Subutex Overdose | Can You Overdose on Subutex?
Physicians will often prescribe and administer the drug buprenorphine as a means to help opioid users reach their goals of recovery. This opioid medicine is marketed under its more identifiable brand name, Subutex.
Opioid drugs — such as heroin, oxycodone, and hydrocodone — bind to specific receptors in the central nervous system to create their pain-relieving and euphoric effects. Unlike these traditional semisynthetic opioids, Subutex is considered an opioid receptor modulator. This means it only partially binds to these receptors while also blocking most of the excessive effects and dangers attributed to substance use disorders. Methadone, another compound used for similar treatment methods, binds fully to opioid receptors — arguably making it easier to misuse in and of itself. Essentially, Subutex satisfies just enough of the opioid craving a patient may have while not enabling it further. This is why it is used for opioid treatment and replacement therapy.
After any amount of digging into the subjects of opioid substance abuse disorders or Subutex, the question will undoubtedly arise: what’s the difference between Subutex and Suboxone? There’s no denying their innate similarities. Both Subutex and Suboxone are used for treating opioid substance use disorders, and both do so in the same fundamental way within the brain. Additionally, both medications rely on buprenorphine to accomplish said task. The one true differentiator is that Suboxone contains one more active ingredient: naloxone. This drug is commonly used to suppress opioid overdoses and, when used in Suboxone, it curbs misuse of the medication by replicating a painful withdrawal and virtually blocking the satisfying sensation of a high.
When used as directed, Subutex is an effective medication for opioid treatments. Any variations to this, illicit or otherwise, can lead to destructive overdose symptoms.
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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.
- 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.
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