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 and
to document progress during the treatment.

Myths	Reality
Dangerous and complex chronic disease management	Simpler than titrating insulin for a DKA or anticoagulation
Simply a “replacement” addiction	Addiction includes compulsion, loss of control and use despite consequences. Taking a prescribed medication to manage chronic illness does not meet this definition.
Detox for OUD is effective	No data showing this. May increase likelihood of OD by eliminating tolerance.
Suboxone is a the same as methadone	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.
Suboxone is unsafe	It is extremely difficult to overdose on Suboxone due to “ceiling” effect. Naloxone component reduces risk of misuse.