Treatment FAQ

what happens if on a suboxone treatment and take opiates

by Prof. Cade Luettgen Published 2 years ago Updated 2 years ago
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If you use opiates while on Suboxone (a combination of buprenorphine and naloxone), the strong effects or “high” of the opiates will be dulled or blocked.

Full Answer

How long should you wait before taking Suboxone?

To take Suboxone, a user should wait until their last dose of any opioid has left their system completely. Since there are different half-times for opioids, and because it can take longer for drugs to leave the body of some users, it’s recommended to wait until opioid withdrawal symptoms start.

How to take Suboxone correctly?

Take Subutex or Suboxone by placing the tablet under your tongue allowing it to dissolve.

  • Not grind the tablets or cut, tear or chew the film
  • Not swallow the medication
  • Not place multiple films on top of each other
  • Not take them in any other way
  • Not eat or drink anything until they have dissolved

Will Suboxone make you gain weight?

There are no confirmed links between suboxone and weight gain at this time. However some patients do report weight gain while they are taking suboxone, but it cannot be confirmed that suboxone is the cause. You can always consult your doctor with any concerns you may have and they will work through it with you.

Why would a person take Suboxone?

Suboxone is a prescription medication used to treat opioid addiction. When used as directed, it relieves the symptoms of opioid withdrawal without getting you high. Suboxone also reduces opioid cravings, which goes a long way toward preventing relapse. Many recovering addicts take it for months, or even years, after they stop getting high.  

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Can you take Suboxone too soon?

If buprenorphine/naloxone (Suboxone) is taken too soon after a “full agonist” (such as heroin, fentanyl, or oxycodone), a “precipitated withdrawal” can occur, which is why a patient should be medically assessed before beginning treatment.

Can you overdose on Suboxone?

However, the possibility of overdose from the full agonist opioid is still possible. If you feel like you need to use opioids on top of your Suboxone, you should call your doctor right away.

What happens if you mix heroin and suboxone?

If heroin is mixed with Suboxone, the body’s reaction to Suboxone will counter the non-specific actions of heroin – sending an individual into precipitated withdrawals. In other words, the individual is likely to experience the following: Extreme cold sweats. Body chills. Body aches.

What is the difference between Suboxone and other opioids?

The primary difference between Suboxone and other opioids is naloxone. Naloxone serves the purpose of counteracting the effects of opioid-based drugs. This component of Suboxone is effective by attaching to opioid receptors and blocking other opioids such as heroin.

What is the best medication for opiate addiction?

Approved by the Food and Drug Administration, medications like buprenorphine in combination with behavioral therapies provide a comprehensive approach to the treatment of opiate addiction. When taken as prescribed, Suboxone is one of only two opioid addiction treatment medications that combines buprenorphine and naloxone.

What is Suboxone in MAT?

Suboxone is a type of opioid replacement therapy that is highly effective in MAT in Memphis. It can be prescribed by a treatment center physician or a licensed doctor. It is typically prescribed at the beginning of treatment or during detox and can be continued throughout the early stages of recovery.

Does naloxone inhibit buprenorphine?

If an individual attempts to abuse Suboxone or take opiates while on Suboxone, the naloxone will inhibit the buprenorphine from binding to opioid receptors, making the attempt to achieve euphoria ineffective. Ultimately, Suboxone is effective in preventing withdrawal symptoms and cravings while also negating the euphoric effects of opioids.

Can you take opiates while on Suboxone?

At the same time, it is widely known by opioid addicts that they should never take opiates while on Suboxone.

Does buprenorphine help with opioids?

Buprenorphine specifically binds to opioid receptors and helps to create a “ ceiling effect” to limit an individual’s reaction to opioids , even if an excessive dose is taken. This combination produces a weaker euphoric effect when compared to other opioid drugs and the risk of dangerous side effects like slowed breathing dramatically decreases. Furthermore, the risk of misuse and physical dependency is also not as common. Individuals who take Suboxone correctly will have the opportunity to combat their opioid addiction and transition to a healthy life in sobriety. At the same time, it is widely known by opioid addicts that they should never take opiates while on Suboxone.

What is Suboxone used for?

Suboxone is a brand-name prescription medication that contains a combination of buprenorphine and naloxone. This drug is used for the treatment of opioid dependency and is often part of a comprehensive recovery program for opioid addiction referred to as medication-assist ed therapy. The buprenorphine component allows the drug to bind opioid ...

What is the ceiling effect of opioids?

The drug has a “ceiling effect” that limits the person’s reaction to the drug, even with increased dose. This produces much weaker effects, like euphoria, when compared to other opioid drugs. 1 As a result there is a decreased risk of dangerous side effects such as slowed or stopped breathing.

How does naloxone work?

The naloxone component works by attaching to opiod receptors and blocking other opioids such as heroin, oxycodone and fentanyl from producing the addictive euphoric sensations. 2

Is suboxone a substitute for opioids?

Suboxone can be very beneficial as a replacement drug that has a safer profile than other opioid drugs. Although it is a key part of medication-assisted therapy designed to transition people off of their addiction to opioids, there are risks associated with its use. The buprenorphine component of suboxone can be habit-forming, as it is an opioid agonist that elicits many of the same effects as other opioid drugs, and some people can end up abusing this drug. 1 However, if used as prescribed suboxone can be a highly effective treatment for individuals suffering from opioid addiction.

