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Suboxone Withdrawal Symptoms, Timeline & Detox

Suboxone, a medication commonly prescribed for opioid addiction treatment, has undoubtedly provided hope and relief for countless individuals grappling with substance abuse. However, as with any medication, there may come a time when discontinuation becomes necessary, leading to the onset of Suboxone withdrawal symptoms. Understanding the symptoms, timeline, and detox process associated with Suboxone withdrawal is essential for both patients and healthcare providers alike. In this article, we delve into the intricate details of Suboxone withdrawal, shedding light on what to expect and how to navigate this challenging phase of recovery.

Suboxone Withdrawal Symptoms

Suboxone withdrawal symptoms can vary in intensity and duration, depending on factors such as the dosage, duration of use, and individual physiology. Here are some common Suboxone withdrawal symptoms:

  • Flu-like symptoms: Patients may experience flu-like symptoms, including body aches, chills, sweating, and fever.
  • Gastrointestinal distress: Nausea, vomiting, diarrhea, and stomach cramps are common during Suboxone withdrawal.
  • Mood swings and anxiety: Feelings of anxiety, irritability, restlessness, and mood swings are often reported during the withdrawal process.
  • Insomnia and sleep disturbances: Difficulty falling asleep, staying asleep, or experiencing vivid and disturbing dreams can occur during Suboxone withdrawal.
  • Muscle aches and pains: Individuals may experience muscle aches, joint pain, and general discomfort as their body adjusts to the absence of Suboxone.
  • Cravings: Intense cravings for Suboxone or other opioids can occur, making it challenging to resist the temptation to relapse.
  • Psychological symptoms: Some individuals may experience depression, lack of motivation, difficulty concentrating, and decreased interest in activities they once enjoyed.

Not everyone will experience all of these symptoms, and the severity and duration of symptoms can vary from person to person. Seeking medical guidance and support during Suboxone withdrawal is crucial for a safe and comfortable detoxification process.

Suboxone Withdrawal Insomnia

Suboxone withdrawals can often accompany insomnia and difficulty falling or staying asleep. Insomnia is a common symptom experienced during withdrawal from various substances, including opioids like Suboxone.

Several factors contribute to insomnia during Suboxone withdrawal. The body is adjusting to the absence of Suboxone, and this can disrupt normal sleep patterns. Additionally, the withdrawal symptoms, such as anxiety, restlessness, and discomfort, can make it challenging to achieve restful sleep.

The duration and severity of insomnia during Suboxone withdrawal can vary from person to person. For some individuals, insomnia may only last a few nights, while for others, it may persist for several weeks or longer.

How Long Does Suboxone Withdrawal Last?

The duration of Suboxone withdrawal can vary from person to person, depending on various factors such as the individual’s overall health, the duration of Suboxone use, the dosage, and the method of discontinuation. The acute withdrawal phase typically lasts about one to two weeks, during which the most intense symptoms occur. However, some individuals may experience a longer-lasting withdrawal period.

After the acute phase, some residual symptoms may persist for several weeks or months. These symptoms, commonly called post-acute withdrawal syndrome (PAWS), can include mood swings, cravings, sleep disturbances, and low energy levels. PAWS can last for several months or occasionally extend up to a year, but the intensity of these symptoms gradually diminishes over time.

Everyone’s withdrawal experience is unique, and the duration of Suboxone withdrawal can vary. Consulting with a healthcare professional specializing in addiction medicine can provide personalized guidance and support during withdrawal. They can help manage symptoms and develop an individualized plan for detoxification and ongoing recovery.

Suboxone Withdrawal Timeline

The timeline for Suboxone withdrawal can vary depending on several factors, including the individual’s usage history and the method of discontinuation. While there is no definitive timeline that applies to everyone, the following is a general overview of the stages of Suboxone withdrawal:

  1. Early Withdrawal (Days 1-3): Withdrawal symptoms typically begin within the first 24 to 48 hours after the last dose of Suboxone. During this phase, individuals may experience mild to moderate symptoms such as anxiety, restlessness, insomnia, muscle aches, and cravings.
  2. Acute Withdrawal (Days 3-7): This phase is characterized by the peak intensity of withdrawal symptoms. Symptoms may include increased anxiety, gastrointestinal distress (nausea, vomiting, diarrhea), flu-like symptoms, sweating, chills, and mood swings. Cravings for Suboxone or other opioids can be strong during this period.
  3. Subsiding Withdrawal (Days 7-14): Many physical symptoms start to subside as the acute phase ends. However, psychological symptoms like depression, anxiety, and cravings may persist. Energy levels may still be low, and sleep disturbances can continue.
  4. Post-Acute Withdrawal Syndrome (PAWS): Following the acute withdrawal phase, some individuals may experience lingering symptoms known as PAWS. These can include mood swings, irritability, cravings, sleep disturbances, and low energy. PAWS can last for weeks or months but gradually improve over time.
Suboxone withdrawal symptoms can vary in intensity and duration, depending on factors such as the dosage, duration of use, and individual physiology.
Suboxone withdrawal symptoms can vary in intensity and duration, depending on factors such as the dosage, duration of use, and individual physiology.

