Will it not work as good, or what?
How do I maximize Suboxone absorption?
This under the tongue thing, really sucks. These strips are too big. I've been cutting them, but it still kinda sucks.
I dont anything will happen, literally Both kinds are made to be disolved under the tongue so they seep into the blood stream. Swallowing them bypasses that straight into the stomach. Although I am sure some may get into your blood stream by swallowing them its not nearly the amount u need to do the job Hence, under the tongue works the best.
I know the taste is horrid but I love wintergreen life savers and when ever I have to take me suboxone tab. Good Luck. Yes, you should take it under the tounge, I used to take the tablets and i recently switched to the films Insurance.
I actually like the films a lot better than the tabs because they disolve much quicker It helps to drink water before not during you take your films so it disolves easily Good Luck :. I am probably the only one who prefers the tablet over the film any day of the week. The film would almost make me puke, I'm taking 32mg a day, and I just now got generic tablets hooray! I found that Butterfinger candy bars work very well at killing the taste.
As others have said no, it will not work as well as it would under your tongue.
I'll let you all in on a little trick my doctor told me As far as potency it's almost going to be the same. This goes for most all drugs, the delivery method changes timing and the potency slightly unless you bypass all internal organs and take the drug intravenously.
When taking something epidermically or orally it's just basically letting the drug soak in through the skin and ultimately into the blood before just digesting it which will have an effect.Suboxone is a prescription medication that combines buprenorphine and naloxone.
It's used to treat opioid addiction. Heroin and narcotic painkillers are common opioid drugs. Buprenorphine belongs to a class of drugs called opioid partial agonists, which help relieve symptoms of opiate withdrawal.
Naloxone is in a class of drugs called opioid antagonists, which reverse the effects of narcotics. This combination drug is used as part of a treatment program that typically includes counseling, lifestyle changes, and other interventions. Suboxone can slow down or stop your breathing. You should never take larger doses of this medication than your doctor prescribes. Do not take antidepressantssedativesnarcotic painkillers, sleeping pills, or tranquilizers while taking Suboxone.
Before taking this drug, tell your doctor if you drink large amounts of alcohol. Also, alert your physician if you are having surgery including dental procedures while taking Suboxone.
Suboxone may cause lightheadedness, dizziness, or fainting when you get up too quickly from a lying position. To avoid this problem, you should get out of bed slowly, sitting up and resting your feet on the floor before standing up. Be sure to keep all appointments with your physician and the laboratory while taking Suboxone. Your doctor will likely order tests to check your response to the medicine. Suboxone may be habit-forming.
You should never share Suboxone with another person, especially if that person has a history of drug abuse or addiction.
You should not stop taking Suboxone without first talking to your doctor. Stopping this medication too quickly can cause withdrawal symptoms. This medicine may cause breathing problems, behavior changes, or life-threatening addiction or withdrawal symptoms in a newborn if taken during pregnancy. You should tell your doctor if you are pregnant or plan to become pregnant before taking Suboxone.
The medicine can also pass into breast milk and may harm a nursing baby. You should not breastfeed while taking Suboxone. You should tell your doctor if any of the following side effects become severe or do not go away:.
You should contact your doctor immediately if you experience any of the following serious side effects:. You should tell your doctor about all prescription, non-prescription, illegal, and recreational drugs; herbal remedies; and nutritional or dietary supplements you're taking, especially:. Consuming alcohol while taking Suboxone can increase the risk of breathing difficulties and may lead to complete cessation of breathing and death.
You should talk to your doctor about this interaction, and refrain from using alcohol while taking Suboxone.
Suboxone comes as a sublingual tablet or film to take under the tongue. It is usually taken once a day. You should place the tablet under the tongue until it dissolves in two to 10 minutes. If you are taking more two or more tablets, place them all under your tongue at the same time, or two at a time. Your doctor may start you on a low dose of buprenorphine alone Subutex and increase your dose for several days before switching you to Suboxone for maintenance.
Your physician may increase or decrease your dose until the medication works for you.
If you suspect an overdose, you should contact a poison control center or emergency room immediately. You can get in touch with a poison control center at However, if it's almost time for your next dose, skip the missed dose and continue on your regular dosing schedule. Don't double up on doses to make up for a missed one.I have been searching site after site looking for the answer on how to maximize Suboxone absorption and still all I have found is "tricks" and products that do not make a difference.
