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Suboxone Addiction Treatment

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What is Suboxone?

Buprenorphine/Naloxone also known as Suboxone is a treatment that has been FDA approved and helps by blocking the receptors in the brain that crave opioids.

Suboxone Guidelines:

  • On the day of treatment, the patient needs to come to the clinic already in opiate withdrawal in order to not delay the treatment.
  • Frequency of visits will depend on how the patient is progressing.
  • Must let your Suboxone provider know before starting any medication prescribed by another doctor.
  • Random staff-observed urine testing will take place in order to detect early relapse.

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Myths

Reality: Simpler than titrating insulin for a DKA or anticoagulation

Reality: Addiction includes compulsion, loss of control and use despite consequences. Taking a prescribed medication to manage chronic illness does not meet this

Reality: No data showing this. May increase likelihood of OD by eliminating tolerance.

Reality: Methadone is a full agonist opioid, does not have a ceiling effect, therefore higher risk of overdose. Methadone has more drug interactions and prolongs the QT interval.

Reality: It is extremely difficult to overdose on Suboxone due to “ceiling” effect. Naloxone component reduces risk of misuse.

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