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Drug Addiction Treatment: Suboxone & Subutex

Jaclyn is an avid reader and writer from New Jersey who loves life and indulges in all it has to offer.

Bottle of Suboxone sublingual tablets

Bottle of Suboxone sublingual tablets

Opiate Dependency Treatment

For a long time, methadone detox or methadone maintenance, coupled with Narcotics Anonymous meetings, was the only way to treat drug abuse long-term on an outpatient basis. Clients with a bed at an inpatient rehab facility, however, had access to a variety of methods and medications, including Buprenorphine.

Buprenorphine hydrochloride, commonly known as Buprenex, is an injectable analgesic that has been used for the treatment of opiate addiction since the 1980s. Buprenex is effective on any opiate (heroin, oxycodone such as Oxycontin and Percocet, hydrocodone such as Vicodin, morphine, oxymorphone, fentanyl) whether it is smoked, taken into the body intranasally or taken in through intravenous mainlining. Due to the fact that it needed to be directly injected into the bloodstream in order to be effective, it has been unavailable for doctors to prescribe to clients on an outpatient basis or for methadone clinics to offer to their outpatients as an alternative to methadone.

Enter Suboxone and Subutex. In October 2002, the FDA approved these buprenorphine-based medications for release in the United States. Although also intended for use at inpatient facilities, the breakthrough was the FDA allowing Suboxone to be prescribed by federally approved doctors and psychiatrists and allowing pharmacies to fill these scripts. The reason for the change in procedure was that Suboxone and Subutex took a high dose of Buprenorphine and condensed it into a small 2 mg or 8 mg pill, which would be ingested sublingually by holding it under the tongue.

The Difference Between Suboxone and Subutex

The only difference between Suboxone and Subutex is that Suboxone contains naloxone, an opioid-receptor antagonist. It is commonly misunderstood that naloxone is put in Suboxone to block the effects of other opiates if the patient attempts to get high during treatment, and although this is certainly an advantage, the additive's main purpose is to prevent abuse of the drug. In order to begin Suboxone therapy, the patient must refrain from using opiates for at least 24 hours before beginning treatment. If someone is switching from methadone to Suboxone, it is recommended that he be at a methadone dose of 30 mg or less. If he does not refrain and is not in full-fledged withdrawal, or is not at the methadone minimum at the time of the first dose, the medication will precipitate even worse withdrawals as the medicine is administered. This is because naloxone (which is used by emergency response teams in cases of overdosing) attacks the drug by binding itself to any opiates present in one's system. Subutex, on the other hand, can be taken sooner, when only mild withdrawal is beginning and is often prescribed to pregnant women where full-fledged withdrawal can threaten the baby's life or cause miscarriage.

How It Works

When opiates are taken into the body, dopamine is released which produces a feeling of pleasure and euphoria. As the drugs wear off, the receptors which received the opiates are left empty, causing withdrawal symptoms to begin. The buprenorphine in Suboxone attaches to the empty receptors and stops them from feeling the pangs of craving and withdrawal. It is a partial opioid agonist, which means it completely halts withdrawal without producing the euphoria and unconsciousness that is counterproductive to a healthy, functioning lifestyle. At its best, buprenorphine also blocks other opiates from attaching to the empty receptors and does not allow a high to be felt.

Suboxone fills empty opioid receptors, thereby suppressing withdrawal symptoms

Suboxone fills empty opioid receptors, thereby suppressing withdrawal symptoms


Unlike methadone clinics, which require clients to come in every day to take their dose in front of nurses, after the first Suboxone/Subutex dose is monitored by a doctor in his office, a one-month prescription may be filled that will allow the patient to take the pill in the comfort of their own home. Although a 2 mg, 8 mg, or 16 mg dose can potentially last anywhere from 48 to 72 hours, almost all doctors instruct that it be taken every single day to ensure that a proper, active level of medication is running through the system at all times. One of the benefits of buprenorphine-based drugs is that they have a low ceiling effect, making it less likely for individuals to overdose on the medicine. Buprenorphine also has a limited effect on breathing, also making it less likely to induce overdose via respiratory distress.

Over 3.7 million Americans have either tried opiates or are currently addicted to them, but 400,000 of those suffering have successfully completed a buprenorphine program in the five years since it was approved for distribution in the United States. Although considered a "miracle drug" by the thousands who have escaped the grip of addiction through buprenorphine treatment, Suboxone and Subutex were primarily designed for, and are most effective on, those suffering from low-level opiate dependency. Those with a high degree of dependency may benefit best from a different form of treatment such as methadone maintenance. Below are some helpful links citing resources for the different types of addiction therapies.


This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.


John on August 10, 2020:

I took 1 8 mg Suboxone by mistake,how long will it show in urine?

Self Destructive on October 08, 2016:

I went on Suboxone in 2005 after 2 weeks in detox. By day 5 I was ready to leave, but I had insurance that thought 2 weeks was how long I needed to start working a program. In 2007 I as rear ended and my dr changed me to 4 - Non Generic SUBUTEX a day, 120 tramadol, & within 2 months I was supplying 4-5 people a month. We 5 who tried it I.V. lost 4 years of our lives. I managed to work 40 hours, was a care giver, and raising 2 sons. June of 2014 I cold turkeyed everything, lost a job of 8 years, and had had enough. I slipped once & couldn't believe what all was involved. I was shooting one 8mg subutex in 4ths, one a day. I cold turkeyed a 400 mg. oxycontin habit for a month, it was easy compared to the IV Subutex. I found a new job, had the shits for6 months, no energy. Now I am back on the tablets. the dr. feelgood I was seeing unknowingly killed 18 patients and no longer has a medical licence in Ohio.

Victoria Lynn65 on January 09, 2016:

To each and everyone that is taking suboxin to get off other drugs plese do yourselves a huge favor ans simply ween yourself off the drug you have been taking. By switching to another drug your just trading one evil for another and once you go into thise suboxin clinics and say i need help im addicted to pain pills there will be no going back. I have seen first hand what happens to someone that is being rushed into a ER and in a suboxin clinic. There is very little that can be done for you due to the fact that a doctor does not want to be sued for giving you narcotics while you are attempting to get clean. My friend was thrown from a vehicle which landed on her leg and upon arrival to the ER one of the staff pulled her name up on the computer nd there it was where she was in a suboxin clinic. She was given every pain reliever known to man but non narcotic and my friend suffered greatly. They finally gave her something in her IV and eventually she went to sleep. So if you really want to get clean you can do it on your own without the aide of other drugs.

Seems to be a great deal of surety that suboxin will not show up in a urine screen. Id sure like to know how it came up in mine during my yearly drug screen and not only mine but a neighbor of mine as well and i have never taken one of those things in my life

Tigger on January 09, 2014:


Addiction is not just taking a drug. It is taking a drug, ETOH, food or anything else that causes your life to become unmanageable. Taking Suboxone responsibly will help you manage your life.

If u take it like an addict then you r one. After 20yrs of addiction I have been clean for 7 bcus of Suboxone.

Addiction treatment no suboxone on October 05, 2013:

[URL=""]Addiction treatment no suboxone[/URL]

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Jen on September 04, 2013:

Been on subutex for 3 years after 5 years (any) pain pill addiction and then a 3 year methadone addiction. I was getting everything off the street. The only positive of the methadone addiction was that it helped me reduce the number of doses I took a day. Pain pills I was taking every couple of hours, but with methadone, I was able to take 2 doses per day. The subs have saved my life. My kids now have a better life. I have a new car now. I have a house. I have money. I exercise daily. I lost all the methadone weight plus some. I'm in the best shape of my life. However, now I want off the subs. I long for a life that does not include medicating myself daily. I want a chance to see if the old me is in here somewhere.

Becky on May 21, 2013:

I had a baby on subatex

kent on January 17, 2013:

if you are on suboxine you are still in active addiction. that's the way it is no if ands or buts about it.

martellawintek on December 03, 2012:

long time no see matt i shouldnt give it out but here is the contact

and some info , they have a deal on at the mo ,say mrs wintek put you on

colorado marijuana dispensaries on August 11, 2012:

Take it under the advice of your doctor.