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  1. When Does Suboxone Withdrawal Start?

    Suboxone withdrawal typically starts within 24 to 48 hours after the last dose. The exact timing may vary depending on the individual’s dosage and usage history.

  2. Can You Withdraw From Suboxone?

    Yes, it is possible to experience withdrawal symptoms when discontinuing Suboxone. Suboxone contains buprenorphine, a partial opioid agonist, which can lead to physical dependence. Gradual tapering under medical supervision is often recommended to minimize withdrawal symptoms.

  3. Can You Die From Withdrawal From Suboxone?

    While Suboxone withdrawal itself is not typically life-threatening, complications can arise if the withdrawal process is not managed properly. Severe dehydration, electrolyte imbalances, and other medical issues can occur if healthcare professionals do not supervise withdrawal. Seeking medical guidance during Suboxone withdrawal is essential to ensure safety.

  4. How Does Suboxone Help With Withdrawals?

    Suboxone contains buprenorphine, alleviating withdrawal symptoms by binding to opioid receptors in the brain, reducing cravings, and preventing severe withdrawal effects. It helps individuals transition from opioid dependence to a more stable state, allowing for a smoother withdrawal process.

  5. Is Clonidine For Suboxone Withdrawal?

    Clonidine, a medication commonly used to treat high blood pressure, is sometimes prescribed off-label to manage certain symptoms of Suboxone withdrawal, such as anxiety, agitation, and high blood pressure. However, its use should be supervised by a healthcare professional.

  6. Does Suboxone Help With Opiate Withdrawal?

    Yes, Suboxone can be effective in managing opiate withdrawal symptoms. Its buprenorphine component helps to alleviate withdrawal symptoms and reduce cravings for other opioids. Suboxone is commonly used in medication-assisted treatment (MAT) for opioid addiction.

  7. How Bad Is Suboxone Withdrawal?

    The severity of Suboxone withdrawal can vary from person to person. While it can be uncomfortable, symptoms’ intensity is generally milder than full agonist opioids. The duration and severity of withdrawal symptoms can be influenced by dosage, duration of use, and individual physiology.

  8. Can You Get Off Suboxone Without Withdrawals?

    Gradual tapering under medical supervision is often recommended to minimize Suboxone withdrawal symptoms. While it is unlikely to eliminate all withdrawal symptoms completely, a well-managed tapering process can significantly reduce their intensity and duration, making the withdrawal experience more manageable.

  9. What Does Suboxone Withdrawal Feel Like?

    Suboxone withdrawal symptoms can include flu-like symptoms, gastrointestinal distress, mood swings, insomnia, muscle aches, cravings, and psychological symptoms such as depression and anxiety. The experience can vary from person to person, and symptoms may range from mild to moderate in intensity. Seeking medical support can help alleviate these symptoms and provide guidance during the withdrawal process.

  10. Does Suboxone Help With Alcohol Withdrawal?

    Suboxone is not typically used as a primary treatment for alcohol withdrawal. It contains buprenorphine, which is primarily indicated for opioid addiction treatment. However, in some cases, healthcare professionals may consider using Suboxone off-label to manage alcohol withdrawal symptoms. This decision would be based on individual circumstances and should be made under the guidance of a medical professional experienced in addiction medicine. Other medications, such as benzodiazepines, are more commonly prescribed to manage alcohol withdrawal symptoms effectively.

Suboxone Facts

Suboxone Overview

Suboxone is a medication used in the treatment of opioid addiction. It contains a combination of buprenorphine and naloxone, which work together to reduce withdrawal symptoms and cravings for opioids.

Buprenorphine is a partial opioid agonist that activates the same receptors in the brain as opioids, but to a lesser degree, which can help reduce cravings and withdrawal symptoms. Naloxone is an opioid antagonist that can reverse the effects of opioids and prevent abuse of Suboxone by injection.

