Suboxone Withdrawal: What is Suboxone?

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Suboxone is a prescription medication used in the treatment of opioid addiction. It contains a combination of two active ingredients: buprenorphine and naloxone. It is typically administered under the tongue as a film or tablet. The medication is part of a comprehensive approach to opioid addiction treatment known as medication-assisted treatment (MAT), which combines medication with counseling and behavioral therapies to address the physical and psychological aspects of addiction. Suboxone is often prescribed in a controlled and supervised setting to support individuals in their journey toward recovery from opioid dependence. Despite its effectiveness, Suboxone can be addictive, and it produces similar withdrawal effects to other opioids if it is quit cold turkey. 

What Are Some Suboxone Withdrawal Symptoms? 

Suboxone withdrawal symptoms can vary in intensity and duration, and they may include:

  • Flu-like symptoms: These can include muscle aches, fever, chills, and sweating.
  • Gastrointestinal symptoms: Nausea, vomiting, diarrhea, and abdominal cramps are common during Suboxone withdrawal.
  • Mood changes: Anxiety, irritability, depression, and mood swings are possible withdrawal symptoms.
  • Insomnia: Difficulty falling asleep or staying asleep is a common withdrawal symptom.
  • Yawning and Runny Nose: Uncontrollable yawning and a runny nose are often reported during Suboxone withdrawal.
  • Dilated pupils: The pupils (black part) of the eyes may appear larger than usual.
  • Goosebumps: This is sometimes referred to as "gooseflesh" or "cold turkey."
  • Heart issues: Some heart issues include increased heart rate and blood pressure
  • Psychological symptoms: These symptoms include anxiety, irritability, restlessness and changes in mood.
  • Difficulty concentrating: Difficulty concentrating is another commonly reported symptom.
  • Drug Cravings: Craving Suboxone is another common symptom.

These are some of the effects of Suboxone withdrawal. Attempting to stop Suboxone use without proper medical guidance can be quite risky. Stopping cold turkey may lead to severe withdrawal symptoms or relapse into opioid use. If you or a loved one suffer from Suboxone abuse or withdrawal symptoms, please reach out to us at Avenues Recovery so we can guide you on your road to recovery.

When Does Suboxone Withdrawal Start? 

Withdrawal from Suboxone can start at different times depending on various factors such as the individual's tolerance, the duration of Suboxone use, and the dosage. Withdrawal symptoms from Suboxone may begin within 24 to 72 hours after the last dose. It's important to note that the withdrawal timeline can vary from person to person. Additionally, individuals who have been using Suboxone for an extended period or at higher doses may experience a more prolonged withdrawal process. 

How Long Does Suboxone Withdrawal Last? 

The duration of Suboxone withdrawal can vary from person to person, and it depends on factors such as the individual's overall health, the length of time they have been using Suboxone, the dosage they were taking, and their method of discontinuation. Even though Suboxone is commonly used to help individuals taper off opioids, withdrawal symptoms can still occur when discontinuing its use.

Suboxone Withdrawal Timeline 

Time Frame

Details

0- 48 hours

Withdrawal symptoms typically begin within the first 12- 48 hours after the last Suboxone dose.

72 hours

Withdrawal symptoms peak around 72 hours after discontinuation.

Up to one week

Muscle aches, mood swings, and insomnia.

One Month

Cravings may begin. These will lessen over time.

Weeks or Months

Some people may experience post-acute withdrawal syndrome (PAWS) with milder symptoms for weeks or months.

 

What Is the General Treatment for Suboxone Withdrawal?

The first step of Suboxone withdrawal treatment begins with tapering. A gradual tapering of the Suboxone dosage is often recommended. Tapering is a way to reduce the dose slowly over a period of time to minimize withdrawal symptoms. Tapering allows the body to adjust gradually to lower levels of the medication. 

Withdrawal from Suboxone should be done under the supervision of a healthcare professional, such as a doctor or addiction specialist. They can monitor the process, adjust the tapering schedule as needed, and provide support. Medications like clonidine, benzos, anti-inflammatories, anti-diarrheal medication, anti-emetics and anti-depressants can be prescribed to manage withdrawal symptoms like anxiety, sweating and runny nose. Supportive care, such as adequate hydration, nutrition, and rest, is also essential during withdrawal. 

Other treatments for Suboxone withdrawal include:

How Can I Cope With Suboxone Withdrawal Symptoms?

Here are tips on how to cope with Suboxone withdrawal symptoms:

Medical Supervision:
Withdrawal symptoms can be intense, and it's important to have medical supervision. A healthcare professional can monitor your condition and provide appropriate interventions. 

Gradual Tapering:
If possible, work with your healthcare provider to create a tapering plan. Reduce the dose of Suboxone gradually to help minimize withdrawal symptoms. 

Hydration and Nutrition:
Stay hydrated and maintain a healthy diet. Proper nutrition can support your body during the withdrawal process. 

Rest and Sleep:
Get plenty of rest. Your body needs time to recover, and adequate sleep can help with physical and emotional well-being. 

Support System:
Surround yourself with a supportive network of friends, family, or a support group. Having people to talk to and lean on can be crucial during this challenging time. 

Exercise:
Engage in light exercise if possible. Physical activity can help improve your mood and reduce anxiety. 

Distraction Techniques:
Keep yourself occupied with activities that you enjoy. This can help distract your mind from withdrawal symptoms.

 Warm Baths or Showers:
Warm baths or showers can provide relief for muscle aches and pains associated with withdrawal. 

Over-the-Counter Medications:
Consult your healthcare provider before using any over-the-counter medications, as some may interact with Suboxone or exacerbate withdrawal symptoms. 

Mind-Body Techniques:
Practices such as deep breathing, meditation, or yoga may help manage stress and promote a sense of calm during your withdrawal period. 

Prescription Medications:
In some cases, your healthcare provider may prescribe medications to help manage specific withdrawal symptoms.

Start Your Suboxone Withdrawal at Avenues Recovery

If you or a loved one are suffering from Suboxone withdrawal, you don’t have to do this alone. Withdrawing from suboxone without the correct support, can be a frightening and uncomfortable experience. At Avenues we will provide you with complete physical and emotional support and guidance so that you can navigate your withdrawal in the best way possible. Our staff are experts in their fields and will stop at nothing to help you reach sobriety. Reach out to us at Avenues Recovery so we can guide you on your path to recovery.

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