Gary on June 27, 2012:

I am currently on subutex and was on suboxone and it saved my life and gave me the greatest gift of all it enabled me to be a father to my son who is my whole world ... oh and I know 100% fact don't get this twisted subs do NOT show up on any modern conventional drug screens.

brit on June 08, 2012:

no suboxen doesnt show up on a drug test as opiates so either ur still doin them or its still in ur system bc that makes no sense at all to me y it would show up as that..

Jaclyn Popola (author) from Florida on May 07, 2012:

Good luck to you!

K-Li on May 07, 2012:

Thanks.. I had chances at the clinic but my detox is half over and it's crazy but I actually feel a little better than before- still ddnt hit the worst part yet tho.. Trying to stay positive bout it. I think it's time for me to try and work my new found willpower- it's bc of methadOne I feel more comfortable going on Subs.. I tried it when I was using but I couldn't do it.. Now that I've been away from everything for a while. I think I'm ready to try taking Subs everyday.. Methadone isn't easy to take- it takes dedication I began going to a clinic an hour and half away from my house for a few mOns then they opened 1 in my town- but still it's everyday & harsh on the Tummy. So my advice is Try it All before Methadone- but it does work, I don't even thInk bout using & I NeveR thought that was possible- but it takes a long time.. Thanks for all the advice and I'll keep posting how I feel during the transition ;) Mayb it'll help some1 out

miss misty on May 06, 2012:

does anyone know how i can find a suboxone doc who accepts tenn care.i live in clinton tn and cant find a doc.ive researched and looked everywhere.none of them accept tenncare for the visit and i cant afford to pay the fee for the visit right now.

miss misty on May 06, 2012:

def have the experience.methadone clinic to suboxone to methadone to name it.been outa methadone clinic for 1 year now and looking back, the subutex was better for me i think its up to the individual.i was in the same shape came off 100mg in ten days to 0.i ended up in a 10 day detox center.the withdrawals were pretty bad im not gunna lie.i think the withdrawals from subutex are pretty bad careful taking the suboxone too close to the last time you took the methadone or it will send you into instant withdrawals! will be okay.the subutex or suboxone is cheaper per month and you dont have to drive it every day!its usually once a month which saves alota gas.good luck.

Jaclyn Popola (author) from Florida on May 06, 2012:

@K-Li: Is there any way you can talk to your counselor (or any other staff member you have a good rapport with), explain your circumstances, and give them a promise to pay by date? Have your UAs been clean and have you been compliant with treatment thus far? I was in the same situation several times and each time I was able to speak with my counselor, then the director of the clinic, and work out a payment plan since I'd always paid on time up til that point. Good luck and let me know what happens.

P.S. Going to a clinic an hour away and paying more per month is STILL worth it if it's your sobriety and recovery at stake. I know it's not the most optimal choice, but unfortunately it's sometimes the price we have to pay.

K-Li on May 05, 2012:

I'm Scared Shitless..I have been on a Methadone Clinic for about 2 years now and it helped me to get away from people, places and things.. But bc of payment I'm being discharged and it's a 10day detox from 125mgs to 0. I've been contemplating whether to go to a new clinic an hour away instead but it's $340 monthly.. Before Methadone I tried Subs to get off dope but it didn't work- but I was still in Using mode. I no longer think about Heroin but I am scared shitless of the withdraw of Methadone.. I need to know If Subutex will be good to switch to and not feel the intense withdraws. I know it's supposed to b oka- but I need advice from someone with Experience Only. Sorry but those without can guess as well as I can.. Subutex is 'Supposed to' be okay but I don't want to throw myself in a worse withdraw then I have to. Thanks to everyone- a lot of the posts help and Addicts learn most (good/bad) from fellow Addicts

brittany new on May 01, 2012:

i am trying to find a doctor to give me subutex not suboxone i cannot take them does anyone no any drs?

jd on March 29, 2012:

hi i am starting subox tomorrow morning and hope all eorks out for me been on opiates for about 10 years or so it is only reasently i have relized how much of a problems it has been in my home life trying to hide it all the time and stuff anyone got any advise i bought some 8 mg strips to start i hope they work well yjanks and have a bless day

Ladyjade on March 20, 2012:

Also meth hangs around in your system for days whereas heroin only lasts around 8-12hours. If you take subs straight from meth, wait as long as you possibly can, at least 18 hours. I was terrified of subs, had heard bad things and totally was prepared to fail. But they really work. They're the easiest opiate substitute to reduce and I don't look or feel like a junkie anymore - ppl don't know I'm an addict unless I tell them these days. I started on 16mg a day and am now on 4.8mg a day (been ten months.) It wasn't until I was really bad that I wanted to be clean bad enough to do it. But once you stop lying to yourself its actually pretty cool achieving a life rather than an existence :-) the best thing ever is waking up each morning not ill and not panicking about money and scoring, good luck everyone

Ladyjade on March 20, 2012:

I was prescribed subs straight from heroin gram+ a day and was well scared thanks to all the bs fellow junkies who have no interest in sorting themselves out fed me. I can promise you if it has been at least EIGHT HOURS from your last hit, you will be fine if you take the subs properly ie under your tongue. You can use gear on top of subs but it's pointless- however it won't make you ill. Taking subs straight after gear will make you ill

Ladyjade on March 20, 2012:

Drug tests for opiates (the mouth swab ones) test for 6-mam, this distinguishes between heroin and codeine so they can tell if it's actual smack. Also, if you have never had problems with iv use, or have kidney or liver problems, they will prescribe you subutex instead of suboxone. Subutex is injectable whereas suboxone isn't, which is why they dont like to prescribe it. Also suboxone only comes in 8mg and 2mg tablets, whereas subutex comes in 8mg, 2mg and 0.4mg so once you get down reducing to small amounts ie less than 6mg they will swap you to subutex.

savs on March 19, 2012:

I'm five months pregnant have been on methadone most of my pregnancy I have been out of town for two days its the weekend and im so sick. I called the doctor they didn't help much were kinda rude actually what can I do how can I get well I don't want my baby to be going thru withdrawl but I also don't want to have to use ever again

clean and free on March 10, 2012:

suboxin used CORRECTLY is help nd can detox u in as little as 5 days. Everyone as a story and mine is no different other than people posting negg things about the drug are the ones abusing it or not following directions. I hav been clean for 14 days after 3 years of opiates/oxys and its all due to subs

Patricia on March 08, 2012:


TheSherminator on March 07, 2012:

Also, the test for buprenorphine actually isn't that expensive as people say. Some people are going around saying that it costs so much that most employers and doctors don't do it unless absolutely necessary.

I found individual EMIT immunoassays for buprenorphine only for about $2 each. My doctor said he pays less than that for them by buying in bulk and by being a doctor prescribing Suboxone (like super cheap). Then they usually buy an additional 5 panel dip test for cheap, and occasionally other things such as oxycodone tests. Suboxone treatment doctors usually do a standard 5-panel along with oxycodone and buprenorphine.

If you do test positive for something during an employment drug test while using Suboxone legally and are truly not taking or being exposed to illegal drugs (prescription drugs used without prescription are the same as an illicit drug) and you are an existing employee, you have the right to request a confirmation test of the original sample, which are usually more accurate. Whether this will clear up the false positive or not, who knows; the drug testing lab makes money by saying their product is infallible, so they are going to resist ever having to say their test messed up to the people who they depend on for income, but they are SUPPOSED to.

If you are in pre-employment and have established a good relationship with your future employers and you get a false positive, stand firm but do not become defensive. You do not have the right to a confirmation test before employment, but try to offer to have the original sample confirmation tested at your own expense ($100-200). Explain to them that you take a medication that is chemically similar and can break down in the body to cause false positives. You don't have to explain why you take it or what it is for. Offering to pay that much for a better test shows that either you are certain there was a mistake or that you are very stubborn dummy. Because if you knew you had taken drugs illegally and offered to pay over $100 to have that fact confirmed, you're not really thinking straight.

TheSherminator on March 07, 2012:

Suboxone/buprenorphine definitely can help many people, but it depends on the person. In some it can cause very negative side effects which make taking the medication less beneficial, but usually still good. And of course there are still always the people who think it isn't working because it doesn't get them high, because, well, that's all they really know anymore. But if they used a little bit of sensibility and common sense they would realize the problem. You HAVE to want to get better for ANY kind of treatment to work, I don't give a crap what it is. And I don't mean the "I'm miserable so I guess I'll do it" kind of desire to get clean, but the "I'm miserable and I HAVE to change what I do right now and improve my life through whatever means necessary" kind of desire to get better.

