If you are allergic to buprenorphine or to naloxone or to any of the other ingredients in this medicine see Product Description below. If you have serious breathing problems. If you have serious problems with your liver, or if your doctor detects the development of such a problem during treatment.
If you are intoxicated due to CNS depressant medicines e. Adrenal gland problems e. Addison's disease. Kyphoscoliosis hunchback disease. Keep this medicine out of reach and sight of children. When taken sublingually or buccally, SUBOXONE FILM can cause withdrawal symptoms if you take it less than six hours after you use a short acting opioid such as morphine or heroin or less than 24 hours after a long acting opioid such as methadone.
This means that you can get withdrawal symptoms if you stop using the medicine too quickly. Withdrawal symptoms may be delayed in some cases. If you are drowsy, do not drive or operate machinery. Athletes should be aware that this medicine may cause a positive reaction to "anti-doping" tests. The safety and effectiveness in patients over 65 years of age have not been established.
Your doctor may ask you to have additional blood tests to see if this medication is right for you. These include:. Tell your doctor if you are scheduled to have surgery using a general anaesthetic. Alcohol and certain other medicines as listed above may increase the sedative effects of buprenorphine, which can make driving and operating machinery hazardous.
It may harm them. Before touching the film, make sure your hands are dry. This is the only way the films should be taken. If you need to take two films, place them on opposite sides under your tongue or inside your cheeks and try not to have them overlap.
Constipation is a common side effect of Suboxone. In one study, constipation occurred in about 12 percent of people taking Suboxone. Your doctor may recommend treatment to relieve and prevent constipation. Headache is a common side effect of Suboxone. In one study, headache occurred in about 36 percent of people taking Suboxone. This side effect may go away with continued use of the drug. Weight gain or weight loss are not side effects that have been reported in studies of Suboxone.
However, some people who take Suboxone have reported having weight gain. Rash is not a common side effect of Suboxone. However, some people who take Suboxone may get a rash if they have an allergic reaction to the drug.
The most common symptoms of an allergic reaction to Suboxone are rash or hives and itchy skin. If you have a rash while taking Suboxone, talk with your doctor. You may need a different treatment. If you also have other symptoms, such as swelling of your face or trouble breathing, call your doctor or local poison control center right away. This could be a serious allergic reaction. Sweating is a common side effect of Suboxone. In a study, sweating occurred in about 14 percent of people taking Suboxone.
Hair loss is not a side effect that has been reported in studies of Suboxone. However, some people who take Suboxone have reported having hair loss. Insomnia trouble sleeping is a common side effect of Suboxone.
In one study, insomnia occurred in about 14 percent of people taking Suboxone. Suboxone can impair your ability to drive.
Suboxone may also be used off-label for other conditions. Suboxone is FDA-approved to treat opioid dependence. According to the American Society of Addiction Medicine , Suboxone is a recommended treatment for opioid dependence.
It helps treat opioid dependence by reducing the withdrawal symptoms that can occur when opioid use is stopped or reduced. Suboxone is sometimes used off-label to help manage opioid withdrawal symptoms as part of a detoxification program. It may help reduce how severe symptoms are.
Detoxification programs are generally short-term, inpatient treatment plans used to wean people off of drugs, such as opioids, or alcohol. Opioid dependence treatment, on the other hand, is a longer-term approach to reducing dependence on opioids, with most of the treatment being done on an outpatient basis. Suboxone is sometimes used off-label for treating pain. Suboxone may be beneficial for people who have both chronic pain and opioid dependence.
Buprenorphine, one of the drugs contained in Suboxone, is also used for pain. However, studies of how effective it is for this purpose are mixed. Suboxone is not used for treating depression. However, buprenorphine, one of the drugs contained in Suboxone, is sometimes used to treat depression and treatment-resistant depression.
Some research shows that buprenorphine may improve mood in people with depression. Buprenorphine has some of the same effects as opioid drugs, but it also blocks other effects of opioids. Buprenorphine is the part of Suboxone that helps treat opioid drug dependence. It does this by reducing withdrawal symptoms and drug cravings.
Naloxone is included in Suboxone solely to help prevent abuse of the medication. Naloxone is classified as an opioid antagonist. This means it blocks the effects of opioid drugs.
This is because it blocks the effects of opioids, putting you into immediate withdrawal. However, this withdrawal is less likely to occur when you use the Suboxone film. This is because the film releases less naloxone into your body than an injection does. Treatment of opioid dependence occurs in two phases: induction and maintenance.
Suboxone is used in both of these phases. During the induction phase, Suboxone is used to reduce withdrawal symptoms when opioid use is being decreased or stopped.
Suboxone is only used for induction in people who are dependent on short-acting opioids. These opioids include heroin, codeine, morphine, and oxycodone Oxycontin, Roxicodone. Suboxone should only be used when the effects of these opioids have begun to wear off and withdrawal symptoms have started. During the maintenance phase, Suboxone is used at a stable dosage for an extended period.
The purpose of the maintenance phase is to keep withdrawal symptoms and cravings in check as you go through your drug abuse or addiction treatment program. After several months to a year or longer, your doctor may stop your Suboxone treatment using a slow dosage taper. Long-term use of Suboxone can cause physical and psychological dependence.
