Archive for month: July, 2019

According to preliminary data from the Centers for Disease Control and Prevention (CDC), more than 70,200 people in the U.S. are estimated to have died from drug overdoses in 2017, making this the worst year of overdoses in U.S. history. But medication-assisted treatment (MAT) can help wean people off these deadly drugs. Suboxone, in film form, is one option. It’s classified as a schedule three prescription drug. This means that it has an accepted medical use, but it may cause physical or psychological dependence. Becoming educated on the medication and the potential side-effects is imperative to a safe withdrawal process.

What is Suboxone?

Suboxone is a brand-name prescription drug. It’s the combination of Buprenorphine and naloxone and it’s a controlled substance. There are also versions of the medication that just contain Buprenorphine. Both medications are usually taken under the tongue.

• Buprenorphine’s Role: Buprenorphine is in a class of medication called opioid partial agonist-antagonists. In simple terms, it helps people reduce or quit their use of heroin, opioid drugs, and narcotic pain killers. The effects of Buprenorphine can last as long as 24 hours.
• Naloxone’s Role: Naloxone is classified as an opioid antagonist. This means it blocks the effects of opioid drugs. It’s included in Suboxone solely to help prevent abuse of the medication. Naloxone is designed to prevent you from experiencing a high from other opiates.

The combination of buprenorphine with the opioid antagonist naloxone further increases its safety and decreases but does not eliminate the likelihood of diversion and misuse.

Studies from the Substance Abuse and Mental Health Service Administration (SAMHSA) show that Suboxone is effective for reducing opioid misuse. The medicine reduces cravings and the pain of withdrawals. This combination drug is used as part of a treatment program that typically includes counseling, lifestyle changes, and other interventions. How well Suboxone performs is partly assessed based on how long people stay in treatment.

Under the Drug Addiction Treatment Act of 2000 (DATA 2000), qualified U.S. physicians can offer buprenorphine for opioid dependency in various settings, including in an office, community hospital, health department, or correctional facility.

What Are the Side Effects of Suboxone? 

Although your healthcare provider should run tests before you start taking and while you are taking Suboxone, mild or serious side effects can occur. Some of these side effects may go away within a few days or a couple of weeks. If they become more severe over time or don’t go away, talk to your healthcare provider. According to the CDC, some of the most common side effects are:

• Headaches: This is one of the most common side effects and generally goes away with continued use of the medication.
• Constipation: Studies show this occurs in 12 percent of people taking Suboxone. Constipation is common and should not last after continuous use of the medication. If it does, consult your healthcare provider.
• Sweating: On average, sweating occurs in 14 percent of people taking Suboxone and gradually goes away with continued use of the medication.
• Insomnia (trouble sleeping): Lack of sleep can lead to dizziness and problems with coordination.
• Fatigue: Despite the fact that the drug causes insomnia for many users, it can also cause fatigue.

Serious side effects from Suboxone aren’t common but can occur. Consult your healthcare provider right away if the following occurs:

• Respiratory Problems/Depression: Respiratory depression is a condition in which breathing becomes too shallow or slow, causing a lack of oxygen in the body. Respiratory depression is perhaps the most severe of the side effects. Misuse or overdose of Suboxone can increase the chances for severe respiratory depression. Respiratory problems are more likely when Suboxone is used together with other drugs such as alcohol, Ativan, Valium, or Xanax.
• Liver Problems: You may be experiencing liver problems if your skin or the white part of your eyes begin to turn yellow. You may also have stomach pain, dark urine, and lighter stools. Liver problems are the most monitored by physicians.
• Allergic Reactions: If you develop a rash, hives, swelling of the face, or you start wheezing, you may be allergic to the medications.
• Decrease in Blood Pressure: You may have low blood pressure if you feel dizzy when you get up too fast from sitting or lying down.
• Fertility Problems; Long-term use of Suboxone may cause fertility problems in males and females. If this is a concern, talk to your healthcare provider before taking the medication.
• Physical Dependence: Unfortunately, Suboxone can be addictive for many people. Suboxone has opioid effects, including mild euphoria, and long-term use of it can lead to physical and psychological dependence. Suboxone dependence can cause drug-craving and drug-seeking behavior, which may lead to misuse and/or abuse.

