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What Is Buprenorphine?
Buprenorphine belongs to a class of drugs termed opiate agonists. Like heroin and other drugs derived from morphine, buprenorphine contains chemicals that link with opioid receptors in the brain to reduce pain and produce feelings of well-being. Before it was approved for opioid addiction treatment, buprenorphine was prescribed for many years as a pain reliever. When it’s taken in the prescribed doses, buprenorphine replicates the actions of opioid drugs — only to a much lower degree.
How Can Buprenorphine Help Me in Recovery?
According to the Drug Policy Alliance, buprenorphine can be an effective component of an opioid addiction treatment program. When combined with behavioral modification and counseling, buprenorphine therapy may:
Help you stay physically comfortable while you’re in the early stages of recovery
Block your craving for heroin or other street opioids
Minimize your chances of having a relapse
Help you gradually and safely reduce your dependence on street drugs
What Is Subutex?
Subutex is the brand name for buprenorphine. Subutex is taken as sublingual tablets, which are placed under the tongue and allowed to dissolve. When it’s taken in the prescribed doses, Subutex usually does not generate the same level of euphoria, drowsiness or central nervous system suppression as street narcotics. Subutex isn’t intended to be taken on an as-needed basis; it must be taken under a certified doctor’s supervision and must be used as directed in order to produce the desired effects.
Some users have abused Subutex by crushing the tablets and snorting or injecting them to get a more powerful effect. When Subutex is injected intravenously or snorted in large doses, the drug can suppress your breathing and cause dizziness, confusion, unconsciousness and death, warns Drugs.com.
What Is Suboxone?
Suboxone is the commercial name for buprenorphine combined with naloxone, an opioid antagonist. Subutex was the first version of buprenorphine to be prescribed for opioid dependence. Suboxone was developed in response to a need to discourage users from abusing buprenorphine by injecting or snorting the drug to get high. Naloxone was added to the buprenorphine to keep the user from feeling the effects of the drug if Suboxone is injected.
When Suboxone is taken sublingually, you won’t feel the effects of naloxone. However, if you crush the drug and try to inject or snort it, the naloxone will block the pleasurable sensations that high doses of buprenorphine can produce. Suboxone has recently become available as a film, which reduces the potential for abuse even more.
Medication therapy with Subutex or Suboxone is only one aspect of successful rehabilitation. To get clean and remain abstinent, you need the best exclusive addiction treatment program that not only addresses the physical aspects of opioid dependence, but the personal, emotional and social ramifications of this disease.
What Are Subutex and Suboxone Used For?
Subutex and Suboxone are medications that are used to treat opiate (and opioid) addiction. Opiates are drugs derived from opium.
The term “opioid” once referred to synthetic opiates only, but now it is used to describe the entire family of opiates: natural, synthetic, and semi-synthetic. In practice, both opiate and opioid are used interchangeably.
Natural opiates include morphine, codeine, and thebaine.
Semi-synthetic opioids include hydromorphone, hydrocodone, and oxycodone (often known by the prescription drug name OxyContin), and heroin.
Heroin is the most widely used type of illegal opiate.
Both Subutex and Suboxone block the opiates’ effects on the brain, and both are used to help minimize and/or eliminate physical withdrawal symptoms and drug cravings
Why is Naloxone Added to Buprenorphine?
Even though buprenorphine doesn’t produce the same high as the other opiates, it can still be abused. Just as a desperate person can take large doses of cough medicine to get a codeine high, people can take too much buprenorphine.
If users inject or snort significant quantities of Subutex (100% buprenorphine), they may feel extremely dizzy and confused, struggle to breathe, lose consciousness, or die. The drug can be abused, and can have dire effects.
That’s why naloxone is added to Suboxone: to keep people from abusing buprenorphine.
Naloxone works as an what’s known as an “opiate antagonist.” This means it fills opiate receptors in the brain but doesn’t activate them.
Subutex (100% buprenorphine), on the other hand, fills and activates the opiate receptors in the brain.
Due to this decreased risk of abuse and diversion, doctors tend to prescribe Suboxone for continuing use and take-home prescriptions.