Incorrect use of this med increases the risk of serious side effects or death. Even if you used other drugs, you can still have serious side effects from taking buprenorphine. Carefully follow the dosage instructions.
Like other narcotic drugs, buprenorphine can slow your breathing. If breathing becomes too weak, death may occur.
Never crush the tablet to mix with the intravenous fluids. This practice led to death as a result of the misuse of this med and similar drugs.
In case of emergency, always carry a medical contra-indication card or document indicating that you are taking buprenorphine (subutex). Any doctor, dentist or emergency doctor treating you should know that you are being treated for drug dependence.
Avoid drinking alcohol that can increase some of the side effects of this medicine. Excessive use of this drug with alcohol can lead to death.
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After prolonged use, do not stop taking it abruptly, otherwise abnormal withdrawal symptoms may occur. Ask your doctor how to avoid withdrawal symptoms when you stop taking buprenorphine. It may be necessary to gradually reduce the dose before completely stopping the treatment of drug addiction or dependence that arose from the use of this drug.
This medication may impair mental activity or reaction rate. Avoid driving a car or controlling any equipment until you know how buprenorphine will affect you.
What Should I Discuss With My Doctor Before Taking Buprenorphine ( Subutex )?
Do not use this medication if you are allergic to buprenorphine (subutex) or naloxone (narcan), or if you have used another drug for the last 4 hours.
To make sure that you can safely take buprenorphine, tell your doctor if you have any of the following problems:
asthma, chronic obstructive pulmonary disease, sleep apnea or other breathing disorders;
liver disease (especially hepatitis B or C);
increased prostate gland, trouble urinating;
diseases of the gallbladder;
Addison’s disease (adrenal gland disorder);
mental illness, personality disorder, or psychotic episodes;
It can be addictive and should only be used by the person to whom it was discharged. Never give this to another person, especially someone who has used drugs. It can lead to the effect of abstinence in a person who is addicted to drugs. Keep medicines in places where others can not access it.
According to the American Federal Service for the Supervision of Drugs, there is no information as to whether buprenorphine can harm a prospective child. It can lead to addiction or withdrawal syndrome in a newborn if the mother takes the medicine during pregnancy. Tell your doctor if you are pregnant or plan a pregnancy while taking this.
It can penetrate breast milk and damage the infant. You should not breast-feed while using buprenorphine.
Do not give this medicine to a child.
How Should I Take Buprenorphine?
Never take it in large quantities or for longer than the doctor recommended. Incorrect use of this medicine increases the risk of serious side effects or death. Even if you used other drugs, you can still have serious side effects from taking subutex. Carefully follow the dosage instructions. Tell your doctor if it seems to you that the effect of using the drug is reduced, and if it alleviates the pain.
Never crush the tablet to mix with the intravenous fluids. This practice led to death as a result of the misuse of subutex and similar drugs.
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subutex tablets for sublingual use should be placed under the tongue and dissolved. Do not chew the tablet and do not swallow it whole. If your doctor prescribed more than 2 tablets per dose, place the right amount of tablets under the tongue at the same time and allow them to completely dissolve.
In case of emergency, always carry with you a card with medical contraindications or a document indicating that you are taking buprenorphine. Any doctor, dentist or emergency doctor treating you should know that you are being treated for drug dependence. Make sure that your family members know that you are taking it in case they have to speak for you in an emergency.
In order to make sure that treatment does not cause harmful effects, it is often necessary to check the functioning of the liver by taking blood tests. Visit your doctor regularly.
Store the drug at room temperature in a cool and dry place.
Keep track of the amount of medicine when using each new vial. It is a drug and you should know if someone is using your medicine incorrectly or without a prescription.
What Happens If I Miss A Drug?
Take the missed dose as soon as you remember it. Skip the reception if it almost coincides with the next scheduled reception. Do not take the medicine in addition to compensate the missed dose.
What Happens If The Drug Is Overdosed?
Immediately consult your doctor or call the Poison Control Service. An overdose of buprenorphine can lead to death.
Symptoms of overdose may include extreme drowsiness or weakness, cold or sticky skin, narrowed pupils, fainting, delayed palpitation, weak pulse, weak or slow breathing (breathing may stop).
What Should I Avoid While Taking Buprenorphine?
Avoid drinking alcohol that can increase some of the side effects of subutex. Excessive use of this drug with alcohol can lead to death.
This medication may impair mental activity or reaction rate. Avoid driving a car or controlling any equipment until you know how it will affect you.
Side Effects Of Buprenorphine (Subutex)
Call an ambulance if you have any of the following signs of an allergic reaction: hives, shortness of breath, swelling of the face, lips, tongue, or throat.
Like other narcotic drugs, buprenorphine subutex can slow your breathing. If breathing becomes too weak, death may occur.
Call your doctor right away if you have serious side effects, such as:
slow or shallow breathing;
confusion in thoughts or unusual behavior;
nausea, pain in the upper abdomen, itching, loss of appetite, dark urine, clayey stools, jaundice (yellowing of the skin or eyes).
Less serious side effects may be:
abdominal pain, nausea, vomiting, constipation;
feeling of heat or tingling;
chills, increased sweating;
problems with sleep (insomnia);
or runny nose.
This is not a complete list of side effects, there may be others. Contact your doctor for medical advice about side effects.