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Buprenorphine/naloxone

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538:. Long-term outcomes are generally better with use of buprenorphine/­naloxone than attempts at stopping opioid use altogether. This includes a lower risk of overdose with medication use. Due to the high binding affinity and low activation at the opioid receptor, cravings and withdrawal for opioids are decreased while preventing a person from getting high and relapsing on another opioid. The combination of the two medications is preferred over buprenorphine alone for maintenance treatment due to the presence of naloxone in the formulation, which is believed to help discourage intravenous use. However, the belief that the addition of naloxone provides this benefit has been called into question, and posters on drug-related online forums have stated that they were able to attain a high by injecting preparations of buprenorphine despite being combined with naloxone. 721:
medication in comparison to buprenorphine alone. If the combination is taken sublingually, as directed, the addition of naloxone does not diminish buprenorphine's effects. When an opioid-dependent person dissolves and injects a combination sublingual tablet, it is believed that a withdrawal effect may be triggered because of naloxone's high parenteral bioavailability. However, the efficacy of naloxone in preventing misuse by injection has more recently been brought into question and preparations including naloxone could even be less safe than preparations containing solely buprenorphine. While this mechanism may act to deter intravenous injection, the Suboxone formulation can still produce an opioid agonist "high" if used sublingually by non-dependent persons, leading to opioid dependence.
997:(DATA), physicians were not allowed to prescribe narcotics to treat opioid dependence. People with narcotic dependence had to go to registered clinics to receive treatment. With DATA, Suboxone was the first medication approved for office-based treatment for opioid dependence. Suboxone has thus become widely used as a replacement for methadone as it can be prescribed by doctors in their offices, while methadone can only be provided at specialized addiction centers, of which there are a limited number, often making access difficult. Integrating Medication-Assisted Treatment into outpatient primary care practices improves patient access to Suboxone. Some physicians are also leading a movement to begin prescribing it out of the 1012:. Prior authorization is used by insurance companies to limit certain medications' use by requiring approval before the insurance company will pay for them. This can influence a person's financial access and adherence. Financial access is determined through prior authorization approval, which the prescriber must request before the person can start the medication. The time it takes to have the request approved can delay the person starting the medication. The prior authorization process can also affect adherence because approval is needed for every prescription. This presents the potential for a gap in treatment and withdrawal symptoms as the person waits for approval. Several insurance companies, as well as 773: 584:), buprenorphine/naloxone allows people more access to this medication and more freedom of administration. It also thus comes with more risks in this vulnerable population. Buprenorphine/­naloxone may be recommended for socially stable people who use opioids who cannot retrieve medications from a center daily, who have another condition requiring regular primary care visits, or who have jobs or daily lives that require they maintain all their faculties and cannot take a sedating medication. Buprenorphine/­naloxone is also recommended over methadone for people at high risk of methadone toxicity, such as the elderly, those taking high doses of 765: 408: 1036:(DOJ) regarding the sale and marketing of brand name Suboxone (buprenorphine/­naloxone). The non-prosecution agreement involves RB Group paying up to $ 1.4 billion, the largest settlement payment in U.S. history involving an opioid-class medication. This record was surpassed in October 2020, when Purdue Pharma reached an $ 8 billion settlement for claims related to injuries and deaths caused by the opioid epidemic, which includes criminal fines, forfeiture, and civil damages. The 2019 case alleged 1045:
sublingual tablet formulation because "children are less likely to be accidentally exposed to the film product". There was no scientific evidence for that claim. The company also sponsored a complaint to the FDA, expressing concern that buprenorphine/­naloxone sublingual tablets (the very product they formerly produced) were unsafe, requesting that applications for regulatory approval of generic products by other pharmaceutical companies (their competitors) be rejected by the US
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injection or inhalation, the naloxone is intended to act as an antagonist and either reduce the opioid's euphoric effects or even precipitate withdrawal in those dependent on opioids. This helps reduce the potential for deviating from the prescriber's intended use relative to buprenorphine, though it does not eradicate it. One reason that naloxone might have limited efficacy as an abuse-deterrent is that buprenorphine binds more tightly to the
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Buprenorphine as a partial agonist: Buprenorphine cannot fully activate the μ-opioid receptor even when the dose is escalated. This is demonstrated as a plateau in the concentration-response curve. Opioids like morphine (natural) or leu-enkephalin (endogenous in the body) produce a greater maximum
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scheme (when a firm ceases production of a product upon expiration of regulatory exclusivity in favor of another product that still has regulatory exclusivity in order to prevent generic manufacturer competition) by misrepresenting that the Suboxone sublingual film formulation was safer than the
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Buprenorphine/naloxone is available in sublingual formulations (that is, products that are dissolved under the tongue). There is no evidence that the tablet formulation is easier to divert and use in ways other than intended by the prescriber compared to the film formulation, or that the tablet
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still occurs, and more recently the efficacy of naloxone in preventing misuse by injection has been brought into question and preparations including naloxone could even be less safe than preparations containing solely buprenorphine. Rates of misuse in the U.S. appear to be lower than with other
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There are small differences in the pharmacokinetics between different sublingual buprenorphine/­naloxone products. These differences may require changes in dose when a person switches from one product to another. The buprenorphine/­naloxone sublingual film (e.g. trade name Suboxone)
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The principle behind its function as a deterrent is as follows: when taken sublingually as prescribed, buprenorphine's effects at the opioid receptor dominate, while naloxone's effects are negligible due to the low oral absorption. But when someone attempts to misuse the medication via either
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When taken in excess, buprenorphine/naloxone can produce dysphoric symptoms for non-opioid-dependent/tolerant people because buprenorphine is a partial opioid agonist. The sublingual formulation of the buprenorphine/­naloxone combination was designed to reduce the potential to inject the
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Buprenorphine/naloxone has a milder side effect profile than methadone and limited respiratory effects, due to both agonist/antagonist effects. But buprenorphine/­naloxone may be less safe than methadone in people with stable liver disease since it can elevate liver enzymes.
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Side effects are similar to those of buprenorphine and other opioids. In addition, naloxone can induce withdrawal symptoms in people who are chemically dependent on opioids. The most common side effects (in order of most to least common) of sublingual tablets include
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that competes with and blocks the effect of other opioids (including buprenorphine) if given by injection. Naloxone is poorly absorbed when taken by mouth and is added to decrease the risk that people will misuse the medication by injection. Misuse by injection or
1001:(ED), as some small studies have shown ED-initiated Suboxone to be effective with people more likely to remain in addiction treatment compared to those either referred to addiction treatment programs or those receiving just a brief intervention in the department. 682:, signs and symptoms of opioid withdrawal, sleeping difficulties, pain, and swelling of the extremities. Post-approval, the most frequently reported side effects of buprenorphine/naloxone in sublingual strip form (i.e. Suboxone strips) are 579:
encourages practitioners to treat patients within their practices who require treatment for a substance use disorder. Because it may now be prescribed much more readily out of an office setting (as opposed to methadone, which requires
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at the receptor relative to a full agonist, even at maximal receptor occupancy. It is thus well-suited to treat opioid dependence, as it produces milder effects on the opioid receptor with lower dependence and habit-forming potential.
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after a single dose of the original tablet formulation is around 3 ng/mL whereas that of the 8 mg/2 mg film formulation is around 3.55 ng/mL. The Zubsolv trade name sublingual tablets have higher buprenorphine
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in the liver, meaning that the use of buprenorphine/­naloxone as prescribed should not lead to active naloxone in the blood (which, as an opioid antagonist, would reverse the effect of buprenorphine or other opioids).
862:(AUC, a measure of total drug exposure) than the original buprenorphine/­naloxone sublingual tablets at equal doses. For example, at a buprenorphine/­naloxone dose of 8 mg/2 mg, the buprenorphine C 575:. All practitioners who have a current DEA registration that includes Schedule III authority, may now prescribe buprenorphine for opioid use disorder in their practice if permitted by applicable state law. The 984:
While the cost of the medication buprenorphine/­naloxone is greater than buprenorphine alone, one analysis predicted the overall costs would be less in the United States due to a lower risk of misuse.
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than the original sublingual tablets, while the Bunavail trade name buccal films have the highest bioavailability. For example, a single dose of Bunavail 4.2 mg/0.7 mg achieves a C
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response. Tramadol is a partial agonist with intermediate activity between buprenorphine and full agonists. A full description of buprenorphine with naloxone pharmacology can be found at
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behavior by RB Group and Indivior surrounding the expiration of their regulatory exclusivity for Suboxone sublingual tablets. The DOJ alleged that RB Group and Indivior employed a
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Barus R, Montastruc F, de Canecaude C, Bagheri H, Sommet A, Lapeyre-Mestre M (August 2023). "Sublingual/Buccal buprenorphine and dental problems: a pharmacovigilance study".
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effects; high doses beyond a certain level do not result in greater effects. This is believed to result in a lower risk of overdose than some other opioids. Naloxone is an
482:, but people are more likely to stop treatment on buprenorphine/­naloxone than methadone. Buprenorphine (like methadone) is a treatment option during pregnancy. 1099: 2534: 1641: 124: 2289:
Kirk JK, et al. (2020). "Launching a Medication-Assisted Treatment in an Outpatient Office-Based Practice." Journal of Primary Care & Community Health.
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Strain EC, Stoller K, Walsh SL, Bigelow GE (March 2000). "Effects of buprenorphine versus buprenorphine/naloxone tablets in non-dependent opioid abusers".
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Naloxone is a pure opioid antagonist that competes with opioid molecules in the CNS and prevents them from binding to the opioid receptors. Naloxone's
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A theoretical model of activity: buprenorphine/naloxone at opioid receptor when taken sublingually (top) versus when injected intravenously (bottom).
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Buprenorphine/­naloxone is effective for treating opioid dependence and serves as a recommended first-line medication according to the U.S.
