You should feel a little better or about the same after you take each dose. Take your first dose 2 mg and wait 1 hour. It will take 30 to 45 minutes for the medicine to start working. About 1 hour after your first dose, check to see how you feel. If you feel better, about the same, or not much worse, take your second dose. Wait at least 1 hour after the fifth dose before you take your sixth dose. This is your final dose until your community clinic appointment. Bring this handout to your next day follow-up appointment.
To see this information online and learn more, visit MyHealth. Care instructions may be adapted by your healthcare provider. If you have questions about a medical condition or this instruction, talk with your doctor or appropriate healthcare provider. It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Main Content.
Important Phone Numbers. Top of the page. Before you take your first dose, wait at least: 12 hours since you last used a short-acting opioid fentanyl, heroin, crushed OxyContin, Percocet. First dose Take your first dose 2 mg and wait 1 hour. A general rule of thumb to avoid precipitated withdrawal is to wait until opioid withdrawal symptoms start, as this typically means the drug has mostly left your bloodstream.
Buprenorphine has a long half-life, generally staying in the system for at least 24 hours, as well as a ceiling effect, meaning that after a certain point you will cease to receive any benefit from taking it. This can create quite a shock and may be very uncomfortable. The naloxone in Suboxone is a partial opioid antagonist as well, which is often used to reverse opioid overdose side effects and can also cause precipitate withdrawal.
This part of Suboxone is more of an abuse deterrent, preventing potential diversion and abuse. Mixing alcohol or other drugs with Suboxone may also cause precipitated withdrawal. It is important to be honest about your last dose of an opioid drug when seeking treatment for opioid abuse as well. Suboxone is effective for use starting in early withdrawal, during what is called the induction phase of medically assisted opioid addiction treatment.
When used as directed, and at the right point during treatment, Suboxone can be a very effective tool for managing opioid withdrawal symptoms and cravings. Generally speaking, the more physically dependent someone is on a drug, the longer it may take for the drug to leave their system, which means they might take Suboxone too soon and suffer from precipitated withdrawal.
Precipitated withdrawal symptoms may be more intense and have a much faster onset than regular opioid withdrawal. Symptoms of both withdrawal and precipitated withdrawal may include:. Being aware of these symptoms is a good way to help your doctor, or the medical professional guiding you through addiction treatment, to identify the right time to start Suboxone.
The timing of when to start, and take, Suboxone will vary greatly from person to person. Recognizing the psychological and flu-like physical symptoms that may indicate that withdrawal has started may be the best indicator that the opioid is leaving your bloodstream and that medication-assisted therapy can safely begin. The compassionate and highly trained, Futures Recovery Healthcare team strives to provide education, support, and behavioral therapies in conjunction with medications at the proper times in order to promote a successful recovery from a substance abuse disorder.
Call today to learn about our specialized and effective treatment programs.
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