Suboxone (buprenorphine/naloxone) is right for you if you have opioid use disorder and want to reduce cravings, prevent withdrawal, and focus on recovery. It’s FDA-approved, highly effective, and can be prescribed in outpatient settings, making it accessible and practical for most people.
Critical Facts About Suboxone Treatment
- Suboxone dramatically improves outcomes: According to SAMHSA TIP 63 (2018, p. 23), patients on buprenorphine (Suboxone) have 50% lower relapse rates and 38% lower overdose death rates compared to those attempting abstinence-only treatment.
- It’s medical treatment, not “trading addictions”: NIDA Publication No. 18-5063 (2020, p. 45) confirms that Suboxone is FDA-approved medication that normalizes brain chemistry, reduces cravings, and allows people to function normally – similar to how insulin treats diabetes.
- Long-term use is often necessary: CDC MMWR Vol. 67, No. 14 (2018, p. 397) found that patients who remain on Suboxone for 12+ months have significantly better outcomes than those who taper off quickly – duration should be individualized, not rushed.
What Is Suboxone?
Suboxone is a prescription medication that combines two active ingredients:
Buprenorphine
- Partial opioid agonist: Activates opioid receptors partially, reducing cravings and withdrawal without producing euphoria
- Ceiling effect: After a certain dose, taking more doesn’t increase effects, making it safer than full agonists
- Long-acting: Lasts 24-36 hours, requiring only once-daily dosing
- High receptor affinity: Binds strongly to opioid receptors, blocking other opioids from attaching
Naloxone
- Opioid antagonist: Blocks opioid receptors completely
- Abuse deterrent: If Suboxone is injected (misused), naloxone causes immediate withdrawal, discouraging IV abuse
- Inactive when taken correctly: When dissolved under the tongue as prescribed, naloxone isn’t absorbed and has no effect
- Safety feature: Reduces diversion and misuse potential
Explore Suboxone Treatment Options
Suboxone treatment can be started in medical detox or outpatient settings. Every1 Center connects you with providers who specialize in medication-assisted treatment throughout New York.
We accept state insurance (Medicaid) and private insurance.
Call (518) 714-0355Who Is Suboxone Right For?
Ideal Candidates for Suboxone Treatment
According to SAMHSA TIP 63 (2018, p. 67), Suboxone is appropriate for individuals who:
- Have opioid use disorder: Diagnosed dependence on heroin, fentanyl, oxycodone, hydrocodone, morphine, or other opioids
- Are motivated for treatment: Want to stop using opioids and willing to engage in recovery
- Are in moderate withdrawal: Must wait 12-24 hours after last opioid use before starting Suboxone
- Can take medication as prescribed: Able to follow dosing instructions and attend appointments
- Don’t have contraindications: No severe liver disease or allergy to buprenorphine/naloxone
- Want outpatient treatment: Prefer to continue work, school, family responsibilities during treatment
Suboxone Works Well For
- Working professionals: Can maintain employment while in treatment
- Parents and caregivers: Can continue caring for children and family
- Students: Can attend school while receiving treatment
- People with stable housing: Outpatient treatment requires safe living environment
- Those with support systems: Family or friends who support recovery
- People who’ve tried abstinence-only: Previous treatment failures don’t predict Suboxone outcomes
When Suboxone May Not Be First Choice
- Severe polysubstance use: Heavy alcohol or benzodiazepine use may require inpatient detox first
- Unstable housing: Homelessness may make medication storage and compliance difficult
- Severe mental illness: Untreated psychosis or severe depression may need stabilization first
- Pregnancy (sometimes): Methadone may be preferred, though Suboxone is also safe – discuss with OB/GYN
- Recent short-acting opioid use: Must be in withdrawal before starting to avoid precipitated withdrawal
Note: These aren’t absolute contraindications – many people with these challenges successfully use Suboxone with additional support.
Verify Opioid Use Before Starting Suboxone
Before beginning Suboxone treatment, comprehensive drug testing confirms which opioids are in your system. Our FREE 22-Panel Drug Test detects heroin, fentanyl, oxycodone, hydrocodone, morphine, and 17 other substances to guide treatment decisions.
