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Suboxone Pill Dosage form and Strength
Generic name: buprenorphine hydrochloride 2mg, naloxone hydrochloride 0.5mg
Dosage form: sublingual tablets.
DOSAGE AND ADMINISTRATION
The recommended starting dose in adults and adolescents over 15 years of age is one to two Suboxone 2 mg/0.5 mg. An additional one to two Suboxone 2 mg/0.5 mg may be administered on day one depending on the patient.
Administer Suboxone sublingual tablet sublingually as a single daily dose.
The dosage of Suboxone sublingual tablet should be progressively adjusted in increments/decrements of 2/0.5 mg or 4/1 mg buprenorphine/naloxone to a level that holds the patient in treatment and suppresses opioid withdrawal signs and symptoms.
The maintenance dose of Suboxone sublingual tablet is generally in the range of 4/1 mg buprenorphine/naloxone to 24/6 mg buprenorphine/naloxone per day depending on the individual patient. The recommended target dosage of Suboxone sublingual tablet is 16/4 mg buprenorphine/naloxone/day as a single daily dose. Dosages higher than 24 mg/6 mg are not advisable.
Suboxone sublingual tablets must be administered whole. Do not cut, chew, or swallow Suboxone sublingual tablets. Advise patients not to eat or drink anything until the tablet is completely dissolved. Suboxone sublingual tablet should be placed under the tongue until it is dissolved.
The tablets must never be swallowed but should be placed under the tongue and allowed to dissolve, which usually takes five to 10 minutes. The recommended starting dose is one or two tablets of Suboxone 2 mg/0.5 mg. The doctor may increase the dose depending on the patient’s response but the daily dose should not be higher than 24 mg buprenorphine. Once the patient has been stabilized, the maintenance dose may be reduced gradually and eventually treatment may be stopped.
-Always take Suboxone Pills exactly as your doctor tells you. Your doctor may change your dose after seeing how it affects you. Do not change your dose unless your doctor tells you to change it.
-Do not take Suboxone Pills more often than prescribed by your doctor.
If you are prescribed a dose of 2 or more Suboxone Pills tablets at the same time:
-Ask your doctor for instructions on the right way to take Suboxone Pills
-Follow the same instructions every time you take a dose of Suboxone tablets.
-Put the tablets under your tongue. Let them dissolve completely.
-While Suboxone is dissolving, do not chew or swallow the tablet because the medicine will not work as well. Visit Wikipedia for more information
Suboxone Pills Side Effects
Major side effects experienced by people taking Suboxone include any number of allergic reactions that result in swelling of the face, lips or tongue, impaired breathing ability, dizziness, inhibited swallowing reflex, pale yellowish coloring of the eyes and skin (jaundice), severe abdominal pain and cramping, cloudy to dark urine, continuous loss of appetite, mouth numbness, mouth redness, feeling drunk, trouble concentrating, mouth pain, disorientation, headache, flushing or redness of the skin especially on the face and neck.
-Drug withdrawal syndrome
-Swollen and/or painful tongue
-The inside of your mouth is more red than normal
-Intoxication (feeling lightheaded or drunk)
-Disturbance in attention
-Irregular heart beat (palpitations)
-Decrease in sleep (insomnia)
Tell your doctor about any side effect that bothers you or that does not go away.
Suboxone pill is contraindicated in persons with a history of hypersensitivity to buprenorphine or naloxone. Suboxone pill is contraindicated in cases of bronchospasm, angioneurotic edema, and anaphylactic shock. Suboxone pill is contraindicated in patients with benign prostatic hypertrophy, hallucinations, adrenal problems, such as Addison’s disease, difficulty urinating, any type of lung or breathing problem, head injury, gallbladder disease, Kidney, liver, thyroid, or lung disease.
Do not take Suboxone if you are allergic to buprenorphine or naloxone.
Suboxone Warnings and Precautions
- Suboxone pill can slow down or stop your breathing. You should never take larger doses of this medication than your doctor prescribes.
- Significant respiratory depression and death have occurred in association with buprenorphine, particularly when taken by the intravenous (IV) route in combination with benzodiazepines or other CNS depressants (including alcohol).
- Do not administer SUBOXONE sublingual film to patients with known hypersensitivity to buprenorphine or naloxone.
Suboxone may not be right for you. Before taking Suboxone, tell your doctor if you:
-Have liver or kidney problems
– Have trouble breathing or lung problems
– Have an enlarged prostate gland (men)
– Have adrenal gland problems
– Have Addison’s disease
– Have low thyroid (hypothyroidism)
– Have a history of alcoholism
Pregnancy: If you take Suboxone while pregnant, your baby may have symptoms of opioid withdrawal or respiratory depression at birth. Talk to your doctor if you are pregnant or plan to become pregnant.
Nursing: Suboxone can pass into your milk and may harm your baby. Talk to your doctor about the best way to feed your baby if you take Suboxone. Monitor your baby for increased sleepiness and breathing problems.