There was some discussion about the issue of suboxone and drug tests. While it will still always depend on the person, considering we don't understand EVERYTHING about metabolization in the body, as a general rule buprenorphine does not metabolize into morphine in the body and as a result does not usually test positive for "opiates." HOWEVER, Suboxone also contains Naloxone. It seems there was a little bit of disagreement and discussion about this above, but regardless of what anyone says I can guarantee you that naloxone has the ability to create a false positive for "opioids" such as oxycodone.

Here is why:

While the bioavailability of naloxone is next to none is because it is largely not water soluble. This does not mean it is COMPLETELY insoluble, though. On the other hand, most opiates/opioids ARE soluble and thus can be absorbed sublingually. The usual company line is that naloxone CANT be absorbed orally, but this is basically bogus because when it comes to the gastrointestinal, even the most insoluble substances to some degree can be absorbed. So, while it may not be absorbed sublingually, it can definitely be absorbed intestinally to some degree. This was evidenced by a peer reviewed study that found 50% of unknowing subjects reported adverse effects common with introduction of naloxone into the bloodstream with buprenorphine after switching from Subutex. This was primarily in the high dosage range, but long term treatment also shows some negative effects. As for naloxone testing positive on an oxycodone EMIT immunoassay, a peer reviewed medical study found in Clinical Chemistry in 2009 reported that 69% of samples tested positive for the HEIA through the metabolites noroxycodone and noroxymorphone. Some cross-reactivity for oxycodone and opiates has also been reported with use of other prescription pain medicines such as hydrocodone.

So in short, 70% of the samples tested positive for oxycodone due to the presence of naloxone in the blood stream. Jenkins would later test actual Suboxone patients with similar results. He also said that increasing the cut off level of the immunoassay would reduce the false-positive rate from 69% to 5%, which is still obscenely high in any kind of "medical" test.

For those doubters, I tested this myself. I bought 3 identical 12-panel tests. I am a long term patient of Suboxone treatment since 2007 and have not taken any other controlled substances since 2007. I take 8mg/day. The first urine test was taken about 30 minutes after swallowing the medication, and it was a clear positive result for oxycodone. The half life of naloxone is usually 1-1.5 hours, and around 7 times that the drug is fully metabolized in a healthy, active patient. So I took the second test roughly 48 hours after no medication, and received a faint but clear negative on everything including oxycodone. The last test was conducted after taking medication but not swallowing it afterwards (I spit it out) for a couple of days, and the result was again a faint negative.

So you can see here that the problem is not the buprenorphine, which most people assume it is. Your enemy is the naloxone, which, despite very low bioavailability, can become present in the bloodstream through prolonged treatment at high doses and frequencies (including daily), regardless of what anyone says. The problem is that no doctor (including a Suboxone doctor) will have ever heard of this happening, care of hearing about it, or believe what you say. This includes MRO's who evaluate positive results in drug tests. They believe their training and knowledge is god and nothing can contradict it, so good luck convincing them otherwise. Your only chance would be to kindly explain you take a prescribed medication that is chemically similar and has been shown to cause false positives for oxycodone through a peer reviewed medical/chemistry/pharmacology journal article. The link to the data is here:

I suggest that just to play it safe and to possibly make yourself feel better anyways by limiting the possible effects of a minor naloxone counteraction in the body, JUST DON'T SWALLOW YOUR MEDICATION AFTER TAKING IT. Leave it in about 10 minutes, spit it out (politely/privately), then rinse your mouth with water and spit that out.

OffOfSubs.2weeks on February 21, 2012:

Hi everyone. I went cold turkey from 12mg a day 2 weeks ago. I was taking them for many years from a doc. He would give me my scripts and had NO Idea how this stuff really works. Just stop taking them. Theres no WD's. Youll be fine. 1st week really sucked. 2nd week is getting better. Tomorrow will be day 15. I have NO Energy and cant Sleep for anymore than a couple of hours a night. Anyone have any ideas or suggestion for sleep and and energy. Ive been clean for two week and Not going to a doc or rehab center. Ive made it this far and will finish this! Just looking for ideas. Thanks Jay

SHAH on February 21, 2012:

i want leave hereon without use any medicen coz i dun have purchase medice any plzz my brothers and sisters who left that dirty drugs slow poision

Plz help me

Rehab Dude on February 10, 2012:

Subutex IS a hell of alot better than Suboxone BUT YES they will both show up on a drug screen It shows up as Oxycodone because of how your body breaks down its ingridents BUT when it is sent to a lab it comes back as The Bemorphine how ever it is spelt

joey on February 05, 2012:

All the posts here inspired me to start a journal/blog about me starting to take suboxone. Check it out:

Please leave comments and check back every day or so... thanks!

Jaclyn Popola (author) from Florida on February 02, 2012:

@ daemoon - At this low of a dose of methadone, what's the point of switching over to Suboxone? Have you done well with your methadone decrease? I'm gonna tell you what my counselor told me when I wanted to switch from methadone to Suboxone at 7mg: if you've decreased your methadone this far (meaning successfully, without relapse or major withdrawals) then why mess with a good thing? Obviously your body adjusts as it should to methadone decreases, so it makes sense to stick with what's been working...?

Jaclyn Popola (author) from Florida on February 02, 2012:

@ Chelsea - You will go into IMMEDIATE and INTENSE withdrawal if you take Suboxone right now. You must abstain from opiates for at least 36 hours before taking Suboxone. You posted your question more than a day ago now, so chances are you've already found that out for yourself :\

daemoon on February 01, 2012:

Hey all, got myself down to 4mgs of methadone a day. didn't go to the clinic today. Instead i took a short acting opiate and plan on doing the same tomorrow. i Know this isn't the smartest path for an addict. What i am interested in is getting off the methadone. So if i continue this way how long is it advised that i wait until i take SUBUTEX not suboxone. Is it true i do not have to be in severe withdrawals. There seems to be alot of confusion on this subject. Anyone who knows the facts please comment. It will be greatly appreciated. To all others trying " Keep ya Head Up "

Chelsea on February 01, 2012:

so i got some subox film 8mg from someone(7 stips of them).I can end this nightmare right here and now. Yes I have legit prescription and all in all am prescirbed 160mg total daily btwn 0xy30mg and Percocet10/325 ea 4xday, but sick of worrying running out and no life left. Is it ok to just start w/the subox or do I NEED TO START W/SUBUTEX? I know someone who i witnessed take these things after a heroin relapse and he was thriving just fine from day 1 of taking the suboxone not subutex and tmrw he will hv been tapered off. He even seems to feel a little "good" if u ask me-much energy. I'm JEALOUS! So can anyone advise? again given what i take daily and what i have and what it is suboxone only. ANY INSIGHT HELPFUL will b greatly appreciated thank you and wish you all the best in recovery.

2yrsrecovering on January 30, 2012:

I lost everything I ever loved in my life because of my addiction. I was prescribed vicodin after a roll over car accident which damaged my back. Then as time went on was up to 60mg Oxys for a long acting med, and 10 mg oxycodones for short acting meds. I allowed my addiction to get out of control and take over my life. I did not take one pain pill by mouth. I had snorted each and every pill I got my hands on and I would have it no other way. I blame no-one but myself for becoming an addict. However, once it is said and done, how or why I became addicted is irrelevant at this point. After losing my kids, home, job, and my reputation, I chose to admit myself into detox. I had no idea they would give me Suboxone after being admitted. That was the best thing that could have happened to me at that point in my life. I now have my kids back, a home, transportation, an income, and am currently in college.

I have been on Suboxone for 2 years now. The reason I have stayed on this medication is because, it is very effective for pain control. Regardless of the fact I am an addict or not, I still need something to help with my pain, and if I had to choose between staying on Suboxone or going back on the Oxycontins, I choose Suboxone any day.