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Buprenorphine's sedating/narcotic effect is increased by other sedating substances, such as other opioids, benzodiazepines, first-generation
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of buprenorphine is 20 to 73 hours (mean 37 hours). Due to the mainly hepatic elimination, there is no risk of accumulation in people with
3504: 2906: 1684: 1473:"Drug Approval Package: Subutex (Buprenorphine HCI) Suboxone (Buprenorphine HCI & Naloxone HCI Dihydrate) NDA #020732 & 020733" 2527: 161: 2274: 2120: 455:). It relieves cravings to use and withdrawal symptoms. Buprenorphine/­naloxone is available for use in two different forms, 5268: 2352: 1633: 545:. The medication is an effective maintenance therapy for opioid dependence and has generally similar efficacy to methadone. Both 542: 1800: 1146: 1016:
in various states, have removed the use of prior authorization for Suboxone in an attempt to increase access to this treatment.
756:, moderately increase buprenorphine concentrations; CYP3A4 inducers can theoretically decrease concentrations of buprenorphine. 5263: 1502:"FDA approves first generic versions of Suboxone sublingual film, which may increase access to treatment for opioid dependence" 246: 142: 6158: 5188: 2216:"Effect of rifampin and nelfinavir on the metabolism of methadone and buprenorphine in primary cultures of human hepatocytes" 506:
was approved in the U.S. in 2018. In 2019, it was the 272nd most commonly prescribed medication in the U.S., with more than 1
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with buprenorphine/­naloxone (unless combined with other sedating substances) is exceedingly low, and lower than with
4823: 4818: 4813: 4141: 3059: 3054: 3049: 2520: 1935: 764: 6083: 698:(mouth sores). Use of buprenorphine/naloxone may also increase the risk of developing certain dental problems (including 6123: 6118: 5396: 4386: 3539: 1507: 1478: 1046: 994: 593: 568: 4522: 2435: 2006:"Opioid addiction and abuse in primary care practice: a comparison of methadone and buprenorphine as treatment options" 1233:"Mortality risk during and after opioid substitution treatment: systematic review and meta-analysis of cohort studies" 805:
with high affinity, which produces analgesic effects in the CNS. It is a partial μ-opioid receptor agonist and a weak
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The combination formulation was approved for medical use in the U.S. in 2002, and in the European Union in 2017. A
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Orman JS, Keating GM (2009). "Buprenorphine/naloxone: a review of its use in the treatment of opioid dependence".
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are substantially more effective than abstinence-based treatment. As of October 2023 prescribers no longer need a
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D'Onofrio G, O'Connor PG, Pantalon MV, Chawarski MC, Busch SH, Owens PH, et al. (April 2015).
1005: 851: 633:. There are limited accounts of cross-reactivity with opioids, but there is a possibility. Serious 535: 440: 322: 5964: 5728: 4005: 5743: 5591: 5068: 4953: 4898: 4587: 4346: 4321: 4211: 3865: 3701: 3545: 3364: 3329: 3169: 3129: 3024: 2932: 2837: 2731: 2691: 2653: 2645: 2612: 2591: 2196: 2093: 1960: 1762: 1615: 814: 642: 503: 172: 5890: 5860: 5811: 5531: 5521: 5376: 4622: 4617: 4532: 4126: 3772: 5999: 5471: 5325: 4988: 4803: 4446: 3855: 443:, and reduces the mortality of opioid use disorder by 50% (by reducing the risk of overdose on 5910: 5900: 5381: 5093: 4773: 4768: 4542: 4106: 3787: 3349: 2984: 2807: 2774: 2722: 2667: 2640: 2333: 2270: 2264: 2245: 2188: 2144: 2126: 2116: 2085: 2035: 1952: 1915: 1754: 1607: 1454: 1400: 1344: 1318: 1264: 1211: 1205: 715: 663: 572: 490: 285: 273: 114: 102: 5946: 5915: 5816: 5703: 5556: 5536: 5426: 5406: 5133: 4456: 3454: 3084: 1531: 5781: 5718: 5541: 5257: 5183: 5138: 4908: 4702: 4637: 4491: 4391: 4231: 3945: 3591: 3204: 2869: 2789: 2461:"Purdue reaches $ 8B settlement on federal opioid charges—but will it ever pay that amount?" 2323: 2315: 2235: 2227: 2180: 2077: 2025: 2017: 1944: 1905: 1897: 1826: 1744: 1736: 1599: 1444: 1436: 1390: 1380: 1308: 1254: 1244: 1231:
Sordo L, Barrio G, Bravo MJ, Indave BI, Degenhardt L, Wiessing L, et al. (April 2017).
1175: 1037: 949: 909: 822: 683: 626: 581: 428: 331: 90: 5626: 5551: 5546: 5481: 1801:"Buprenorphine and Naloxone- buprenorphine hydrochloride and naloxone hydrochloride tablet" 6097: 5431: 4958: 4913: 4261: 4236: 3850: 3279: 3209: 3064: 2955: 2929: 1041: 913: 868: 830: 810: 790: 610: 407: 5371: 4527: 3767: 1725:"Buprenorphine Pharmacology Review: Update on Transmucosal and Long-acting Formulations" 5733: 5058: 4356: 4336: 4331: 4136: 3394: 3354: 3344: 3304: 3199: 3164: 3069: 3044: 2999: 2854: 2784: 2380: 2328: 2303: 2240: 2215: 2030: 2005: 1910: 1883: 1749: 1724: 1449: 1424: 1395: 1368: 1313: 1296: 1259: 1232: 734: 730: 646: 585: 40: 2512: 2171:
Katz N (January 2008). "Abuse-deterrent opioid formulations: are they a pipe dream?".
2021: 741:. Opioids and especially benzodiazepines also increase the risk of potentially lethal 609:
formulation has a higher risk for accidental ingestion by children. There are various
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Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction
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of buprenorphine is primarily carried out by the UDP-glucuronosyltransferases (UGTs)
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2055: 813:, buprenorphine binds and activates the opioid receptors, but has only partial 526: 6069: 6039: 6014: 5895: 5806: 5786: 5763: 5606: 5581: 5571: 5526: 5516: 5501: 5416: 5310: 5238: 5233: 5208: 5178: 5168: 5143: 5128: 5103: 5073: 5048: 5038: 4998: 4978: 4968: 4948: 4878: 4863: 4682: 4662: 4657: 4632: 4562: 4501: 4481: 4436: 4426: 4421: 4361: 4351: 4281: 4196: 4045: 4035: 4025: 4015: 3980: 3970: 3935: 3905: 3895: 3890: 3827: 3671: 3646: 3641: 3636: 3626: 3611: 3581: 3499: 3489: 3484: 3434: 3389: 3369: 3339: 3289: 3269: 3224: 3149: 3039: 3029: 2812: 2746: 2685: 2673: 2630: 2184: 1385: 890: 778: 687: 630: 495: 456: 205: 2898: 2130: 1147:"Suboxone- buprenorphine hydrochloride, naloxone hydrochloride film, soluble" 6024: 6019: 5969: 5941: 5870: 5831: 5826: 5801: 5796: 5723: 5631: 5621: 5511: 5421: 5335: 5293: 5283: 5223: 5213: 5203: 5173: 5163: 5158: 5113: 5083: 4963: 4943: 4843: 4838: 4793: 4712: 4707: 4667: 4652: 4627: 4557: 4496: 4466: 4416: 4406: 4401: 4266: 4156: 4121: 4116: 4060: 3985: 3965: 3960: 3930: 3860: 3822: 3802: 3797: 3737: 3721: 3711: 3656: 3566: 3514: 3509: 3444: 3399: 3379: 3259: 3249: 3094: 2864: 2847: 2817: 2779: 2741: 2701: 2678: 2601: 2565: 1901: 937: 794: 691: 674:, decreased sensation and redness in the mouth, headache, nausea, vomiting, 479: 128: 2337: 2319: 2290: 2249: 2231: 2192: 2089: 2039: 1956: 1919: 1758: 1611: 1458: 1404: 1348: 1322: 1268: 48: 2436:"Drugmaker to pay $ 1.4 billion in largest US opioid treatment settlement" 2081: 1339:"Buprenorphine for Chronic Pain: A Review of the Clinical Effectiveness". 