Thank you for using Justanswer for your concern.
If you are taking the subutex that dissolves under your tongue, you should let it dissolve completely under your tongue. Hold the fluid under your tongue for a while after it dissolves completely. Swallow fluid slowly. This will ensure that you get the complete dosage of subutex.
Although there are no food interactions listed for subutex, I would not take it near consuming citrus fruits, or any food if possible for at least 15 minutes. Many drugs will have reduced effects if you take the medication with food.
You should never take tramadol and subutex together. Both are known to lower the seizure threshold, meaning you could have a seizure, especially if you have a tendency to them.
You need to talk to your addictionologist. Usually if the Subutex is not holding you, it means you need a larger dose. If you have not been taking it long your doctor will increase it if you tell them that you are having a hard time in between dosages.
You should have support while on subutex. Even if it is difficult to talk it is good to attend 12 step meetings for support, and to be reminded of the places that drug addiction can lead. If you have some kind of support system for subutex, that would be even better. There may be support online at the drug website.
Here is the website: http://suboxone.com/
I hope this helps. If you have questions, please reply.
Take care, Susan