Suboxone Detox Managing Symptoms and Withdrawal

Suboxone detox plays a vital role in the recovery journey for individuals struggling with opioid addiction. Healthcare providers frequently use Suboxone (a combination of buprenorphine and naloxone) as part of a medically supervised detox for those with opioid use disorder. Although misuse of buprenorphine declined among adults with opioid addiction from 2015 to 2019, the potential for dependency on the medication still exists.

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

With prolonged use, some individuals may develop a tolerance to Suboxone, needing higher doses for the same effects. Dependence can also occur, leading to withdrawal symptoms when the medication is reduced or stopped.

How Does Suboxone Work?

Suboxone binds to the same brain receptors as opioids but activates them at a lower intensity. This helps ease cravings and withdrawal symptoms, making it an effective aid in addiction recovery.

Is Suboxone addictive?

Suboxone has the potential for addiction. While it is prescribed to treat opioid dependence, it contains buprenorphine—an opioid itself—which can lead to misuse. Several factors contribute to Suboxone abuse, including:

  • Improper use or mixing with other substances
  • A history of opioid addiction
  • Underlying mental health conditions
  • Insufficient medical supervision during treatment

Signs of Suboxone Addiction

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Increasing Tolerance

An early indicator of Suboxone addiction is increasing tolerance, where individuals need higher doses over time to experience the same effects.

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Craving and Obsession

Individuals addicted to Suboxone may develop obsessive thoughts about the medication and experience strong cravings.

Neglecting Responsibilities

Suboxone addiction can result in neglecting daily responsibilities, such as work, relationships, and self-care.

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Withdrawal Symptoms

Reducing or stopping Suboxone use can trigger withdrawal symptoms like nausea, anxiety, and muscle aches.

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Like any medication, Suboxone can cause side effects. However, not everyone will experience them, and their severity can vary from person to person. 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?

While it is possible to overdose on Suboxone, the risk is lower compared to other opioids like heroin or oxycodone. This is due to Suboxone’s “ceiling effect,” meaning it can only activate the brain’s opioid receptors to a certain point, limiting the risk of overdose.

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 involves gradually tapering off the medication under medical supervision. This process helps the body adjust to lower doses, eventually leading to full abstinence from the drug.

Preparing for Suboxone Detox

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Assessment and Evaluation

Before starting Suboxone detox, it’s essential to undergo a comprehensive assessment by a medical professional. This includes evaluating the individual’s medical history, the extent of their addiction, and any co-occurring disorders.

Choosing the Right Treatment Center

Choosing the right treatment center for Suboxone detox is crucial. A reputable center will offer medical supervision, psychological support, and a well-structured plan to safely taper off Suboxone.

Setting Realistic Expectations

Suboxone detox is not a “cold turkey” method. Instead, it involves a gradual reduction of the medication to lessen withdrawal symptoms and reduce the risk of relapse.

Phases of Detoxification

In this phase, patients gradually switch from their regular opioid dose to a suitable Suboxone dosage. Medical supervision is crucial to minimize the risk of overdose and ensure a safe transition.

During this phase, patients stay on a stable Suboxone dose to help their bodies adjust. Managing cravings is a key focus to support recovery and prevent relapse.

In this phase, the Suboxone dose is gradually tapered down until the patient is completely drug-free.

Life After Detox

Recovery doesn’t stop at detox. It’s essential to transition into a comprehensive treatment plan, such as inpatient or outpatient rehab, to address addiction fully. These programs offer therapy, support groups, medication-assisted treatment (MAT), and aftercare to promote long-term success.

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Suboxone withdrawal is the collection of symptoms that occur when a person stops using the medication. These symptoms indicate that the body is adjusting to the absence of Suboxone and is no longer dependent on it.

Common Symptoms of Suboxone Withdrawal

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Nausea and Vomiting

Nausea and vomiting are common symptoms experienced during Suboxone withdrawal.

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Muscle Aches

Muscle aches and pains are frequent during Suboxone withdrawal, often feeling similar to severe flu symptoms.

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Anxiety and Restlessness

Anxiety and restlessness are common experiences during this stage of withdrawal.

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Insomnia

Sleep disturbances or insomnia can be challenging, but they are only temporary.

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Sweating

Excessive sweating, particularly at night, is a common withdrawal symptom.

Mood Swings

Mood swings, such as irritability and depression, are frequently experienced during Suboxone withdrawal.

How long does Suboxone withdrawal last?

The length of Suboxone withdrawal can vary from person to person. It usually peaks within the first 72 hours and improves gradually over one to two weeks. While the withdrawal process can be uncomfortable, it is generally not life-threatening. It’s essential to seek medical guidance to manage withdrawal safely and avoid attempting to go through it alone.

The Suboxone withdrawal timeline can differ from person to person, influenced by factors such as dosage and the length of use. Here’s a general timeline:

  • Suboxone withdrawal symptoms usually begin within the first 12 hours.
  • Early signs can include anxiety, restlessness, muscle aches, and intense cravings for the medication.
  • Nausea, vomiting, and diarrhea may also occur during this time.
  • The initial phase, known as the “acute” phase, can be particularly intense as the body begins to adjust to the absence of Suboxone.
  • 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 (PAWS), which includes lingering withdrawal symptoms that can persist for an extended period. These symptoms can include mood swings, insomnia, and cravings. Medical professionals can provide support and treatment to help manage PAWS and aid in recovery.

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Suboxone’s half-life can vary based on several factors, typically ranging from 24 to 42 hours. However, it may take multiple half-lives for the drug to be fully eliminated from the body.

Suboxone can be detected through various testing methods:

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

How long does Suboxone stay in your system?

Suboxone can remain in your system for up to 14 days, depending on several factors such as metabolism, liver function, dosage, duration of use, and overall health. Buprenorphine, one of the main components of Suboxone, has a long half-life, which contributes to the extended amount of time it stays in the body.

Suboxone detox is a vital part of addiction treatment for individuals with opioid use disorder, including Suboxone addiction. Finding the right support and treatment is key to overcoming addiction and starting the journey toward long-term recovery.

Mesa Detox is here to support you through the medical detox process. If you or someone you know is battling addiction, reach out to our team today and take the first step toward embracing sobriety.

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