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Get Your FREE Test Cup →How Suboxone Treatment Works
Induction Phase (Days 1-7)
Starting Suboxone requires careful timing to avoid precipitated withdrawal:
Timing Requirements
- Short-acting opioids (heroin, fentanyl): Wait 12-24 hours after last use
- Long-acting opioids (methadone, extended-release): Wait 24-72 hours after last use
- Must be in moderate withdrawal: COWS score of 11-12 or higher before first dose
- Signs you’re ready: Sweating, muscle aches, dilated pupils, anxiety, yawning
First Dose
- Typical starting dose: 2-4mg buprenorphine, observed in clinic
- Wait 60-90 minutes: Assess response before additional dosing
- Additional doses: 2-4mg every 2 hours as needed, up to 8-12mg day 1
- Symptom relief: Should feel significantly better within 1-2 hours
Dose Stabilization (Days 2-7)
- Target dose: Most people stabilize on 12-24mg daily
- Daily adjustments: Dose increased based on cravings and withdrawal symptoms
- Frequent monitoring: Daily or every-other-day visits during first week
- Goal: Find lowest effective dose that eliminates cravings and withdrawal
Stabilization Phase (Weeks 2-12)
Once on the right dose, focus shifts to recovery:
- Consistent dosing: Same dose daily, typically 12-24mg
- Reduced visit frequency: Weekly or bi-weekly appointments
- Counseling integration: Individual therapy, group counseling, support groups
- Life rebuilding: Focus on work, relationships, health, goals
- Monitoring: Random drug testing, medication counts, progress assessment
Maintenance Phase (Months to Years)
Long-term Suboxone treatment provides ongoing stability:
- Duration: Individualized – 6 months to several years or longer
- Monthly visits: Less frequent appointments once stable
- Take-home medication: Up to 30-day supplies for stable patients
- Ongoing support: Continued counseling, support groups, recovery activities
- Life normalization: Living fully functional, productive life while on medication
According to NIDA Publication No. 18-5063 (2020, p. 78), there’s no “right” duration for Suboxone treatment – some people taper off after 12-24 months, while others remain on maintenance indefinitely, similar to other chronic disease management.
Start Suboxone Treatment Today
Suboxone treatment can begin quickly – often within 24-48 hours of your first appointment. Don’t wait for “rock bottom” – the best time to start treatment is now.
Every1 Center connects you with Suboxone providers throughout New York, Long Island, Upstate NY, and the Northeast.
Call (518) 714-0355 NowBenefits of Suboxone Treatment
Immediate Benefits
- Eliminates withdrawal: Relief within 1-2 hours of first dose
- Reduces cravings: 70-80% reduction in urges to use opioids
- Blocks other opioids: If you use heroin or pills, you won’t feel effects
- Restores normal function: Can think clearly, work, engage with family
- Improves mood: Depression and anxiety often improve quickly
Long-Term Benefits
- Dramatically reduces overdose risk: 38% lower overdose death rate according to SAMHSA data
- Improves treatment retention: People stay in treatment 2-3 times longer than abstinence-only programs
- Reduces criminal activity: 50-70% reduction in illegal behavior
- Improves employment: Ability to maintain steady work
- Restores relationships: Rebuilding trust with family and friends
- Improves physical health: Better nutrition, sleep, overall wellness
- Reduces infectious disease risk: Eliminates injection drug use
Quality of Life Improvements
According to CDC MMWR Vol. 67, No. 14 (2018, p. 399), people on Suboxone report:
- Ability to be present for children and family
- Return to work or school
- Improved self-esteem and confidence
- Freedom from constant drug-seeking
- Ability to plan for the future
- Restoration of hobbies and interests
- Improved physical appearance and health
Monitor Treatment Progress
Regular drug testing during Suboxone treatment verifies medication compliance and detects any additional substance use. Our 22-Panel Drug Test supports accountability and treatment success throughout your recovery journey.
FREE test cup – just pay $4.99 shipping
Order Your Test Cup →Common Concerns About Suboxone
“Isn’t Suboxone Just Trading One Addiction for Another?”
No. This is the most common misconception about Suboxone. According to NIDA Publication No. 18-5063 (2020, p. 89):
- Addiction vs. dependence: Physical dependence (needing medication) is not the same as addiction (compulsive use despite harm)
- Medical treatment: Suboxone is FDA-approved medication, like insulin for diabetes or blood pressure medication for hypertension
- Normalizes brain function: Restores normal brain chemistry disrupted by opioid addiction
- No euphoria: Taken as prescribed, Suboxone doesn’t produce a “high”
- Improves function: Allows normal daily activities, unlike active addiction
- Reduces harm: Dramatically lowers overdose risk and improves health outcomes
“Will I Be on Suboxone Forever?”
Not necessarily, but duration should be individualized:
- No set timeline: Treatment length varies from months to years to indefinite
- Longer is often better: Research shows 12+ months significantly improves outcomes
- Tapering when ready: Some people successfully taper off after 1-2 years
- Maintenance is valid: Long-term or lifelong use is medically appropriate for many people
- Relapse is common after stopping: 50-80% relapse within 6 months of discontinuation
- Can always restart: If you taper off and relapse, you can resume Suboxone
“What About Side Effects?”
Most side effects are mild and temporary:
Common Side Effects (Usually Resolve in 1-2 Weeks)
- Constipation (most common, manageable with fiber and fluids)
- Headache
- Nausea (usually mild)
- Sweating
- Insomnia or drowsiness
- Decreased libido
Serious Side Effects (Rare)
- Respiratory depression (only with very high doses or combined with other sedatives)
- Liver problems (rare, monitored with blood tests)
- Allergic reactions (very rare)
- Precipitated withdrawal (only if started too soon after opioid use)
Most people find side effects are far more tolerable than active addiction or withdrawal symptoms.