I was on probation as well, and the drug test they give here in Upstate New York, do not test for Suboxone. The test strips read, THC, Cocaine, opiate, oxycontin, barbituates, Benzos, etoh (alcohol), and amphetamines. If they wanted to test for Suboxone, they would have to have a dip stick that they dip into your urine and it will turn pink if you are positive for Suboxone. I had to do the Suboxone test with my CDC counselor and she did the tests right in front of me. I also asked her to explain how the Suboxone test works, so I know for a fact, Suboxone does not show up as an opiate, nor does it show up on a standard drug test, unless of coarse that particular drug test has a slot for Suboxone on it, and I have never seen a standard drug test with Suboxone included on it. The thing I would worry about is, if they have the Suboxone test at the facility you are going to be drug tested at, and if they will use it.

Amanda on January 25, 2012:

I have been addicted to opiates for14 years i currently on suboxone have been taking for 6 months and have been on drug court the same amount of time. Drug court wants me to go to 28/30 day impatient rehab and they want me off the suboxone. I cannot find a rehab that will take me because i am on the suboxone, and i personally don't want to stop taking the suboxone because i have been addicted for such a long time if anyone has any info that could help me pls. share thank you

Pillbilly on January 23, 2012:

Hello everybody, I'm from West Virginia and i've been dosing ope's for about 13 years now, i've tried to quit several times but i've had many failed attempts. For the longest time I was taking 10-15 percocet 10's or 20 percocet 5's a day orally and snorting them. I weened myself down to 4-6 a day, as if they were prescribed. I want it to be none at all but i'm afraid the subutex wont work, i've tried both suboxone and subutex and the suboxone makes me sick as hell. Subutex was about right but I hadn't been off opiates so I dont know how they actually work for me. Do they help with the back cramps and hot and cold flashes? upset stomache? mood swings...temper...confusion...all that jazz? I NEED HELP

bonehead76 from Ohio on January 23, 2012:

Can anyone please direct me to a Doctor that will prescribe the Subutex? I am severely allergic to Naloxone. I get hives, poison ivy like rashes, labored breathing and my tongue swells tremendously. I recently moved to Ohio. It seems that I am having a very difficult time, even with this condition, finding a Doctor that will prescribe me the Subutex. I've used "NAABT.ORG", "Suboxone.come" and checked other forums as well. Anyone that can help me would, at this point, be a God send. I will travel far if necessary. I am serious about recovery, just need a little help. My email address is:

Thanks everyone!

Clean4Three on January 21, 2012:

To aaronsgirl83. I think it was 83. Anyway. I gave birth on suboxine. And lost her.....Get on subutex. Now if possible. There is still the risk. My thoughts are with you. Please contact me.

Helen on January 18, 2012:

I was clean of heroin for almost a year, but recently used for a short period. I got myself a small habit so have been using subutex to get clean again. I've been taking about 3-4 ml a day for about 3 wks. I want to completely stop, can anyone

advise me if this sounds wise. I would drop slower, but I'm having to buy the subs off the and I can only get 8ml tabs. Thanks

damaged back on January 18, 2012:

I have severe chronic pain. I have to be be on strong narcotics just to move. I tried all the drug free options and other than costing alot of money, I did not get any real pain relief. Everyone is different when it comes to chronic pain. For myself narcotics ie; opiates allow me a better quality of life than alternative therapies, sobriety or anything else out there currently. To each one out there, whatever makes you happy.

Justin on January 14, 2012:

Saved my life marriage and family. FIND A DOC THAT WILL GIVE YOU THIS. I would be dead without it.

Take care, there is another side to life you an get it if u want it

JT REAL on January 09, 2012:

I want to share something that will have a lot of people disagreeing with....@ 4:30pm I dosed about 3mg sublingual suboxone under my tounge for the first time in a week and then a hr later my friend came over unexpected with 40mg opana...I was pissed because I thought for sure its just gonna be a waste for me to intranasal the opana......well I did 20mg and felt a tiny bit of it. then waited 2 hrs and did the other 20mg...immediately I felt high and got the nods as i would if i hD NOT TAKEN 3MG is it because the high strength of the seems that opana is strong enough to break thru sub and open opiate receptors right up.....has ne one done this before or maybe the oppisite has happened

katoton33 on December 04, 2011:

I failed to leave out however, that this is a wonderful article and Suboxone can and will save your life if your willing to quit. Just don't substitue one drug for another is all.

katoton33 on December 04, 2011:

Suboxone should not be taken for long periods of time, don't be fooled its a drug that will simply prolong your active addiction. I've been told the withdrawls from Suboxone mimic those of opiates, if not worse. Doctors would like you to take it as long as possible, as long as your paying them. It it simply meant to ease the detox process, so it should be taken about 5 days max. I recommend starting with 8 on the first day, then 6, 4, 2 and 2. This is just information I had explained to me and I'd like to help anyone I can. If you disagree thats OK too.

Tonio on December 02, 2011:

Scooter: Im sure Monday has come and gone by now and I am also sure that ur Doc did not 'kick u to the curb' for slipping once.. Trust me, they are USED to persons slipping up now n then.. its part of addiction.. What they want to see is that you are taking ur suboxone, using as little as poss during treatment and not selling ur suboxone (which is why they test to see it is in ur system). Plus, they just want their cash. Suboxone is a cash cow for those prescribing. My Doc seems to have no intention in sight in getting me off it.

LabTech on December 02, 2011:

Suboxone does NOT show up on standard Opiate drug panel tests whatsoever, UNLESS the panel is ALSO testing for suboxone, as SOME do.. MOST do not. Period.

romtome on December 01, 2011:

Hi everyone. I'm a disabled vet and I have been on all type of pain meds for the past 3 years. Getting pain meds from the VA is easier than getting into community college in Arkansas. Well for the past year I have been on 160-250mg of methadone daily and plus percs and weed. I know how to play the system. I have my own private insurance and VA insurance as well. So my monthly supply are well stocked. But I know this will eventually come crashing down on me. The other day I decided to end all this cycle of elicit drug use and call the suboxone doc. After my initial visit with him, I decided to go ahead and dose myself without being in mild to moderate withdrawal, boy was I wrong. I went into sever withdrawal within the 30 minute after my initial dose. It hurts so bad feeling so vulnerable, I decided to call for an ambulance so they can transport me to the ER. Soon I got there, I begged for methadone. So what I'm trying to say is do not bullshit your detox doctor cause you will just end up hurting yourself. I will give suboxone a try again once I'm out of methadone and goes into moderate withdrawal. Wish me luck. Did I mention that this damn meds is god awful expensive? I paid $200 and my insurance paid for $307=$507

romtome on December 01, 2011:

Hi everyone. I'm a disabled vet and I have been on all type of pain meds for the past 3 years. Getting pain meds from the VA is easier than getting into community college in Arkansas. Well for the past year I have been on 160-250mg of methadone daily and plus percs and weed. I know how to play the system. I have my own private insurance and VA insurance as well. So my monthly supply are well stocked. But I know this will eventually come crashing down on me. The other day I decided to end all this cycle of elicit drug use and call the suboxone doc. After my initial visit with him, I decided to go ahead and dose myself without being in mild to moderate withdrawal, boy was I wrong. I went into sever withdrawal within the 30 minute after my initial dose. It hurts so bad feeling so vulnerable, I decided to call for an ambulance so they can transport me to the ER. Soon I got there, I begged for methadone. So what I'm trying to say is do not bullshit your detox doctor cause you will just end up hurting yourself. I will give suboxone a try again once I'm out of methadone and goes into moderate withdrawal. Wish me luck. Did I mention that this damn meds is god awful expensive? I paid $200 and my insurance paid for $307=$507

lssmasters5 on December 01, 2011:

I am in my early 30 with 4 children,no friends,(due to pills,not being able to get out of bed most of the time), No family except my father,I have been disabled to due several car accidents,for a while now, I have been waiting four years now for Disability Help/Approval,I feel so tired,and of struggling all of the time,& most of all watching my children go through this. I pray so hard for day that I can truelly feel again & feel true joy & fun again with my children,I would give you my arm or leg just to have the oppertunity to go to a Truelly Great Facility like Florida detox Center & wellness Center,they help fix all of you mot just pieces.....I am presc.roxys & I am so ready to quit,though I need help, please.I am looking for someone near me in _____ Fl,that is also ready to get off of pain meds.we can help each other with the withdrawels,children & so forth..I thought If I had someone that Has the same goal near me & to lean on this process would go allot better,though maybe I am wrong! Because I will still be left which severe pain after off of pain meds,,thats why I woulld give anything to go to the Fl.Detox Place....Does anyone know about special funding or anything like that....I WISH I could afford to go to florida Detox Center(this was talked about on Dr.Phil)do you know they have a 90% success rate(WOW)& its a Rapid Detox without hardly any withdrawel,I wish,& pray for a miracle like this,(& for everyone who needs & deserves a chance at life,a fair ,fighting chance)....,also they help the underlying issues, & the main thing for me is my pain,I still need surgeries.It is so sad that If you are poor you are not offered these miracles,Why?