What Precautions Should Be Taken?

Before taking Suboxone, inform your healthcare provider about all your medical conditions and all the medications you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Do not begin new medications without consulting your health care provider.

SAMHSA indicates in all their studies that Suboxone should not be injected. Injecting the medication will trigger immediate opiate withdrawal symptoms which are extremely uncomfortable. You should not drink alcohol while using Suboxone, as it can lead to loss of consciousness or even death.

Suboxone film isn’t for occasional or “as needed” use. Do not stop taking the medication without talking to your healthcare provider first.

Conclusion

These are not all the possible side effects. Consulting your health care provider for medical advice about side effects is imperative to ensure a safe dosage of Suboxone film.

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Every prescription medication comes with warnings and side effects. It is important to heed these warnings, as to not risk dangerous and even fatal consequences that could occur. This is why your doctor or a medical professional at a treatment facility will ask you if you are on any other medication. Suboxone is a drug that is a combination of Buprenorphine and naloxone. It contains an opioid, used to induce an opioid-like high without the rewarding effects. Suboxone is primarily used to help with opioid withdrawal. Since it contains an opioid, it can be life-threatening if you choose to take other drugs.

Drugs That Have Especially Bad Interactions With Suboxone

You will want to avoid these drugs specifically if you are on Suboxone because they have the most life-threatening risks associated with them.

• Benzodiazepines – People with an anxiety disorder will most often be prescribed a “benzo”. They are prescribed to slow down the central nervous system. Buprenorphine also functions as a depressant, meaning the increased sedation can cause a coma, seizures, or even death.
• Cocaine – Cocaine is a stimulant, which means it works the opposite as the Buprenorphine in the Suboxone. It can cause withdrawal symptoms to appear and counteract the drug. Another, much more dangerous risk is that someone taking cocaine and Suboxone have a greater chance of overdosing.
• Alcohol – Alcohol also depresses the central nervous system. Alcohol poses one of the greater risks because it is readily available to almost anyone and drinking can sometimes be seen as a “normalized” behavior. However, since taking alcohol and Suboxone doubles a user’s depressant intake, it can cause fatal side effects such as respiratory failure.

Talk To Someone About Your Cravings

While suboxone can alleviate some withdrawal symptoms, you may still notice that you crave other drugs or even alcohol. If you notice these cravings persisting, it is important to talk to your doctor as soon as possible. Your doctor may need to reassess your needs and move you to a different prescription. You can also call local outpatient centers or support groups to drop in for a few meetings. These support groups will give you personal insight and guidance to stay on the right path.

Do Not Smoke, Snort, or Inject Suboxone

In pill form, Suboxone works by satisfying the addict’s need for a high and also renders opioids ineffective to the brain. When Suboxone’s form is changed, the drug itself changes and produces different results. Crushing, dissolving, or injecting Suboxone stops the Buprenorphine from working properly. The naloxone will be released, completely neutralizing any high received and make the drug not function properly. When Suboxone is not taken as prescribed, users can experience swelling, difficulty swallowing, facial pain and muscle spasms and could even overdose. Always use Suboxone as prescribed by your doctor.

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With the heroin epidemic on the rise and overdosing becoming more and more common, the race to find a solution is more critical than ever. Traces of fentanyl can be found in many street drugs which raises the risk of overdose.

Treatment facilities are battling every day with trying to treat the overwhelming amount of people coming in the doors. There are many medications that are aimed at detoxing patients and reducing the risk of relapse. Suboxone is one of those medications that come in sublingual pills or strips. Luckily now, there is a newer form of Suboxone that doesn’t have to be taken every day.

