see: [hayes' Buprenorphine](x-devonthink-item://0332E806-B76E-4148-8BA7-7B3C140A2714), [Austin Buprenorphine OD](x-devonthink-item://FC9CB0F8-AFCD-4EC8-AD11-5A9F4D9C1B12)
Suboxone = buprenorphine + naloxone
note that suboxone lowest dose is 10x higher than a 200mcg temgesic
**preparations**
| brand name | dose |
| ------------------- | ------------------------------- |
| suboxone s/L tablet | 2mg / 0.5mg<br>8mg/2mg |
| suboxone s/l film | 4mg/1mg<br>12mg/4mg |
| norspan 5 | 5mcg/hour (total content = 5mg) |
| temgesic | 200 mcg |
# dosage for opiate withdrawal
- suboxone s/l 2-8 mg depending on severity of withdrawl symptoms, in 1 or two doses on the first day
- increase daily dose by 2-8mg every 1-4 days depending on withdrawl sx
- usual maintenance range is 12-24 mg daily
- max per day is 32mg/day
# precipitated withdrawl
- if started too soon after a dose of an opioid, buprenorphine may precipitate withdrawl symptoms because it is a partial agonist and acts as a relative antagonist