, runny nose, watery eyes, diarrhea, and muscle soreness are all symptoms of opiate withdrawal.

Serious breathing problems are more common in the elderly, the debilitated, and those with wasting syndrome or persistent breathing diseases.

The following are some of the most common Suboxone side effects:

dizziness, drowsiness, distorted vision, drunken feeling, inability to concentrate;

Symptoms of withdrawal;

Inside your mouth, you may experience discomfort, redness, or numbness on your tongue.

constipation, nausea, and vomiting;

back discomfort, headaches

increased perspiration, rapid or hammering heartbeats; or

issues with sleep (insomnia).

This is not an exhaustive list of potential adverse effects; more may arise. For medical advice on side effects, contact your doctor. You can contact the FDA at 1-800-FDA-1088 to report side effects.

What additional medications will have an effect on Suboxone?

If you start or stop taking certain other medicines, you may experience breathing problems or withdrawal symptoms. If you're taking an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or HIV or hepatitis C medication, tell your doctor.

Opioids can interact with a variety of different medications, resulting in serious adverse effects or death. If you also use: Make sure your doctor is aware of this.

Cold or allergy medications, asthma/COPD medication with a bronchodilator, or a diuretic ("water pill");

motion sickness, irritable bowel syndrome, or overactive bladder medications

other opioids, such as prescription cough medication or opioid pain relievers;

diazepam, alprazolam, lorazepam, Xanax, Klonopin, Ativan, and other sedatives, such as Valium;sleeping pills, muscle relaxers, or medicine to treat mood disorders or mental illness; or drugs that make you sleepy or slow your breathing - a sleeping pill, muscle relaxer, or medicine to treat mood problems or mental illness; or

A stimulant or pharmaceutical for depression, Parkinson's disease, migraine headaches, major infections, or nausea and vomiting that affects serotonin levels in the body.This is not an exhaustive list. Other pharmaceuticals, like as prescription and over-the-counter medications, vitamins, and herbal supplements, may interact with buprenorphine and naloxone. This list does not include all conceivable interactions.

  • Pain killer addiction
  • Opioid misuse
  • Tramadol dependence
  • Methadone prescription