592:, those with a lower level of opioid tolerance, and those at high risk of 6029: 5821: 5566: 5476: 5456: 5446: 5401: 5330: 5123: 5033: 5018: 4983: 4973: 4853: 4677: 4572: 4547: 4486: 4471: 4381: 4301: 4271: 4251: 4221: 4166: 4146: 4111: 4000: 3925: 3910: 3832: 3812: 3681: 3676: 3661: 3631: 3601: 3561: 3429: 3319: 3264: 3174: 3109: 3079: 2964: 2874: 2859: 2799: 2752: 2712: 2707: 2575: 2570: 1029: 1013: 961: 667: 659: 649:, or other CNS-depressing factors while on buprenorphine/­naloxone. 475: 452: 436: 156: 97: 71: 2353:"Emergency Department Medication-Assisted Treatment of Opioid Addiction" 17: 5994: 5875: 5753: 5436: 5320: 5098: 5088: 4316: 4246: 4181: 4131: 3990: 3742: 3716: 3706: 3691: 3596: 3409: 3384: 3134: 3014: 1685:"Indivior Inc. Indicted for Fraudulently Marketing Prescription Opioid" 1009: 902: 466:
Side effects may include respiratory depression (decreased breathing),
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1979:"Buprenorphine dissolved in the mouth can cause dental problems" 1888: 941: 367: 304: 279: 2902: 2516: 1028:(RB Group) and its current/former affiliated entities (notably 596:. It is also helpful to use the medication in combination with 292: 151: 670:. The most common side effects seen in film formulations are 392: 2406:"Insurance Rules Can Hamper Recovery From Opioid Addiction" 255: 183: 829:, and lowest for the κ-opioid receptor. Naloxone has poor 534:
Buprenorphine/­naloxone is used for the treatment of
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Substance Abuse and Mental Health Services Administration
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2145:"Naloxone Hydrochloride Monograph for Professionals" 1341:
Canadian Agency for Drugs and Technologies in Health
1141: 1139: 1137: 1135: 1133: 1131: 1129: 1127: 1125: 1123: 5928: 5840: 5655: 5644: 5344: 4741: 4730: 4510: 4084: 4073: 3730: 2950: 2939: 2827: 2721: 2611: 2556: 1362: 1360: 1358: 485:At lower doses, buprenorphine results in the usual 386: 366: 341: 321: 316: 245: 240: 215: 197: 171: 141: 123: 113: 108: 96: 84: 79: 2622: 1718: 1716: 1714: 1712: 1710: 1708: 1706: 1532:"Buprenorphine; Naloxone – Drug Usage Statistics" 1004:Access to Suboxone can be limited due to varying 6072:(met-enkephalin releaser/degradation stabilizer) 666:syndrome, pain, nausea, increased sweating, and 355: 1679: 1677: 825:is highest for the μ-opioid receptor, then the 330: 2485: 2483: 2481: 1638:U.S. Department of Health & Human Services 1170: 1168: 924:, while norbuprenorphine is glucuronidated by 2914: 2528: 2429: 2427: 1295:Srivastava A, Kahan M, Nader M (March 2017). 613:differences between sublingual formulations. 8: 160: 39: 2010:Journal of the National Medical Association 779:https://www.youtube.com/watch?v=_y8DGjkP1so 5652: 4738: 4081: 2947: 2921: 2907: 2899: 2838: 2732: 2692: 2592: 2535: 2521: 2513: 1855:Brewer A (20 April 2023). Weiser P (ed.). 1418: 1416: 1414: 1367:Blazes CK, Morrow JD (11 September 2020). 588:or other sedating substances, concomitant 406: 2327: 2239: 2029: 1909: 1857:"Suboxone side effects: A detailed guide" 1748: 1448: 1394: 1384: 1334: 1332: 1312: 1290: 1288: 1286: 1284: 1282: 1280: 1278: 1258: 1248: 1068: 1066: 1064: 1062: 2497:. Federal Trade Commission. 11 July 2019 2291:https://doi.org/10.1177/2150132720940723 1691:. US Department of Justice. 9 April 2019 1204:Fisher GL, Roget NA (11 November 2008). 6088: 1827:"Highlights of Prescribing Information" 1634:"Statutes, Regulations, and Guidelines" 1554: 1552: 1058: 966:Naloxone is extensively inactivated by 402: 748:Strong inhibitors of the liver enzyme 641:may also occur with concurrent use of 38: 2166: 2164: 2051: 2049: 1723:Coe MA, Lofwall MR, Walsh SL (2019). 1661: 1659: 1657: 1655: 1653: 1651: 1585: 1583: 1581: 1566:. National Alliance on Mental Illness 885:Buprenorphine § Pharmacokinetics 133: 7: 1210:. SAGE Publications. pp. 570–. 995:Drug Addiction Treatment Act of 2000 228: 1560:"Buprenorphine/Naloxone (Suboxone)" 375: 346: 119:Suboxone, Bunavail, Zubsolv, others 6154:Drugs developed by Schering-Plough 6134:Drugs developed by Merck & Co. 1024:In July 2019, the British company 25: 6129:Kappa-opioid receptor antagonists 4889:Desmetramadol (desmethyltramadol) 4217:Desmetramadol (desmethyltramadol) 3170:Dextropropoxyphene (propoxyphene) 3155:Desmetramadol (desmethyltramadol) 2360:California Health Care Foundation 1983:U.S. Food and Drug Administration 556:buprenorphine/­naloxone and 6091: 5269:Salvinorin B methoxymethyl ether 2795:Hydromorphone (extended-release) 1644:from the original on 2019-06-03. 1604:10.2165/00003495-200969050-00006 962:Naloxone § Pharmacokinetics 789:Buprenorphine binds strongly to 543:National Institute on Drug Abuse 65: 47: 5264:Salvinorin B ethoxymethyl ether 2220:Drug Metabolism and Disposition 694:, blistering of the mouth, and 6144:Mu-opioid receptor antagonists 5189:Norbuprenorphine-3-glucuronide 1008:requirements across different 932:. These glucuronides are then 850:achieves higher buprenorphine 427:among others, is a fixed-dose 1: 5164:Nalodeine (N-allylnorcodeine) 4357:Met-enkephalin (metenkefalin) 3966:Nalodeine (N-allylnorcodeine) 3395:Met-enkephalin (metenkefalin) 2022:10.1016/s0027-9684(15)30175-9 1949:10.1080/14740338.2023.2247962 1936:Expert Opinion on Drug Safety 1729:Journal of Addiction Medicine 852:maximum plasma concentrations 621:Contraindications are severe 4387:N-Phenethyl-14-ethoxymetopon 2173:Current Rheumatology Reports 1781:"Suboxone Contraindications" 1741:10.1097/ADM.0000000000000457 1508:Food and Drug Administration 1479:Food and Drug Administration 1047:Food and Drug Administration 569:Drug Addiction Treatment Act 423:, sold under the brand name 6139:Mu-opioid receptor agonists 6040:β-Lipotropin (proendorphin) 5668:((pF)Phe)Nociceptin(1-13)NH 5049:Leumorphin (dynorphin B-29) 3535:Oxymorphone phenylhydrazone 2800:Morphine (extended-release) 1836:. Indivior UK Limited. 2023 1441:10.2174/1874473711104010028 989:Access in the United States 6180: 6060:Proopiomelanocortin (POMC) 5680:-NH)Gly)Nociceptin(1-13)NH 4784:Adrenorphin (metorphamide) 3951:Methylsamidorphan chloride 3185:Dimethylaminopivalophenone 3010:Adrenorphin (metorphamide) 2843:Tooltip Adrenergic agonist 2737:Tooltip Adrenergic agonist 2697:Tooltip Adrenergic agonist 2597:Tooltip Adrenergic agonist 1666:Haberfeld, H, ed. (2015). 1429:Current Drug Abuse Reviews 959: 882: 713: 162:Buprenorphine and naloxone 29: 5980:Racecadotril (acetorphan) 5387:Buprenorphine/samidorphan 5299:Tricyclic antidepressants 4377:Mitragynine pseudoindoxyl 3420:Mitragynine pseudoindoxyl 2829:Benzodiazepine dependence 2351:Herring A (August 2016). 2269:. Springer. p. 146. 