Why do you have to put Suboxone under your tongue?

Suboxone is a medication designed to be taken sublingually, or underneath your tongue. Buprenorphine, the active ingredient in Suboxone, is better able to have an effect if it is dissolved this way rather than taken orally (swallowed).
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Is it better to put Suboxone on cheek or under tongue?

Buprenorphine/naloxone (Suboxone) is best absorbed under the tongue or sometimes inside the cheek because it is more “bioavailable”. This means that more of the medication can enter the system by dissolving through the tissues of the mouth than it can by being digested in our acidic stomachs.
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Why do you have to hold Suboxone under your tongue?

Suboxone should stay under the tongue until the entire film fully dissolves. Chewing, moving, and swallowing Suboxone is not advised because less medication will be absorbed into the bloodstream — meaning it won't work as well and could result in withdrawal symptoms.
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How long do you have to keep Suboxone under your tongue?

Provide patients with the following information. Place buprenorphine-with-naloxone sublingual film under the tongue and keep it there until completely dissolved (4–8 minutes on average). Do not swallow, chew or move the film after it is placed under the tongue, as doing any of these makes the medicine less effective.
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Why should you not swallow Suboxone?

If swallowed, the medication does not get absorbed into the blood stream via the stomach or intestines. This is the reason the manufacturers combined naloxone with buprenorphine. Quite simply, it is to prevent people from crushing the tablets and injecting them.
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Suboxone® (buprenorphine and naloxone) for Chronic Pain



What is the Suboxone spit trick?

Place the medication under your tongue, do not smoke, talk, drink, eat or chew and sit with your mouth closed and tongue placed over the medication. It can take between 5 – 15 minutes for Suboxone to dissolve.
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What happens if you swallow Suboxone instead of sublingual?

Nothing will happen if you swallow Suboxone. The stomach and small intestine do not absorb buprenorphine well, so you won't experience euphoric effects or relief from withdrawal symptoms. Suboxone should only betaken as prescribed. Suboxone is a medication designed to be taken sublingually, or underneath your tongue.
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Do you swallow the spit from Suboxone?

If residue is left in your mouth from a Suboxone dose, you can either spit it out or swallow it. Suboxone has helped thousands of people overcome opioid addiction with a simple daily sublingual strip that dissolves under the tongue.
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Can Suboxone make you tired all the time?

Yes, Suboxone can make you sleepy. Drowsiness, fatigue, and sedation are commonly listed side effects of Suboxone and other buprenorphine-containing medications. This is because Suboxone activates the brain's opioid receptors, and all opioids have the potential to cause sleepiness.
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How do you maximize Suboxone absorption?

To help increase Buprenorphine/naloxone (Suboxone) absorption, when you place your film or tablet under your tongue, make sure you keep it in place until it is fully dissolved - this can take several minutes. Try not to move it around in your mouth before it is fully dissolved. Do not chew or swallow it.
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Where is the best place to put a Suboxone strip?

SUBOXONE FILM should be held between 2 fingers by the outside edges of the film. The films are taken sublingually and/or buccally. This means that you place the film under your tongue and/or inside either cheek and allow it to dissolve, which may take between 4 and 8 minutes.
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How many Suboxone can you take a day?

The recommended starting dose in adults and adolescents over 15 years of age is two Suboxone 2 mg/0.5 mg. This may be achieved using two Suboxone 2 mg/0.5 mg as a single dose, which can be repeated up to twice on day 1, to minimise undue withdrawal symptoms and retain the patient in treatment.
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What's the highest mg of Suboxone?

Suboxone
  • Target dose: 12-16 mg/4 mg buprenorphine/naloxone SL as a single daily dose.
  • Range: 16-24 mg buprenorphine component; not to exceed 32 mg/day.
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Does Suboxone help with pain?

Suboxone is a partial opioid used to treat opioid addiction and chronic pain that contains a combination of two components: Buprenorphine — mild opiate analgesic that helps treat moderate pain.
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Can you take Suboxone right after you eat?

You shouldn't take Suboxone right after you eat. Instead, follow the 'Rule of 15' and wait 15 minutes before and after taking Suboxone to eat or drink.
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Does Suboxone rot your teeth?

FDA is warning that dental problems such as tooth decay, cavities, oral infections, and loss of teeth have been reported with buprenorphine medicines that are dissolved in the mouth to treat opioid use disorder (OUD) or pain.
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What can I take for pain if im on Suboxone?

Non-opioid options for pain relief while taking Suboxone
  • ibuprofen (popular brands include Advil, Motrin, Nuprin)
  • aspirin (popular brands include Bayer, Bufferin)
  • naproxen (popular brands include Aleve)
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What are the negative side effects of Suboxone?

Suboxone is not without side effects and withdrawal effects. Side effects of Suboxone may include dizziness or blurred vision, drowsiness, headache, back pain, tongue pain, numbness or tingling, increased sweating, nausea, vomiting, constipation, and insomnia.
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Does Suboxone make you gain weight?

Although Suboxone doesn't directly cause you to gain weight, it can cause water retention, which manifests as more-than-usual puffiness around the face, feet, and hands.
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How long does precipitated withdrawal last?

Usually, the symptoms will stop within several hours and could last as long as a day before subsiding. Naltrexone-induced precipitated withdrawals can begin in as little as a few minutes, and continue for up to two days.
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How do you know if you're not taking enough Suboxone?

For opioid use disorder, your Suboxone dose may be too low if you experience symptoms of withdrawal. Some common symptoms of withdrawal are a craving/desire to take opioid medications, anxiety, tremors, sweating, nausea/vomiting, abdominal cramping, and diarrhea.
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What medications can you not take with Suboxone?

Drugs that can have negative effects when taken with Suboxone include: Benzodiazepines, such as Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), Ativan (lorazepam) and Restoril (temazepam). When used improperly, they can result in slowed breathing or even death. Rifampin (a treatment for tuberculosis)
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What time of day should I take Suboxone?

Typically, your first dose of Suboxone will be in the morning. Most providers recommend starting with a 2 mg dose the first time. If you are still feeling withdrawal symptoms one to three hours after your first dose, you can take a second 2 mg or even 4 mg dose in the afternoon.
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What does Suboxone do to the brain?

Suboxone Blocks the “Opioid Effect”

When you use an opioid agonist, the drug activates a pain-blocking receptor in your brain, altering your perceptions of pain and releasing endorphins that mimic pleasure.
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How long does it take Suboxone to absorb?

Suboxone starts to work quickly—about 20 to 60 minutes after you take the first dose. The medication should reach peak effect around 100 minutes (1 hour and 40 minutes) after you take the first dose. Suboxone is a combination of the drugs buprenorphine and naloxone, and it's used as a treatment for opioid dependence.
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