Suboxone Detox Managing Symptoms and Withdrawal

Suboxone detox is a critical step in the journey toward recovery for individuals who are opioid addicted. Medical professionals commonly use Suboxone (buprenorphine and naloxone) for medicated detox in addiction treatment for people with opioid use disorder. While misuse of buprenorphine decreased among adults with opioid addiction in 2015-2019, there is still a risk of addiction to the drug.

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Suboxone is a medication that combines buprenorphine, a partial opioid agonist, and naloxone, an opioid antagonist. It is commonly used in addiction treatment programs, specifically Medication-Assisted Treatment (MAT) to help individuals with opioid use disorders manage their cravings and withdrawal symptoms.

Over time, individuals may develop a tolerance to Suboxone, requiring higher doses to achieve the same effect. Dependence can also develop, leading to withdrawal symptoms.

How Does Suboxone Work?

Suboxone works by binding to the same receptors in the brain as opioids but with a lower level of activation. This helps reduce cravings and withdrawal symptoms, making it a valuable tool in addiction treatment.

Is Suboxone addictive?

Yes, Suboxone can be addictive. Suboxone is a medication used to treat opioid addiction, but it contains buprenorphine, which is an opioid itself. Some factors that contribute to why people abuse suboxone include:

  • Misuse of medication or combination with other substances
  • Previous opioid addiction
  • Co-occurring mental health disorders
  • Lack of proper monitoring during Suboxone treatment

Signs of Suboxone Addiction

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Increasing Tolerance

One of the early signs of Suboxone addiction is the development of tolerance. Over time, users require higher doses to achieve the same effect.

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Craving and Obsession

Those addicted to Suboxone may find themselves constantly thinking about the medication and experiencing intense cravings.

Neglecting Responsibilities

Suboxone addiction can lead to neglect of daily responsibilities, including work, relationships, and personal hygiene.

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Withdrawal Symptoms

Attempting to stop or reduce Suboxone use can result in withdrawal symptoms such as nausea, anxiety, and muscle aches.

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Suboxone, like any medication, can have side effects. It’s important to note that not everyone will experience these side effects, and some individuals may experience them to varying degrees. Common side effects of Suboxone include:

  • Nausea and Vomiting
  • Headache
  • Dizziness and Fainting
  • Constipation
  • Numb or Dry Mout
  • Irregular Heartbeat
  • Blurry Vision
  • Difficulty Concentratin
  • Insomnia
  • Muscle Aches
  • Psychosis

Can you overdose on Suboxone?

Yes, it is possible to overdose on Suboxone. However, it is less likely than with other opioids, such as heroin or oxycodone. This is because Suboxone has a “ceiling effect.” This means it can only activate the opioid receptors in the brain up to a certain limit.

Symptoms of Suboxone Overdose

Symptoms of a Suboxone overdose include slowed breathing, drowsiness, confusion, blue lips or fingernails, seizures, loss of consciousness, or coma. If you suspect that someone is overdosing on Suboxone, call 911 immediately for medical assistance.

Suboxone detox refers to the process of gradually reducing and removing the dose under medical supervision. This allows the body to adapt to lower levels of the medication, ultimately leading to complete abstinence.

Preparing for Suboxone Detox

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Assessment and Evaluation

Before embarking on Suboxone detox, a thorough assessment and evaluation by a medical professional are crucial. This involves reviewing the patient’s medical history, the severity of addiction, and any co-occurring disorders.

Choosing the Right Treatment Center

Selecting an appropriate treatment center for Suboxone detox is essential. A reputable center will provide medical supervision, psychological support, and a structured plan for tapering off Suboxone.

Setting Realistic Expectations

It’s important to understand that Suboxone detox is not a “cold turkey” approach. Instead, it involves a gradual reduction of the medication dose to minimize withdrawal symptoms and the risk of relapse.

Phases of Detoxification

During this phase, patients will transition from their usual dose of opioids to an appropriate Suboxone dosage. Medical supervision is important to reduce the risk of overdose.

