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 is a brand-name medication that contains two drugs: buprenorphine and naloxone. Methadone is a generic medication. Suboxone is FDA-approved to treat opioid dependence, including both the induction and maintenance treatment phases. During the maintenance phase, the drug keeps withdrawal symptoms and cravings in check as you complete your drug abuse treatment program. Methadone is FDA-approved only for the maintenance phase of opioid dependence treatment. Methadone is also FDA-approved to treat moderate-to-severe pain.
In addition, methadone is approved for treatment during opioid detoxification. Detoxification programs are generally short-term, inpatient treatment plans used to wean people off of drugs such as opioids or alcohol. Suboxone comes as an oral film that can be used under your tongue sublingual or between your gums and your cheek buccal. Suboxone and methadone have been compared in clinical studies evaluating their use for treating opioid dependence.
In a study , Suboxone and methadone were found to be equally effective for reducing the use of opioids and keeping users in their treatment program. A study found that people taking Suboxone used opioids less compared to people taking methadone. However, the people taking methadone were more likely to stay in their treatment program. An analysis of several studies found that overall, Suboxone was more effective for reducing the use of opioid drugs, but methadone was more effective for keeping users in their treatment program.
Suboxone and methadone have some similar side effects, and some that differ. Below are examples of these side effects. This is the strongest warning that the FDA requires. A boxed warning alerts doctors and patients about drug effects that may be dangerous. Methadone usually costs less than brand-name or generic Suboxone. Both Suboxone and Zubsolv are brand-name medications that contain two drugs: buprenorphine and naloxone.
Both Suboxone and Zubsolv are FDA-approved to treat opioid dependence, including the induction and maintenance phases of treatment. Suboxone and Zubsolv contain the same drugs and are used in the same way to treat opioid dependence. The decision to use Suboxone or Zubsolv is based on personal preference for use of the sublingual film or tablet. Suboxone and Zubsolv are brand-name drugs. Zubsolv usually costs less than brand-name or generic Suboxone. Buprenorphine is classified as an opioid partial agonist-antagonist.
This means it has some effects like opioid drugs, but it also blocks other opioid effects. Vivitrol is a brand-name medication that contains the drug naltrexone. Naltrexone is an opioid antagonist, similar to the naloxone contained in Suboxone. This includes two phases of treatment: induction and maintenance.
Vivitrol is also approved to treat opioid dependence. Suboxone and Vivitrol have been compared in clinical studies. A study found that Vivitrol and Suboxone were equally effective for reducing opioid and heroin use over 12 weeks. A study found that Suboxone was more effective for preventing relapse and was easier to use than Vivitrol.
Suboxone and Vivitrol have some similar side effects, and some that differ. Suboxone and Vivitrol are brand-name drugs.
Generic versions often cost less than brand-name drugs. Vivitrol usually costs much more than brand-name or generic Suboxone. The actual amount you pay will depend on your insurance.
Both Suboxone and Bunavail are brand-name medications that contains two drugs: buprenorphine and naloxone. This includes both the induction phase and the maintenance phases of treatment. Suboxone is available as an oral film that can be used under your tongue sublingual or between your gums and your cheek buccal. Suboxone and Bunavail contain the same drugs and are used in the same way to treat opioid dependence.
The decision to use Suboxone or Bunavail is based on personal preferences for use of one product or the other. Suboxone and Bunavail are brand-name drugs.
Bunavail usually costs less than brand-name or generic Suboxone. Naltrexone is a generic medication. Naltrexone is classified as an opioid antagonist, similar to the naloxone contained in Suboxone. With buprenorphine, however, these effects are weaker than full opioid agonists such as methadone and heroin.
When taken as prescribed, buprenorphine is safe and effective. Buprenorphine has unique pharmacological properties that help:. Patients diagnosed with an OUD should talk to their health care practitioner before starting treatment with buprenorphine to fully understand the medication and other available treatment options. These are not all the side effects of buprenorphine. For more information patients should talk to their health care practitioner or pharmacist.
Patients should tell their health care practitioner about any side effects that are bothersome, or do not go away. Learn about other MAT medications. Buprenorphine may be prescribed to women who are pregnant and have an OUD. Buprenorphine and methadone are considered the treatments of choice for OUD in pregnant and breastfeeding women. For more information about the use MAT during pregnancy refer to the Resources and Publications section below. SAMHSA offers tools, training, and technical assistance to practitioners in the fields of mental and substance use disorders.
To sign up for updates or to access your subscriber preferences, please enter your contact information. Skip to main content. Mono Bar U. Main menu. Territories for mental and substance use disorders. Ellos escuchan. They Hear You. Solr Mobile Search. Most people are worried about getting Suboxone out of their system quickly because they are afraid they will fail a drug test for opioids.
However, this is not the case. Most drug tests screen for morphine, the substance that most opioids metabolize into. Since most standard drug tests do not screen for norbuprenorphine, drug tests will need to be sent to labs for special tests to detect Suboxone. Suboxone can be detected in your urine, hair, saliva, and blood for varying lengths of time. For a healthy individual with good liver health, here is approximately how long Suboxone will be detected in standard drug tests.
Most of the time, people who are taking their medications as prescribed do not have to worry about how long their medication will stay in their system. Even though Suboxone is used to treat opioid addiction , the medication itself can be addictive if it is not used properly. The good news is that our addiction treatment specialists here at PAX Memphis specialize in Suboxone and opioid rehabilitation — and we can help you recover, too.
All of the information on this page has been reviewed and verified by a certified addiction professional. She currently practices in the public domain in South Africa. She has an interest in medical writing and has a keen interest in evidence-based medicine. Table of Contents.
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