Suboxone is administered sublingually (under the tongue) in a film or tablet form and is typically used in combination with counseling and other support services as part of a comprehensive treatment plan.

Side Effects of Suboxone

Common side effects of Suboxone can include constipation, nausea, vomiting, headache, dizziness, and sweating. Less common side effects may include allergic reactions, respiratory depression, and liver problems. It’s important to use Suboxone only as directed by a healthcare provider and to report any concerning side effects immediately.

Sings and Symptoms of Suboxone Abuse

Some signs and symptoms of Suboxone abuse include:

  • Taking Suboxone more frequently or in higher doses than prescribed.
  • Using Suboxone to get high or to alleviate withdrawal symptoms from other drugs.
  • Continuing to use Suboxone after the prescribed treatment period has ended.
  • Hiding or lying about Suboxone use.
  • Neglecting responsibilities and obligations due to Suboxone use.
  • Using Suboxone despite negative consequences.
  • Withdrawal symptoms when attempting to stop or reduce Suboxone use.
  • Needing increasing amounts of Suboxone to achieve the desired effect.
  • Changes in behavior, mood, or appearance.
  • Engaging in risky or dangerous behaviors while under the influence of Suboxone.

It’s important to seek help if you or a loved one is experiencing any signs and symptoms of Suboxone abuse.

Suboxone Abuse Statistics

Suboxone is a medication used to treat opioid addiction, but it can be abused like any medication. Suboxone abuse can have serious consequences, both for the individual and for society as a whole. In this section, we will explore some of the statistics related to Suboxone abuse to better understand the problem’s scope and identify opportunities for prevention and intervention.

Emergency department visits related to buprenorphine (the active ingredient in Suboxone) increased from 3,161 in 2005 to 30,135 in 2010.

Source: SAMHSA

In 2019, the National Institute on Drug Abuse (NIDA) reported that approximately 2 million people in the US misused prescription opioids, including buprenorphine products like Suboxone.

Source: NIDA

A study found that among patients in substance abuse treatment who were prescribed buprenorphine, 21% reported misusing the medication in the past month. Of those who reported misuse, the most common reason cited was to get high.

Source: Journal of Addiction Medicine

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Suboxone precipitated withdrawal is a phenomenon that can occur when Suboxone is administered to a person who still has opioids in their system, particularly full agonist opioids like heroin or oxycodone.
Suboxone precipitated withdrawal is a phenomenon that can occur when Suboxone is administered to a person who still has opioids in their system, particularly full agonist opioids like heroin or oxycodone.

Suboxone Precipitated Withdrawal

Suboxone precipitated withdrawal is a phenomenon that can occur when Suboxone is administered to a person who still has opioids in their system, particularly full agonist opioids like heroin or oxycodone. It is characterized by the rapid onset of intense withdrawal symptoms, which can be more severe than natural opioid withdrawal.

Suboxone contains buprenorphine, a partial opioid agonist, and naloxone, an opioid antagonist. While naloxone is included to deter misuse of Suboxone (such as injecting it), it can also trigger withdrawal symptoms if opioids are still present in the body. When naloxone is introduced, it displaces the full agonist opioids from the opioid receptors, leading to a sudden and intense withdrawal reaction.

This precipitated withdrawal can occur if Suboxone is taken too soon after the last use of full agonist opioids or if the person’s opioid receptors are not fully empty. It is crucial to wait until sufficient time has passed since the last opioid use, allowing the body to clear the opioids and enter a state of withdrawal before starting Suboxone treatment.

To prevent precipitated withdrawal, healthcare professionals assess the individual’s opioid use history and determine the appropriate timing for initiating Suboxone treatment. It is essential to follow their guidance and wait until they confirm it is safe to start Suboxone without triggering precipitated withdrawal.

If someone experiences precipitated withdrawal, they may undergo a sudden and intense onset of withdrawal symptoms, including increased heart rate, anxiety, sweating, nausea, vomiting, diarrhea, and overall discomfort. In such cases, seeking immediate medical attention is crucial, as healthcare professionals can provide appropriate care and manage the symptoms effectively.

To ensure a safe and successful transition to Suboxone treatment, it is essential, to be honest about recent opioid use with healthcare providers and follow their instructions closely regarding the timing of Suboxone initiation.

How Long Does Precipitated Withdrawal Last From Suboxone?

The duration of precipitated withdrawal from Suboxone can vary from person to person, depending on factors such as the individual’s opioid use history, the specific opioids used, and their metabolism. Precipitated withdrawal is typically more intense but shorter in duration compared to natural opioid withdrawal.

