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Suboxone Sublingual film is a new formulation of Suboxone with the same active ingredients and doses as the tablets (buprenorphine and naloxone in 2/0.5mg and 8/2mg preparations). They are packaged in individual sachets in boxes of 28. The films are orange with the strength printed in white (N2 or N8), and have a lime flavor, often preferred to the lemon-lime flavor of the tablets. Suboxone Film will make supervised dosing easier by reducing the time required for effective supervision. Whereas Suboxone tablets and Subutex tablets require 3 to 10 minutes to dissolve, Suboxone Sublingual film adheres within seconds to the oral mucosa and is difficult to remove after 30 to 60 seconds. Suboxone Sublingual film is indicated for maintenance treatment of opioid dependence as part of a complete treatment plan to include counseling and psychosocial support. Advise client not to eat immediately before dosing, as it may interfere with absorption. Offer a sip of water to moisten mouth. Ensure hands are clean and dry as the film may stick to wet hands and make it difficult to place them correctly in the mouth. Before taking Suboxone Sublingual film, it’s a good idea to drink some water to moisten your mouth. This should help the film(s) dissolve more easily. Make sure your hands are dry. SUBOXONE Film should be held between 2 fingers by the outside edges of the film. Suboxone Sublingual film should be placed under your tongue (close to the base on either side). The medication in Suboxone Sublingual film is absorbed into the bloodstream through blood vessels under your tongue. Suboxone Sublingual film is administered sublingually or buccally as a single daily dose. Suboxone Sublingual film is a medication used to treat adults who are addicted to (dependent on) opioid drugs as part of a complete treatment program that also includes counseling and behavioral therapy. Suboxone Sublingual Films (buprenorphine/naloxone) is a brand-name prescription drug. It’s used to treat dependence on opioid drugs. Suboxone comes as an oral film that’s placed under your tongue (sublingual) or between your gums and cheek (buccal). The film dissolves in your mouth. Suboxone is a narcotic (also known as Buprenorphine and Naloxone) used for treating opioid dependency among patients that are addicted to narcotic substances such as Morphine, Heroine, and Codeine. Suboxone is a partial rather than full opiate that blocks opiate receptors and produces a slightly less euphoric effect than other known opiates.
Suboxone contains two drugs in each film: buprenorphine and naloxone. It’s available in four strengths:
Suboxone is an opioid. Suboxone is approved to treat opioid dependence. Suboxone can also be habit-forming and may lead to addiction and dependence. It must be used carefully.
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This medication contains 2 medicines: buprenorphine and naloxone. It is used to treat opioid dependence/addiction. Buprenorphine belongs to a class of drugs called mixed opioid agonist-antagonists. Buprenorphine helps prevent withdrawal symptoms caused by stopping other opioids.Naloxone is an opioid antagonist that blocks the effect of opioids and can cause severe opioid withdrawal when injected. Withdrawal is less likely when naloxone is taken by mouth, dissolved under the tongue, or dissolved on the inside of the cheek. It is combined with buprenorphine to prevent abuse and misuse (injection) of this medication. This combination medication is used as part of a complete treatment program for drug abuse (such as compliance monitoring, counseling, behavioral contract, lifestyle changes).
How to use Suboxone sublingual
Read the Medication Guide provided by your pharmacist before you start using this medication and each time you get a refill. This medication can either be dissolved under the tongue or dissolved on the inside of the cheek. Follow your doctor’s directions. Learn how to correctly use this medication. If you have any questions, ask your doctor or pharmacist.
Use this medication as directed by your doctor, usually once daily. Drink some water to moisten your mouth before use. This helps the film dissolve. With dry hands, open the foil packet just before use and place the medication film under your tongue or inside your cheek. Keep the film in place until it completely dissolves. Do not talk, swallow, chew, or move the film after placing it under your tongue or on the inside of your cheek, or it will not work as well.
If you are prescribed more than one film each day, place the second film under your tongue on the opposite side of the mouth or on the inside of the other cheek. Try not to have the films touch each other. If your doctor has prescribed a third film, place it under your tongue or on the inside of either cheek after the first 2 films have completely dissolved.
Buprenorphine alone may be used instead of this medication for the first 2 days after you have stopped all other opioids. It is usually given in your doctor’s office. Your doctor will then switch you to this combination buprenorphine/naloxone medication for maintenance treatment.
The dosage is based on your medical condition and response to treatment. Your doctor will adjust the dose until there are no symptoms of withdrawal. Do not switch between sublingual tablets and film, because you may need a different dose if you switch. Do not increase your dose or use this drug more often or for longer than prescribed. Properly stop the medication when directed.
Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time each day.
If you suddenly stop using this medication, you may have withdrawal symptoms (such as restlessness, watering eyes, runny nose, nausea, sweating, muscle aches). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used this medication for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.
Do not inject (“shoot up”) buprenorphine/naloxone. Injecting it is dangerous, and will likely cause severe withdrawal symptoms due to the naloxone in this medication, especially if you have been using opioids such as heroin, morphine or methadone.
Keep this medicine in a safe place to prevent theft, misuse, or abuse. If a child accidentally swallows this drug, get medical help right away.