Physical dependence can cause mild withdrawal symptoms if Suboxone use is abruptly stopped. Reports of Suboxone withdrawal showed that most symptoms typically peak by withdrawal day 5. And they typically last until withdrawal day 9 or Below is a chart showing possible Suboxone withdrawal symptoms and a timeline of how long they may last.
The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs. Suboxone is only available as an oral film that can be placed under the tongue sublingual or in the cheek buccal.
It comes in four strengths:. Suboxone is also available as a generic version that comes in other forms. These forms include a sublingual film and a sublingual tablet.
Suboxone contains two drugs: buprenorphine and naloxone. These individual drugs come in additional forms. Buprenorphine forms include a sublingual tablet, a skin patch, an implant for under the skin, and a solution for injection. Naloxone forms include a nasal spray and a solution for injection. These forms of the two drugs are not all used to treat opioid dependence.
During the maintenance phase, Suboxone is continued at a stable dose for a time ranging from several months to over a year. If you miss a dose during the maintenance phase, take it as soon as you remember. This means your body gets used to the drug and you need higher and higher doses to get the same effect. Drug tolerance has not been seen with Suboxone or with either of the drugs it contains buprenorphine or naloxone. While taking Suboxone for opioid dependence, you may be required to do frequent drug tests for the use of opioids.
There are different types of urine drug tests. Some of these tests, including the tests often used in those who take Suboxone for opioid dependence, can detect the presence of Suboxone and other opioid drugs. Most opioids can be detected within one to three days after use. However, Suboxone is long-lasting. It may be detected for longer periods of time. However, there are some home drug tests that do check for buprenorphine, one of the drugs in Suboxone.
This, of course, means a positive result for buprenorphine is a positive result for Suboxone. But if your symptoms are severe, call or go to the nearest emergency room right away. There are a few other drugs in addition to Suboxone that are used to treat opioid dependence. Examples of these drugs include:.
There are also other medications that contain buprenorphine plus naloxone, the ingredients in Suboxone. The brand names for these other medications are Bunavail and Zubsolv. You may wonder how Suboxone compares to other drugs used to treat opioid dependence. Below are comparisons between Suboxone and several medications.
Subutex was a brand-name drug that contained buprenorphine, one of the ingredients in Suboxone. Brand-name Subutex is no longer available.
There are no brand-name forms of buprenorphine currently available for treating opioid dependence. The ones that are available are used to treat pain. Suboxone and buprenorphine, the generic form of Subutex, are both FDA-approved for treating opioid dependence. This includes both the induction and maintenance phases of treatment.
During the induction phase, the drug decreases withdrawal symptoms while you stop or reduce opioid use. During the maintenance phase, the drug keeps withdrawal symptoms and cravings in check as you complete your drug abuse or addiction treatment program.
Suboxone comes as an oral film that can be used under your tongue sublingual or in your cheek buccal. Buprenorphine forms used for treating opioid dependence include an oral film, a sublingual tablet, and an implant for under the skin. In one study , Suboxone and buprenorphine were equally effective for reducing withdrawal symptoms during the induction phase the first phase of opioid dependence treatment. In another study , starting induction treatment on day 1 with Suboxone was just as effective as starting with buprenorphine and then switching to Suboxone on day 3.
The Substance Abuse and Mental Health Services Administration generally recommends Suboxone rather than buprenorphine for both the induction and maintenance phases of opioid dependence treatment. However, Suboxone is only appropriate for induction in people who are dependent on short-acting opioids such as heroin, codeine, morphine, or oxycodone Oxycontin, Roxicodone. Buprenorphine, on the other hand, is recommended for people who are dependent on long-acting opioids such as methadone.
Suboxone and buprenorphine are very similar drugs and cause similar common and serious side effects. Suboxone is a brand-name drug.
Generics are often less expensive than brand-name drugs. The Subutex brand-name product is no longer available. There are no brand-name forms of buprenorphine available that are used to treat opioid dependence. Buprenorphine and Suboxone cost about the same amount. However, the actual amount you pay will depend on your insurance. Suboxone Film is intended for administration under the tongue or inside the cheek and is available in various dosage strengths.
It works to prevent withdrawal symptoms associated with opioid addiction. Suboxone has become the preferred treatment medication for opioid addiction. Unlike methadone, which is dispensed daily from a specialized treatment center, Suboxone can be prescribed by your doctor. He or she can help you come up with a personalized treatment plan.
Phases of Treatment. Many people use Suboxone at the start of treatment, as well as in continuing treatment and recovery. The first phase of Suboxone use is the withdrawal phase, where symptoms are most uncomfortable and potentially dangerous.
Suboxone helps alleviate and potentially eliminate opioid withdrawal symptoms. Under the supervision of a doctor, you will move from the withdrawal phase to the maintenance phase. While Suboxone can help manage the symptoms of withdrawal that come from quitting opioids, a comprehensive treatment program is essential. Counseling and therapy can help develop new ways to cope with pain, stress, and other issues in your life.
Follow-up appointments with your prescribing physician are important in ensuring a successful recovery while on Suboxone. You must have a prescription from an approved prescribing physician in order to obtain Suboxone. The medication should not be taken for any other conditions other than the condition prescribed. SaVida Health Patient Testimonial. Vivitrol is a medication used to treat alcohol and opioid addiction. It contains an extended-release formulation of naltrexone, an active ingredient that blocks opiate receptors in the brain and significantly reduces cravings Naloxone is a medication that can counteract the dangerous effects of opioids or reverse the effects of opioid overdose.
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