In this phase, patients will remain on a stable dose of Suboxone to allow their bodies to adjust. Managing cravings is also an important aspect of this stage.

This phase involves gradually reducing or tapering the dose of Suboxone until the patient is completely drug-free.

Life After Detox

It is important to remember that recovery does end with detox. Individuals should transition into comprehensive treatment plans, such as inpatient or outpatient rehab to address addiction. These programs include therapy, support groups, medication-assisted treatment (MAT), and aftercare programs.

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Suboxone Withdrawal refers to the set of symptoms that individuals may experience when they stop taking Suboxone. These symptoms signify that the body is no longer dependent on the medication.

Common Symptoms of Suboxone Withdrawal

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Nausea and Vomiting

Many individuals experience nausea and vomiting during Suboxone Withdrawal.

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Muscle Aches

Muscle aches and pains are common, often resembling a severe flu.

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Anxiety and Restlessness

Feelings of anxiety and restlessness are typical during this phase.

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Insomnia

Difficulty sleeping or insomnia can be frustrating, but it is temporary.

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Sweating

Profuse sweating, especially at night, is a common symptom.

Mood Swings

Mood swings, including irritability and depression, are common.

How long does Suboxone withdrawal last?

The duration of Suboxone withdrawal can vary from person to person. It typically peaks within the first 72 hours and gradually improves over one to two weeks. While Suboxone Withdrawal is uncomfortable, it is not typically life-threatening. However, it’s crucial to seek medical guidance and not attempt to manage it alone.

The withdrawal timeline for Suboxone can vary from person to person. Factors such as the dosage, and duration of use can influence the timeline. Here is a general timeline:

  • Suboxone withdrawal symptoms typically start appearing during the first 12 hours.
  • Early symptoms may include anxiety, restlessness, muscle aches, and cravings for the medication.
  • Nausea, vomiting, and diarrhea can also occur during this period.
  • These symptoms can be quite intense during the initial phase, often referred to as the “acute” phase.
  • Withdrawal symptoms tend to peak in intensity.
  • Flu-like symptoms can be prominent.
  • Insomnia and sleep disturbances may persist.
  • Psychological symptoms such as depression, irritability, and mood swings may become more pronounced.
  • Withdrawal symptoms begin to gradually subside.
  • Physical symptoms like muscle aches and gastrointestinal discomfort tend to improve
  • However, psychological symptoms like anxiety and depression can still linger.
  • Sleep patterns may start normalizing.
  • Most physical withdrawal symptoms have significantly diminished or disappeared.
  • Psychological symptoms may continue, but they usually become less severe over time.
  • Energy levels and overall well-being begin to improve.

Post-Acute Withdrawal Syndrome (PAWS)

Some individuals may experience Post-Acute Withdrawal Syndrome, which involves protracted withdrawal symptoms that can last for an extended period. Medical professionals can help manage these symptoms.

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Suboxone’s half-life varies depending on several factors. On average, it ranges from 24 to 42 hours. However, it may take several half-lives for the drug to be fully cleared.

Various methods can detect Suboxone in the body. These are:

  • Urine Testing: 2-7 days after last dose
  • Blood Testing: 24-48 hours after use
  • Saliva Testing: Up to 2 days after use
  • Hair Follicle Testing: Up to 90 days after the last dose

How long does Suboxone stay in your system?

Suboxone can stay in your system for up to 14 days, depending on a number of factors, including metabolism, liver function, dosage and duration of use, and overall health. Buprenorphine has a long half-life, which influences the amount of time it stays in the body.

Suboxone detox is a crucial component of addiction treatment for those with opioid use disorder, including Suboxone addiction. Finding the right support and treatment is essential to overcome addiction and embark on a path to long-term recovery.

Scottsdale Detox is here to help you navigate the challenging process of medical detoxification. If you or someone you know is struggling with addiction, let us help you. Contact our team today and embrace sobriety.

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