Scooter on November 19, 2011:

I have been on my suboxone for about a year now, and just had my first and only relapse on Oxycontin. I have to see my doc on Monday and I would like to be honest with him, but I'm really scared he is going to discontinue my treatment and not give me any more medicine. That being said, I will have really bad withdrawals from cold turkey. I immediately got back on track and haven't missed any sub doses and have been doing excellent with my treatment otherwise. This is a one time slip mistake. I could lie, but that isn't being honest, plus he has random drug screenings in the office. Better to just come out and tell him right? Any suggestions? Do you think in my situation he would kick me to the curb and say "bye bye".

Jaclyn Popola (author) from Florida on November 16, 2011:

Lisa, definitely keep me posted on your progress. You are not far at all from the Lake Worth clinic if you need help in the future. The director there, Clara Colon, and the counselor I used to have, Steve, (who is still there) are really wonderful.

lisalostinfla on November 16, 2011:

thanks to the one person who responded to my cries, who is becauseilive...thanks alot..I live in west palm beach..I did take the subetex like a dummy before I was in total detox and yes it did make me very sick and almost sucidal..I couldnt belive how sick I was a nightmare..I am finally clean for 3 days now and I just now feel a lil point I want to make to anyone out their is do not take the subetex or suboxone to soon you will regret it..wait thr 24 hrs at least..I wanted to bang my head on the wall..and I am not like that at all..thanks for thr info I have recieved here and I will be in touch...thanks

Jaclyn Popola (author) from Florida on November 14, 2011:

@lisalostinfla - Where in Florida do you live? Google "Central Florida Treatment Center", or check out their website at: They offer methadone maintenance, methadone detox, and also Suboxone. I can personally vouch for the Ft. Pierce and Lake Worth clinics, as I was a patient at both. Buying Suboxone off the street is NOT SMART, you will not know how to adequately dose yourself. Plus, you MUST GO 24-36 HOURS WITH NO OPIATES BEFORE TAKING YOUR FIRST DOSE OF SUBOXONE. Taking it while there are still opiates in your system can bring on extreme withdrawal. I do not advise doing this on your own.

I can sense that you are sick of the life you've been living and are at the end of your rope. Help is out there, you just have to reach for it. Good luck, keep me posted.

lisalostinfla on November 13, 2011:

first of all i will say i am very scared..i am addicted to roxys.30mg i take at least 30 a day..i went and bought subetex of the street..i want to take them but i havent read on hear about anyone with my high dosage..i am very depressed already and feel no high anymore...please give me feed back i have been doing this for 1yr now..i work a full time job but about to lose it all ..i am feeling very overwelmed lately..thanks..

shane on November 12, 2011:

I have been on suboxone now for for eight months. Completely saved my life! No other words to describe this medication . But. . . . . How can I get it cheaper? I pay 450 a month for 60 tabs. There has to be a cheaper way. No insurance companies will pay, I can't do welfare, coupons only save me 27 bucks. I'm thinking about asking my doctor to put me on subutex? It is only 120 bucks for 60 tabs,but I do t know if he will! Someone out there has an answer for me!!!!

Jaclyn Popola (author) from Florida on November 06, 2011:

@mmm - I have been waiting for someone to bring up Ibogaine. From what I have read, it looks pretty promising. Of course, it is totally illegal in the US, although I believe they are finally allowing research testing on it's therapeutic effects down in Miami. I watched a documentary on Netflix called "Facing the Habit" that was about Ibogaine. It was a little depressing, but I've seen other news stories that look more promising.

What do you think?

mmm on November 05, 2011:

What do you think about Ibogaine?

brandy on October 24, 2011:

what about people who really need pain meds have you dumb ass addicts every considered that some people need to take drugs addicted or not for pain. wake up

brsaw67 on October 23, 2011:

i have been on opiates for 11 years and i just got fed up with all that comes to being addicted to i have been getting suboxone off the steets for 2 weeks has gave me my life back and i have a appt.set to see a sub docter and i am not sure what to really say to ensure i get the suboxone.anybody out there that can talk me through what to say please comment asap because i have appt.tommorow.....................

Jaclyn Popola (author) from Florida on October 23, 2011:

@jeff - It depends what type of drug testing is being done. Methadone will not show up on a standard drug panel (like the kind used when drug-testing for employment). It will show up if you have to take a more extended drug test, which tests for more substances. If you are on a methadone clinic, they will always screen for "methadone metabolites" when they test you, which lets them know that you are taking your methadone (versus selling it).

I knew a guy who was on methadone maintenance at a clinic who figured out a way to use a friend's urine to give a sample instead of his own. When the results came back, his counselor called him into his office and was like, "Well, you tested negatively for everything." The guy said, "Okay so that's good, right?" "No," the counselor replied. "Because you tested negatively for everything, INCLUDING methadone." Smdh lol.

jeff on October 23, 2011:

does methadone show up on drug testing

Laila on October 22, 2011:

First off...WOW! There is a lot of mis-information on this page. Suboxone is a life-saver if taken properly, however, it can also be very addictive. If you're serious about getting clean, it's important you take it how you're supposed to and when your body natural starts to replenish the chemicals you've depleted from using, that's a good time to start weening yourself off VERY SLOWLY. Its unfortunate people also misuse suboxone, which attatches a horrible stigma to it, and makes it harder for people who are really serious about getting clean. For drug tests, it will not show up as an opiate. It will not show up on a 5, 8, 10, or 11 panel test. They would have to perform a comprehensive drug panel (testing for everything). It is not an opiate. It is buprenorphine. People who are afraid of failing tests...mostly likely the only way that's going to happen is at a hospital or if probation and parole spends the money to do the full comprehensive screening. Those are the facts. I was on OxyContin for 8 years, IV injecting it all within about 3-4 days. After it was gone, I would "fix" myself with atleast 6 grams of heroin a day. Clean for 2 years and one month now. I still have so many issues with seratonin loss and neuro-transmitter disconnection but I can take 1 8mg suboxone a day and feel normal. I love feeling normal. If your intention is to feel better than normal, you're not ready to face your addiction. Again, yay for people who are doing it the right way. Screw u people who misuse and give the drug a stigma. You're ruining more lives than your own.

Shelly on October 19, 2011:

I have been on suboxin for three years now. Tried to get off twice in last year. I get extremly deporessed to where can not function. Tried weaning in a month from 23 mlgs. Then weaning from 8 mlgs.a little longer,like 6 months. The physical can deal with. Depression cant.Am on it still. Want off. I sweat all the time like withdraw even on it anymore. Is there a rehap or detox lasting longer than 3 days? Sick and tired of being sick and tired!

Jaclyn Popola (author) from Florida on October 13, 2011:

@ConDawg - It is true that on an adequate dose of Suboxone you should not feel the physical need for any other opiates whatsoever. However, there is an induction period before starting Suboxone treatment (which hopefully your doctor explained to you) - you have to abstain from taking any Percocet for about 24 hours before you take the first Suboxone. I'd be interested to know about your experience after today! Good luck.

ConDawg on October 12, 2011:

I am going to see a Dr. tomorrow for Suboxen. I have been on percocet10mg and percocet 5mg for about 5years and i take about 10-15 pills a day. I really want to quit, I have tried before so many times but I got sick i felt like my skin was on fire and had little ants on the inside of my arms plus all the stomach sickness and I couldnt do it. The dr. said I would be able to just stop taking any pills just these- no tapering at all. Does that sound right? Im scared but I want/need help I will do this.

thatgirl on October 11, 2011:

Listen up I was doing 10-15 80s a day and an oz of coke a week! Along so I was pushing 2500 pills a week! All I do is about a tenth of a subutex or suboxone in the morning and I'm straight for 12 hrs! The key to the subs is to get up and get moving! Unlike pain which makes u get up and get going u must do it urself and u will be fine!

