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How Long Does Withdrawal From Suboxone Last?

Understanding Suboxone Withdrawal:

  • Suboxone (buprenorphine/naloxone) is used to treat opioid use disorder (OUD).
  • Suboxone is an opioid, and suddenly stopping it can cause withdrawal symptoms.
  • Doctors may recommend tapering the dose gradually to reduce withdrawal effects.

Duration of Suboxone Withdrawal:

  • Withdrawal symptoms generally last about a week, up to 10 days.
  • Muscle aches and joint pain usually subside after 72 hours.
  • Restlessness and anxiety may persist for a week.
  • Physical cold-like symptoms, like a runny nose, usually disappear after 10 days.
  • Feelings of general discomfort and opioid cravings may linger for months.

Symptoms of Suboxone Withdrawal:

Physical Symptoms:

  • Chills, goosebumps, muscle aches, and pains.
  • Nausea, vomiting, runny nose, stomach cramps, diarrhea, and sweating.
  • Tremors, twitching, and teary eyes.

Psychological Symptoms:

  • Anxiety, depression, and restlessness.

Withdrawal can also trigger dormant mental health issues like anxiety and depression and cause guilt, regret, and difficulty regaining life balance, leading to emotional exhaustion.

Suboxone Withdrawal Timeline:

  • Withdrawal symptoms usually start within 2-4 days of the last dose.
  • Symptoms peak around days 3-5 and resolve within seven days.
  • Psychological symptoms, such as depression and an inability to feel pleasure, may persist for weeks.

Coping with Suboxone Withdrawal:

  • Work with a doctor to taper the Suboxone dose gradually over time.
  • Tapering schedules typically take place over 7-28 days.
  • Unsuccessful attempts to quit can be discouraging, so it's best to consult a doctor for a proper tapering plan.
  • Additional support medications may be recommended if withdrawal symptoms persist despite tapering.
  • Lifestyle changes like drinking fluids, eating a balanced diet, and practicing relaxation techniques can help manage withdrawal symptoms.

Relapse Potential:

  • The biggest risk after Suboxone withdrawal is the chance of relapse, common among people with OUD.
  • Relapsing after tolerance has decreased can lead to a dangerous or fatal opioid overdose.

Quitting Suboxone During Pregnancy:

  • Consult a doctor if quitting Suboxone during pregnancy or breastfeeding.
  • Suboxone is not recommended during pregnancy, but buprenorphine without naltrexone is.
  • Accelerated tapering or switching to buprenorphine/methadone may be advised.

Long-Term Treatment for Opioid Use Disorder:

  • Suboxone allows for developing a long-term treatment strategy without withdrawal discomfort.
  • Long-term treatment should focus on preventing relapse.
  • Talk therapy is crucial in relapse prevention, helping identify triggers and negative thought patterns leading to poor decisions.
  • Combining talk therapy with medication management is more effective in treating opioid addiction than medication alone.
  • Explore various talk therapy options, including one-on-one sessions, group therapy programs, and addiction treatment facilities.
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