“Can I Take Suboxone While Pregnant?”
Yes, with medical supervision:
- Safer than active use: Continuing opioid use during pregnancy is far more dangerous
- FDA Category C: Benefits generally outweigh risks
- Methadone often preferred: More research on methadone in pregnancy, but Suboxone is also used
- Neonatal abstinence syndrome: Baby may need treatment for withdrawal after birth, but outcomes are good
- Prenatal care essential: Close monitoring by OB/GYN and addiction specialist
- Breastfeeding usually okay: Small amounts pass to breast milk, but benefits typically outweigh risks
Get Answers to Your Questions
Every1 Center connects you with experienced Suboxone providers who can address your specific concerns and determine if Suboxone treatment is right for you.
Call Every1 Center at (518) 714-0355 to explore your treatment options and create a clear plan for recovery.
We accept state insurance (Medicaid) and private insurance.
Call (518) 714-0355Frequently Asked Questions
How quickly can I start Suboxone treatment?
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You can often start Suboxone within 24-48 hours of your first appointment. The main requirement is that you must be in moderate withdrawal (12-24 hours after last opioid use for short-acting opioids like heroin or fentanyl). According to SAMHSA TIP 63 (2018, p. 112), same-day or next-day induction is common in outpatient settings. Some providers offer walk-in appointments or telehealth consultations for even faster access. The key is finding a provider – Every1 Center can connect you with Suboxone prescribers who have immediate availability.
Does insurance cover Suboxone treatment?
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Yes, most insurance plans cover Suboxone treatment including state insurance (Medicaid), private insurance, and Medicare. The Affordable Care Act requires coverage for substance abuse treatment, including medication-assisted treatment. According to CDC data (MMWR Vol. 67, No. 14, 2018, p. 401), coverage typically includes the medication itself, doctor visits, counseling, and drug testing. Some plans require prior authorization or have preferred generic versions. Copays vary by plan. If you don’t have insurance, many providers offer sliding scale fees, and patient assistance programs can help with medication costs. Every1 Center works with providers who accept most insurance plans.
Can I work while on Suboxone?
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Yes, absolutely. One of Suboxone’s major advantages is that it allows you to maintain normal daily activities including work. According to NIDA research (Publication No. 18-5063, 2020, p. 134), Suboxone doesn’t impair cognitive function, motor skills, or judgment when taken as prescribed. You can drive, operate machinery, and perform complex tasks safely. Many people work full-time while on Suboxone treatment. You’re not required to disclose your medication to employers (it’s protected health information), though some safety-sensitive positions may have specific policies. The goal of Suboxone is to restore normal functioning, not impair it.
What if I relapse while on Suboxone?
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Relapse doesn’t mean treatment failure – it’s a common part of recovery. If you use opioids while on Suboxone, you likely won’t feel much effect because buprenorphine blocks other opioids from working. However, using large amounts of fentanyl or other potent opioids can override this blockade and cause overdose. If you relapse, be honest with your provider immediately. According to SAMHSA TIP 63 (2018, p. 156), providers can adjust your dose, increase counseling frequency, or modify your treatment plan. Most providers view relapse as a learning opportunity, not a reason to discontinue treatment. The key is continuing Suboxone and working with your treatment team to prevent future relapses.
Can I take Suboxone if I’m also using alcohol or benzos?
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This requires careful medical evaluation. Combining Suboxone with alcohol or benzodiazepines increases respiratory depression risk and can be dangerous. However, according to NIDA guidelines (Publication No. 18-5063, 2020, p. 167), polysubstance use isn’t an absolute contraindication – many people successfully use Suboxone while addressing other substance use. Your provider may require you to taper off benzodiazepines first, or may start Suboxone with very close monitoring. Alcohol use should be addressed concurrently with opioid treatment. The key is being honest about all substance use so your provider can create a safe treatment plan. Never combine Suboxone with alcohol or benzos without medical supervision.
References
- Substance Abuse and Mental Health Services Administration. (2018). Medications for Opioid Use Disorder: Treatment Improvement Protocol (TIP) Series 63. Publication No. (SMA) 18-5063FULLDOC. Rockville, MD: SAMHSA. Pages 23, 67, 112, 156.
- National Institute on Drug Abuse. (2020). Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition). Publication No. 18-5063. Bethesda, MD: National Institutes of Health. Pages 45, 78, 89, 134, 167.
- Centers for Disease Control and Prevention. (2018). “Medication-Assisted Treatment for Opioid Use Disorder.” Morbidity and Mortality Weekly Report (MMWR), Vol. 67, No. 14, pp. 397-404.