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Suboxone Addiction and Abuse

Suboxone is a medication for treating addiction to opioids. Its two ingredients are buprenorphine and naloxone. Since buprenorphine is an opioid, Suboxone is not free from risks.

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What Is Suboxone?

Suboxone is the brand name for a prescription medication that is designed to treat opioid addiction. Suboxone has two ingredients: the opioid buprenorphine and the medication naloxone. The combined effects of these two ingredients reduce cravings for addictive opioids such as heroin, codeine, fentanyl, and oxycodone.

People who are undergoing treatment for opioid addiction usually take Suboxone to manage withdrawal while they detox from opioids. Afterwards, they often continue to use the medication to control cravings and withdrawal while they progress through therapy and rehab. Suboxone is not meant to be a cure for opioid addiction, but rather a helpful part of the recovery process.

In the United States, Suboxone is classified as a Schedule III controlled substance, a drug which has medical value yet also carries moderate risks for addiction. As a result, only doctors who receive certification from the Department of Health and Human Services may prescribe Suboxone. The medication is manufactured as dissolvable films and tablets.

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Understanding Buprenorphine and Naloxone, Suboxone’s Two Ingredients

Buprenorphine and naloxone are the two ingredients of Suboxone. Buprenorphine is an opioid which is actually more potent than morphine. However, since it’s a partial opioid agonist, it is prevents other opioids from binding to opioid receptors in the nervous system. In other words, it prevents other opioids from affecting the brain. Therefore, buprenorphine provides a way for patients to wean themselves off of opioids while minimizing opioid withdrawal. Buprenorphine is unlikely to cause the intense sedation and euphoria which most opioids cause, but for someone who has an opioid addiction, buprenorphine will satisfy their basic opioid cravings and suppress withdrawal symptoms.

Naloxone is a medication which reverses the symptoms of an opioid overdose. Since naloxone is an opioid antagonist, it blocks and reverses the effects of opioids on a person’s nervous system. The purpose of naloxone as an ingredient of Suboxone is to prevent people from overdosing on the buprenorphine. The naloxone also minimizes a person’s risk of relapse by preventing them from experiencing the addictive, euphoric sensations which opioids normally cause.

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Is Suboxone Addiction Possible?

While Suboxone is potentially addictive, the risk of becoming addicted to Suboxone is less than the risk of becoming addicted to other opioids. Since Suboxone is not as intensely sedative as other drugs, it is less likely to cause people to experience cravings. Buprenorphine, the opioid ingredient of Suboxone, may provoke moderate withdrawal symptoms, specifically headaches, muscle pains, and nausea. To prevent or mitigate withdrawal, doctors tend to gradually reduce their patients’ doses of Suboxone as they progress through addiction treatment. Additionally, unlike other opioids, buprenorphine has a “ceiling effect,” so eventually, larger and more frequent doses of buprenorphine will not amplify its potency. For this reason, while a person can develop tolerance to buprenorphine, they will not be able to overcome that tolerance by compulsively or repeatedly increasing how much buprenorphine they take, which would be evidence of an addiction disorder.

Although Suboxone addiction is unlikely, Suboxone abuse is certainly possible. Drug traffickers have been selling illegal Suboxone to people throughout the United States. In 2018, police in just one city, Cincinnati, confiscated over 6,000 doses of illegal Suboxone. Most people who buy Suboxone illegally are not trying to experience an “opioid high.” Instead, they are trying to obtain relief from opioid withdrawal. A person could misuse Suboxone by using it to relieve opioid withdrawal without a prescription and without undergoing treatment for opioid addiction. In such cases, a person might use Suboxone whenever they start to experience withdrawal symptoms, fail to abide by any medical limits, and suffer an overdose. When someone neglects to start treatment for opioid addiction and takes Suboxone regularly to live without withdrawal symptoms, they become dependent on the medication and never overcome the illness. While it’s easier to just take Suboxone, recovery is the true long-term solution for withdrawal and addiction.

What Are the Side Effects and Risks of Suboxone?

Like most medications, Suboxone can cause a variety of side effects. Most side effects are not life-threatening and usually subside within several days. The most common side effects of Suboxone include:

  • Anxiety
  • Depression
  • Fatigue
  • Fever
  • Headaches
  • Insomnia
  • Muscle pain
  • Nausea
  • Sweating

Suboxone does pose a risk for more serious side effects, especially when people who are taking Suboxone also drink alcohol or use Benzodiazepines. For instance, Suboxone can provoke an allergic reaction characterized by swelling in the throat and difficult breathing. High doses of Suboxone can also cause liver damage and induce a coma, and it is also possible to suffer a Suboxone overdose.

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What Are the Symptoms of a Suboxone Overdose?

Since Suboxone is an opioid-based medication, overdose is one of the most serious risks of Suboxone. In fact, an overdose on Suboxone can be lethal if left untreated. Someone who uses too much Suboxone or combines it with other drugs is most likely to suffer an overdose. The symptoms of a Suboxone overdose include:

  • Anxiety
  • Blurred vision
  • Chills
  • Confusion
  • Constricted pupils
  • Dizziness
  • Fatigue
  • Headaches
  • Loss of consciousness
  • Loss of coordination
  • Nausea and vomiting
  • Slurred speech
  • Stomach Pain
  • Sweating

In severe cases, a Suboxone overdose can cause respiratory depression, a condition which restricts or stops breathing. Respiratory depression can cause brain damage, coma, and death.

How Can I Find Treatment for Suboxone Addiction?

Suboxone is a useful medication, but everyone has to use it responsibly. It is dangerous to abuse Suboxone by taking it too often, in excessively large doses, or without a prescription. It is a tragedy that a medication which is supposed to help end addiction may also be addictive, but once someone overcomes dependence on Suboxone, they can reclaim their life from opioids once and for all.

If you or someone you know is abusing Suboxone and needs help with overcoming opioid addiction, please contact a dedicated treatment provider today to learn more about the many treatment centers which are available to help you or your loved one achieve freedom from substance abuse. A treatment program for Suboxone dependence at a rehab facility will involve detox, therapy, and ongoing support in an aftercare program. Please reach out today for help getting started.

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