| Suboxone | | What is Suboxone? |
Suboxone is a brand name medication. The active ingredient in it is Buprenorphine. Naloxone has been added to it to discourage misuse. |
This is marketed as a tablet or a film, which is placed under the tongue from where it is easily absorbed into the circulation and binds to the receptors in the brain, and effectively stops withdrawal symptoms. It is a long acting drug, acting on the same receptors as opioids. These properties make it an excellent choice in the treatment of opioid addiction.
It is long acting so once a day dose is usually enough. Some patients prefer multi-day dosing. Suboxone reduces, or eliminates craving. If a patient takes additional opioids after taking Suboxone then those opioids will not have any positive effect, but could have severe negative effects, such as nausea, vomiting diarrhea and immediate withdrawal. Most patients do not feel any side effects if taken as recommended thus allowing patients to work, drive, or study.
By keeping patients comfortable and in control, it removes the need to search for, and use opioid drugs. And as it is available by prescription, dispensed by most pharmacies, it can be used in the comfort and privacy of your home eliminating the need to make daily visits to a Methadone clinic or seeking residential treatment away from home
Other brand names for Buprenorphine and Naloxone combination are Zubsolv, (tablet), and Bunavail (film).
In the past, opioid addiction treatment had been restricted to certain approved facilities only. Under Drug Addiction Treatment Act of 2000, physicians who meet certain qualifications are allowed to prescribe controlled substances that are specifically approved by the FDA to treat opioid addiction.
Currently Buprenorphine, marketed as Suboxone, and Subutex, are the only medications approved for this purpose. Subutex which is Buprenorphine alone, is no longer manufactured or marketed as Subutex, however, it is available as a generic tablet.
Buprenorphine without Naloxone (Subutex) is only approved for:
1. induction of treatment
2. for use during pregnancy for those patients who do not wish to use Methadone
3. for use by patients who have a demonstrated allergy to Naloxone.
Methadone can only be dispensed for opioid addiction treatment by approved Methadone Clinics.
The availability of Buprenorphine by prescription through community based physicians has brought down the cost of opioid addiction treatment, and, made such treatment accessible to patients within their communities, in the familiar setting of their physician’s office, and without disrupting education or work schedules.
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| | This page was last updated on September 29, 2020 |
| | Mark A. Seldes, MD | | Dr. Seldes is a board-certified family physician, He is experienced with OWCP medical reports and performing Impairment Rating examinations. Dr. Seldes and his qualified staff, assist in obtaining compensation and medical treatment after a work-related injury. | | We perform both In-person examinations and Telehealth visits for our Florida residents who are already established patients. depending on the patient's needs. |
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