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Subutex (Buprenorphine Sublingual Tablets) – Opioid Dependence Treatment
Subutex (generic: buprenorphine) is a partial opioid agonist specifically utilized for opioid dependence treatment—particularly during the induction phase—as part of a comprehensive treatment program including counseling and support.Drugs.com+1 buy subutex online
What Is Subutex & When Is It Used?
Subutex is indicated for opioid addiction (also called opioid use disorder), helping reduce withdrawal and cravings by activating opioid receptors at a lower level than full agonists.Drugs.com+1patient-info.co.uk It is not prescribed for pain relief.Drugs.com Ideal for initiating treatment before transitioning to maintenance options like Suboxone, Bunavail, or Sublocade.Drugs.comVerywell Health
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Dosage & Administration
Induction Phase
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Begin treatment when early withdrawal symptoms are evident.
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Day 1: Typically 8 mg once daily.
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Day 2: Increase to 16 mg once daily, as tolerated.Drugs.com
Maintenance Phase
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Target range: 4–24 mg/day, with 16 mg/day often considered optimal.Drugs.com
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Administered sublingually. Avoid chewing or swallowing to maximize absorption.Drugs.comMedicines.org.ukWebMD
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Warnings & Safety Precautions
Subutex carries significant health and safety considerations that must be highlighted for quality care:
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High Risk of Misuse & Dependency
Though a partial agonist, prolonged use can lead to dependence or abuse, especially with improper use.Medicines.org.ukDrugs.com -
Severe Respiratory Depression
Combining with CNS depressants or alcohol can cause life-threatening breathing issues.Drugs.comWebMDRxList -
Liver Monitoring Required
Pre-existing liver conditions, hepatitis, or alcohol abuse elevate risk; frequent liver function tests are advised.Medicines.org.ukpatient-info.co.uk -
During Pregnancy/Breastfeeding
Infants may suffer from withdrawal symptoms (neonatal opioid withdrawal); buprenorphine passes into breast milk.Drugs.compatient-info.co.uk -
Avoid Abrupt Discontinuation
Sudden stopping may trigger withdrawal. A slow taper under supervision is recommended.Drugs.compatient-info.co.uk -
Transportation Safety
Subutex may impair alertness—avoid driving or operating heavy machinery until fully aware of effects.Drugs.comWebMD
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Common & Serious Side Effects
Subutex’s side effect profile ranges from mild to severe. Under-reporting can have grave consequences:
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Common: nausea, constipation, insomnia, headache, sweating, dizziness.WebMDDrugs.com
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Less Common: anxiety, dental issues, abdominal pain.Drugs.com
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Serious: respiratory depression, liver injury, allergic reactions, serotonin syndrome (when used with serotonergic drugs), adrenal insufficiency, QT prolongation.Drugs.com+1RxList
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Storage & Disposal
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Store tablets at room temperature, away from moisture and heat.Drugs.com
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Keep out of reach of children—even a single dose can be fatal if ingested inadvertently.Drugs.com
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Dispose of unused medicine via drug take-back programs or per local guidelines; flushing is only when explicitly advised.Drugs.com
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Summary Table – Quick Reference
Feature | Details |
---|---|
Active Ingredient | Buprenorphine (partial opioid agonist) |
Indication | Opioid dependence induction |
Dosage | 8 mg → 16 mg induction; 4–24 mg maintenance |
Administration | Sublingual tablets under tongue |
Key Risks | Dependency, respiratory depression, liver toxicity |
Common Side Effects | Nausea, dizziness, constipation, insomnia |
Storage | Room temp, secure location |
Disposal | Via take-back programs or per guidance |
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