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What is Suboxone?
Suboxone is a mix of two substances – buprenorphine and naloxone. It’s s used to treat dependence on opioid drugs. Buprenorphine is an opioid treat, sometimes called a narcotic It affects the blocks of opioid medications, include pain relief or feeling of well-being that lead to opioid abuse.
Doctors also recommend this drug to treat narcotic (opiate) addiction.
This medicine isn’t suitable to be used as a pain medication.
Suboxone is also available as an oral film that you can place under your tongue (sublingual) or between your cheeks and gums (buccal). The film dissolves into your mouth.
Suboxone contains two forms of the drug in each film: Buprenorphine and naloxone. It is available in 4 strengths:
- 2mg buprenorphine/ 0.5 mg naloxone
- 4 mg buprenorphine / 1 mg naloxone
- 8 mg buprenorphine / 2mg naloxone
- 12mg buprenorphine /3 mg naloxone
Suboxone is a controlled substance, and the authorities classified it as a schedule three(III) prescription drug. This means, this substance has an accepted medical use, but it may cause physical or psychological dependence and may get abused.
The government created unique rules for scheduling (III) prescriptions by the doctor and dispensed by a pharmacist.
The doctor can only prescribe this drug for opioid dependence after receiving special training certification through the U.S federal government.
How to take Suboxone?
Follow all the directions as a doctor’s prescription label and read all medications guides. Your doctor may occasionally change the quantity. Never use this drug in larger amounts or for longer than prescribed.
Suboxone is a medicine that may be habit-forming. Never share this medicine with another person, those with a history of abuse, drugs, or addiction. MISUSE OF MEDICINE CAN CAUSE ADDICTION OVERDOSE, DEATH, especially with the child or other person using the medicine without a prescription.
Selling or giving away Suboxone is against the law.
Read and carefully follow the direction for the use of this medicine. Ask your pharmacist or doctor if you do not understand their guidelines.
Use only with dry hands when handling Suboxone. Place the medicinal film or Sublingual tablet under your tongue. Allow the medicine to dissolve slowly. Don” t chew or swallow it whole.
If you stop between medicines containing buprenorphine, you may not use the same dose for each one. Follows all the directions carefully:
Don’t stop using Suboxone suddenly, or you could have an unpleasant withdrawal with the symptoms.
Ask your doctor how to stop using the medicine safely.
You need a regular blood test or check your liver function.
All your medical care providers should know how to provide this information if they need to speak for you during an emergency.
Never break or crush a Suboxone sublingual tablet to inhale the powder or mix it into a liquid to inject into your vein. This practice has resulted in death.
Store medicine in the foil pouch at room temperature, away from heat and moisture. Discard an empty punch in a place children and pets cannot get to it.
Keep track of your medicinal intake.
What to know before taking Suboxone?
Don’t use suboxone if you are allergic to buprenorphine or naloxone (Narcan)
Tell your doctor if you ever had this:
- sleep apnea, breathing problems
- urination problems enlarged prostate
- kidney liver disease
- effect of breathing by abnormal curvature of the spine
- thyroid adrenal gland problem with the gallbladder
- brain tumor, or seizures: or a head injury
- mental illness, drug addiction, alcoholism
Some medicines or herbal substances might interact with this drug, and it can cause by severe conditions called serotonin syndrome. Make sure your doctor knows if you take stimulant medicine, herbal product, or medicine for depression, mental illness, migraine headache, severe infection, or prevention of nausea and vomiting. Tell your doctor before making any change in how or when you take medications.
If you are using these medicines while pregnant, your baby could be dependent on the drug because of life-threatening withdrawal symptoms in the baby after its birth. Babies born dependent on habit-forming medications may need medical treatment for several weeks.
Tell your doctor if you are pregnant.
Buprenorphine passes into breast milk and may cause breathing or drowsiness problems in the nursing baby. Tell your doctor if you are breastfeeding.
What are the benefits of using Suboxone?
The use of opioids, including prescription heroin, continues to increase in the U.S so do rates of overdose and healthcare costs attributed to the epidemic.
What are the side effects of Suboxone?
Call the emergency medical help if your signs of an allergic reaction to Suboxone difficult breathing: swelling your face, lips, tongue, or throat.
Like other narcotics medicines, It can slow your draw breath death may occur if breathing becomes too weak. A person caring should seek emergency medical attention if you have slow breathing with long pauses, blue-colored lips, or hard to wake up.
Call your doctor at once to seek emergency medical attention if you have:
- Breathing stops during sleep
- Shallow breathing or weakness
- Extreme weakness, confusion, loss of coordination
- Slurred speech: blurred vision
- Liver problems- upper stomach pain,clay-colored stools, jaundice (yellowing of the eyes or skin)
- Low cortisol levels-nausea, vomiting, loss of appetite, dizziness, worsening, tiredness, and weakness
- Opioid withdrawal symptoms-shivering, goosebumps, increased sweating, feeling hot or cold, runny nose, watery eyes, diarrhea, muscle pain.
Seek immediate medical attention if you have serotonin syndrome symptoms, such as agitation, shivering, sweating, fast heart rate, muscle stiffness, loss of coordination, nausea, whether opioid effects on fertility are permanent.
Suboxone side effects may include:
- dizziness, blurred vision, feeling drunk, trouble concentrating:
- Withdrawal symptoms:
- Tongue pain, redness, or numbness inside your mouth:
- Nausea, vomiting, constipation:
- Back pain headache
- Increased sweating or pounding heartbeats,
- Sleeping problems (insomnia)
This much is not a complete list of the side effect, and other may occur. Call your doctor for medical advice about You may call report side effects at FDA at 1-800-FDA-1088.
How does Suboxone work?
It is often the M in Medication-Assisted Treatment(MAT) for Opioid Disorder. It is an oral film with a combination of its active ingredients-Buprenorphine and naloxone- that created unique properties that lower the potential for misuse or overdose, diminish the withdrawal symptoms and craving caused by physical dependency on opioids.
Buprenorphine is the main ingredient. It is an opioid partial agonist-antagonist. That means that it acts like oxycodone, heroin, or methadone, but in low to moderate doses. Think of the drug receptors in the brain as a door. The brain throws the door wide open for most opioids but only partly available for buprenorphine.
These two-ingredient work together effectively when administered in doses that the doctor slowly decreases over time. That enables a person to work through recovery while leading a more normal life without the intense pain and suffering of opioid withdrawal.
What to avoid while using Suboxone?
Don’t drink alcohol while using Suboxone.
It would be dangerous side effects, or death could occur.
Avoid driving or operating machinery until you know how much this medicine will affect you.
Drowsiness can cause fall accidents, or it will be severe injuries.
Is buprenorphine an opioid or opiate?
Buprenorphine is a long-acting (24-72 hours) opioid that produces less respiratory depression at high doses than other narcotic drugs. However, severe respiratory depression can occur when buprenorphine is combined with other central nervous system depressants, especially benzodiazepines.