2185:10.1007/s11926-008-0003-z 1386:10.3389/fpsyt.2020.549272 1181:European Medicines Agency 710:Dependence and withdrawal 64: 46: 5965:Dexecadotril (retorphan) 5937:Enkephalinase inhibitors 5866:BTRX-246040 (LY-2940094) 5848:(Nphe)Nociceptin(1-13)NH 5764:Nociceptin (orphanin FQ) 1034:US Department of Justice 875:around 3.41 ng/mL. 795:pain-reducing medication 600:support and counseling. 30:Not to be confused with 5663:(Arg14,Lys15)Nociceptin 4934:Dynorphin B (rimorphin) 3976:Nalorphine dinicotinate 1902:10.1001/jama.2022.17485 1373:Frontiers in Psychiatry 1026:Reckitt Benckiser Group 801:(CNS). It binds to the 510:million prescriptions. 5279:Spiradoline (U-62,066) 5224:Pethidine (meperidine) 4417:Pethidine (meperidine) 4107:ADL-5747 (PF-04856881) 3753:4-Caffeoyl-1,5-quinide 3652:Tetrahydropapaveroline 3567:Pethidine (meperidine) 2320:10.1001/jama.2015.3474 2232:10.1124/dmd.109.028605 799:central nervous system 781: 769: 743:respiratory depression 639:respiratory depression 635:central nervous system 531: 523: 439:. It is used to treat 429:combination medication 421:Buprenorphine/naloxone 74:, an opioid antagonist 41:Buprenorphine/naloxone 6159:Semisynthetic opioids 5970:Ecadotril (sinorphan) 5457:CERC-501 (LY-2456302) 5357:4',7-Dihydroxyflavone 4919:Dinalbuphine sebacate 4794:Alazocine (SKF-10047) 4518:4',7-Dihydroxyflavone 4477:Thiobromadol (C-8813) 4117:Alazocine (SKF-10047) 3763:4',7-Dihydroxyflavone 3743:2-(S)-N,N-(R)-Viminol 3215:Dinalbuphine sebacate 2082:10.1007/s002130050066 968:first-pass metabolism 946:elimination half-life 775: 767: 714:Further information: 594:prolonged QT interval 529: 521: 5827:Sunobinop (S-117957) 5562:N-Fluoropropyl-JDTic 4894:Diamorphine (heroin) 4227:Diamorphine (heroin) 3195:Diamorphine (heroin) 2995:Acetyldihydrocodeine 2975:7-Hydroxymitragynine 2970:7-Acetoxymitragynine 999:emergency department 897:, primarily via the 860:area under the curve 590:alcohol use disorder 32:Bupropion/naltrexone 6124:4,5-Epoxymorphinans 6119:Drug rehabilitation 6030:Ubenimex (bestatin) 5774:Nociceptin (1-13)NH 5382:β-Chlornaltrexamine 5352:4′-Hydroxyflavanone 4774:β-Chlornaltrexamine 4648:N-Benzylnaltrindole 4543:β-Chlornaltrexamine 4462:TAN-67 (SB-205,607) 4127:AR-M100390 (ARM390) 3788:β-Chlornaltrexamine 3758:4′-Hydroxyflavanone 2985:α-Chlornaltrexamine 2654:General anesthetics 2558:Nicotine dependence 1185:. 17 September 2018 1006:prior authorization 975:Society and culture 785:Mechanism of action 668:difficulty sleeping 582:specialized centers 536:opioid use disorder 441:opioid use disorder 288:(Prescription only) 43: 5592:Norbinaltorphimine 4899:Diacetylnalorphine 4588:Diacetylnalorphine 4212:Desmethylclozapine 3866:Diacetylnalorphine 3546:Papaver somniferum 3130:Chloroxymorphamine 2808:Opioid antagonists 2668:Opioid antagonists 2646:Hydrogen cyanamide 2613:Alcohol dependence 2381:"Preauthorization" 2070:Psychopharmacology 1343:. 6 January 2017. 839:mu-opioid receptor 782: 770: 676:excessive sweating 532: 524: 522:Sublingual tablets 472:low blood pressure 470:, sleepiness, and 6114:Combination drugs 6079: 6078: 5924: 5923: 5769:Nociceptin (1-11) 5640: 5639: 4769:14-Methoxymetopon 4726: 4725: 4643:Methylnaltrindole 4069: 4068: 3738:(3S,4S)-Picenadol 3350:Levacetylmethadol 2896: 2895: 2775:Levacetylmethadol 2723:Opioid dependence 2641:Calcium carbimide 2467:. 21 October 2020 2314:(16): 1636–1644. 2226:(12): 2323–2329. 1985:. 12 January 2022 1943:(12): 1283–1287. 1896:(22): 2269–2271. 1250:10.1136/bmj.j1550 1217:978-1-4129-5084-8 1153:. 31 October 2019 889:Buprenorphine is 827:δ-opioid receptor 809:antagonist. As a 807:κ-opioid receptor 803:μ-opioid receptor 716:Opioid withdrawal 702:and tooth loss). 664:opioid withdrawal 617:Contraindications 573:opioid dependence 491:opioid antagonist 418: 417: 388:CompTox Dashboard 308: 296: 283: 271: 264:(Controlled drug) 259: 187: 154: 103:Opioid antagonist 16:(Redirected from 6171: 6096: 6095: 6094: 6087: 5959: 5886:Nociceptin (1-7) 5782:Norbuprenorphine 5719:Dihydroetorphine 5653: 5542:Methylnaltrexone 5452:Catechin gallate 5184:Norbuprenorphine 4909:Dihydroetorphine 4779:β-Funaltrexamine 4739: 4638:Methylnaltrexone 4578:Catechin gallate 4392:Norbuprenorphine 4232:Dihydroetorphine 4082: 3946:Methylnaltrexone 3838:Catechin gallate 3793:β-Funaltrexamine 3205:Dihydroetorphine 2948: 2923: 2916: 2909: 2900: 2870:Chlordiazepoxide 2844: 2840: 2790:Dihydroetorphine 2738: 2734: 2698: 2694: 2624: 2598: 2594: 2537: 2530: 2523: 2514: 2507: 2506: 2504: 2502: 2487: 2476: 2475: 2473: 2472: 2457: 2451: 2450: 2448: 2446: 2431: 2422: 2421: 2419: 2417: 2412:. August 5, 2016 2402: 2396: 2395: 2393: 2391: 2377: 2371: 2370: 2368: 2366: 2357: 2348: 2342: 2341: 2331: 2299: 2293: 2287: 2281: 2280: 2260: 2254: 2253: 2243: 2211: 2205: 2204: 2168: 2159: 2158: 2156: 2155: 2141: 2135: 2134: 2108: 2102: 2101: 2065: 2059: 2053: 2044: 2043: 2033: 2016:(7–8): 342–350. 2001: 1995: 1994: 1992: 1990: 1975: 1969: 1968: 1930: 1924: 1923: 1913: 1879: 1873: 1872: 1870: 1868: 1852: 1846: 1845: 1843: 1841: 1831: 1823: 1817: 1816: 1814: 1812: 1797: 1791: 1790: 1788: 1787: 1777: 1771: 1770: 1752: 1720: 1701: 1700: 1698: 1696: 1681: 1672: 1671: 1663: 1646: 1645: 1640:. 15 June 2015. 1630: 1624: 1623: 1587: 1576: 1575: 1573: 1571: 1556: 1547: 1546: 1544: 1542: 1528: 1522: 1521: 1519: 1517: 1498: 1492: 1491: 1489: 1487: 1469: 1463: 1462: 1452: 1420: 1409: 1408: 1398: 1388: 1364: 1353: 1352: 1336: 1327: 1326: 1316: 1292: 1273: 1272: 1262: 1252: 1228: 1222: 1221: 1201: 1195: 1194: 1192: 1190: 1172: 1163: 1162: 1160: 1158: 1143: 1118: 1117: 1115: 1113: 1096: 1090: 1089: 1087: 1085: 1070: 1038:anti-competitive 910:norbuprenorphine 845:Pharmacokinetics 823:binding affinity 791:opioid receptors 684:peripheral edema 627:liver impairment 566: 563: 561: 555: 552: 550: 509: 457:under the tongue 447:opioids such as 411: 410: 396: 394: 379: 359: 349: 348: 334: 306: 303: 294: 291: 281: 278: 270: 267: 257: 254: 232: 185: 182: 164: 153: 150: 137: 91:Opioid modulator 69: 51: 44: 42: 27:Opioid treatment 21: 6179: 6178: 6174: 6173: 6172: 6170: 6169: 6168: 6104: 6103: 6102: 6092: 6090: 6082: 6080: 6075: 5957: 5920: 5851: 5836: 5777: 5699: 5691: 5683: 5679: 5671: 5648: 5636: 5432:Binaltorphimine 5377:6β-Naltrexol-d4 5340: 4959:Ethylketazocine 4914:Dihydromorphine 4734: 4722: 4533:6β-Naltrexol-d4 4506: 4262:Ethylketazocine 4237:Dihydromorphine 4077: 4065: 3773:6β-Naltrexol-d4 3726: 3525:Oxymorphonazine 3280:Furanylfentanyl 3210:Dihydromorphine 3065:Benzhydrocodone 2954: 2952: 2943: 2935: 2930:Opioid receptor 2927: 2897: 2892: 2855:Benzodiazepines 2842: 2823: 2736: 2717: 2696: 2607: 2596: 2552: 2545:drug dependence 2541: 2511: 2510: 2500: 2498: 2489: 2488: 2479: 2470: 2468: 2459: 2458: 2454: 2444: 2442: 2433: 2432: 2425: 2415: 2413: 2404: 2403: 2399: 2389: 2387: 2379: 2378: 2374: 2364: 2362: 2355: 2350: 2349: 2345: 2301: 2300: 2296: 2288: 2284: 2277: 2262: 2261: 2257: 2213: 2212: 2208: 2170: 2169: 2162: 2153: 2151: 2143: 2142: 2138: 2123: 2110: 2109: 2105: 2067: 2066: 2062: 2054: 2047: 2003: 2002: 1998: 1988: 1986: 1977: 1976: 1972: 1932: 1931: 1927: 1881: 1880: 1876: 1866: 1864: 1861:perks.optum.com 1854: 1853: 1849: 1839: 1837: 1829: 1825: 1824: 1820: 1810: 1808: 1807:. 