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Benefits of Switching From Methadone To Suboxone

Medically Reviewed by
Steve North, MD
September 3, 2024

As you embark on your journey towards recovery from opioid addiction, it’s essential to understand the different treatment options available. While methadone has been a long-standing option, Suboxone offers a more modern and potentially safer alternative.

There are distinct advantages to transitioning from methadone to Suboxone that can significantly enhance your recovery process. Understanding the benefits of this transition can ensure you make an informed decision about your MAT.

What is Suboxone?

Suboxone is a medicine for opioid addiction that is a combination of two medications: buprenorphine (a partial opioid agonist) and naloxone (an opioid antagonist). Buprenorphine helps reduce cravings and withdrawal symptoms, while naloxone is included to discourage misuse by causing unpleasant side effects if the medication is injected or snorted.

Suboxone comes in the form of sublingual (under the tongue) films, which dissolve and are absorbed through the mucous membranes. This allows for a more convenient and discreet administration compared to methadone clinics. At Eleanor Health, we offer Suboxone treatment as part of our Medication-Assisted Treatment (MAT) plan for opioids.

Suboxone was introduced as a medication-assisted treatment (MAT) for opioid use disorder in 2002, providing a more accessible option for patients compared to methadone, which requires administration in specialized clinics.

Why Switch from Methadone to Suboxone?

Transitioning from methadone to Suboxone can offer several potential advantages for individuals seeking recovery from opioid addiction:

  • Reduced Risk of Overdose: Suboxone has a lower risk of respiratory depression and overdose compared to methadone, as its effects are limited by the “ceiling effect” of buprenorphine. This means that, after a certain dose, the drug does not increase its effect.
  • Greater Flexibility in Dosing: Unlike methadone, which requires daily visits to a clinic for supervised dosing, Suboxone can be prescribed for take-home use, allowing for greater flexibility and convenience in your treatment regimen, especially if you are looking for a care plan you can do from home.
  • Milder Withdrawal Symptoms: The transition from methadone to Suboxone is often associated with milder withdrawal symptoms compared to abrupt ending of methadone treatment.
  • Improved Quality of Life: Many individuals report improved mental clarity, increased energy levels, and a better overall quality of life when transitioning from methadone to Suboxone.
  • Potential for Tapering and Discontinuation: Suboxone may offer a smoother path towards tapering and eventually discontinuing medication-assisted treatment. Suboxone is a partial agonist, meaning it only activates a part of the brain receptors that create the euphoric effect associated with drugs. It has lower potential for dependence compared to full opioid agonists like methadone, which fully engage the brain receptor.

Suboxone vs. Methadone

The choice between Suboxone and methadone often depends on your specific needs, including the severity of your addiction and your lifestyle:

A table detailing the differences between Suboxone and Methadone

How To Switch From Methadone to Suboxone

If you decide to switch from methadone to Suboxone, it’s crucial to follow a structured transition process under the guidance of a qualified addiction specialist. The transition typically involves:

Evaluation and Preparation

Your healthcare provider will assess your current methadone dosage and determine the appropriate timing for the transition. You may need to gradually reduce your methadone dose to a certain level before starting Suboxone.

Starting Suboxone

Once you have reached the appropriate level of methadone withdrawal (typically 24-36 hours after your last dose), you will begin taking Suboxone. The initial Suboxone dose will be carefully titrated to manage withdrawal symptoms and cravings.

Stabilization and Maintenance

Over time, your healthcare provider will adjust the Suboxone dosage to find the optimal level that alleviates withdrawal symptoms and cravings without causing adverse effects.

Regular follow-up appointments and counseling will be essential during this phase.

It’s important to note that the transition process can be challenging, and you may experience some withdrawal symptoms. However, with proper medical supervision and support, these symptoms can be managed effectively.

Finding a Qualified Suboxone Provider

It’s essential to find a qualified and experienced healthcare provider who can guide you through the process. Look for Suboxone providers who:

  • Have specialized training and certification in prescribing Suboxone for opioid addiction treatment.
  • Offer comprehensive support services, such as addiction counseling and peer-support services, to complement medication-assisted treatment.
  • Have experience in managing the transition from methadone to Suboxone and can provide personalized care based on your specific needs.
  • Maintain a supportive and non-judgmental approach to treatment, both your current and past experiences.

If you are interested in Suboxone treatment and virtual recovery services, Eleanor Health could be just what you are looking for. We are an outpatient addiction treatment program that supports people in recovery through convenient, confidential and accessible services in Louisiana, Massachusetts, New Jersey, North Carolina, Ohio, and Washington. Call our recovery specialists to receive judgment-free assistance today.

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Steve North, MD

Dr. North is the Vice President for Medical Operations and the NC State Medical Director for Eleanor Health. He has been designing, implementing and evaluating telemedicine programs since 2007. His current work includes leading Eleanor Health’s provision of addiction medicine services via virtual care in North Carolina and four other states and serving on the National Quality Forum’s Rural Telehealth and Healthcare System Readiness Committee. Dr. North received his undergraduate degree in psychology from the University of Wisconsin-Madison and his medical doctorate from the University of North Carolina School of Medicine. He completed his Family Medicine Residency, Adolescent Medicine Fellowship, and Master’s in Public Health at the University of Rochester School of Medicine and Dentistry.

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