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Suboxone vs. Subutex

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Buprenorphine/naloxone (Suboxone, Zubsolv, Bunavail) and buprenorphine (Subutex) are both used to treat opioid dependence, but they have some key differences. Buprenorphine/naloxone is a combination of two medications: buprenorphine, a partial opioid agonist, and naloxone, an opioid antagonist. This combination helps control opioid cravings and prevents misuse by blocking the effects of opioids. It is available in different forms like sublingual films, buccal films, and sublingual tablets, and is typically used for both initial and maintenance treatment. On the other hand, buprenorphine (Subutex) is used alone, without naloxone, and is primarily used in the induction phase of treatment. It is available as a sublingual tablet and is often used for short-term treatment. Both medications can cause side effects like headache, nausea, and difficulty sleeping. Buprenorphine/naloxone is not interchangeable with its different brand forms, while buprenorphine (Subutex) is no longer available as a brand but can be found in generic form.

Suboxone tablets

(buprenorphine / naloxone)

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Buprenorphine patch

(Butrans)

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Summary for Suboxone

Prescription only

Suboxone tablets (buprenorphine / naloxone) are used for the maintenance treatment of opioid use disorder (OUD) in adults. This medication-assisted treatment is given along with counseling and social and emotional support. It contains two active ingredients: buprenorphine is a partial opioid agonist, and naloxone is an opioid antagonist. The tablets are taken sublingually once per day (they're placed under the tongue where they dissolve). The dosage depends on each person's situation. Side effects include headache, pain, and nausea. It's a controlled substance because it has a risk of being addictive and being misused.

Note: The Suboxone brand name for the sublingual tablets is discontinued, but there are generic versions available. Buprenorphine/naloxone sublingual tablets are also available under the brand name Zubsolv.

Indications for Suboxone

Pros and Cons for Suboxone

Pros

  • Available as a lower-cost generic
  • Comes as a tablet that's dissolved under the tongue
  • Causes milder withdrawal symptoms than other common opioids if stopped suddenly

Cons

  • Can cause bothersome side effects, such as headache, trouble sleeping, and nausea
  • Has a risk for misuse and dependency
  • Is a controlled substance, so there are special requirements for filling a prescription

Common Side Effects for Suboxone

  • Headache (36%)
  • Withdrawal symptoms, such as anxiety, goosebumps, stomach discomfort, irritability, cold sweat, joint pain, and watery eyes (25%)
  • General pain (22%)
  • Nausea (15%)
  • Sweating (14%)
  • Trouble sleeping (14%)
  • Constipation (12%)
  • Stomach pain (11%)

Warnings for Suboxone

  • Potential for addiction and misuse
  • Potentially life-threatening slowed breathing (respiratory depression)
  • Risk for opioid overdose
  • Difficulty concentrating and extreme sleepiness
  • Harm to newborn babies
  • Low adrenal hormone levels
  • Withdrawal symptoms
  • Liver damage
  • Dental problems
  • Life-threatening heart rhythm problem (QT prolongation)
  • Low blood pressure
  • Not for use for pain or for people who haven't taken opioids before

Summary for Subutex

Prescription only

Buprenorphine patch, also known by its brand name Butrans, treats people with severe chronic (long-term) pain that isn't relieved with other treatment options. It works as an opioid partial agonist to help with pain. Buprenorphine patch (Butrans) is applied onto the skin once per week. This transdermal patch comes in many strengths. The pain specialist will decide on the dosage based on how severe your pain is and whether you were taking opioid pain medication before starting buprenorphine patch (Butrans). Side effects include nausea, dizziness, and headache.

Indications for Subutex

Pros and Cons for Subutex

Pros

  • Applied on the skin once per week
  • An option for people who can't swallow pills

Cons

Common Side Effects for Subutex

  • Nausea (21%)
  • Itching at the application site (15%)
  • Dizziness (15%)
  • Headache (14%)
  • Sleepiness (13%)
  • Constipation (13%)
  • Vomiting (9%)

Warnings for Subutex

  • Potential for addiction and misuse
  • Dangerously slow breathing (respiratory depression)
  • Risk for opioid overdose
  • Difficulty concentrating and extreme sleepiness
  • Harm to newborns when taken during pregnancy
  • Serious risks with patch exposure to high temperatures (e.g., heat, high fever)
  • Low adrenal hormone levels
  • Low blood pressure
  • Liver damage
  • Withdrawal symptoms
  • Seizures
  • Life-threatening heart rhythm problems (QT prolongation)

Prices with our coupons for Suboxone vs. Subutex

Price Card Drug Icon
Buprenorphine/Naloxone14 films / 8mg/2mg
$32.34$126.38
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Buprenorphine90 sublingual tablets / 8mg
$55.26$464.85
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