Suboxone film is a medication prescribed as part of a comprehensive treatment plan for opioid use disorder. It contains buprenorphine and naloxone, which help manage cravings and withdrawal symptoms. Precise administration, as directed by a healthcare provider, is crucial for its effectiveness and patient safety.
Step-by-Step Administration Guide
Proper preparation is necessary before placing Suboxone film. Consume food about 15 to 30 minutes prior to taking the dose to help prevent an upset stomach. Before handling the film, drink a small amount of water to moisten the mouth, which can aid in its dissolution. Ensure your hands are dry when opening the child-resistant foil pouch and handling the film.
Suboxone film is designed to be absorbed through the mucous membranes in the mouth, either under the tongue (sublingual) or inside the cheek (buccal). For sublingual administration, place one film under the tongue, positioning it close to the base on either the left or right side. If the prescribed dose involves more than one film, place subsequent films on the opposite side, ensuring they do not overlap to allow for proper absorption.
Once the film is placed, keep it undisturbed until it has completely dissolved. Avoid chewing, swallowing, or moving the film around in the mouth during this period. Swallowing the film or its residue can reduce the medication’s effectiveness because it prevents the active ingredients from being absorbed directly into the bloodstream through the oral tissues. Dissolution typically takes between 5 to 10 minutes, though it can sometimes take longer depending on individual factors.
Essential Practices for Correct Use
After the Suboxone film has fully dissolved, avoid eating or drinking for a specific period to ensure optimal absorption. Most recommendations suggest waiting at least 30 minutes, with some sources indicating 15-20 minutes or up to an hour. This waiting period allows the medication to continue absorbing into the system without interference from food or liquids.
Minimizing talking while the film is dissolving is important. Excessive mouth movement can disrupt the film’s placement and interfere with the absorption process. Engaging in quiet activities during this time, such as reading or watching television, can help ensure the film remains in place and dissolves effectively.
Consistency in dosage timing maintains stable medication levels in the body. Taking Suboxone at the same time each day, as prescribed, contributes to the overall effectiveness of the treatment. If a dose is missed, it should be taken as soon as it is remembered. However, if it is almost time for the next scheduled dose, the missed dose should be skipped entirely to avoid taking too much medication; never double a dose to compensate. After the film has dissolved, a gentle rinse of the mouth with water can help clear any residue, but wait at least one hour before brushing teeth to prevent potential dental issues.
Proper Storage and Disposal
Storing Suboxone film correctly maintains its efficacy and prevents accidental exposure. The medication should be kept in its original, sealed child-resistant foil pouch until immediately before use. Store Suboxone at room temperature, typically between 68°F to 77°F (20°C to 25°C), away from excessive heat, moisture, and direct light. Avoid storing it in places like bathrooms, where humidity and temperature fluctuations are common.
To ensure safety, Suboxone film must be kept in a secure location, out of the sight and reach of children and pets. Accidental ingestion by a child is a medical emergency that can have serious and potentially fatal consequences. Many healthcare providers advise storing it in a locked box or cabinet to prevent unauthorized access.
When Suboxone film is no longer needed or has expired, proper disposal prevents harm. If a drug take-back program is not readily available, remove the film from its foil packaging and promptly flush it down the toilet. Flush only the film itself, not the foil pouch. Additional guidance on medication disposal can often be found on the FDA’s website.
Addressing Concerns and When to Seek Medical Advice
During the administration of Suboxone film, if a patient experiences issues such as the film not dissolving properly or unexpected reactions, contact a healthcare provider or pharmacist. These professionals can offer guidance and assess whether any adjustments to the administration technique or treatment plan are needed. Suboxone is a prescription medication, and any changes to the dosage or method of administration should only be made under medical supervision.
Be aware of signs that may indicate a serious reaction or overdose. If symptoms such as feeling faint, dizziness, confusion, slurred speech, blurred vision, or slower-than-normal breathing occur, immediate emergency medical help should be sought. Educating household members about these signs and the importance of emergency contact is also a proactive safety measure.