What is Suboxone?
Suboxone contains buprenorphine and Naloxone. Buprenorphine is an opioid medicine, also known as a narcotic. Naloxone helps block the effects of opioid medication, such as pain relief and feelings of well-being, which can lead to opioid abuse.
Suboxone helps treat narcotic (opiate) addiction. You can buy Suboxone online or from a local pharmacy store.
Suboxone films contain two drugs: buprenorphine and naloxone. It comes in four different strengths:
● 2 mg buprenorphine / 0.5 mg naloxone
● 4 mg buprenorphine / 1 mg naloxone
● 8 mg buprenorphine / 2 mg naloxone
● 12 mg buprenorphine / 3 mg naloxone
Important Information
Suboxone has the potential to slow or stop your breathing and may become habit-forming. Addiction, overdose, or death can result from the misuse of this medicine, specifically in a child or another person taking the medication without a prescription.
Suboxone use during pregnancy can result in life-threatening withdrawal symptoms in the newborn.
Combining this medication with alcohol or other drugs that cause drowsiness or slow your breathing can lead to fatal side effects.
What to know before taking Suboxone?
Do not use Suboxone if you are allergic to buprenorphine or Naloxone (Narcan).
To make sure Suboxone is safe for you, tell your doctor if you have ever had:
● sleep apnea, breathing problems
● liver or kidney disease
● abnormal curvature of the spine that creates problem in breathing
● a head injury, brain tumor, or seizures
● enlarged prostate, urination problems
● problems with your gallbladder, adrenal gland, or thyroid
● alcoholism or drug addiction
If you use Suboxone while pregnant, your baby may become dependent on the drug. After birth, the baby may experience life-threatening withdrawal symptoms. Babies born addicted to opioids may require medical care for several weeks.
Before taking Suboxone, consult your doctor if you are breastfeeding. Inform your doctor if you notice the nursing baby is tired or breathing slowly.
How to take Suboxone?
Use Suboxone as directed by your doctor. Do not use Suboxone in more significant amounts or for longer than prescribed. Inform your doctor if you feel an increased urge to use more of this medicine. You can order Suboxone online with a prescription.
Before you take a Suboxone sublingual film, drink some water to moisten your mouth. The film dissolves more efficiently as a result of this. Place one film should on the inside of your right or left cheek.
Do not chew or swallow the film while it is dissolving because the medicine will not work as well.
Sublingual Suboxone tablets should be placed under the tongue until they dissolve.
If you stop using Suboxone abruptly, you may experience unpleasant withdrawal symptoms. Inquire with your doctor about how to stop using this medication safely.
Never crush or break a Suboxone sublingual tablet to inhale the powder or mix it into a liquid to inject the drug into a vein. This practice has resulted in death.
Suboxone dosage
Dosage for opioid dependence
Suboxone helps reduce withdrawal symptoms when opioid use is reduced or stopped during the induction phase. Suboxone is continued at a stable dose during the maintenance phase for a period ranging from several months to over a year.
Induction dosage
On Day 1:
The doctor may start on a low Suboxone dose in their office. This dose could be 2 mg buprenorphine/0.5 mg naloxone or 4 mg buprenorphine/1 mg naloxone.
On the first day, the maximum total dose is 8 mg buprenorphine / 2 mg naloxone.
On day 2:
If your withdrawal symptoms do not improve, your doctor will give you the same dose as on day one, plus 2 mg buprenorphine / 0.5 mg naloxone or 4 mg buprenorphine / 1 mg naloxone.
Suboxone dose might increase during induction to a maximum of 32 mg Buprenorphine / 8 mg Naloxone once daily.
Overdose
An opioid overdose can be deadly, especially in a child or someone not using the medication as prescribed. Overdose can cause severe drowsiness, pinpoint pupils, slow breathing, or no breathing at all.
What to avoid while using Suboxone?
Do not drink alcohol while using Suboxone.
If you do not know how this medicine will affect you, do not drive or operate machinery. Dizziness or extreme drowsiness can result in falls, accidents, or serious injuries.
Suboxone side effects
Suboxone can cause your breathing to slow or stop, and death may occur. Someone caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue lips, or difficulty waking up.
Serious breathing problems may be more common in older adults, the debilitated, or those suffering from wasting syndrome or chronic breathing disorders.
Some common Suboxone side effects may include:
● drowsiness, dizziness, blurred vision, feeling drunk, trouble concentrating
● tongue pain, redness, or numbness inside your mouth
● headache, back pain
● withdrawal symptoms
● nausea, vomiting, constipation
● fast or pounding heartbeats, increased sweating
● sleep problems (insomnia)
Tell your doctor at once or seek emergency medical attention if you have:
● weak or shallow breathing, breathing that stops during sleep
● a light-headed feeling
● confusion, loss of coordination, extreme weakness
● blurred vision, slurred speech
● liver problems - upper stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice
● high levels of serotonin in the body - hallucinations, agitation, fever, sweating, fast heart rate, shivering, loss of coordination, muscle stiffness, twitching, nausea, vomiting, diarrhea
● low cortisol levels - nausea, vomiting, dizziness, loss of appetite, worsening tiredness, or weakness
● opioid withdrawal symptoms - increased sweating, shivering, goosebumps, runny nose, feeling hot or cold, watery eyes, diarrhea, muscle pain
What drugs can interact with Suboxone?
If you start or stop taking some medicines, you may experience breathing problems or withdrawal symptoms. Other drugs, such as prescription and over-the-counter medications, Vitamins, and Herbal products, may interact with Buprenorphine and Naloxone.
Opioids can interact with many other medicines and cause dangerous side effects or death. Make sure your doctor knows that you also use:
● drugs for cold or allergy, bronchodilator asthma, or COPD medication
● medicines for motion sickness, irritable bowel syndrome, or overactive bladder
● other opioids- opioid pain medicine or prescription cough medicine
● a sedative like Valium- diazepam, alprazolam, lorazepam, Xanax, Klonopin, Ativan, etc.
● medications that make you drowsy or slow your breathing- sleeping pills, muscle relaxants, drugs that help treat mood disorders or mental illness
● medicines that affect serotonin levels in your body- stimulants or medication for depression, migraine headaches, Parkinson’s disease, serious infections, or nausea and vomiting
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