How the Suboxone Program Works

  • Unlike a complete activator at the opiate receptor in the brain like: heroin, pain pills like Oxycontin, Vicoden, Percocets, Suboxone will only activate the opiate receptor partially. This reduces CRAVING.
  • Suboxone will also act as a complete blocker at this site so no other opioids will work.
  • What this means is that suboxone will trick the brain that it is still using opiates (only partially) and also blocking any effects if one would relapse. This reduces WITHDRAWAL.
  • The importance of partial activation is that suboxone will have a ceiling effect on overdose. If one would overdose on suboxone, the risk of respiratory depression (you stopping breathing) is lower because it is only activating the opiate receptor partially.
  • See how Suboxone Works   |   Why choose Suboxone?


Suboxone Common Side Effects

Side Effects of SUBOXONE are Similar to Those of Other Opioids.

The most commonly reported adverse events with SUBOXONE include:

  • headache (36%, placebo 22%)
  • withdrawal syndrome (25%, placebo 37%)
  • pain (22%, placebo 19%)
  • insomnia (14%, placebo 16%)
  • nausea (15%, placebo 11%)
  • constipation (12%, placebo 3%).
Please see full Product Information for a complete list. You may already be experiencing some of these side effects because of your current use of opioids. If so, let your doctor know. Your doctor can effectively treat many of these symptoms.

SUBOXONE can cause blood pressure to drop. This can cause you to feel dizzy if you get up too fast from sitting or lying down.

Important safety information regarding Suboxone



Suboxone Induction Process

One Interested in Starting Suboxone for Outpatient Treatment of Opiate Dependence Works Like This.

First we gather accurate history. Find out what type of opiate is involved. Short acting (heroin) vs. long acting (methadone).

One must present to the clinic in moderate to severe withdrawals. This means you should appear in some moderate discomfort.

Symptoms Include:

  • dilated pupils
  • goose bumps
  • watery eyes
  • runny nose
  • yawning
  • loss of appetite
  • jitteriness
  • tremors
  • panic
  • chills
  • nausea
  • muscle cramps
  • insomnia
  • stomach cramps
  • diarrhea
  • vomiting
  • shaking
  • chills or profuse sweating
  • irritability

Once in moderate to severe withdrawals, induction can occur. It is important to induce Suboxone when only in withdrawals. If one is not in acute withdrawals and take suboxone, then one can go into acute withdrawals which is very uncomfortable and cravings to use opiates again occur.



Suboxone Program Dosage Administration

DAY ONE

  • Initial dose 4 mg
  • Second dose of 4 mg after assessing initial response
  • 4 mg take home dose may been given prn
DAY TWO
  • First day's dose plus 2 - 4 mg as indicated by patient's response
DAY THREE
  • Variability in patient metabolism of buprenorphine requires individualized dosing
  • Majority respond to 4 - 24 mg daily
  • No maximum or minimum duration of treatment


Establishing the Most Effective Dosage

Establishing the most effective dose usually occurs within one or two days. Remember, one would want the lowest effective dose so discontinuing suboxone in the future is not complicated. Because of SUBOXONE's partial effect on the opiate receptor it will also need a detox but usually less intense than coming off other opiates.

Contact INSynergy for more information