25 March 2021 1799: 1798: 1794: 1785: 1783: 1779: 1778: 1774: 1722: 1721: 1704: 1694: 1692: 1689:www.justice.gov 1683: 1682: 1675: 1665: 1664: 1649: 1632: 1631: 1627: 1589: 1588: 1579: 1569: 1567: 1558: 1557: 1550: 1540: 1538: 1530: 1529: 1525: 1515: 1513: 1512:(Press release) 1500: 1499: 1495: 1485: 1483: 1471: 1470: 1466: 1422: 1421: 1412: 1366: 1365: 1356: 1338: 1337: 1330: 1301:Canadian Family 1294: 1293: 1276: 1230: 1229: 1225: 1218: 1203: 1202: 1198: 1188: 1186: 1174: 1173: 1166: 1156: 1154: 1145: 1144: 1121: 1111: 1109: 1108:. 3 August 2022 1098: 1097: 1093: 1083: 1081: 1074:"Buprenorphine" 1072: 1071: 1060: 1055: 1042:product hopping 1022: 991: 982: 977: 964: 958: 950:kidney problems 936:mainly through 914:glucuronidation 899:cytochrome P450 887: 881: 874: 869:bioavailability 865: 857: 847: 841:than naloxone. 831:bioavailability 811:partial agonist 787: 762: 727: 718: 712: 655: 653:Adverse effects 643:CNS depressants 619: 611:pharmacokinetic 606: 604:Available forms 586:benzodiazepines 564: 559: 557: 553: 548: 546: 516: 507: 504:generic version 496:use in the nose 414: 390: 382: 362: 345: 337: 312: 236: 200: 193: 174: 167: 75: 60: 35: 28: 23: 22: 15: 12: 11: 5: 6177: 6175: 6167: 6166: 6161: 6156: 6151: 6146: 6141: 6136: 6131: 6126: 6121: 6116: 6106: 6105: 6101: 6100: 6077: 6076: 6074: 6073: 6063: 6062: 6057: 6052: 6047: 6042: 6033: 6032: 6027: 6022: 6017: 6012: 6007: 6002: 5997: 5992: 5987: 5982: 5977: 5972: 5967: 5962: 5960:-Phenylalanine 5954: 5949: 5944: 5932: 5930: 5926: 5925: 5922: 5921: 5919: 5918: 5913: 5908: 5903: 5898: 5893: 5888: 5883: 5878: 5873: 5868: 5863: 5858: 5853: 5849: 5844: 5842: 5838: 5837: 5835: 5834: 5829: 5824: 5819: 5814: 5809: 5804: 5799: 5794: 5789: 5787:Racemethorphan 5784: 5779: 5775: 5771: 5766: 5761: 5756: 5751: 5746: 5741: 5736: 5734:Levomethorphan 5731: 5726: 5721: 5716: 5711: 5706: 5701: 5697: 5693: 5689: 5685: 5681: 5677: 5673: 5669: 5665: 5659: 5657: 5650: 5642: 5641: 5638: 5637: 5635: 5634: 5629: 5624: 5619: 5614: 5609: 5604: 5599: 5594: 5589: 5584: 5579: 5574: 5569: 5564: 5559: 5554: 5549: 5544: 5539: 5534: 5529: 5524: 5519: 5514: 5509: 5504: 5499: 5494: 5489: 5484: 5479: 5474: 5469: 5464: 5459: 5454: 5449: 5444: 5439: 5434: 5429: 5424: 5419: 5414: 5409: 5404: 5399: 5394: 5389: 5384: 5379: 5374: 5369: 5364: 5359: 5354: 5348: 5346: 5342: 5341: 5339: 5338: 5333: 5328: 5323: 5318: 5296: 5291: 5286: 5281: 5276: 5271: 5266: 5261: 5251: 5246: 5241: 5239:Racemethorphan 5236: 5231: 5226: 5221: 5216: 5211: 5206: 5201: 5196: 5191: 5186: 5181: 5176: 5171: 5166: 5161: 5156: 5151: 5146: 5141: 5136: 5131: 5126: 5121: 5116: 5111: 5106: 5101: 5096: 5091: 5086: 5081: 5076: 5071: 5066: 5061: 5059:Levomethorphan 5056: 5051: 5046: 5041: 5036: 5031: 5026: 5021: 5016: 5011: 5006: 5001: 4996: 4991: 4986: 4981: 4976: 4971: 4966: 4961: 4956: 4951: 4946: 4941: 4936: 4931: 4926: 4921: 4916: 4911: 4906: 4901: 4896: 4891: 4886: 4881: 4876: 4871: 4866: 4861: 4856: 4851: 4846: 4841: 4836: 4831: 4826: 4821: 4816: 4811: 4806: 4801: 4796: 4791: 4786: 4781: 4776: 4771: 4766: 4761: 4756: 4751: 4745: 4743: 4736: 4728: 4727: 4724: 4723: 4721: 4720: 4715: 4710: 4705: 4700: 4695: 4690: 4685: 4680: 4675: 4670: 4665: 4660: 4655: 4650: 4645: 4640: 4635: 4630: 4625: 4620: 4615: 4610: 4605: 4600: 4595: 4590: 4585: 4580: 4575: 4570: 4565: 4560: 4555: 4550: 4545: 4540: 4535: 4530: 4525: 4520: 4514: 4512: 4508: 4507: 4505: 4504: 4499: 4494: 4489: 4484: 4479: 4474: 4469: 4464: 4459: 4454: 4449: 4444: 4439: 4434: 4429: 4427:Racemethorphan 4424: 4419: 4414: 4409: 4404: 4399: 4394: 4389: 4384: 4379: 4374: 4369: 4364: 4359: 4354: 4349: 4344: 4339: 4337:Levomethorphan 4334: 4332:Leu-enkephalin 4329: 4324: 4319: 4314: 4309: 4304: 4299: 4294: 4289: 4284: 4279: 4274: 4269: 4264: 4259: 4254: 4249: 4244: 4239: 4234: 4229: 4224: 4219: 4214: 4209: 4204: 4199: 4194: 4189: 4184: 4179: 4174: 4169: 4164: 4159: 4154: 4149: 4144: 4139: 4134: 4129: 4124: 4119: 4114: 4109: 4104: 4099: 4094: 4088: 4086: 4079: 4071: 4070: 4067: 4066: 4064: 4063: 4058: 4053: 4048: 4043: 4038: 4033: 4028: 4023: 4018: 4013: 4011:Naltrexonazine 4008: 4003: 3998: 3993: 3988: 3983: 3978: 3973: 3968: 3963: 3958: 3953: 3948: 3943: 3938: 3933: 3928: 3923: 3918: 3913: 3908: 3903: 3898: 3893: 3888: 3883: 3878: 3873: 3868: 3863: 3858: 3853: 3848: 3845: 3840: 3835: 3830: 3825: 3820: 3815: 3810: 3805: 3800: 3795: 3790: 3785: 3780: 3775: 3770: 3765: 3760: 3755: 3750: 3745: 3740: 3734: 3732: 3728: 3727: 3725: 3724: 3719: 3714: 3709: 3704: 3699: 3694: 3689: 3684: 3679: 3674: 3669: 3664: 3659: 3654: 3649: 3644: 3639: 3634: 3629: 3624: 3619: 3614: 3612:Racemethorphan 3609: 3604: 3599: 3594: 3589: 3584: 3579: 3574: 3569: 3564: 3559: 3554: 3542: 3537: 3532: 3527: 3522: 3517: 3512: 3507: 3502: 3497: 3492: 3487: 3482: 3477: 3472: 3467: 3462: 3457: 3452: 3447: 3442: 3437: 3432: 3427: 3422: 3417: 3412: 3407: 3402: 3397: 3392: 3387: 3382: 3377: 3372: 3367: 3362: 3357: 3355:Levomethorphan 3352: 3347: 3345:Leu-enkephalin 3342: 3337: 3332: 3327: 3322: 3317: 3312: 3307: 3305:Hydromorphinol 3302: 3297: 3292: 3287: 3282: 3277: 3272: 3267: 3262: 3257: 3252: 3247: 3242: 3237: 3232: 3227: 3222: 3217: 3212: 3207: 3202: 3200:Dihydrocodeine 3197: 3192: 3187: 3182: 3177: 3172: 3167: 3165:Dextromoramide 3162: 3157: 3152: 3147: 3142: 3137: 3132: 3127: 3122: 3117: 3112: 3107: 3102: 3097: 3092: 3087: 3082: 3077: 3072: 3070:Benzylmorphine 3067: 3062: 3057: 3052: 3047: 3042: 3037: 3032: 3027: 3022: 3017: 3012: 3007: 3002: 3000:Acetylfentanyl 2997: 2992: 2987: 2982: 2977: 2972: 2967: 2961: 2959: 2945: 2937: 2936: 2928: 2926: 2925: 2918: 2911: 2903: 2894: 2893: 2891: 2890: 2878: 2872: 2867: 2862: 2851: 2833: 2831: 2825: 2824: 2822: 2821: 2815: 2804: 2803: 2802: 2797: 2792: 2787: 2785:Dihydrocodeine 2782: 2777: 2772: 2755: 2750: 2744: 2727: 2725: 2719: 2718: 2716: 2715: 2710: 2705: 2688: 2683: 2682: 2681: 2676: 2664: 2663: 2662: 2650: 2649: 2648: 2643: 2638: 2633: 2617: 2615: 2609: 2608: 2606: 2605: 2588: 2583: 2578: 2573: 2568: 2562: 2560: 2554: 2553: 2542: 2540: 2539: 2532: 2525: 2517: 2509: 2508: 2477: 2452: 2423: 2397: 2385:HealthCare.gov 2372: 2343: 2294: 2282: 2275: 2255: 2206: 2160: 2136: 2121: 2103: 2076:(4): 374–383. 2060: 2045: 1996: 1970: 1925: 1874: 1847: 1818: 1792: 1772: 1702: 1673: 1647: 1625: 1598:(5): 577–607. 1577: 1548: 1523: 1493: 1464: 1410: 1354: 1328: 1307:(3): 200–205. 