suboxoneBuprenorphine/naloxone

IMAGE SLIDE SHOW FOR: suboxone Buprenorphine/naloxone - Sl

suboxone Buprenorphine/naloxone - Sl Photo of Suboxone bottles and pills.

suboxone Buprenorphine/naloxone - Sl Suboxone (buprenorphine/naloxone) 8

Prescription Drug Information, Side Effects & Interactions for suboxone Buprenorphine/naloxone - Sl

Uses
Suboxone is used to treat narcotic (opioid) dependence. It works by preventing withdrawal symptoms, since the buprenorphine is actually a type of narcotic (opioid) itself. It should be used as part of a complete narcotic dependence treatment plan.

Storage

Store at room temperature - 77 degrees F (25 degrees C) away from light and moisture.
Brief storage between 59-86 degrees F (15-30 degrees C) is permitted.
Do not store in the bathroom.
Keep all medicines away from children and pets.

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately.
Symptoms of overdose may include: excessive drowsiness, severe dizziness, very slow, shallow breathing.

suboxone Buprenorphine/naloxone - Sl SUBOXONE

How To Use

Place Suboxone under your tongue and let it dissolve completely.
Buprenorphine/naloxone is usually given daily during your medical treatment maintenance period, after a short period (induction) of using buprenorphine.
Suboxone comes with a patient information leaflet.
Read it carefully.
Ask your doctor, nurse, or pharmacist any questions that you may have about Suboxone.
Do not swallow Suboxone, as it will not be as effective if it is swallowed.
If you are prescribed more than one tablet each day, you may place all of the tablets under your tongue at once.
If this is not possible, then you may place two tablets at a time under your tongue, until they all have dissolved.
Use Suboxone exactly as prescribed.
Do not increase your dose, take it more frequently or use it for a longer period of time than prescribed.
Also, if used for an extended period of time, do not suddenly stop using Suboxone without your doctor s approval, or withdrawal symptoms may occur.
Use Suboxone regularly in order to get the most benefit from it.
To help you remember, use it at the same time each day.
Do not inject ( shoot up ) buprenorphine/naloxone.
Injecting it is dangerous, and you likely will have severe withdrawal symptoms (see Side Effects section) due to the naloxone in Suboxone, especially if you have been using narcotics such as heroin, morphine or methadone.
Consult your doctor or pharmacist for more details.
Buprenorphine/naloxone probably will cause withdrawal symptoms if you use it soon after using narcotics such as heroin, morphine, or methadone.
Follow your doctor s instructions for your treatment plan.

Side Effects

Drowsiness, dizziness, weakness, constipation, headache, nausea, or vomiting may occur.
If any of these effects persist or worsen, notify your doctor or pharmacist immediately.
Tell your doctor immediately if any of these unlikely but serious side effects occur: slow, shallow breathing, mental/mood changes (e.g., depression), stomach/abdominal pain.
Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: dark urine, yellowing eyes and skin, vision changes.
An allergic reaction to Suboxone is unlikely, but seek immediate medical attention if it occurs.
Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing.
Narcotic withdrawal symptoms include diarrhea, severe mental/mood changes (such as anxiety, irritability, trouble sleeping), muscle stiffness or shakiness.
If such symptoms occur, notify your doctor or pharmacist immediately.
If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

Before using Suboxone, tell your doctor or pharmacist your medical history, especially of: lung disease, liver disease, serious head injury or brain diseases (lesions), low thyroid problems (hypothyroidism), adrenal problems (Addison s disease), psychiatric problems (toxic psychosis), difficulty urinating (enlarged prostate or urethral narrowing), acute alcoholism (with or without delirium tremens), spinal problems (kyphoscoliosis), gallbladder (biliary tract) disease and other abdominal conditions, any allergies.
Suboxone may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery.
Avoid alcoholic beverages.
To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position.
Caution is advised when using Suboxone in the elderly because they may be more sensitive to the effects of Suboxone, especially the possible decreased breathing and drowsiness effects.
Suboxone should be used only when clearly needed during pregnancy.
Discuss the risks and benefits with your doctor.
Suboxone passes into breast milk.
Due to the potential risk to the infant, breast-feeding while using Suboxone is not recommended.

Missed Dose

If you miss a dose, use it as soon as you remember.
If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
Do not double the dose to catch up.

Drug Interactions

Before using Suboxone, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: MAO inhibitors (e.g., furazolidone, linezolid, moclobemide, phenelzine procarbazine, selegiline, isocarboxazid, tranylcypromine), drugs which decrease liver metabolism (inhibitors of cytochrome 3A4 enzymes such as itraconazole, ketoconazole, erythromycin, clarithromycin, ritonavir, indinavir, saquinavir), local anesthetics (e.g., bupivacaine), sedative drugs (benzodiazepines such as diazepam, lorazepam).
Deaths have occurred when buprenorphine/naloxone has been misused, especially when used in combination with benzodiazepines (e.g., diazepam, lorazepam) or other depressants such as alcohol or additional narcotics.
Also report the use of other drugs that cause drowsiness such as: medicine for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., temazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine).
Do not start or stop any medicine without doctor or pharmacist approval.