Suboxone Sublingual Film

Generic Name: Buprenorphine

  • What is Suboxone Sublingual Film?

    Suboxone sublingual film (administered under the tongue) is a medicine used for maintenance treatment of opioid dependence.

    Suboxone sublingual film is a federally controlled substance because it has abuse potential.

  • What is the most important information I should know about Suboxone Sublingual Film?

    Suboxone sublingual film can cause physical dependence, which can lead to abuse. Keep your Suboxone sublingual film in a safe place to protect it from theft. Never give your Suboxone sublingual film to anyone else, even if they have the same signs and symptoms. It can cause harm or death. Selling or giving away this medicine is against the law.

    Keep Suboxone sublingual film in a safe place away from children. Accidental use by a child is a medical emergency and can cause death. If a child accidentally takes morphine sulfate, get emergency help immediately.

    Suboxone sublingual film can cause serious and life-threatening breathing problems. Tell your doctor immediately if you feel faint, dizzy, or confused, or if your breathing gets much slower than normal.

    Suboxone sublingual film can cause severe allergic reactions or anaphylaxis (a serious and rapid allergic reaction that may result in death if not immediately treated). Tell your doctor immediately or seek emergency medical help if you develop swelling of your tongue or throat, trouble breathing, rash, or itching.

    It can be dangerous to take Suboxone sublingual film with alcohol, benzodiazepines, sleeping pills and other tranquilizers, or certain antidepressants. Tell your doctor immediately if you feel sleepy and uncoordinated, have blurred vision, have slurred speech, cannot think well or clearly, or have slowed reflexes and breathing.

    Suboxone sublingual film can affect your mental or physical abilities. This can occur more often if you drink alcohol or take other medications that make you sleepy with Suboxone sublingual film. Do not drive, operate heavy machinery, or perform any other dangerous activities until you know how this medication affects you.

    Suboxone sublingual film can cause your blood pressure to drop and make you feel dizzy, especially if you get up too fast from sitting or lying down.

    Suboxone sublingual film can cause liver problems. Your doctor will order blood tests to monitor your liver before and during treatment with this medication.

  • Who should not take Suboxone Sublingual Film?

    Do not take Suboxone sublingual film if you are allergic to it or any of its ingredients. Also, do not use this medication as a painkiller.

  • What should I tell my doctor before I take the first dose of Suboxone Sublingual Film?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Suboxone sublingual film. Also, talk to your doctor about your complete medical history, especially if you have trouble breathing or lung problems; an enlarged prostate; head injury or brain problems; problems urinating; a curve in your spine that affects your breathing; liver, kidney, gallbladder, adrenal gland, or mental problems (such as hallucinations); hypothyroidism (an underactive thyroid gland); or a history of drug or alcohol addiction.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults: The recommended dose is 16/4 milligrams (mg) once a day. Your doctor will prescribe the appropriate dose for you and will increase or decrease your dose as needed, until the desired effect is achieved.

  • How should I take Suboxone Sublingual Film?

    Take Suboxone sublingual film exactly as prescribed by your doctor. Do not take extra doses or take more often without asking your doctor. Do not stop taking Suboxone sublingual film suddenly.

    Wait to open Suboxone sublingual film until right before you use it. To open your Suboxone sublingual film foil pouch, fold along the dotted line and tear down the slit or cut with scissors along the arrow. Before taking Suboxone sublingual film, drink water to moisten your mouth to help the film dissolve more easily. Hold the film between two fingers by the outside edges and place the film under your tongue, close to the base either to the left or right of the center.

    If your doctor tells you to take 2 films at a time, place the second film under the tongue on the opposite side. Keep the films in place until they have completely dissolved. If you are directed to take a third film, place it under your tongue on either side after the first 2 have dissolved.

  • What should I avoid while taking Suboxone Sublingual Film?

    Do not drive, operate heavy machinery, or perform any other dangerous activities until you know how Suboxone sublingual film affects you.

    Do not drink alcohol while you are taking Suboxone sublingual film.

    Do not inject ("shoot-up") Suboxone sublingual film. Also, do not chew or swallow the film because the medicine will not work as well.

  • What are possible food and drug interactions associated with Suboxone Sublingual Film?

    If Suboxone sublingual film is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Suboxone sublingual film with the following: alcohol, anti-HIV medications known as protease inhibitors (such as indinavir, ritonavir, or saquinavir), antifungals (such as ketoconazole), benzodiazepines (such as alprazolam, diazepam, or lorazepam), carbamazepine, macrolide antibiotics (such as erythromycin), phenobarbital, phenytoin, or rifampicin.

  • What are the possible side effects of Suboxone Sublingual Film?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: allergic reactions, back pain, blurred vision, breathing problems, constipation, decrease in blood pressure, difficulty sleeping, disturbance in attention, dizziness, fainting, feeling drunk, headache, increase in redness in your mouth, irregular heartbeat, lightheadedness, nausea, numb mouth, painful tongue, sleepiness, sweating, vomiting, yellowing of your skin or whites of your eyes

  • Can I receive Suboxone Sublingual Film if I am pregnant or breastfeeding?

    The effects of Suboxone sublingual film during pregnancy are unknown. Suboxone can be found in your breast milk if you take it while breastfeeding. It is recommended that you do not breastfeed while you are taking Suboxone sublingual film. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Suboxone Sublingual Film?

    If you miss a dose of Suboxone sublingual film, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.

  • How should I store Suboxone Sublingual Film?

    Store at room temperature.