1274: 1223: 1216: 1196: 1176:"Zubsolv EPAR" 1164: 1119: 1091: 1078:www.samhsa.gov 1057: 1056: 1054: 1051: 1021: 1018: 990: 987: 981: 978: 976: 973: 960:Main article: 957: 954: 883:Main article: 880: 877: 872: 863: 855: 846: 843: 793:and acts as a 786: 783: 761: 758: 739:antipsychotics 731:antihistamines 726: 723: 711: 708: 654: 651: 618: 615: 605: 602: 530:Film (package) 515: 512: 474:. The risk of 431:that includes 416: 415: 413: 412: 404:DTXSID50188706 399: 397: 384: 383: 381: 380: 372: 370: 364: 363: 361: 360: 352: 350: 339: 338: 336: 335: 327: 325: 319: 318: 314: 313: 311: 310: 301: 289: 276: 265: 251: 249: 243: 242: 238: 237: 235: 234: 221: 219: 213: 212: 203: 201:administration 195: 194: 192: 191: 189: 179: 177: 169: 168: 166: 165: 147: 145: 139: 138: 131: 121: 120: 117: 111: 110: 106: 105: 100: 94: 93: 88: 82: 81: 80:Combination of 77: 76: 70: 62: 61: 52: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 6176: 6165: 6162: 6160: 6157: 6155: 6152: 6150: 6147: 6145: 6142: 6140: 6137: 6135: 6132: 6130: 6127: 6125: 6122: 6120: 6117: 6115: 6112: 6111: 6109: 6099: 6089: 6085: 6071: 6068: 6065: 6064: 6061: 6058: 6056: 6055:Pronociceptin 6053: 6051: 6050:Proenkephalin 6048: 6046: 6043: 6041: 6038: 6035: 6034: 6031: 6028: 6026: 6023: 6021: 6018: 6016: 6013: 6011: 6008: 6006: 6003: 6001: 5998: 5996: 5993: 5991: 5988: 5986: 5983: 5981: 5978: 5976: 5973: 5971: 5968: 5966: 5963: 5961: 5955: 5953: 5950: 5948: 5945: 5943: 5940: 5938: 5934: 5933: 5931: 5927: 5917: 5914: 5912: 5909: 5907: 5904: 5902: 5899: 5897: 5894: 5892: 5889: 5887: 5884: 5882: 5879: 5877: 5874: 5872: 5869: 5867: 5864: 5862: 5859: 5857: 5854: 5852: 5846: 5845: 5843: 5839: 5833: 5830: 5828: 5825: 5823: 5820: 5818: 5815: 5813: 5810: 5808: 5805: 5803: 5800: 5798: 5795: 5793: 5790: 5788: 5785: 5783: 5780: 5778: 5772: 5770: 5767: 5765: 5762: 5760: 5757: 5755: 5752: 5750: 5747: 5745: 5742: 5740: 5737: 5735: 5732: 5730: 5727: 5725: 5722: 5720: 5717: 5715: 5712: 5710: 5709:Buprenorphine 5707: 5705: 5702: 5700: 5694: 5692: 5686: 5684: 5674: 5672: 5666: 5664: 5661: 5660: 5658: 5654: 5651: 5647: 5643: 5633: 5630: 5628: 5625: 5623: 5620: 5618: 5615: 5613: 5610: 5608: 5605: 5603: 5600: 5598: 5595: 5593: 5590: 5588: 5585: 5583: 5580: 5578: 5575: 5573: 5570: 5568: 5565: 5563: 5560: 5558: 5555: 5553: 5550: 5548: 5545: 5543: 5540: 5538: 5535: 5533: 5530: 5528: 5525: 5523: 5520: 5518: 5515: 5513: 5510: 5508: 5505: 5503: 5500: 5498: 5495: 5493: 5490: 5488: 5485: 5483: 5480: 5478: 5475: 5473: 5470: 5468: 5465: 5463: 5460: 5458: 5455: 5453: 5450: 5448: 5445: 5443: 5442:Buprenorphine 5440: 5438: 5435: 5433: 5430: 5428: 5425: 5423: 5420: 5418: 5415: 5413: 5410: 5408: 5405: 5403: 5400: 5398: 5395: 5393: 5392:Amentoflavone 5390: 5388: 5385: 5383: 5380: 5378: 5375: 5373: 5370: 5368: 5365: 5363: 5360: 5358: 5355: 5353: 5350: 5349: 5347: 5343: 5337: 5334: 5332: 5329: 5327: 5324: 5322: 5319: 5316: 5315:nortriptyline 5312: 5308: 5304: 5303:amitriptyline 5300: 5297: 5295: 5292: 5290: 5287: 5285: 5282: 5280: 5277: 5275: 5272: 5270: 5267: 5265: 5262: 5259: 5255: 5252: 5250: 5247: 5245: 5242: 5240: 5237: 5235: 5232: 5230: 5227: 5225: 5222: 5220: 5217: 5215: 5212: 5210: 5207: 5205: 5202: 5200: 5197: 5195: 5192: 5190: 5187: 5185: 5182: 5180: 5177: 5175: 5172: 5170: 5167: 5165: 5162: 5160: 5157: 5155: 5152: 5150: 5147: 5145: 5142: 5140: 5137: 5135: 5132: 5130: 5127: 5125: 5122: 5120: 5117: 5115: 5112: 5110: 5107: 5105: 5102: 5100: 5097: 5095: 5092: 5090: 5087: 5085: 5082: 5080: 5077: 5075: 5072: 5070: 5067: 5065: 5062: 5060: 5057: 5055: 5052: 5050: 5047: 5045: 5042: 5040: 5037: 5035: 5032: 5030: 5027: 5025: 5022: 5020: 5017: 5015: 5012: 5010: 5009:Hydromorphone 5007: 5005: 5002: 5000: 4997: 4995: 4992: 4990: 4987: 4985: 4982: 4980: 4977: 4975: 4972: 4970: 4967: 4965: 4962: 4960: 4957: 4955: 4952: 4950: 4947: 4945: 4942: 4940: 4937: 4935: 4932: 4930: 4927: 4925: 4924:Diprenorphine 4922: 4920: 4917: 4915: 4912: 4910: 4907: 4905: 4904:Difelikefalin 4902: 4900: 4897: 4895: 4892: 4890: 4887: 4885: 4884:Cyprenorphine 4882: 4880: 4877: 4875: 4872: 4870: 4867: 4865: 4862: 4860: 4857: 4855: 4852: 4850: 4847: 4845: 4842: 4840: 4837: 4835: 4832: 4830: 4829:Big dynorphin 4827: 4825: 4822: 4820: 4817: 4815: 4812: 4810: 4807: 4805: 4802: 4800: 4797: 4795: 4792: 4790: 4787: 4785: 4782: 4780: 4777: 4775: 4772: 4770: 4767: 4765: 4762: 4760: 4757: 4755: 4752: 4750: 4749:3CS-nalmefene 4747: 4746: 4744: 4740: 4737: 4733: 4729: 4719: 4716: 4714: 4711: 4709: 4706: 4704: 4701: 4699: 4696: 4694: 4691: 4689: 4686: 4684: 4681: 4679: 4676: 4674: 4671: 4669: 4666: 4664: 4661: 4659: 4656: 4654: 4651: 4649: 4646: 4644: 4641: 4639: 4636: 4634: 4631: 4629: 4626: 4624: 4621: 4619: 4616: 4614: 4611: 4609: 4606: 4604: 4601: 4599: 4596: 4594: 4593:Diprenorphine 4591: 4589: 4586: 4584: 4581: 4579: 4576: 4574: 4571: 4569: 4566: 4564: 4561: 4559: 4556: 4554: 4551: 4549: 4546: 4544: 4541: 4539: 4536: 4534: 4531: 4529: 4526: 4524: 4521: 4519: 4516: 4515: 4513: 4509: 4503: 4500: 4498: 4495: 4493: 4490: 4488: 4485: 4483: 4480: 4478: 4475: 4473: 4470: 4468: 4465: 4463: 4460: 4458: 4455: 4453: 4450: 4448: 4445: 4443: 4440: 4438: 4435: 4433: 4430: 4428: 4425: 4423: 4420: 4418: 4415: 4413: 4410: 4408: 4405: 4403: 4400: 4398: 4395: 4393: 4390: 4388: 4385: 4383: 4380: 4378: 4375: 4373: 4370: 4368: 4365: 4363: 4360: 4358: 4355: 4353: 4350: 4348: 4345: 4343: 4340: 4338: 4335: 4333: 4330: 4328: 4325: 4323: 4320: 4318: 4315: 4313: 4310: 4308: 4305: 4303: 4300: 4298: 4297:Hydromorphone 4295: 4293: 4290: 4288: 4285: 4283: 4280: 4278: 4275: 4273: 4270: 4268: 4265: 4263: 4260: 4258: 4255: 4253: 4250: 4248: 4245: 4243: 4240: 4238: 4235: 4233: 4230: 4228: 4225: 4223: 4220: 4218: 4215: 4213: 4210: 4208: 4207:Deltorphin II 4205: 4203: 4200: 4198: 4195: 4193: 4190: 4188: 4185: 4183: 4180: 4178: 4175: 4173: 4170: 4168: 4165: 4163: 4160: 4158: 4155: 4153: 4150: 4148: 4145: 4143: 4140: 4138: 4135: 4133: 4130: 4128: 4125: 4123: 4120: 4118: 4115: 4113: 4110: 4108: 4105: 4103: 4100: 4098: 4095: 4093: 4092:3CS-nalmefene 4090: 4089: 4087: 4083: 4080: 4076: 4072: 4062: 4059: 4057: 4054: 4052: 4049: 4047: 4044: 4042: 4039: 4037: 4034: 4032: 4029: 4027: 4024: 4022: 4019: 4017: 4014: 4012: 4009: 4007: 4004: 4002: 3999: 3997: 3994: 3992: 3989: 3987: 3984: 3982: 3979: 3977: 3974: 3972: 3969: 3967: 3964: 3962: 3959: 3957: 3954: 3952: 3949: 3947: 3944: 3942: 3941:Methocinnamox 3939: 3937: 3934: 3932: 3929: 3927: 3924: 3922: 3919: 3917: 3914: 3912: 3909: 3907: 3904: 3902: 3901:Ginsenoside R 3899: 3897: 3894: 3892: 3889: 3887: 3884: 3882: 3879: 3877: 3874: 3872: 3871:Diprenorphine 3869: 3867: 3864: 3862: 3859: 3857: 3854: 3852: 3849: 3846: 3844: 3841: 3839: 3836: 3834: 3831: 3829: 3826: 3824: 3821: 3819: 3816: 3814: 3811: 3809: 3806: 3804: 3801: 3799: 3796: 3794: 3791: 3789: 3786: 3784: 3781: 3779: 3776: 3774: 3771: 3769: 3766: 3764: 3761: 3759: 3756: 3754: 3751: 3749: 3748:3CS-nalmefene 3746: 3744: 3741: 3739: 3736: 3735: 3733: 3729: 3723: 3720: 3718: 3715: 3713: 3710: 3708: 3705: 3703: 3700: 3698: 3695: 3693: 3690: 3688: 3685: 3683: 3680: 3678: 3675: 3673: 3670: 3668: 3665: 3663: 3660: 3658: 3655: 3653: 3650: 3648: 3645: 3643: 3640: 3638: 3635: 3633: 3630: 3628: 3625: 3623: 3620: 