Suboxone

Remind patients of key points relevant to successful induction covered the day of induction. These include:

Related Resources: 
Description: 
This web page provides educational materials on buprenorphine treatment including information on different stages of treatment, patient stories, educational essays, and a glossary.
Source: 
The National Alliance of Advocates for Buprenorphine Treatment (NAABT)
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Patient Handouts: 
Tablets

Tablets

Sublingual buprenorphine tablets: A generic version of the combination buprenorphine HCl with naloxone HCl dihydrate tablet, similar to the combination sublingual tablets formerly marketed as Suboxone, is available in 2 mg and 8 mg strengths, both in 30-count bottles. The 2 mg tablet can be cut to yield 0.5 mg doses; the 8 mg tablet can be cut to yield 2 mg doses for precise dosing.

Related Resources: 
Description: 
Find the links to each buprenorphine formulation's medication guide here
Source: 
FDA
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Patient Handouts: 

Patient Handout: Buprenorphine or Naloxone Combination-What Does It Mean for You?

Description: 
This patient handout explains buprenorphine, its makeup, and how it works to treat withdrawal.

Buprenorphine/Naloxone Combination Film or Tablets -- What do They Mean for You?


Your physician has prescribed buprenorphine/naloxone combination tablets (generic or Zubsolv®*) or film (Suboxone®) for you. There are a few things you should know before you begin taking it.


What is buprenorphine?
Buprenorphine is a type of drug called an opioid, similar to heroin, methadone or Oxycontin®. Taking buprenorphine will prevent you from going into withdrawal and should stop you from craving other opioids.


What is naloxone?
Naloxone counteracts opioids --including buprenorphine. If you take naloxone while you have an opioid in your system, or if you are dependent on opioids and find that you go into withdrawal without them, naloxone can trigger withdrawal.


That doesn't make sense --why would my provider prescribe a drug which will send me into withdrawal?
Your buprenorphine/naloxone combination medication will not send you into withdrawal --provided you take them as your provider prescribes!


If you dissolve the tablets or film under your tongue, or if you accidentally swallow one, the naloxone will not affect you --your body breaks the naloxone down too quickly for it to take effect! However, if you inject a combination tablet or film, the naloxone will take effect. You will probably not feel anything from the buprenorphine, and you could go into withdrawal.

 

 

 

How Taken Buprenorphine Naloxone What you feel
Under the tongue (as directed)
  • Works properly
  • Broken down by the body
  • No withdrawal; reduced craving
Swallowed (accidental)
  • Broken down by body
  • Medicine will not work; you could go into withdrawal or feel cravings
Injected (abuse)
  • Blocked by naloxone
  • Blocks effects of opioids
  • You could go into withdrawal very quickly

 

 

 

*We are using brand names since there is a difference in the product that is not reflected in the generic name. We are not advocating one brand or the other.

Description: 
One-page handout that provides graphics and a description of the pharmacology of buprenorphine in layman's terms.
Source: 
The National Alliance of Advocates for Buprenorphine Treatment (NAABT)
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Patient Handouts: 
Description: 
Provides patients with an in-depth look at what to expect from buprenorphine treatment including preparing for treatment, urine testing, counseling, and effects on sleep and relationships.
Source: 
The National Alliance of Advocates for Buprenorphine Treatment (NAABT)
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Physician stage in practice: 
Description: 
Images of buprenorphine and buprenorphine/naloxone tablets and film, including Suboxone, Subutex, and generics from various North American manufacturers.
Source: 
Opiate Addiction & Treatment Resource
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Description: 
Prescribing information on Suboxone® sublingual film written by the manufacturers.
Source: 
Reckitt Benckiser
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Description: 
Abbreviated drug review of information relevant to making formulary decisions compiled by PBM. VA experts provided input to content. Manufacturer's information should also be consulted when prescribing buprenorphine/naloxone sublingual film.
Source: 
VHA Pharmacy Benefits Management Services, Medical Advisory Panel, and VISN Pharmacist Executives
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BupPractice.com Information About Getting Your Waiver

Description: 
This page provides answers to FAQs about submitting the waiver.
Submit Your Waiver Online!

You must submit this form if you plan on prescribing buprenorphine.

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Physician stage in practice: 
Description: 
PCSS-MAT provides ongoing mentoring programs aimed at improving providers confidence in treating opioid use disorder. The PCSS-MAT program is designed to assist providers in incorporating the use of medications for prescription opioid addicted patients in their practices. The mentoring program is available, at no cost to providers. PCSS-MAT mentors are a national network of trained providers with expertise in medication-assisted treatment and skilled in clinical education. Mentors provide support by telephone, email, or in person if logistically possible. (From the website.)
Source: 
SAMHSA
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Physician stage in practice: 
Description: 
Patient information sheet on buprenorphine plus naloxone sublingual film
Source: 
Reckitt Benckiser Pharmaceuticals
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Patient Handouts: 
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