I want to post this question and answer this question myself because I have finally found an answer. From an actual neurologist!! I hope I spelled that correctly. So it is different for everyone. If one person says "hey, I took mine with excedrin and it worked so much better", this might be true for him, but for you, it might be a waste of time. There are some people who swear that swallowing the Suboxone activates the Naloxone and makes you sick If you are one of these people, then spit.
But swallowing the Suboxone will not make any difference. So don't listen to all those know-it-all's on-line, put it under your tongue. Keep it simple stupid. I guess he's right I tried all these "accelorators" and tricks and games and still I need to post this because SO MANY people are looking for the answer and I know a ton of people will look at this and have to put in their 2 cents I hope this will help alot of you looking for the best way to squeeze each penny spent out of these distigustingly-expensive pills.
Just thought I,d throw in my drs. Sit down, place under tongue, close mouth, tilt head forward if you want. Sit there quietly for 5 mins. After that spit or swallow then don,t eat, drink or smoke for another 5 mins.
Thank you for posting this, I'm looking for the right way to take it to and there are so many different opinions. Thanks for the info! It takes me forever I thought till I did some reading on it. I didn't know you weren't allowed to swallow till it was completely desollved.
And I sit there for almost an hour most days! I'll try taking one 8mg tablet at a time tomorrow, and not swallow during the desollving process. But that sure is a long time to hold in all that saliva haha. Seems right,logical. Your letting it absorb slowly,not swallowing saliva into stomach which defeats purpose of absorbing through membranes of mouth. Hey,just thought of that song-insane in the membrane,going insane,got no brain!
I seem to feel as though putting rough side up under my tongue doesn't leave a bad taste but that's me and being on this for years. I never spit but I do swallow with a drink. I know this post is old but I stumbled upon it today so maybe my comment will help someone else.Suboxone cannot be started until the patient is in withdrawal from opiates, and must be taken using special techniques and at the proper doses in order to obtain the necessary amount of the medicine at the opiate receptors in the brain to control withdrawal symptoms.
Since the efficacy of Suboxone is directly related to the percentage of total opiate receptors that are occupied by a molecule of buprenorphine, improper technique when taking Suboxone or generic buprenorphine can easily make the difference between successful treatment and failure.
Russ believes that improper technique when taking Suboxone is the main reason that many believe that Suboxone does not work effectively for opiate withdrawal. The most common errors people make when taking Suboxone and buprenorphine are: 1. Taking Suboxone with a contaminated tongue Suboxone and buprenorphine are designed to be taken under the tongue sublingually.
This is a very sensitive area for absorption that is easily negatively affected by anything that produces even a thin film layer on the tongue.
Therefore it is critical that the patient observe the proper technique to insure that the tongue is completely clear when the Suboxone or buprenorphine is taken. Swallowing saliva after taking Suboxone or Buprenorphine Buprenorphine is destroyed and inactivated when it comes into contact with the normal acids in the stomach.
Follow Us x.Forum Rules.
How do I maximize Suboxone absorption?
Help Log in. What's New? Page 1 of 2 1 2 Last Jump to page: Results 1 to 30 of Join Date Jul Posts 2. I have been on suboxone for almost 2 months. My doctor told me when my saliva accumulates in my mouth while the pill is dissolving, i can swallow, as long as i do not swallow the pill.
Fine, i get that. But sometimes right before i swallow, i taste concentrated suboxone in my saliva the saliva build-up on TOP of my tongue while i swallow it. I also have no bottom real molars, so the pill often slips out from under my tongue and finds its way on the other side of my bottom teeth!
Join Date Jul Location queens, ny Posts My pill starts under my tongue, sometimes slips to the top of my tongue, the side of my mouth, wherever. As long as you don't swallow it whole, I think it should be fine - No need to keep the saliva in your mouth. How much medication are you actually getting if you spit out what "you think" has no suboxone in it?
I've heard this question numerous times and I always answer it the same way. Don't spit out the subs. It's not the thing to do. You leave it in your mouth to be absorbed sublingually and then just swallow what is left.