3618: 3615: 3613: 3610: 3608: 3605: 3603: 3600: 3598: 3595: 3593: 3590: 3588: 3585: 3583: 3580: 3578: 3577:Phencyclidine 3575: 3573: 3570: 3568: 3565: 3563: 3560: 3558: 3555: 3552: 3548: 3547: 3543: 3541: 3538: 3536: 3533: 3531: 3528: 3526: 3523: 3521: 3520:Oxymorphazone 3518: 3516: 3513: 3511: 3508: 3506: 3503: 3501: 3498: 3496: 3493: 3491: 3488: 3486: 3483: 3481: 3478: 3476: 3473: 3471: 3468: 3466: 3463: 3461: 3458: 3456: 3453: 3451: 3448: 3446: 3443: 3441: 3438: 3436: 3433: 3431: 3428: 3426: 3423: 3421: 3418: 3416: 3413: 3411: 3408: 3406: 3403: 3401: 3398: 3396: 3393: 3391: 3388: 3386: 3383: 3381: 3378: 3376: 3373: 3371: 3368: 3366: 3363: 3361: 3358: 3356: 3353: 3351: 3348: 3346: 3343: 3341: 3338: 3336: 3333: 3331: 3328: 3326: 3323: 3321: 3318: 3316: 3313: 3311: 3310:Hydromorphone 3308: 3306: 3303: 3301: 3298: 3296: 3293: 3291: 3288: 3286: 3283: 3281: 3278: 3276: 3273: 3271: 3268: 3266: 3263: 3261: 3258: 3256: 3255:Ethylmorphine 3253: 3251: 3248: 3246: 3245:Endomorphin-2 3243: 3241: 3240:Endomorphin-1 3238: 3236: 3233: 3231: 3228: 3226: 3223: 3221: 3220:Diphenoxylate 3218: 3216: 3213: 3211: 3208: 3206: 3203: 3201: 3198: 3196: 3193: 3191: 3188: 3186: 3183: 3181: 3178: 3176: 3173: 3171: 3168: 3166: 3163: 3161: 3158: 3156: 3153: 3151: 3148: 3146: 3143: 3141: 3138: 3136: 3133: 3131: 3128: 3126: 3123: 3121: 3118: 3116: 3113: 3111: 3108: 3106: 3105:Butyrfentanyl 3103: 3101: 3098: 3096: 3093: 3091: 3090:Buprenorphine 3088: 3086: 3083: 3081: 3078: 3076: 3073: 3071: 3068: 3066: 3063: 3061: 3058: 3056: 3053: 3051: 3048: 3046: 3043: 3041: 3038: 3036: 3033: 3031: 3028: 3026: 3023: 3021: 3018: 3016: 3013: 3011: 3008: 3006: 3005:Acrylfentanyl 3003: 3001: 2998: 2996: 2993: 2991: 2988: 2986: 2983: 2981: 2980:ψ-Akuammigine 2978: 2976: 2973: 2971: 2968: 2966: 2963: 2962: 2960: 2957: 2949: 2946: 2942: 2938: 2934: 2931: 2924: 2919: 2917: 2912: 2910: 2905: 2904: 2901: 2888: 2887:Phenobarbital 2884: 2883: 2879: 2876: 2873: 2871: 2868: 2866: 2863: 2861: 2857: 2856: 2852: 2849: 2845: 2841: 2835: 2834: 2832: 2830: 2826: 2819: 2816: 2814: 2810: 2809: 2805: 2801: 2798: 2796: 2793: 2791: 2788: 2786: 2783: 2781: 2778: 2776: 2773: 2770: 2766: 2765:Buprenorphine 2763: 2762: 2761: 2760: 2756: 2754: 2751: 2748: 2745: 2743: 2739: 2735: 2729: 2728: 2726: 2724: 2720: 2714: 2711: 2709: 2706: 2703: 2699: 2695: 2689: 2687: 2684: 2680: 2677: 2675: 2672: 2671: 2670: 2669: 2665: 2661: 2660:Nitrous oxide 2658: 2657: 2656: 2655: 2651: 2647: 2644: 2642: 2639: 2637: 2634: 2632: 2629: 2628: 2627: 2626: 2619: 2618: 2616: 2614: 2610: 2603: 2599: 2595: 2589: 2587: 2584: 2582: 2579: 2577: 2574: 2572: 2569: 2567: 2564: 2563: 2561: 2559: 2555: 2550: 2546: 2543:Treatment of 2538: 2533: 2531: 2526: 2524: 2519: 2518: 2515: 2496: 2492: 2486: 2484: 2482: 2478: 2466: 2462: 2456: 2453: 2441: 2437: 2430: 2428: 2424: 2416:September 15, 2411: 2407: 2401: 2398: 2390:September 15, 2386: 2382: 2376: 2373: 2361: 2354: 2347: 2344: 2339: 2335: 2330: 2325: 2321: 2317: 2313: 2309: 2305: 2298: 2295: 2292: 2286: 2283: 2278: 2276:9783319504827 2272: 2268: 2267: 2259: 2256: 2251: 2247: 2242: 2237: 2233: 2229: 2225: 2221: 2217: 2210: 2207: 2202: 2198: 2194: 2190: 2186: 2182: 2178: 2174: 2167: 2165: 2161: 2150: 2146: 2140: 2137: 2132: 2128: 2124: 2122:9780071481274 2118: 2114: 2107: 2104: 2099: 2095: 2091: 2087: 2083: 2079: 2075: 2071: 2064: 2061: 2057: 2052: 2050: 2046: 2041: 2037: 2032: 2027: 2023: 2019: 2015: 2011: 2007: 2000: 1997: 1984: 1980: 1974: 1971: 1966: 1962: 1958: 1954: 1950: 1946: 1942: 1938: 1937: 1929: 1926: 1921: 1917: 1912: 1907: 1903: 1899: 1895: 1891: 1890: 1885: 1878: 1875: 1863:. Optum Perks 1862: 1858: 1851: 1848: 1835: 1828: 1822: 1819: 1806: 1802: 1796: 1793: 1782: 1776: 1773: 1768: 1764: 1760: 1756: 1751: 1746: 1742: 1738: 1735:(2): 93–103. 1734: 1730: 1726: 1719: 1717: 1715: 1713: 1711: 1709: 1707: 1703: 1690: 1686: 1680: 1678: 1674: 1669: 1668:Austria-Codex 1662: 1660: 1658: 1656: 1654: 1652: 1648: 1643: 1639: 1635: 1629: 1626: 1621: 1617: 1613: 1609: 1605: 1601: 1597: 1593: 1586: 1584: 1582: 1578: 1565: 1561: 1555: 1553: 1549: 1537: 1533: 1527: 1524: 1511: 1509: 1503: 1497: 1494: 1482: 1480: 1474: 1468: 1465: 1460: 1456: 1451: 1446: 1442: 1438: 1434: 1430: 1426: 1419: 1417: 1415: 1411: 1406: 1402: 1397: 1392: 1387: 1382: 1378: 1374: 1370: 1363: 1361: 1359: 1355: 1350: 1346: 1342: 1335: 1333: 1329: 1324: 1320: 1315: 1310: 1306: 1302: 1298: 1291: 1289: 1287: 1285: 1283: 1281: 1279: 1275: 1270: 1266: 1261: 1256: 1251: 1246: 1242: 1238: 1234: 1227: 1224: 1219: 1213: 1209: 1208: 1200: 1197: 1184: 1182: 1177: 1171: 1169: 1165: 1152: 1148: 1142: 1140: 1138: 1136: 1134: 1132: 1130: 1128: 1126: 1124: 1120: 1107: 1106: 1105:Health Canada 1101: 1095: 1092: 1080:. 31 May 2016 1079: 1075: 1069: 1067: 1065: 1063: 1059: 1052: 1050: 1048: 1043: 1039: 1035: 1031: 1027: 1020:Controversies 1019: 1017: 1015: 1011: 1007: 1002: 1000: 996: 988: 986: 979: 974: 972: 969: 963: 955: 953: 951: 947: 943: 939: 935: 931: 927: 923: 919: 915: 911: 907: 904: 900: 896: 892: 886: 879:Buprenorphine 878: 876: 870: 861: 853: 844: 842: 840: 834: 832: 828: 824: 819: 816: 812: 808: 804: 800: 796: 792: 784: 780: 774: 766: 759: 757: 755: 751: 746: 744: 740: 736: 732: 724: 722: 717: 709: 707: 703: 701: 697: 693: 689: 685: 681: 677: 673: 669: 665: 661: 652: 650: 648: 644: 640: 636: 632: 628: 624: 616: 614: 612: 603: 601: 599: 595: 591: 587: 583: 578: 574: 570: 544: 539: 537: 528: 520: 513: 511: 505: 500: 497: 492: 488: 483: 481: 477: 473: 469: 464: 462: 458: 454: 450: 446: 442: 438: 434: 433:buprenorphine 430: 426: 422: 409: 405: 401: 400: 398: 389: 385: 378: 374: 373: 371: 369: 365: 358: 354: 353: 351: 344: 340: 333: 329: 328: 326: 324: 320: 315: 309: Rx-only 302: 300: 290: 287: 277: 275: 266: 263: 253: 252: 250: 248: 244: 239: 231: 226: 223: 222: 220: 218: 214: 211: 207: 204: 202: 196: 190: 181: 180: 178: 176: 170: 163: 158: 149: 148: 146: 144: 140: 136: 132: 130: 126: 122: 118: 116: 112: 109:Clinical data 107: 104: 101: 99: 95: 92: 89: 87: 86:Buprenorphine 83: 78: 73: 68: 63: 59: 55: 54:Buprenorphine 50: 45: 37: 33: 19: 6164:Orphan drugs 6066: 6045:Prodynorphin 6037:Propeptides: 6036: 5935: 5906:Thienorphine 5729:JNJ-19385899 5714:Cebranopadol 5696:Ac-RYYRIK-NH 5688:Ac-RYYRWK-NH 5372:6β-Naltrexol 5289:Thienorphine 5254:Salvinorin A 5054:Levallorphan 4859:Cebranopadol 4718:Thienorphine 4528:6β-Naltrexol 4312:JNJ-20788560 4307:Isomethadone 4202:Deltorphin I 4197:Deltorphin A 4177:Cebranopadol 4172:Casokefamide 4006:Naltrexazone 3996:Naloxonazine 3921:Levallorphan 3768:6β-Naltrexol 3667:Thienorphine 3622:Remifentanil 3544: 3475:Nicomorphine 3470:Nicodicodine 3425:Morphiceptin 3325:Ketobemidone 3160:Desomorphine 3145:DAMGO (DAGO) 3125:Cebranopadol 3120:Casokefamide 2882:Barbiturates 2880: 2853: 2836: 2806: 2768: 2757: 2730: 2690: 2666: 2652: 2620: 2590: 2581:Mecamylamine 2499:. Retrieved 2494: 2469:. Retrieved 2465:FiercePharma 2464: 2455: 2443:. Retrieved 2439: 2414:. Retrieved 2409: 2400: 2388:. Retrieved 2384: 2375: 2363:. Retrieved 2359: 2346: 2311: 2307: 2297: 2285: 2265: 2258: 2223: 2219: 2209: 2179:(1): 11–18. 