Suboxone for Detox and Withdrawal

Roxicodone Detox and Withdrawal

Suboxone® | What are the Risks?

Opioid antagonists are drugs that bind to these same receptor sites and block the effects of opioids. For example, a drug like Suboxone® is both an agonist and antagonist that relieves opioid withdrawal symptoms, while also protecting against further opioid use.

The medications systematically assist in breaking the chain of dependence on prescription pain killers and other opioids such as heroin. The euphoric effects of these drugs are less than with full opioids and the habit forming potential is lower. Therefore, it is much easier to stop taking these medications than other full opioids. Many Suboxone detoxification programs are recognized as painless and proactive. Confidentiality is high priority for people seeking drug and alcohol detoxification in a dignified and private manner. Sucessfull use of Suboxone for detox and withdrawal on both male and female opiate users includes managment of eleven bodily systems including; immune, cardiovascular, digestive, nervous, respiratory, skeletal, endocrine, muscular, integumentary, reproductive and excretory.

4 main benefits of | Suboxone Therapy

  • Pain-free Opiate Detoxification

  • Helps Clients Stay in Treatment

  • Reduces Relapses

  • Reduces Overdoses

These benefitsare often the difference between success and failure. That’s why it’s a part of our opiate detox programs at all of our addiction recovery centers.

Medication-Assisted Detox: is not a treatment by itself. Instead, its primary purpose is to alleviate the uncomfortable effects of withdrawals and cravings to opioids while you re-learn how to live without them. For the greatest long-term benefit and to prevent relapse, this form of medication assisted treatment (MAT) should always be part of a comprehensive program that also includes education, counseling, and intervention therapies.

Utilizing a medication management approach, only 11% of Soft Landing Recovery patients experience relapse. Suboxone®, Subutex®, and Zubsolv® are all buprenorphine-based medications, which is a partial opioid with a much better safety profile than other opioids. It is usually administered as a once or twice daily dose by placing under the tongue or as prescribed by our physicians. Suboxone® is in the form of a film strip and Subutex® and Zubsolv® are in tablet form.

WARNING: DO NOT INJECT (“shoot-up”) Suboxone®, Subutex®, or Zubsolv®. Injecting these may cause life-threatening infections and other serious health problems. Injection may also cause serious withdrawal symptoms such as pain, cramps, vomiting, diarrhea, anxiety, sleep problems, and cravings.


How to safely administer Suboxone? Suboxone is to be administered under the tongue (sublingual administration). The reason sublingual administration is due to the poor bio-availability of Buprenorphine HCl. The most efficient sublingual administration includes a 30 minute delay from smoking, eating and drinking after Suboxone dissolution. The delay is to allow the unseen particles of Suboxone that attached on the cheek, tongue and gums to eventually enter the blood stream

Suboxone Addiction Some physicians recommend that Suboxone only be used for short-term treatment. The reason behind this recommendation is due to the fact that prolonged use of Suboxone leads to physical dependency to Buprenorphine HCl. This can lead to a more difficult detox procedure if ever that person needed to stop.

Suboxone is up to 40 times stronger than morphine. The half-life of Suboxone is 37 hours. Suboxone’s powerful effects and its long half-life make Suboxone addiction one of the most difficult opioid detoxifications.


Suboxone Detox and Withdrawal | Minimizing the Symptoms:

Suboxone Treatment Programs with the highest client satisfaction use a system of detox that incorporates:

  • Addiction Physician Protocols
  • Hydration Therapy
  • Nutrition Supplementation
  • Sleep Disorder Therapy
  • Extensive Counseling

Subutex and Suboxone are often used in unison. Subutex is usually prescribed initially to minimize the risk of inducing opiate withdrawals. Once the risk of initiating opiate withdrawal syndrome subsides; the opiate treatment plans change; and Suboxone replaces Subutex.

Suboxone Detoxification: The Suboxone detoxification program is divided into three distinct phases:

  • Induction – the first phase of stabilizing an opiate addict. Suboxone is the first tablet administered sublingually after the user shows signs of opiate withdrawals.
  • Stabilization – replaces the opened opiate receptors in the brain. The stabilization phase is an individualized medication adjustment period that lasts between twenty-four to 36 hours.
  • Taper – We have seen the greatest success when physicians that use a 3 day step down. The medication dosage drops 2mg every three to four days. The final taper is a stagger; 2mg every other day for three additional administrations.

Suboxone Precipitated Withdrawal | Be Careful

What is Suboxone Precipitated Withdrawal?

In short, precipitated withdrawal is a very quick and intense onset of opiate withdrawal symptoms.  It’s like quitting opiates but jumping from day one withdrawal to day four withdrawal, really bad.  It is relatively uncommon but bad enough that it should be avoided.  The precipitated withdrawal with Buprenorphine happens because of it’s high binding strength to opiate receptors, so basically the Buprenorphine pushes out the opiates in your brain and fills the opiate receptors with Buprenorphine (in Suboxone) so it’s almost like jumping from no withdrawal to day four withdrawal intensity — and can even be dangerous.  Buprenorphine is strong stuff– it beats the crap out of opiates and displaces the opiates from your opiate receptors taking you to hell in a hurry.

What happens if you get Suboxone Precipitated Withdrawal?

Well to be honest, if you are affected by precipitated withdrawal, you are going to feel rapid onset of opiate withdrawal symptoms, much faster than cold turkey, and no this will not reduce the “detox” time.  Common sense would say, take some opiates, the Suboxone isn’t working, but taking opiates once precipitated withdrawal has occurred would not be helpful because your receptors are blocked by the Buprenorpine which has a much stronger “hold” on the receptors than opiates rendering the opiates nearly useless.  The best advice I can give if this happens is go to the hospital and explain what happened, they can give you medicine to reverse the situation and make you feel better.

Avoiding Suboxone Precipitated Withdrawal:
You need to restrict intake of opiates for a period of time before taking Suboxone, basically you should be in some form of withdrawal.  If you are not in some pain you are risking precipitated withdrawals.

Conclusion: Suboxone for detox and withdrawal is a leap in the treatment process for opiate dependency. There is little doubt that opiate addiction is one of the worst addictions that can ever belie a person. The only upside from this experience is the knowledge gained and the positive changes that are needed to overcome opiate addiction.

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