How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 13548
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now
A new question is answered every 9 seconds

is suboxone meant to be a temporary aide to help a person withdraw

Resolved Question:

is suboxone meant to be a temporary aide to help a person withdraw from narcotics, like how the 'patch' or lozenges are to wean from nicotine addition? or is suboxone a permanent treatment for narcotic addiction? what happens if a patient goes off of subxone?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.
Thank you for using JustAnswer.

Suboxone can be used in multiple ways. The primary use of Suboxone is to help a person get off whatever opiate that is the drug of choice. In that sense, it is a substitute that is able to blunt the withdrawal symptoms by affecting the opiate receptor, but is limited in how much action is present, so does not get the high associated with other opiates.

Although it is similar to using an alternative source of nicotine in smokers, such as the patch, it is also slightly different. Nicotine replacement is using the exact same drug in a controlled method, whereas the Suboxone is similar but not exactly the same, since it is limited in the level of action.

Ideally, the Suboxone would be provided for a limited period of time, and then the Suboxone can be gradually tapered. Since the person is still receiving a drug that is stimulating the opiate receptor, there is still the addiction to be dealt with when the drug is tapered. However, using the Suboxone for a period of time allows for first overcoming the psychologic aspect of the addiction, such as seeking the immediate desirable effect of taking the opiate Then, after a period of time, stopping the Suboxone will allow for dealing with the remaining physical addiction. Performing a gradual addiction will help blunt the withdrawal symptoms, but there will still be the addiction and the desire to use the drug that is present with the addiction, and ultimately, it will still need a certain level of will power to refuse to return to the original drug to which the person was addicted.

In some people, the Suboxone can be used for a longer period of time as a replacement for the opiate, as maintenance for the opiate addiction. This can occur in people that find it difficult to taper off the Suboxone or have had more difficulty in the addiction.In this situation, there will be periodic reassessment of whether the patient is ready for a taper off the Suboxone, but some of these people will be on the Suboxone for a long period of time.

If you have any further questions, please let me know.

Customer: replied 1 year ago.

thanks for your detailed response. i have heard that taking opiates while on suboxone makes the person feel sick and as such suboxone also acts as a deterrrent to taking opiates. is this true?

Expert:  Dr. D. Love replied 1 year ago.
I'm sorry for the delay, but I was away from the computer.

This is not entirely accurate.

Since the Suboxone also has a limit on the effect on the opiate receptor, it also will block any other opiate from affecting the receptor, but the effect will vary according to the order in which it is taken. If you are taking an opiate and while the opiate is in your system, take the Suboxone, it will precipitate withdrawal, which will make the person very sick. However, if you are already taking the Suboxone and is in your system when you take the opiate, it will simply not have any effect, but there is no withdrawal or other "sickness." If you are psychologically seeking the high from the opiate, the absence of the high may make you feel worse, but it is not because of a sickness from taking the opiate while the Suboxone is in the system.

Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 13548
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and 10 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions