Suboxone in Eugene, Oregon

What is Suboxone?

Suboxone (a tablet with buprenorphine and naloxone) is an FDA approved medication for treatment of people with heroin or other opioid addiction. Buprenorphine can be used for detoxification or for maintenance therapy. Maintenance therapy can continue as long as medically necessary. There are other treatments for opiate addiction, including methadone, naltrexone, and some treatments without medications that include counseling, groups and meetings. Buprenorphine can be used for pain control, “off-label” when used as Suboxone in various forms, such as sublingually (under the tongue), as film on the tongue or as a patch. It’s a powerful pain reliever that is very long acting.

When Scheduling Your Appointment for Suboxone.

Pain Management Partners uses Suboxone only for pain relief not for addiction. After discussing with your pain specialist, make an appointment at our office. Plan to be at the office for 2 hours. Please bring a driver.

What to do Prior to Your Appointment for Suboxone.

Your Provider will direct you regarding how to taper or discontinue opioids and benzodiazepomes (such as Valium, Librium, Ativan, Xanax, Klonopin, etc.) prior to your appointment. If you are dependent on opiates – any opiates – you must be in as much withdrawal as possible when you take the first dose of suboxone. If you are not in withdrawal, suboxone can cause severe opiate withdrawal. For that reason, you should take the first dose in the office and remain in the office for 2 hours. We recommend that you arrange not to drive after your first dose, because some patients get drowsy until the correct dose is determined for them. Prior to coming to your appointment, eat a light meal and bring something to read. Please bring your pain medications.

What to Expect During Your Appointment for Suboxone.

There is a brief form to fill out prior to your appointment. The nurse escorts you to an exam room, taking your vitals and discusses your general condition. The Provider assesses your readiness to receive suboxone. The nurse administers the dose per providers guidance. Vital signs are checked every 30 minutes and your current pain level is checked. Additional suboxone is administered as needed. You may have a family member with you. When stable, you are discharged home. Suboxone is called into your pharmacy along with directions of how to take this medication.

What to Expect After the Appointment.

Generally, within the first 30 minutes, the feeling of withdrawal subside. One can expect partial pain relief on the day of induction and gradually improved pain control over the coming weeks. It may take several weeks to determine just the right dose for you. Another appointment is scheduled within 1 to 2 weeks. Some patients find that it takes several days to get used to the transition from the opiate they had been using to suboxone. During that time, any use of other opiates may cause an increase in symptoms. After becoming stabilized on suboxone, it is expected that other opiates will have less effect. Attempts to override the suboxone by taking more opiates could result in an opiate overdose. No other medication should be taken without discussing it with the physician first.