Jaclyn Popola (author) from Florida on October 10, 2011:

@RussianMMA - My heart goes out to you. Do you have any sort of support system or aftercare plan in place (individual counseling, group therapy, NA/AA?) Getting the drugs out of your body is just the first step, as you well know. As for not feeling anything, that's interesting. My emotions were always haywire after I quit cold turkey; opiates repress everything, your nervous system, your bodily functions, and especially your emotions. Typically, if there were unpleasant emotions that taking oxy helped get rid of, they'd all be bubbling back up to the surface now. It's hard to say though, and I'm no medical doctor, but opiates derange the brain chemistry in so many ways. I do help you're getting some help during this challenging time.

Jaclyn Popola (author) from Florida on October 07, 2011:

@Shelley - Congratulations on being able to kick your addiction and keep your family together. That is so wonderful to hear. I am glad that rehab worked for you. Did they detox you on buprenorphine (Buprenex) while you were there? Unfortunately, rehab does not work for everybody. In fact statistics show that rehab is largely unsuccessful for many, so that's great that your experience was so positive. Please keep in mind though that many people can't "just do it". If the point was simply to be clean of all substances, then addicts would simply stop using drugs.

I feel like people are so quick to group illicit drugs like heroin and painkillers into the same category as treatments options like Suboxone, Subutex, and Methadone simply because it is very difficult to get off any of the above. But at some point, you have to realize that the latter are the lesser of two evils BY FAR. Suboxone and Methadone, when used as prescribed, have helped stabilize and repair the lives of millions, mine included, and are far preferable to sacrificing your life, your family, your sanity, your job, your home, and your health while you chase a high you can never capture and put yourself at risk with dirty needles and harmful city streets.

Jaclyn Popola (author) from Florida on October 07, 2011:

@cat6667 & @i know better than you - Thank you for your input. I have heard conflicting stories regarding how soon you can take Subutex. I was told by my doctor (however, this was back in 2003) that Subutex could be taken WITHOUT being in full-fledged withdrawal. I personally took Subutex about eight hours after using and felt fine, although ultimately this course of treatment did not work for me. I tried researching this but again, received conflicting answers. If anyone has a reputable link they could send me, I'd greatly appreciate it. Until then, I edited this hub so that it does NOT say you can take Subutex right after taking opiates. I'll readjust the wording once I find out for sure. Thanks!

I know better than you on October 06, 2011:


cat6667 on October 04, 2011:

i really dont know what some of you people are thinking and where you get your info. if you are not sure about something dont post it on this board for everyone to follow-go ask someone who actually knows. to the person who asked if different opiates show up different on a drug test and the person who told her they dont- they DO. they know exactly what you are taking. and subutex and suboxone both contain the same meds but suboxone also has another-you must wait 12-24 hours before taking either. subutex is not different. you all are going to hurt someone with your misinformation. also-please learn to spell or use spell check. really

Shelley on October 03, 2011:

The best thing I can tell anyone on this page...Don't take anything...Do it right...Do not take anymore drugs.. Do it yourself. I am 44 years old, a mother of a 7 year old and a 11 year old.. Worked for the same company for 22 years and lost my job to an opiate addiction. I wasn't buying it off the street - I had a pain doctor that was giving me over 200 pills a month of oxy... and I was taken it all...I was not even thinking about selling...because I needed it for myself. That is pretty selfish - but true. I lost a good job but I still have my family....I went to rehab 2 years ago and have remained sober without the help of any other drug...You can do it...Just think how hard it was to stop doing what you where doing...and to basically just replace with something else..It doesn't make sense... Please listen..I am not trying to preach but it does make sense...Don't replace one drug for another - what is the difference... Don't worry about the drug tests for court - just don't do it... Believe me, I am (least my husband still says ) an attractive women, 100bls with an 11 year old son and a 7 year old daughter, but lost a good job due to my addition but because of my addiction I am a stronger more positive person...Please listen...Don't replace a drug for another...You can do it yourself...Believe me, when I went to rehab, almost 2 years ago, I was 80 lbs. Even when I was pregnant at the most weighed 110 lbs. My mother and I looked at myself and I looked dead. Rehab saved my life and my children still have a mom because I went to rehab and did this by myself...You can do it to....It will be hard, but you can do this....The hard part only lasts for a little bit but the joy and the happinest that you feel for yourself and your family members will last a lifetime...Remember my friends, it may be hard for you but it is very very hard for your loved ones....

uncle j on October 03, 2011:

Suboxone or subutex does not show up on any standard opiate drug test. It must be tested for specifically. I've never tested positive while only using subs. Unless Ofcourse that's what they were looking for. Most places won't test for it because the cost differential from standard tests r so high.

uncle j on October 03, 2011:

Suboxone or subutex does not show up on any standard opiate drug test. It must be tested for specifically. I've never tested positive while only using subs. Unless Ofcourse that's what they were looking for. Most places won't test for it because the cost differential from standard tests r so high.

roger jenning on September 22, 2011:

I have been on methadone for 16 years.allso xanax and lorcet.the other drugs for 25 years!I tested pos for pot and no doctor will write my meds .I have had neck and back pain from a fall off of house.Landed on neck! the same doc for the whole time what do i do for pain?? Are the going to detox over pot?thanks Va,I think the new drugs are just a money thing!!!Doctors passing you around to a pain clinic.or to be detoxed.And later give them back???Help

D on September 22, 2011:

You guys should look into "ibogaine" ( it's a Fu---- miracle ) .. Also look into " Kratom "

snakeeyes69 on September 16, 2011:

Hello im addicted to heroin and i need suboxin and i live in greece i can't get them anywhere i need help my addiction is geting out of hand andi need to stop or im going to die help me pleaseeeeeeeee!!

gotoameeting on September 06, 2011:

WOW....don't really know what else to say to all this. I guess just that it is everyone's individual choice to get clean....some just want to stop using certain drugs i guess - as do most on this post...I think anyone who truly wants to be free from the horrors of addiction needs to regularly attend 12 step meeting, get a sponsor and work the steps. Suboxone will help to get rid of withdrawals but sometimes those are necessary to recover. You have to remember the pain so as not to go back to using. I'm not just pulling this out of my ass either....I have been a heavy drug user for years. I started with Vicodin, Lortabs, Percodans, whatever...progressed to snorting oxycontin...then started injecting oxys, dilaudid, morphine, heroin, cocaine, methadone...whatever would get me high and then whatever would help me not be sick. I finally was so out of control that I lost custody of my kids....I tried first weaning myself off with methadone at home...this didn't work....then i checked into a detox where I was given Suboxone...this was great for getting through withdrawals...but alas I eventually returned to my other drugs as my tolerance started to build with the suboxone....Finally I was truly tired of using. I was tired of the mess my life had become...I was READY to stop taking drugs! I had to do this cold turkey. I wanted to feel the pain so I wouldn't be tempted to go back to using - EVER. I started going to a 12 step program. I stopped hanging around old people and places. I got a sponsor. I got some literature and am reading it daily. I started getting into step work and service work. I'm changing my life. Not only am I clean but I am RECOVERING from my addiction! While it is true that addiction is a life-long disease, it can be arrested and recovery is then possible. If you are on suboxone, my opinion is you are just substituting. While withdrawals are terrible and painful and scary, life CAN get better IF you want it to. If you do decide to go with replacement therapy, please only do it short term! And I'm not trying to judge anyone. It's your life, do what you want. I just hate seeing anything called a "miracle drug". The only miracle is finding some spirituality and learning to recover!

Check021 on September 03, 2011:

Well, you wrote everything well. Only - I am not 100% sure,but you forgot to tell about I.V-ing SUBUTEX AND SUBOXONE are totally different things.Intravenous using of subutex is tolerable , and it can be done - but suboxone is not because of naloxone added THAT SCREWS UP KIDNEYS AND LIVER THO.Naloxone is the worst drug that can be prescribed by doctor - especially to those with issues with kidneys or liver.It's extremely toxic.And Suboxone is screwed up version of Subutex because-they should leave medicine just like it is.And yes - NALOXONE,the thing that will put you in the worst withdrawal in your life is active ONLY taken INTRAVENOUSLY. Orally,it's not active.

