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How To Withdraw From Suboxone Slowly Without Any Side Effects?
Question: I am wondering when to start my 2 mg suboxone back up after being on 30 mg/15 mg morphine for three days. I have been on suboxone for three years now roughly 4 mg a day.The last dose of the30 mg time release morphine was yesterday morning and the last dose of the white 15 mg was last night at 11 p.m. I really want to stop and get back on the suboxone so I took a 1 mg Suboxone to see how I felt and then I was going to go from there. If I go into withdrawals will another morphine help or more suboxone? And when can I resume my regular dose of suboxone?
Brief Answer:
induction and then maintenance
Detailed Answer:
hello and welcome.
I would recommend initial induction under supervision of a trained healthcare provider and then subsequent maintenance dose of suboxone.
For withdrawal suboxone dose is to be increased.
Both the above should be in consultation with your primary care physician
Induction (buprenorphine/naloxone [Suboxone])
buprenorphine monotherapy is recommended for induction for long-acting opioids
Day 1:
2 mg/0.5 mg or 4 mg/1 mg initially, may titrate upwards in 2-4 mg increments at 2 hr intervals, under supervision; not to exceed 8 mg/2 mg
Day 2:
Up to 16 mg/4 mg SL (sub lingual) as a single daily dose
Maintenance (buprenorphine/naloxone combo [Suboxone)
Target dose: 12-16 mg/4 mg buprenorphine/naloxone SL as a single daily dose
Range: 16-24 mg buprenorphine component; not to exceed 32 mg/day
Progressively adjustments in dose in increments or decrements of 2 mg/0.5 mg or 4 mg/1 mg to level that holds patient in treatment and suppresses opioid withdrawal signs and symptoms should be done
let me know if you have any query
thanks
induction and then maintenance
Detailed Answer:
hello and welcome.
I would recommend initial induction under supervision of a trained healthcare provider and then subsequent maintenance dose of suboxone.
For withdrawal suboxone dose is to be increased.
Both the above should be in consultation with your primary care physician
Induction (buprenorphine/naloxone [Suboxone])
buprenorphine monotherapy is recommended for induction for long-acting opioids
Day 1:
2 mg/0.5 mg or 4 mg/1 mg initially, may titrate upwards in 2-4 mg increments at 2 hr intervals, under supervision; not to exceed 8 mg/2 mg
Day 2:
Up to 16 mg/4 mg SL (sub lingual) as a single daily dose
Maintenance (buprenorphine/naloxone combo [Suboxone)
Target dose: 12-16 mg/4 mg buprenorphine/naloxone SL as a single daily dose
Range: 16-24 mg buprenorphine component; not to exceed 32 mg/day
Progressively adjustments in dose in increments or decrements of 2 mg/0.5 mg or 4 mg/1 mg to level that holds patient in treatment and suppresses opioid withdrawal signs and symptoms should be done
let me know if you have any query
thanks
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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