The Suboxone implant is four small rods that are placed underneath the skin in the upper arm and can last for up to six months. The rods are fairly safe and can be easily removed at any time. This new advanced technology can potentially save thousands of lives and prevent overdoses.

What is the Suboxone Implant?

For many, getting off heroin and staying off can be a challenge. The problem isn’t only going through the initial week-long detox process, it’s continuing to abstain afterward. The drug has a very high psychological dependence and a lot of people experience post-acute withdrawal symptoms or cravings for months after they have stopped using. The Suboxone implant, or Probuphine, was created for people who have a difficult time staying sober on their own.

Unlike Subutex or Suboxone, which have to be taken daily and are absorbed into the bloodstream quickly, Probuphine is a one-time implant that automatically releases the daily dose of medication over the course of several months. The slow absorption rate of the medication allows for reduced side effects, if any at all.

Why Was the Suboxone Implant Created? 

One of the main concerns with the pill form of Subutex is that patients will end up abusing the medication the same way they abused their drug of choice. The US National Library of Medicine concluded that the drug was almost impossible to abuse.

This is due to its subdermal placement in the body and the fact that rods use a matrix system instead of a reservoir so even if the patient was able to remove the rod, they wouldn’t be able to disperse the medication in mass doses.

This medication was created in order to allow recovering heroin addicts to go through their everyday lives without having to worry about a pill and all the potential side effects that accompany the pill. The reason this medication is considered so revolutionary is that it may be a cure for “chronic relapsers” or people who have a very difficult time achieving any sort of long-term sobriety.

A lot of chronic relapsers may not necessarily have a difficult time remembering to take the pill every day. They also might intentionally stop taking their prescription so that they can use and feel the effects.

Who Should Consider the Suboxone Implant?

The fact that the Suboxone implant doesn’t have to be taken daily gives the user a sense of freedom that they didn’t have before. The recovering addict can now travel without having to worry about having enough medication or trying to fill this script out of state.

In the first few months, Suboxone may be dosed multiple times a day, which means the user has to take multiple pills. According to their website, the Probuphine implant can deliver the same dosing variation because the medication is measured by the number of bars that are implanted in the user’s arm.

Instead of having to take a pill three times a day the recovering addict is simply implanted with more rods, which deliver a higher dose. The good news is that instead of tapering down on the pills the rods can simply be removed to allow for a similar taper.

One reason that people don’t opt to get the implant is the cost. A lot of times insurance companies don’t cover medications that are newer on the market. However, this medication is considered preventative and since it is an alternative to rehab or a trip to the hospital due to an overdose, many insurance companies are slowly beginning to consider it. While the price may vary depending on your coverage you can always call and check to see if it is covered.

Alternatively, if your doctor can explain to the insurance company why you would greatly benefit from this medication the odds of it getting covered increase substantially.

Even if the medication isn’t covered under your insurance it’s worth looking into. What is a couple of hundred dollars compared to the cost of your life? Also, it’s a six-month investment, not a thirty-day supply so you have to think of the benefits over a longer period of time.

Find a Doctor Near You

You can search for Suboxone doctors in your local directory or search the web for a doctor near you. Some things to look for are how long they’ve been practicing and if they can perform the implant procedure.

Unfortunately, due to the nature of this medication, there is no way to test it out or sample it. Although, if you do have a hard time staying sober and the pill just isn’t working out for you, this may be the next best thing. The procedure is a simple thirty-minute-long process.

The patient doesn’t even need to go under anesthesia, they simply numb the area and place the rods and you can go about your daily life. The patient is scheduled for follow up visits where the doctor can assess the amount of medication that is being administered and dose the patient up or down accordingly.

There is no hassle, no waiting at the pharmacy, no monthly fights with your insurance company, and no worry about remembering to take your medicine. Find a doctor today and see if this medication can potentially change your life for the better.

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