814 on August 28, 2011:

i am not prescribed to suboxen but i buy it off the streets bc i was trying to wein myself off of opiates i am now pregnant and have been taking suboxen so me and the baby do not go thru withdraws but i am getting close to my due date and i am getting concerned bc i am not prescribed to suboxen and i dnt want to get into any trouble after my baby girl is born for using drugs that are not prescribed to me...i live in pa and they drug test the baby after he/she is born does anyone know if they will test for suboxen or just the main drugs that are usually tested for?

pressingtheissue from Pa on August 15, 2011:

Great Hub! I'm glad to see more people trying to educate folks on addiction therapy!

Jaclyn Popola (author) from Florida on July 30, 2011:

@jilstime - I agree that Ibogaine does sound amazing and it's a shame that it's not legal in the U.S. (at least not yet). The studies and testimonials sound encouraging. on May 12, 2011: on May 12, 2011:

Well, perhaps I'm being uncharitable. It could be that those thinking Subutex threw them into withdrawals did truly get sick, but not for the reason they think. Subutex is a surprisingly powerful drug. The first time I tried it I puked, and that was with a long-time opiate habit and extremely high tolerance. I would advise anyone using the stuff NOT to start with the 8mg tablet, even if your doctor says it's appropriate. At least not all at once. I'd break it into pieces and try a little at a time, or start off with one of the lower dosage tabs. If your doctor disagrees, insist. Regardless of what the MD says it's your body and you're the one making the decisions, not him.

And for those who were thinking of jumping in and "correcting" me on that point about the absorption of Naloxone via digestive tract, YES I am aware that the primary action of Subutex is via sublingual absorption directly into the circulatory system and theoretically the naloxone should also be absorbed the same way and thus bypass the stomach and intestines. In other words, the Naloxone should be able to enter the body the same way the buprenorphine does. But Naloxone is poorly absorbed from ANYWHERE in the digestive tract, including the mouth. It MUST be injected or otherwise introduced directly into the body to work. on May 12, 2011:

Wrong info people! Both the original poster and others replying need to fact check before flapping their gums.

Where to start?

First, they put naloxone in Subutex for the same reason they put it in Talwin NX: to keep people from crushing and INJECTING the drug. Naloxone is NOT active via the digestive tract. Since it binds to opiate receptors, the type of opiate in your system hardly matters. If the naloxone was active taken orally, it would block the buprenorphine from acting just like it would any other opioid. For oral administration a different drug, naltrexone, is used which DOES act orally but is NOT present in Subutex. Anyone who says Subutex threw them into withdrawals is either posing (lying) or spiked the stuff into a vein, which I notice nobody here is admitting to.

Two: Opioids triggering dopamine release? Wrong, wrong, WRONG. If I had a nickel for every time I saw some psuedo-expert attributing some neuropsychological event to dopamine (usually coupled with the equally-wrong jingle "the feel-good neurotransmitter) I'd be able to buy a Rolex watch by now. Opioids work because they mimic a neurotransmitter that is already present in the brain, endorphin or enkephalin. This truly IS the feel-good transmitter and endorphin release is what's responsible (for instance) for the flood of pleasure felt during orgasm. And the enzymes that are responsible for deactivating endorphin molecules have a much harder time processing opioids, therefore the endorphin-like effect can last hours instead of mere seconds. So the proper thing to say is that opioids act because they ARE a neurotransmitter (sort-of), NOT because they trigger one.

Third, to address yet more noise from malinformed individuals responding to this article, a drug test--whether urinalysis or blood--can test for ANYTHING, provided the test is designed for that. So the answer to whether it shows up on a drug test is "it depends". Typically most drug tests look for the so-called NIDA-5, or the five drugs specified by the National Institute on Drug Abuse. One of these drugs is indeed an opiate, but as buprenorphine is not an opiate but an OPIOID, that part of the drug test does not detect it. An opioid is a substance that acts the same as an opiate but is chemically different. Since all drug tests are chemical tests ONLY, chemically different=negative result. If the drug test is designed for buprenorphine it WILL detect it, period. If it is not, it WON'T, period. The only way to know for sure is to find out what drugs are included on the drug screen being administered. If it's the NIDA-5, you're home free with buprenorphine (and Demerol, and Methadone, and Stadol, and any other synthetic.) Surprise surprise, but the opiate part of the NIDA screen usually won't detect Oxycontin/Percocet and Lortab/Vicodin, because they're semi-synthetics and only register on the test in extremely high doses.

Okay, I'm done. Let the jabbering begin.

jilstime on May 09, 2011:

Research IBOGAINE ! There is possibly a cure out there, but FDA hasn't passed it in America. A jukie took a dose to get high(its a hullecengenic like acid from a plant called Ibogaine) He was on Herion for 16yrs (he discovered the plant and found he NO LONGER HAD ANY DISIRES OR WITHDRAWLS for herion. youtube it "ibogaine in the news" Iver serioulsy thought about goin to Canada for treatment, ONE DOSE BLOCKED THE WD SYMPTOMS FOR ALL TYPES OF USERS !

jilstime on May 09, 2011:

I have ben on Suboxone and then switched to subutex cus the generic is MUCH CHEAPER ! Ask ur Dr, if u attend ur appts regularly and are not takin other drugs he will happily put u on Subutex. I felt no differnce with either drug, both were 8mgs and worked just the same for me. Long story short I became dependent after being Dx'd with Chrons diease. Pain management was a must and I had no idea I wud be hooked on them. Ive been on them now 4yrs and YES was told by my Dr 95% of people stay on the drug their whole life! I didn't care at the time i was in bad withdrawl all I remebered him sayin was "in 15mins you will feel soo much better" That's when they gave u subutex 1st, then suboxone for ur 2nd dose. But i guess too many people were takin off after gettin subutex and gettin high & Not coming back. My reason for postin this is for anyone who is pregnant. I had a baby in 2008 and was on 8mg SUBUTEX, the whole time. Drs were unsure how this wud react and tried switing me to Methadone, but I refused! And my Drs were ok with me. I have a brother on methadone and he is nodding off like he is on Herion, and I surely didn't want that junk in me or to get hooked on it. Anyways, I gave birth baby came out fine. By the 2nd day he had very mild twitching of his arms and a lil rash and redness to his face. They gave him NO MEDS to ease the withdrawl. He cryed a bit more than normal babies do and required to be held a lot. He had to stay in the hospitol til his scores were perfect which was just an extra 2 days ( I felt miserable leaving without my son) Im in no way advocatin this, but if u suddenly become pregnant DON'T STOP UR Maintence Drug, U can loose ur baby from withdrawl, its NOT the time to play around. Eat right take ur vitamens and ur Subutex. The newborn stage was a lil difficult as he was cryer But both my kids were (i have a 14yr old and was not on any drugs with him and he cried more then the baby I had that was born on Subs) Belive it or not, I had a team of Drs and nurses come up to me & ask me all about my treatment, they told me the HORROR stories of children being born on methadone (And I THANK GOD that I refused that treatment) My Dr never told me what I wud be facin had I taken the Methadone only promoted it, cus they knew "what to expect" This is when Subutex was fairly new. The team of Drs at the hosptiol cudnt belive how well my son was doing and they wanted more info. My son is now 3yrs old and is 100% healthy! He is very smart for his age ( i know all parents say that) But AS GOD IS MY WITNESS he is brillant child, he can hear something one time and remember it for GOOD, His Vocab is great, he is in perfect health, mentally and physcially! I will NOT end this post without stating that I prayed througout my pregnancy that GOD help my child to be a healthy baby boy. I am a born again Christian (YES we have issues too) I know by Gods grace HE is the MAIN reason why drs were dumbfounded wathcing his speedy recovery! I give GOD all the GLORY, the HONOR and PRAISE for the outcome, which was NOT perfect but WE made it thru unscathed ! My advice to any soon to be Mothers is to take ur subutex and Put God 1st, present ur unborn baby to the Lord, he wiill have mercy and hear ur prayer! I didn't choose to be on drugs it happened as a result of a very painful disease that I had. There is NO cure for this diease but I have been 100% healed from it for 3 1/2 yrs. God Miraclously healed me of that diease but I am still on the Subutex for I got on that While the diease was in full force! And shortly after my healing I got pregnant, and new it was unsafe to quit the meds, but I trusted in GOD and everthing is O.K. ! I cudnt ask for a more brillant sweet child! Im seekin the Lord in gettin off the Subutex and I know HE is the only way for me to get off of them. I read over and over that Once an addict always an addict, well God says "Therefore if any man is in Christ, he is a new creature; the old things are passed away; behold, new things have come." (2 Corinthians 5:17)I know I am no longer Bound to this addiction, its a mental thing, and GOD is not the variable, I AM. The reason why Im not off them yet, is due to fear and I know I have to keep seeking God to trust him more and more to the point that HIS word dictates how I think & feel, not this drug or the fear of the unknown. I was never a hardcore user I tok about 10-15vikes at day at my worst but nevertheless, opiates are opiates and they create the same dependencies. If I cud go back and change anything, I wudve tapered off the Suboxone in 2weeks like its meant for and went in with knowledge not out of desperation. Heck, I cudve been weened off the vikes under a Drs care. But u live and u learn and Now I am where I am, but its not where I have to stay! May God be with u all and lets not pass judgment onto one another but pray that this demon of addiction be destoryed in our lives, FOREVER ! If u have any questions feel free to message me.

