Why does SUBOXONE need to be placed under the tongue?
There are two large veins under your tongue (you can see them with a mirror). Placing the medication under your tongue allows SUBOXONE to be absorbed quickly and safely through these veins as the tablet dissolves. If you chew or swallow your medication, it will not be correctly absorbed as it is extensively metabolized by the liver. Similarly, if the medication is not allowed to dissolve completely, you won’t receive the full effect.
Why can’t I talk while the medication is dissolving under my tongue?
When you talk you move your tongue, which lets the undissolved SUBOXONE “leak” out from underneath, thereby preventing it from being absorbed by the two veins. Entertaining yourself by reading or watching television while your medication dissolves can help to pass the time more quickly.
Why does it sometimes only take 5 minutes for SUBOXONE to dissolve and other times it takes much longer?
Generally it takes about 5-10 minutes for a tablet to dissolve. However, other factors (eg the moisture in your mouth) can affect that time. Drinking something before taking your medication is a good way to help the tablet dissolve more quickly.
If I forget to take my SUBOXONE for a day will I feel sick?
SUBOXONE works best when taken every 24 hours; however, it may last longer than 24 hours, so you may not get sick. If you miss a dose, try to take it as soon as possible, unless it is almost time for your next dose. If it is close to your next dose, just skip the dose you forgot, and take the next dose as prescribed. Do not take two doses at once unless directed to do so by your physician.
In the future, the best way to help yourself remember to take your medication is to start taking it at the same time that you perform a routine, daily activity, such as when you get dressed in the morning. This way the daily activity will start to serve as a reminder to take your SUBOXONE.
What happens if I still feel sick after taking SUBOXONE for a while?
There are some reasons why you may still feel sick. You may not be taking the medication correctly or the dose may not be right for you. It is important to tell your doctor or nurse if you still feel sick.
What happens if I take drugs and then take SUBOXONE?
You will probably feel very sick and experience what is called “precipitated withdrawal.” SUBOXONE competes with other opioids and will displace those opioid molecules from the receptors. Because SUBOXONE has less opioid effects than full agonist opioids, you will go into withdrawal and feel sick.
What happens if I take SUBOXONE and then take drugs?
As long as SUBOXONE is in your body, it will significantly reduce the effects of any other opioids used, because SUBOXONE will dominate the receptor sites and block other opioids from producing any effect.
What are the side effects of this medication?
Some of the most common side effects that patients experience are nausea, headache, constipation, and body aches and pains. However, most side effects seen with SUBOXONE appear during the first week or two of treatment and then generally subside. If you are experiencing any side effects, be sure to talk about it with your doctor or nurse, as s/he can often treat those symptoms effectively until they abate on their own.