In general, the acute phase of precipitated withdrawal may last anywhere from several hours to a few days. The intensity of symptoms tends to peak within the first 24 hours and gradually subsides thereafter. However, individual experiences may differ, and some residual symptoms may persist for several days.

Seeking immediate medical attention is crucial if someone experiences precipitated withdrawal. Healthcare professionals can provide appropriate care to manage the symptoms effectively and ensure the person’s safety and comfort during this challenging period.

To prevent precipitated withdrawal, it is essential to wait until sufficient time has passed since the last use of full agonist opioids and the onset of withdrawal symptoms before starting Suboxone treatment. Following the guidance and instructions of healthcare professionals experienced in addiction medicine is critical to ensure a smooth transition to Suboxone therapy and minimize the risk of precipitated withdrawal.

Suboxone Withdrawal Psychosis

Suboxone withdrawal psychosis refers to the development of psychotic symptoms during the process of discontinuing or tapering off Suboxone. Psychosis is characterized by losing touch with reality, resulting in hallucinations, delusions, disorganized thinking, and abnormal behavior.

While Suboxone withdrawal does not typically cause psychosis, some individuals may experience transient psychotic symptoms as part of their withdrawal process. These symptoms may manifest in the body and brain adjusting to the absence of Suboxone and the effects of other underlying factors.

Psychosis during Suboxone withdrawal is relatively rare. Most individuals who experience withdrawal symptoms may have more common symptoms such as anxiety, insomnia, mood swings, and physical discomfort.

If someone undergoing Suboxone withdrawal experiences psychotic symptoms, it is crucial to seek immediate medical attention. A healthcare professional can assess the situation, provide appropriate support, and determine the best action. They may consider adjusting the tapering schedule, providing additional medications to manage symptoms, or offering psychological support.

It’s worth mentioning that if someone has a pre-existing history of psychosis or other mental health disorders, the risk of experiencing psychotic symptoms during Suboxone withdrawal may be higher. Close monitoring and coordination between addiction specialists and mental health professionals are necessary to ensure comprehensive care.

While Suboxone withdrawal psychosis is uncommon, it is important to be aware of the possibility and seek prompt medical attention if any concerning symptoms arise during the withdrawal process.

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What Helps Suboxone Withdrawal? Suboxone Detox

Suboxone withdrawal can be challenging, but several strategies and interventions can help alleviate symptoms and support a smoother withdrawal process. Here are some methods that can assist in managing Suboxone withdrawal:

  • Medical supervision: Seek medical supervision from healthcare professionals experienced in addiction medicine. They can provide personalized guidance, monitor your progress, and adjust your treatment plan.
  • Gradual tapering: Gradually reducing the dosage of Suboxone under medical supervision is often recommended to minimize withdrawal symptoms. Tapering allows the body to adjust slowly to the decreasing levels of the medication, reducing the intensity of withdrawal.
Suboxone withdrawal can be challenging, but several strategies and interventions can help alleviate symptoms and support a smoother withdrawal process.
Suboxone withdrawal can be challenging, but several strategies and interventions can help alleviate symptoms and support a smoother withdrawal process.
  • Medications for symptom management: Certain medications may be prescribed to manage specific withdrawal symptoms. For example, clonidine can help with anxiety, muscle aches, and other physical symptoms. Other medications, such as non-addictive sleep aids, may be prescribed to address insomnia.
  • Behavioral therapy: Engaging in behavioral therapy, such as cognitive-behavioral therapy (CBT), can provide valuable coping mechanisms, address underlying issues related to substance use, and support the recovery process.
  • Support groups and counseling: Participating in support groups, such as 12-step programs like Narcotics Anonymous (NA), or individual counseling sessions can offer emotional support, share experiences, and guide the withdrawal process.
  • Healthy lifestyle habits: Adopting healthy habits can aid in managing withdrawal symptoms. This includes regular exercise, maintaining a balanced diet, staying hydrated, and practicing stress-reduction techniques like mindfulness or yoga.
  • Self-care: Taking care of yourself is important during Suboxone withdrawal. Allow time to rest, engage in enjoyable activities, and practice self-compassion. Take steps to prioritize your physical and mental well-being.

The process of Suboxone detox and withdrawal should be tailored to individual needs. Consulting with healthcare professionals specializing in addiction medicine is essential for developing a personalized detoxification plan that considers your specific circumstances and provides the most effective support.

