Patients may desire to transition from methadone to buprenorphine/naloxone (Suboxone) for various reasons, some of which include the following:
We recommend patients work with their healthcare providers to develop an ideal treatment plan.
Online Suboxone treatment at Bicycle Health provides:
Transitioning from methadone to buprenorphine/naloxone (Suboxone) can be physically uncomfortable for many patients, as well as increase risk for relapse. It is important that you work closely with your healthcare provider to develop an appropriate transition plan.
If you currently get methadone from an OTP, your Bicycle Health provider will coordinate with your methadone clinic staff to slowly taper your methadone dose. To minimize the risk of precipitated withdrawal, it’s recommended that methadone be tapered to 20-30mg daily before beginning treatment with buprenorphine/naloxone (Suboxone).
The rate of methadone reduction should be no more than 5mg per week, or 5-10% weekly. The lower methadone dose you’re on at the time methadone is stopped, the less discomfort you’ll experience throughout the transition process.
After your methadone has been tapered to 20-30mg daily, which you’ll stay on for approximately 1-2 weeks, you’ll need to be abstinent from methadone (and all opioids) for 36-72 hours, or until you’re experiencing moderate withdrawal symptoms. Once in moderate withdrawal, you can take your first dose of buprenorphine/naloxone (Suboxone). Your provider will uptitrate your buprenorphine dose as needed to relieve withdrawal symptoms (up to 32mg on day #1).
Transitioning from methadone to buprenorphine/naloxone (Suboxone) takes time, and the taper may differ from patient to patient. It’s vital that you work with your medical provider to determine what’s best for you.
Lastly, if the transition to buprenorphine/naloxone (Suboxone) is unsuccessful, then patients can return to methadone treatment immediately.
To speak with a member of our team about transitioning from methadone to buprenorphine/naloxone (Suboxone), schedule a call here.
Withdrawal symptoms are uncomfortable, but there are withdrawal treatments your Bicycle Health provider can prescribe to help relieve these symptoms:
And lastly, once you start induction with buprenorphine/naloxone (Suboxone), you’ll begin to experience relief from opioid withdrawal symptoms.
We recommend arranging for childcare and time off work throughout the methadone-to-buprenorphine transition period, as many patients may experience discomfort for up to 1-2 weeks.
Here at Bicycle Health, we combine buprenorphine/naloxone (Suboxone) treatment with behavioral health supports, like online support groups and health coaches.
Learn more about how our process works here.
We are physicians, nurse practitioners, and physician assistants who are invested in your recovery.
Bicycle Health providers, staff, and leadership believe everyone deserves access to confidential, individualized, and non-judgmental care for transition from methadone to buprenorphine/naloxone (Suboxone).
Schedule a call with an enrollment coordinator to learn how buprenorphine/naloxone (Suboxone) treatment can improve quality of life.