That's what I suggest and what I did. I won't debate spitting or swallowing. God bless.Suboxone contains a combination of buprenorphine and naloxone. Buprenorphine is an opioid medication, sometimes called a narcotic. Naloxone blocks the effects of opioid medication, including pain relief or feelings of well-being that can lead to opioid abuse. Suboxone is used to treat narcotic opiate addiction. This medicine can slow or stop your breathing, and may be habit-forming.
Taking Suboxone during pregnancy may cause life-threatening withdrawal symptoms in the newborn. Fatal side effects can occur if you use this medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing. Some medicines can interact with buprenorphine and naloxone and cause a serious condition called serotonin syndrome.
Be sure your doctor knows if you also take stimulant medicine, herbal productsor medicine for depressionmental illness, Parkinson's diseasemigraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications. If you use Suboxone while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.
Tell your doctor if you are pregnant. Buprenorphine and naloxone can pass into breast milk and may cause drowsiness or breathing problems in the nursing baby. Tell your doctor if you are breast-feeding.
Use Suboxone exactly as directed by your doctor Follow all directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Never use Suboxone in larger amounts, or for longer than prescribed. This medicine may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction.Shoot Up and Swallow Abroad - The Mexican drugwar
Selling or giving away Suboxone is against the law. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Use dry hands when handling Suboxone. Place the sublingual tablet or film under your tongue. Allow the medicine to dissolve slowly. Do not chew or swallow it whole. If you switch between medicines containing buprenorphine, you may not use the same dose for each one. Follow all directions carefully.As an opioid drug used to manage problematic opioid dependence, Suboxone is similar to methadoneone of the most widely used drugs to treat opioid addiction; however, whereas methadone is only available at specialized treatment centers or maintenance programs, Suboxone is available from doctors authorized to prescribe it 3.
Buprenorphine— A partial opioid agonist that activates a similar set of receptors in the brain as other opioids heroin, pain medications to relieve cravings. Naloxone— An opioid antagonist that blocks the effects of other opioids to discourage abuse.
Suboxone is available in formulations that dissolve under the tongue or between the gums and cheek, making absorption in the bloodstream quick and convenient. According to the DEA, about 9. Suboxone Risks Even with the many benefits of Suboxone in addiction treatment, this drug is not without risks. Opioid addicts may take Suboxone in higher-than-recommended doses, without a prescription, or via alternate methods such as snorting in an attempt to experience a high similar to other opioids.
Snorting a drug like Suboxone can lead to an increased risk of unwanted side effects and addiction development. Abuse of Suboxone and other opioids leads to negative consequences like 5 :. Despite the risks listed above, people continue to abuse opioids like Suboxone by tampering with the medication and using it in ways other than prescribed.
One way that someone will abuse Suboxone is by snorting the substance. People will snort Suboxone in hopes of creating a stronger high. Formulations like Zubsolv, which are tablets that go under the tongue, may be more prone to abuse by snorting. With many substances, including opioid painkillers, changing the route of administration will produce differences in the effects. Someone that crushes and snorts an opioid pain pill especially in the case of extended release formulations will potentially feel the effects more rapidly and more intensely than someone who consumes the pill orally.
Routes of administration that lead to the drug being processed more slowly and, therefore, take longer for it to reach the brain such as oral consumption result in a more gradual onset of effects 6.
So, people will try to snort Suboxone to get high, but there could be a problem. In Suboxone, naloxone is included as a deterrent to abuse because of its opioid receptor blocking effects 7. When used as prescribed, the low dose of naloxone will be imperceptible to the user. However, when Suboxone is tampered with by snorting or injectionthe naloxone is released 7.
People that abuse Suboxone and other buprenorphine products report that they will swallow, snort, and inject the medication in attempts to enhance the effects 8. Suboxone is more likely to be abused by people addicted to relatively small doses of other opioids 9.
So, while the naloxone should make abuse less likely, it does appear that Suboxone will potentially cause a high when snorted 9. Suboxone is usually safe and effective when used as prescribed, but as with other medications, there are possible side effects.
Suboxone side effects may include 2 :. Stomach and back pain. Problems sleeping. Blurred vision. Trouble breathing and swallowing.
Sexual side effects. These include 2 :. Muscle twitching.