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Suboxone both stimulates the opiate receptors of the brain producing pain relief, and at the same time, blocks the receptors, decreasing addiction. Although no one quite understands how it does this, having agonist and antagonist properties allows for a more comfortable opiate withdrawal.

Suboxone has partial agonist and partial antagonist actions and also a very long duration. These properties make it a useful drug in some circumstances. First, it is hard to overdose on it because the antagonist quality kicks in at higher doses. Second, Buprenex does not produce as much of a high as heroin making it less addictive. Third, because of these properties, it seems to taper itself fairly well meaning it is easier to taper off than a drug like methadone. Due to these properties, the FDA has approved Buprenorphine under the trade names Subutex and Suboxone, to be prescribed by specially trained MDs as both a detoxification drug and a maintenance drug.

If you are unable to just stop using opiates, we can convert you painlessly from an opiate habit to a Suboxone habit and you will be able to just stop using Suboxone without too much difficulty. The way this is done involves taking Suboxone FOR THREE DAYS. Suboxone is administered by a sublingual tablet or injection. If you use the Suboxone intravenously it may cause or worsen withdrawal symptoms. It is important that you start the Suboxone only after you are feeling uncomfortable. The preferred method is not to use any opiates after midnight, and use the Buprenorphine as your “wake-up” in the morning when you are feeling ill.

Prescription medications are provided for use with the Suboxone, and after the Suboxone is finished, if needed. These pills can lessen the severity of withdrawal symptoms. For additional medication, you MUST return to the office. Other medications are available but you must return to the office for another visit. DO NOT CALL FOR PRESCRIPTIONS.

,After a three to four day taper of Suboxone, 80% of opiate withdrawal symptoms are complete. It is a good idea to continue smaller doses of Clonidine for the next week or two to help with very mild withdrawal symptoms and/or sleep. Many people are able to taper off of their opiate habit with Suboxone and then are able to maintain their sobriety with behavioral guidance and counseling. Oftentimes a significant change to one’s habits, lifestyle, and friends is necessary.