uses
This medicine contains 2 medicines: buprenorphine and naloxone. It is used to treat opioid dependence/addiction. Buprenorphine belongs to a class of medications called mixed opioid agonist-antagonists. Buprenorphine helps prevent withdrawal symptoms caused by stopping other opioids. Naloxone is an opioid antagonist that blocks the effect of opioids and can cause severe opioid withdrawal when injected. Withdrawal is less likely when naloxone is taken by mouth, dissolved under the tongue, or dissolved on the inside of the cheek. It is combined with buprenorphine to prevent abuse and misuse (injection) of this medication. This combination medication is used as part of a complete drug abuse treatment program (such as compliance monitoring, counseling, behavioral contract, lifestyle changes). Ask your doctor or pharmacist if you should have naloxone available to treat an opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it.
How to use sublingual Suboxone
Read the Medication Guide provided by your pharmacist before using this medication and each time you get a refill. This medication may dissolve under the tongue or dissolve on the inside of the cheek. Follow the instructions of your doctor. Learn how to use this medication correctly. If you have any questions, ask your doctor or pharmacist.
Use this medication as directed by your doctor, usually once a day. Drink some water to moisten your mouth before use. This helps the film dissolve. With dry hands, open the foil packet just before use and place the medication film under your tongue or inside your cheek. Hold the film in place until it completely dissolves. Do not talk, swallow, chew, or move the film after placing it under your tongue or on the inside of your cheek, or it will not work as well.
If you are prescribed more than one film per day, place the second film under the tongue on the opposite side of the mouth or on the inside of the other cheek. Try not to let the films touch each other. If your doctor has prescribed a third film, place it under your tongue or on the inside of either cheek after the first 2 films have completely dissolved.
After the medicine has completely dissolved, take a large sip of water and rinse gently around your teeth and gums, and then swallow the water. This will help prevent problems with your teeth. Do not brush your teeth for at least one hour after using this medication.
Buprenorphine alone may be used instead of this medication for the first 2 days after stopping all other opioids. It is usually administered in your doctor’s office. Your doctor will then switch you to this buprenorphine/naloxone combination medication for maintenance treatment.
The dosage is based on your medical condition and response to treatment. Your doctor will adjust the dose until there are no withdrawal symptoms. Do not switch between sublingual tablets and film, as you may need a different dose if you switch. Do not increase your dose or use this medication more often or for longer than prescribed. Appropriately discontinue the medication when directed.
Use this medication regularly to get the most benefit. To help you remember, use it at the same time every day.
If you suddenly stop using this medication, you may have withdrawal symptoms (such as restlessness, watery eyes, runny nose, nausea, sweating, muscle aches). To help prevent withdrawal, your doctor may reduce your dose slowly. Withdrawal is more likely if you have used this medication for a long time or in high doses. Tell your doctor or pharmacist right away if you experience withdrawal.
Do not inject (“inject”) buprenorphine/naloxone. Injecting it is dangerous and will likely cause severe withdrawal symptoms due to the naloxone in this medication, especially if you have been using opioids such as heroin, morphine, or methadone.
Store this medication in a safe place to prevent theft, misuse, or abuse. If a child accidentally swallows this medication, get medical attention right away.
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