Does naloxone affect buprenorphine?

If suboxone is abused in an effort to get high, the naloxone will inhibit the buprenorphine component of the drug from binding to the opioid receptors , making the person experience the unpleasant symptoms of withdrawal.

Does buprenorphine cause euphoria?

The drug has a “ceiling effect” that limits the person’s reaction to the drug, even with increased dose. This produces much weaker effects, like euphoria, when compared to other opioid drugs. 1 As a result there is a decreased risk of dangerous side effects such as slowed or stopped breathing. These properties of buprenorphine lower the potential for misuse and lower the effects of physical dependency to opioids, which help the user slowly wean off opioids safely.

Is suboxone a habit forming drug?

The buprenorphi ne component of suboxone can be habit-forming, as it is an opioid agonist that elicits many of the same effects as other opioid drugs, and some people can end up abusing this drug. 1 However, if used as prescribed suboxone can be a highly effective treatment for individuals suffering from opioid addiction.

How does Suboxone work?

Suboxone works by tightly binding to the same receptors in the brain as other opiates, such as heroin, morphine, and oxycodone. By doing so, it blunts intoxication with these other drugs, it prevents cravings, and it allows many people to transition back from a life of addiction to a life of relative normalcy and safety.

Where to start Suboxone?

Good places to start are in the emergency department and in the primary care doctor’s office. More doctors need to become "waivered" to prescribe this medication, which requires some training and a special license.

What is the name of the medication that is used to treat opioid addiction?

Suboxone, a combination medication containing buprenorphine and naloxone, is one of the main medications used to treat opioid addiction. Using ‘medications for opioid use disorder’ is known as MOUD. Use of MOUD has been shown to lower the risk of fatal overdoses by approximately 50%. It also reduces the risk of nonfatal overdoses which are traumatic and medically dangerous.

What are the obstacles to addiction treatment?

One of the main obstacles to getting lifesaving treatment for addiction is the stigma people face. Fortunately, our society’s perception is slowly starting to transform away from an outdated view of addiction as a moral failing, toward a more realistic, humane view of addiction as a complex disease that needs to be addressed with compassion, as well as modern medical care. Eliminating myths and misinformation about addiction, and supplanting them with up-to-date, evidence-based treatments, is a critical step in the evolution and improvement of addiction treatment.

Is Suboxone a myth?

Common myths about using Suboxone to treat addiction. Unfortunately, within the addiction community and among the public at large, certain myths about Suboxone persist, and these myths add a further barrier to treatment for people suffering from opiate addiction.

Is it easy to overdose on Suboxone?

Myth #3: It’s as easy to overdose on Suboxone as it is to overdose with other opiate s. Reality : It is extremely difficult to overdose on Suboxone alone. It is more difficult to overdose on Suboxone compared to other opiates, because Suboxone is only a partial opiate receptor agonist, so there is a built-in “ceiling” effect.

Is Suboxone a medical condition?

As addiction is increasingly viewed as a medical condition. Suboxone is viewed as a medication for a chronic condition, similar to a person with type 1 diabetes needing to take insulin. To say that you aren’t really in recovery if you are on Suboxone is stigmatizing to people who take Suboxone, and it’s not the medical reality of effective addiction treatment.

Suboxone

You can be prescribed suboxone by a doctor, without having to enter a treatment center.

Short-Term Effects of Opiate Use

Primarily, opiates are prescribed to treat pain. Therefore, one of the biggest effects is pain reduction. However, there are other, less desirable effects.

How long does suboxone last?

Suboxone can begin to work within 30 minutes of the first dose and last up to 3 days. The typical course of treatment with Suboxone can last from a month to a year.

What is the purpose of suboxone?

What Is Suboxone? Suboxone is a combination of buprenorphine (an opioid medication) and naloxone (a medication that blocks the effects of opioid medication) that is used to treat opioid addiction, including addiction to heroin and narcotic painkillers.

What are the side effects of buprenorphine?

Adjustments to dosing may occur during this stage under the direction of a prescribing physician. 1. Common side effects of buprenorphine include: 10. Nausea.

When was Suboxone approved?

About Suboxone. Approved by the U.S. Food and Drug Administration in 2002 to be used as part of medication-assisted treatment (MAT), 7 Suboxone is one of the most commonly prescribed medications for the treatment of opioid addiction. MAT combines behavioral therapy and medications to treat substance use disorders.

What is the initial phase of Suboxone?

Induction phase. The initial phase of Suboxone treatment, called “induction,” occurs under the supervision of a physician. 3 This phase begins once a person is in the early stages of withdrawal.

How many hours of training do you need to be an opioid dependent?

Have completed no less than 8 hours of authorized training on the treatment or management of opioid-dependent patients.

Is Suboxone a long term drug?

Long-Term Effects of Suboxone. Long-term use of Suboxone can lead to physical and/or mental health challenges. Subox one should only be used under the supervision of a qualified physician. Suboxone is an opioid, and misuse can lead to dependence.

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