Do not take Suboxone if...
You should not take Suboxone if you are allergic to buprenorphine or naloxone, as serious negative effects, including anaphylactic shock, have been reported.
Do not take Suboxone before the effects of other opioids (e.g., heroin, hydrocodone, methadone, morphine, oxycodone) have started to wear off and you are experiencing moderate withdrawal symptoms, otherwise you may experience immediate precipitated withdrawal symptoms.
Suboxone may not be right for you. Before taking Suboxone, tell your healthcare provider about all of your medical conditions, including:
- Liver or kidney problems
- Trouble breathing or lung problems
- An enlarged prostate gland (men)
- A head injury or brain problem
- Problems urinating
- A curve in your spine that affects your breathing (scoliosis)
- Gallbladder problems
- Adrenal gland problems
- Addison’s disease
- Low thyroid hormone levels (hypothyroidism)
- A history of alcoholism
- Mental problems such as hallucinations (seeing or hearing things that are not there)
- Are pregnant or plan to become pregnant. Opioid-dependent women on buprenorphine maintenance therapy may require additional analgesia during labor. If you take Suboxone while pregnant, your baby may have signs of opioid withdrawal at birth. Neonatal opioid withdrawal syndrome (NOWS) is an expected and treatable outcome of prolonged use of opioids during pregnancy. Talk to your healthcare provider if you are pregnant or plan to become pregnant.
- Are breastfeeding or plan to breastfeed. The active ingredients of Suboxone Film can pass into your milk and may harm your baby. Talk with your healthcare provider about the best way to feed your baby during treatment with Suboxone Film. Watch your baby for increased drowsiness and breathing problems.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.
Suboxone may affect the way other medicines work and other medicines may affect how Suboxone works.
Some medicines may cause serious or life-threatening medical problems when taken with Suboxone.
Sometimes the doses of certain medicines may need to be changed if used together.
Do not take any medicine while using Suboxone until you have talked with your healthcare provider. Your healthcare provider will tell you if it is safe to take other medicines while you are taking Suboxone.
Be especially careful about taking other medicines that may make you sleepy, such as pain medicines, tranquilizers, antidepressant medicines, sleeping pills, anxiety medicines or antihistamines while using Suboxone until you have talked with your healthcare provider.
Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist each time you get a new medicine.
What should I avoid while taking Suboxone?
- Do not drive, operate heavy machinery, or perform any other dangerous activities until you know how this medicine affects you. Buprenorphine can cause drowsiness and slow reaction times. This may happen more often in the first few weeks of treatment when your dose is being changed, but can also happen if you drink alcohol or take other sedative drugs when you take Suboxone.
- You should not drink alcohol while using Suboxone, as this can lead to loss of consciousness or even death.