Can You Overdose on Subutex?

A few key matters must be considered when it comes to Subutex. First and foremost, yes, it is possible to overdose on the medication. There is always the chance, however remote, for an overdose whenever opioids are concerned. This being said, it is generally more difficult to overdose on Subutex compared to other opioids or opiates. For example, respiratory depression — when there is a buildup of carbon dioxide in the body without proper oxygen amounts — is less common with Subutex. Normally, this is perhaps the deadliest result of opioid overdoses but, because Subutex only partially binds to opioid receptors, the side effect is unlikely.

On top of this, Subutex is prescribed to patients who already have opioid substance use disorders. These individuals tend to have higher tolerances due to previous opioid dependence. From more potent opioids no less.

Still, there are dangers associated with Subutex misuse and recreational use. Subutex is not monitored in the same ways as other medications used for substance use disorders, namely, methadone. This makes it easier to acquire and potentially mishandle. This misuse is categorized by crushing, injecting, or snorting the medicine. Another real danger happens when buprenorphine is intentionally mixed with alcohol or other opioids. Such depressant combinations create dangerous, sometimes fatal, levels of sedation.

An overdose on Subutex is nearly identical to a Suboxone overdose. The symptoms are usually more pronounced in Subutex overdose for the simple fact that Suboxone contains the overdose inhibiting effects of naloxone. Expect any number of the following symptoms during a Subutex overdose:

• Jaundice: yellow tints of the skin or eyes can occur.
• Uncontrollable body movements: these include spasms, convulsions and, at its worst, seizures.
• Discolored urine: even with otherwise proper hydration or diet, a Subutex overdose may lead to dark urine.
• Bodily pain: this will occur at various intervals and levels of intensity. Additionally, the pain can originate from one’s extremities or the core, abdominal areas.
• Reduced pupil size: pinpoint pupils result from opioid overdoses. Look in a mirror or look to a friend to properly gauge pupil size during a suspected overdose.
• Confusion or lethargy: fatigue of the mind and body are nearly unavoidable in this scenario.

As mentioned, breathing issues are not typical symptoms of a Subutex overdose. Be aware of this as it may indicate an overdose of a stronger opioid. However, it is not impossible to experience these feelings with Subutex, so always seek out emergency intervention in any instance where breathing becomes difficult.

Because Subutex lacks the naloxone component found in Suboxone, administering this life-saving medicine is the number-one priority. Victims of opioid overdose are more likely to survive their dangerous encounter with the aid of naloxone. This is why medical personnel, even some police officers and firefighters, carry the anti-overdose drug (Narcan) on their person at all times. With prompt action, Subutex overdoses are among the most survivable opioid overdoses — and continued recovery is always a possibility for survivors who choose it.

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