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.