Kratom For Suboxone Withdrawal

Using kratom for Suboxone withdrawal is a topic of debate and controversy. Kratom is a plant native to Southeast Asia, known for its opioid-like effects. Some claim that kratom can help alleviate withdrawal symptoms during the Suboxone detoxification process, while others caution against its use.

It’s important to note that kratom has opioid-like properties, as it interacts with the same receptors in the brain. However, its specific mechanisms of action and potential risks are not yet fully understood. The U.S. Food and Drug Administration (FDA) has not approved kratom for any medical use, including managing opioid withdrawal.

Home Remedies For Suboxone Withdrawal

While professional medical supervision is essential for managing Suboxone withdrawal, there are some home remedies and self-care practices that may help alleviate certain withdrawal symptoms. Here are a few suggestions:

  • Stay hydrated: Drink plenty of water and fluids to prevent dehydration, which can worsen symptoms such as muscle aches and headaches.
  • Healthy diet: Maintain a balanced diet rich in nutritious foods. Include fruits, vegetables, whole grains, and lean proteins to give your body essential nutrients.
  • Hot baths or showers: Taking warm baths or showers can help relax your muscles, reduce tension, and provide temporary relief from discomfort.
  • Exercise and movement: Engage in light exercises or gentle stretching, such as walking or yoga, to promote blood circulation, reduce restlessness, and improve mood.
  • Deep breathing and relaxation techniques: Practice deep breathing exercises or relaxation techniques like meditation or progressive muscle relaxation to manage anxiety and stress and promote a sense of calm.
  • Supportive supplements: Some individuals find certain over-the-counter supplements helpful in managing Suboxone withdrawal symptoms. Examples include vitamins (such as B vitamins and vitamin C), magnesium, and herbal remedies like valerian root or chamomile. However, it’s important to consult with a healthcare professional before taking any supplements to ensure they are safe and appropriate for your situation.
  • Create a supportive environment: Surround yourself with a supportive network of friends and family who understand your journey and can offer emotional support. Minimize exposure to triggers or stressors that may increase cravings or exacerbate withdrawal symptoms.

These home remedies are supportive measures and should not replace professional medical care. It’s crucial to consult with a healthcare professional who can provide appropriate guidance, monitor your progress, and ensure your safety and well-being throughout the withdrawal process.

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We Level Up Suboxone Withdrawal Dual Diagnosis Treatment

The definition of dual diagnosis, also known as co-occurring disorders, can vary among institutions. Generally, it refers to simultaneously treating a substance use disorder and a mental health disorder. Treating individuals with co-occurring disorders is a crucial aspect of our inpatient treatment. Co-occurring disorders are strongly linked to substance abuse.

We create treatment plans that address withdrawal symptoms, the psychological aspects of drug use, and managing underlying mental health disorders to set clients up for success. A comprehensive mental health assessment identifies treatment possibilities. Our dual diagnosis treatment center provides access to mental health counselors, medical professionals, behavioral therapy, and medication treatment, ensuring the highest quality of care.

We understand the intricate relationship between mental and substance abuse disorders, which can result in a destructive cycle of addiction. We specialize in dual-diagnosis cases, offering the best chance for healing and long-lasting recovery.

Recognizing that you may have a mental illness can be challenging. However, treating substance abuse becomes much easier once you receive a proper diagnosis and treatment. Only qualified medical professionals can diagnose these underlying conditions. If you suspect you have a co-occurring disorder, we encourage you to seek a reputable treatment center to begin your journey to recovery. Contact We Level Up today.

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Search We Level Up Suboxone Withdrawal Symptoms Resources
  1. National Institute on Drug Abuse (NIDA) – Suboxone:
  2. Substance Abuse and Mental Health Services Administration (SAMHSA) – Medication and Counseling Treatment for Opioid Use Disorder:
  3. U.S. Food and Drug Administration (FDA) – Suboxone Information:
  4. Centers for Disease Control and Prevention (CDC) – Opioid Overdose:
  5. National Library of Medicine – MedlinePlus: Opioid Withdrawal:
  6. National Alliance of Advocates for Buprenorphine Treatment (NAABT) – Suboxone Withdrawal:
  7. National Institutes of Health (NIH) – Opiate and Opioid Withdrawal:
  8. Health Resources and Services Administration (HRSA) – Opioid Use Disorder:
  9. Office of National Drug Control Policy (ONDCP) – Opioid Factsheet:
  10. Substance Abuse and Mental Health Services Administration (SAMHSA) – Opioid Treatment Program Directory:

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