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Suboxone Patient Information including If I Miss a Dose
In this Article
- What is buprenorphine and naloxone (Suboxone)?
- What are the possible side effects of buprenorphine and naloxone (Suboxone)?
- What is the most important information I should know about buprenorphine and naloxone (Suboxone)?
- What should I discuss with my healthcare provider before taking buprenorphine and naloxone (Suboxone)?
- How should I take buprenorphine and naloxone (Suboxone)?
- What happens if I miss a dose (Suboxone)?
- What happens if I overdose (Suboxone)?
- What should I avoid while taking buprenorphine and naloxone (Suboxone)?
- What other drugs will affect buprenorphine and naloxone (Suboxone)?
- Where can I get more information?
What happens if I miss a dose (Suboxone)?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Suboxone)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of buprenorphine can be fatal.
Overdose symptoms may include confusion, dizziness, pinpoint pupils, fainting, or slow breathing (breathing may stop).
What should I avoid while taking buprenorphine and naloxone (Suboxone)?
Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with buprenorphine and naloxone. Check your food and medicine labels to be sure these products do not contain alcohol.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. This medication may impair your thinking or reactions. Avoid driving or operating machinery until you know how buprenorphine and naloxone will affect you.
What other drugs will affect buprenorphine and naloxone (Suboxone)?
Taking buprenorphine and naloxone with other drugs that make you sleepy or slow your breathing can cause dangerous or life-threatening side effects. Ask your doctor before taking buprenorphine and naloxone with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Many drugs can interact with buprenorphine and naloxone. Not all possible interactions are listed here. Tell your doctor about all your medications and any you start or stop using during treatment with buprenorphine and naloxone, especially:
- St. John's wort;
- an antibiotic--clarithromycin, erythromycin, nafcillin, rifabutin, rifapentine, rifampin, telithromycin;
- antifungal medication--itraconazole, ketoconazole, posaconazole, voriconazole;
- heart or blood pressure medication--nicardipine or quinidine;
- the hepatitis medications boceprevir or telaprevir;
- HIV or AIDS medicine--atazanavir, delavirdine, efavirenz, indinavir, nevirapine, saquinavir;
- a sedative--diazepam, alprazolam, lorazepam, temazepam, triazolam, Restoril, Valium, Xanax, and others; or
- seizure medication--carbamazepine, fosphenytoin, oxcarbazepine, phenobarbital, phenytoin, or primidone.
This list is not complete. Other drugs may interact with buprenorphine and naloxone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
Where can I get more information?
Your pharmacist can provide additional information about buprenorphine and naloxone.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2013 Cerner Multum, Inc. Version: 2.01. Revision date: 1/15/2013.
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