Suboxone (buprenorphine) creates a physical dependence in the brain. Stopping cold turkey usually leads to withdrawal symptoms. By slowly taking less and less of the medication, patients can come off Suboxone (or Subutex) within weeks or months without unpleasant symptoms.
Suboxone Withdrawal Symptoms
Suboxone and Subutex are partial opioids, so withdrawal symptoms are similar but milder than withdrawal from opioids like prescription pain medications or heroin.
- Low energy
- Loss of appetite
- Irritability
- Muscle weakness
- Withdrawal insomnia / Restlessness
Physical Symptoms of Suboxone Withdrawal
A tapering schedule reduces or eliminates these symptoms. No reduction in medication should be attempted until all physical withdrawal has subsided from the last dosage reduction.
Mental Symptoms of Suboxone Withdrawal
The most common mental symptoms of withdrawal are anxiety and depression.
That is why it’s so important to keep up with MAT individual and group therapy sessions. Treating all the behaviors and emotions that are unique to you will make a lasting and successful recovery possible. It is also helpful to maintain a healthy diet and a good daily routine or work schedule; exercise can be very beneficial as well.
Suboxone Taper & Relapse
Another side effect of a Suboxone taper is relapse. Suboxone was used to stop opioid receptors in the brain from sending craving signals for opioids. If cravings become intense after tapping from Suboxone, Vivitrol may offer a safety net.
While you may want to move off Suboxone quickly, being so uncomfortable in a taper that relapse occurs is the opposite of the goal.
How Long Does Suboxone Withdrawal Last?
Symptoms of Suboxone withdrawal can last from a few days to several weeks. Generally, symptoms start within 48 hours after the last dose and peak around day three.
Some patients experience mental health symptoms like anxiety, fatigue, sleep issues, mood swings and drug cravings for weeks or months after opioid/Suboxone use, which is known as Post-Acute Withdrawal Syndrome (PAWS).
A slow taper off of Suboxone helps prevent PAWS and minimizes the length and severity of all withdrawal symptoms. Patients here can attest that little to no discomfort is possible coming off Suboxone.
The Standard Suboxone Taper Schedule
It is best to work with your doctor to create a tapering schedule that is most effective for your total recovery and based on the Suboxone clinic requirements.
Everyone is different, but in general, a gradual reduction in the total daily dose (e.g., no more than 10% to 20% every one to two weeks) can be successful.
Generally Safe Suboxone Taper Chart (Aggressive)
- NOTE: These guidelines represent a timeline that helps keep the taper medically safe, but are likely quite a bit faster (more aggressive) than what is ideal.
How to Taper Off Suboxone: According to Patients
"The best advice I can give is to start with a plan, listen to your body and take your time. I found after reducing 2 mg to 1mg to 0.5mg, it became more difficult. But, keep taking your time. You’ll get there."
"I was a heroin user back in the day. Then, I was on 8mg of Suboxone for 5 years. I tapered very slowly and paid attention to what my body was telling me. I had to go back to my original does a few times. Like others say exercise and lots of water helps."
"I recommend tapering down very slowly. You will eventually get off, and you will be able to avoid feeling so sick."
Medications to Get Off Suboxone
Most patients tapering off Suboxone want to get off addiction-related medications, but withdrawals lead some to look for alternatives.
Suboxone to Sublocade
If the biggest frustration with Suboxone is the daily dosing, transitioning to Sublocade could be a good option. Sublocade is a long-acting injection of buprenorphine that is given only monthly.
Some patients cite side effects improve on Sublocade, and it helps with the daily cycles that can come with daily dosing. Sublocade should be continued for a few months but seems to give minimal withdrawal symptoms when stopped.
I was on Suboxone for 10 years and stated the switch to Sublocade at 300 mg. Then, I dropped to 100 mg of Sublocade for two more months. It’s been 12 weeks since my last shot, I haven’t any withdrawals yet, hoping to never get any!
Suboxone to Kratom (Don't Do It)
Kratom is often cited by the non-medial community as a “natural” treatment to detox off of opioids or Suboxone.
In reality, kratom activates opiate (mu-opioid) receptors in a similar way as opioids like heroin. It causes similar withdrawal symptoms and cravings as opioid use.
Research shows:
Kratom is more dangerous and addictive than Suboxone and is illegal in many other countries. Using Kratom to counteract Suboxone withdrawals is likely to cause a setback rather than stopping medication use.
"I got addicted to Kratom after being clean off heroin for 2 years. The next thing I know I’m back on heroin."
Suboxone to Vivitrol
While Vivitrol can’t be used during the Suboxone taper, it can offer a level of security to know there is a non-addictive option to help with cravings after getting off Suboxone.
Vivitrol is given as a monthly shot after fully weaning off Suboxone. The injection contains naltrexone, which is not an opioid.
Vivitrol doesn’t involve withdrawal symptoms when stopped and comes with limited to no side effects. It is a great option to ease the transition of opioids.
Learn more about the transition from Suboxone to Vivitrol.
Suboxone to Methadone
Since methadone is also habit-forming, taken daily and actually requires more in-person visits, a switch from Suboxone to methadone usually defeats the goal of reducing medications or inconvenience. The switch, however, is straightforward.
See also: Switching From Suboxone To Methadone
Need Help With Your Suboxone Detox?
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150 Comments
I had been on oxy and methadone for over 30 years and wound up with heart problems. I decided to get off this dope. I had a rough time getting off this but went to a clinic and ask to detox. I’m on 4mg/1buprenorphin
e but suffer with bad headaches. I take Tylenol but it doesn’t do much. I have a tough time sleeping but that’s a life long thing. I would do anything to help people get help. I’m 71, retired military with 2 fusions going on three. If anyone can advise me on the headaches please post. Thank you and God Bless
I get 2 8mg of suboxone a day. I’m down to doing like less than half a quarter a day. How should my withdrawal be?? Been on them since 2016…
I tapered from 24mg to 4 mg in a month, I’ve had no withdrawals until I quit taking the 4mg a week ago so general anesthesia would work on me. Today 5 days after stopping I’ve been soooo cold and sweaty since yesterday. So I took 4 mg today, do you guys think the anesthesia will work
I’ve had 3 kidney stone surgeries all while on 2 mg of suboxone. The anesthesiologist said that shouldn’t be a problem but it’s good to let them know you’re on it so they can watch closely for anything going wrong. It wasn’t a problem for me I hope you can get the surgery you need. Good luck
I’m down to 2mg. My doctor gave me clonidine for the jitters but the muscle weakness is awful. My legs feel like jello. Any advice for jello legs? Thanks I’m advance.
Hi I’m 61 & have had 1 cardiac arrest & 1 stroke. I’m also legally blind sine then. I did use that day. That fentanyl junk. I also had been detoxing off subs for a few days. Since that day I haven’t touched an illegal substance (it was 7 months ago.) I’ve also reduced my daily subs to 4 mg for a month now. I’m trying to get to 2mg daily but everytime I try the dt’s are too much. Between my health & psych issues (depression & super bad anxiety) I’m wondering if I should go inpatient? I can talk myself easily into believing I’m having a heart attack or stroke. Whatcha think
I should do? I don’t want to over or under react. TIA!