in recovery on May 08, 2011:

yes i know more than anyone that if you are on suboxe and take it like it is perscribed instead of abusing does work it has saved my life...and the doctor i go to really cares about someone staying clean i also go to cousleing and meeting 1 or 2 a week...suboxe don't help by it self u have to put work in with it and together u can recover i know i have!!!

gdaddy on April 28, 2011:

hey im on subutex but ive taken a couple of soboxone and i go to the doctor real soon. can the clinics tell the difference with the urine screens they use?

Guest of Louisiana on March 25, 2011:

'Crystal' if i was you i would quit selling immiedetly.Im 20years old im not some old stubernman telling you how to run your life but take my advice from expiernce.I recently got caught selling xanax and it ruined my life.A 1 time thing turned into a lifetime.I ruined my life for nothing.Now im on 5 years papers and random drug screens and it was first offence.Its not woth it trust me.Do what you do at your home but don't sell its way better to sit there and get hi than go to jail or to be supervised and drug screened.Also if you want off of the pills get off of them and see a doctor about suboxone it will help you tremendously.It will be hard to quit selling but do it.You could lose your job and go to jail it just isn't worth it.I wish i wouldn't of done it that 1 time that's all it takes.I hope im not wasting my time and this comment moves you because i wouldn't warn you if i didn't think it would help take this advice and use it for i didn't when they tol me to quit wish i would of.

crystal on March 20, 2011:

Im an addict iv drugs xanax oc anything & everything i sold drugs for years and then got on them myself and im a nurse woohoo ive even taken subs both subutex and suboxone and i sold them i want to stop badly>wtf do i do?????????????????????????????????

Guest of Louisiana on March 17, 2011:

I was on bond condition taking suboxne and I would take it the night of the drug test and passed all 3.Well now im on probation and i will be doing random drug screens.Is the probation drug test the same panel of the bond condtiotion??Im wondering will i pass the probation drug test as well while taking suboxne??Please answer fast.

ling on February 16, 2011:

How long does it stay in your system

StevenWithCrohns on January 27, 2011:

I have severe crohn's,..and after years of having opiates thrown at me,..I started to simply ask for it first when needed, eventually when wanted(also 'needed' cuz the want stemmed from them getting me dependent on them)..

Going from half a 5mg Vicodin,..and ending up going thru Sixty '80 Mg. Oxycontin's' in 3, sometimes 4 and 5 days, every month,..then after they were gone, opening up my bottle of 30Mg Roxi's (roxicodone/ Oxycodone I.R.), and going thru all NiNETY of them in 2 to 3 days,..then just using the prescription of Klonopin's to 'not give a shit about the w/drawals from opiates',..was enuff to make me not wanna live anymore. Instead of finding a new doctor to write me another, 'Final Script' of Oxy's for me to 'Do Myself in' with, ending my slave to the grind, situation,..I found a Dr. who's nurse talked to me for an hour, promising a better way, EVEN for me, more than an addict,..a 'Dependent',due to Crohn's, I let em try.

After 14months, I have even had a surgery since 'quitting', and used an Epidural instead of narcotics for the pain..,I'm SO happy to say I am and will remain Free of that B/S addiction,..and not onlY does the Suboxone help w/the staying off the OXy's, it DOES help a little, w/the pain's from Crohn's..

ben on January 25, 2011:

Sub is OK only as a tapper,

The active substance in Subutex and subuxon is called buprenorphine and if you take this treatment for to long then you must be prepared for a long rough ride to get off the thing.I have been taking a 12mg/day for about 12 yars(in Europe most country give it free as treatment against heroine)I have stop taking it from one day to the other and it is how that goes:

-1 weeks- pain everywhere diahrea, vomit, intestinal pain, pain in my bone no sleep and cycling in my bed (as if my legs were independent from my body

-2 week- diahrea, vomit, intestinal pain, pain in my bone, no sleep and cycling in my bed (as if my legs were independent from my body ,depressed, feeling like shit mentally

-3 week - A bit better but mental down, slept about 10 to 15 hours in 3 weeks (I didn't think that possible) always extremely tired but as soon as I put my head down it goes a 1000mile/hour, depressed. diahrea and generaly as if I had eat some radioactif stuff my belly is making all sorts of noise and disgusting excretions (sorry)

- week 4- better physically but some spell of tiredness during the day and still same belly problem. The worst is I think I have became a precocious ejaculator (like a rabbit 2second for ejaculation if I try to have sex, embarassing !)

That is where I stand just now I heard from people who have done a detox from sub that it will take maybe another 2 months going up all the time, before I'll feel whole again .but I hope my sex life will reimprove as it as always been an important part of my life.

Also, Test in urin for subutex or subuxone will show if specifically called for, depending on the test(spectrometrie of masses/chromatographie of gazes) the person weight,sex, condition, the bupreonorphine will show for about a week, but it break down in your body into somethink else called metabolite recognisable to come from the bupreo and that can be into the system for about a month.

I hope that help to know about how one substance can hide another.

From Europe with love.


Rosa on January 22, 2011:

Great treatment story. I am seeing a lot of success with ibogaine. I am hoping we can hear from people who have experience with detox and addiction treatment. The ibogaineclinic does its research in Miami. It makes sense to me as it seems to create an aversion to the drug which sure makes it easier to stop using:)

Becca6248 on January 20, 2011:


I could not have said it better. After using Opiate based pain pills for 23 yrs, 16 on Vicodin, (Hydrocodone) and 6 yrs on Methadone. If you want to feel like your losing your mind, or like you are dancing with the devil, try coming off Methadone. It is the most evil drug in the world. When I would try to detox from the Vicodian, I would go through withdraws for a little over a week then you start to feel better, but Methadone not a chance, 1 10 mg, Methadone can stay in your system for 45 days. Methadone gets into your bones, muscle's, and your tissue. April 9Th, 2010, I took my last Methadone, Oxy 30, and Valium 10 mg. I had 3 back surgeries, but in 1987 when I took my first Vico, I had gone to an Ortho, for a problem with my foot, and took the Vico as prescribed, and we developed a love hate relationship. for the next 23 yrs. My last Back Surgery was in 2008. My Neurosurgeon, recommend a Pain Doc, didn't have to tell me twice. That was until she ended up putting me on 130 mg of that crap. Plus Oxy 30's every 4 to 6 hours, and Valium 10 mg 3 X a day. And Yes I'm still here to write this comment. And did I mention that my at the time she was 24, going on 25, and her husband we were all sharing my script's. we were all full blown addicts. My daughter got sober first, her dad paid the $5000 to the program that we are in. She's been sober Jan 26Th will be 11 months. Next my son-in-law, I got a $1000, together for his down payment. The day we went in the Doc was so amazed to see a whole family addicted that he took me on to.So in April of 2009, I got my life back. And I never want to go down that road again. I have been sober for 9 months and 11 days. And I feel great. My son-in-law, stopped the Suboxone cold turkey 6 months ago, because we were paying $150 a week for him and I. He just stopped and he's been fine. My daughter and I she's down to 1 a day from 3 x a day, and I'm down to 2 x a day from 3. I'm proof that it can be done. If you want it bad enough.