2176: 2172: 2152:. Retrieved 2148: 2139: 2112: 2106: 2073: 2069: 2063: 2013: 2009: 1999: 1987:. Retrieved 1982: 1973: 1940: 1934: 1928: 1893: 1887: 1877: 1865:. Retrieved 1860: 1850: 1838:. Retrieved 1834:suboxone.com 1833: 1821: 1809:. Retrieved 1804: 1795: 1784:. Retrieved 1775: 1732: 1728: 1693:. Retrieved 1688: 1667: 1637: 1628: 1595: 1591: 1568:. Retrieved 1563: 1539:. Retrieved 1535: 1526: 1514:. Retrieved 1505: 1496: 1486:29 September 1484:. Retrieved 1476: 1467: 1435:(1): 28–41. 1432: 1428: 1376: 1372: 1340: 1304: 1300: 1240: 1236: 1226: 1206: 1199: 1189:29 September 1187:. Retrieved 1179: 1157:29 September 1155:. Retrieved 1150: 1110:. Retrieved 1103: 1094: 1082:. Retrieved 1077: 1023: 1003: 992: 983: 965: 888: 848: 835: 820: 788: 760:Pharmacology 754:ketoconazole 747: 728: 725:Interactions 719: 704: 696:mouth ulcers 680:constipation 656: 645:, ingesting 620: 607: 598:psychosocial 540: 533: 514:Medical uses 501: 484: 468:small pupils 465: 461:in the cheek 445:full-agonist 424: 420: 419: 299:Schedule III 247:Legal status 241:Legal status 143:License data 36: 5975:Kelatorphan 5952:Candoxatril 5841:Antagonists 5792:Racemorphan 5759:NNC 63-0532 5744:Lexanopadol 5739:Levorphanol 5617:Quadazocine 5602:Pawhuskin A 5597:Noribogaine 5587:Navacaprant 5577:Naltrindole 5497:Epicatechin 5462:Clocinnamox 5345:Antagonists 5307:desipramine 5274:Samidorphan 5244:Racemorphan 5229:Phenazocine 5219:Pentazocine 5199:Norketamine 5194:Noribogaine 5154:Nalfurafine 5119:Mirtazapine 5109:Metkefamide 5069:Lexanopadol 5064:Levorphanol 5044:Laudanosine 5029:ICI-204,448 5024:ICI-199,441 4994:Hemorphin-4 4954:Erinacine E 4939:Eluxadoline 4929:Dynorphin A 4874:Cyclazocine 4849:Butorphanol 4834:Bremazocine 4809:Asimadoline 4799:Allomatrine 4789:Akuammicine 4698:Quadazocine 4693:Pawhuskin A 4688:Noribogaine 4673:Naltrindole 4613:Epicatechin 4608:Eluxadoline 4583:Clocinnamox 4511:Antagonists 4442:Samidorphan 4432:Racemorphan 4412:Oxymorphone 4372:Mitragynine 4367:Metkefamide 4347:Lexanopadol 4342:Levorphanol 4327:Laudanosine 4292:Hydrocodone 4287:Hemorphin-4 4187:Cyclazocine 4162:Butorphanol 4137:β-Endorphin 4056:Samidorphan 4051:Quadazocine 4041:Pawhuskin A 4031:Noribogaine 4021:Naltrindole 3956:Naldemedine 3886:Epicatechin 3843:Clocinnamox 3731:Antagonists 3702:Tubotaiwine 3687:Trimebutine 3617:Racemorphan 3587:Piritramide 3572:Phenazocine 3557:Pentazocine 3530:Oxymorphone 3495:Oliceridine 3480:Norketamine 3465:Nicocodeine 3450:Naltalimide 3415:Mitragynine 3405:Metkefamide 3375:Loxicodegol 3365:Lexanopadol 3360:Levorphanol 3335:Laudanosine 3300:Hydrocodone 3295:Hodgkinsine 3285:Hemorphin-4 3275:Frakefamide 3235:Embutramide 3230:Dynorphin A 3190:Eluxadoline 3180:Dimenoxadol 3115:Carfentanil 3100:Butorphanol 3075:Bezitramide 3045:β-Endorphin 3035:Anileridine 3025:Akuammidine 3020:Akuammicine 2990:α-Narcotine 2636:Acamprosate 2586:Varenicline 2495:www.ftc.gov 2365:14 December 1989:14 November 993:Before the 891:metabolized 700:tooth decay 672:tongue pain 623:respiratory 332:352020-56-5 317:Identifiers 115:Trade names 6149:Oripavines 6108:Categories 6070:Kyotorphin 6015:Spinorphin 5896:SB-612,111 5891:Nocistatin 5861:BAN-ORL-24 5812:SCH-486757 5807:SCH-221510 5646:Nociceptin 5607:PF-4455242 5582:Naringenin 5572:Naltrexone 5532:LY-2795050 5527:LY-2459989 5522:LY-2444296 5517:LY-2196044 5502:Hyperoside 5417:Aticaprant 5311:imipramine 5234:Proxorphan 5209:Oxilorphan 5179:Niravoline 5169:Nalorphine 5144:Nalbuphine 5129:Moxazocine 5104:Metazocine 5074:Lofentanil 5039:Ketazocine 4999:Herkinorin 4979:Gemazocine 4969:Fedotozine 4949:Eptazocine 4879:Cyclorphan 4864:Ciprefadol 4683:Naringenin 4663:Naltrexone 4658:Nalorphine 4633:LY-2196044 4623:ICI-174864 4618:ICI-154129 4563:Bevenopran 4538:α-Santolol 4502:Zenazocine 4482:Tonazocine 4437:RWJ-394674 4422:Proglumide 4362:Metazocine 4352:Lofentanil 4282:Fluorophen 4046:Rimonabant 4036:Oxilorphan 4026:Naringenin 4016:Naltrexone 3981:Naloxazone 3971:Nalorphine 3936:LY-2196044 3906:Hyperoside 3896:Gemazocine 3891:Eptazocine 3828:Bevenopran 3672:Tianeptine 3647:Tapentadol 3642:Sufentanil 3637:Sinomenine 3627:Salsolinol 3582:Piminodine 3500:Oxycodegol 3490:Octreotide 3485:Nufenoxole 3435:Nalbuphine 3390:Meptazinol 3370:Loperamide 3340:Lefetamine 3290:Herkinorin 3270:Fluorophen 3225:Dipipanone 3150:Dermorphin 3040:Apparicine 3030:Alfentanil 2953:(abridged; 2933:modulators 2813:Naltrexone 2747:Lofexidine 2686:Topiramate 2674:Naltrexone 2631:Disulfiram 2471:2021-03-19 2434:Howard J. 2154:2017-11-28 1786:2017-10-30 1379:: 549272. 1084:3 December 1053:References 934:eliminated 752:, such as 688:stomatitis 637:(CNS) and 631:alcoholism 629:and acute 547:treatments 323:CAS Number 206:Sublingual 6025:Tynorphin 6020:Thiorphan 6000:Opiorphan 5942:Amastatin 5871:J-113,397 5832:TH-030418 5802:Ro65-6570 5797:Ro64-6198 5724:Etorphine 5632:Zyklophin 5622:Taxifolin 5512:LY-255582 5472:Cyclofoxy 5422:Axelopran 5336:Xorphanol 5326:U-54,494A 5294:Tifluadom 5284:TH-030418 5214:Oxycodone 5204:Oripavine 5174:Naltriben 5159:Nalmefene 5114:Mianserin 5084:Lufuradom 4989:GR-103545 4964:Etorphine 4944:Enadoline 4844:Butorphan 4839:BRL-52537 4804:Apadoline 4713:Taxifolin 4708:SoRI-9409 4668:Naltriben 4653:Nalmefene 4628:LY-255582 4558:Axelopran 4497:Xorphanol 4467:TH-030418 4447:SB-235863 4407:Oxycodone 4402:Oripavine 4267:Etorphine 4157:Butorphan 4122:Amoxapine 4061:Taxifolin 3986:Naloxegol 3961:Nalmefene 3931:LY-255582 3861:Cyprodime 3856:Cyclofoxy 3823:Axelopran 3803:Alvimopan 3798:Akuammine 3783:α-Gliadin 3722:Xorphanol 3712:Valorphin 3657:TH-030418 3515:Oxycodone 3510:Oripavine 3445:Nalmexone 3400:Methadone 3380:LS-115509 3260:Etorphine 3250:Eseroline 3095:Butorphan 2956:full list 2865:Lorazepam 2848:Clonidine 2818:Nalmefene 2780:Methadone 2769:+naloxone 2742:Clonidine 2702:Clonidine 2679:Nalmefene 2625:inhibitor 2602:Clonidine 2566:Bupropion 2149:Drugs.com 2131:273018757 1965:260923666 1620:209147406 1541:7 October 1243:: j1550. 938:excretion 692:glossitis 660:headaches 558:methadone 499:opioids. 480:methadone 199:Routes of 173:Pregnancy 135:Monograph 129:Drugs.com 6098:Medicine 5911:Trap-101 5901:SR-16430 5822:SR-16435 5676:(PheΨ(CH 5656:Agonists 5567:Naloxone 5477:Dezocine 5447:Catechin 5402:Apigenin 5331:U-69,593 5124:Morphine 5094:MB-1C-OH 5034:Ketamine 5019:Ibogaine 4984:GR-89696 4974:Fentanyl 4854:BW373U86 4742:Agonists 4732:κ-opioid 4678:Naloxone 4573:Catechin 4548:Apigenin 4487:Tramadol 4472:Thebaine 4382:Morphine 4302:Ibogaine 4272:Fentanyl 4252:DPI-3290 4222:Dezocine 4167:BW373U86 4147:Biphalin 4112:ADL-5859 4085:Agonists 4075:δ-opioid 4001:Naloxone 3926:Lobeline 3911:Ibogaine 3833:Catechin 3813:Apigenin 3682:Tramadol 3677:Tilidine 3662:Thebaine 3632:SC-17599 3602:Propiram 3562:Pericine 3505:OM-3-MNZ 3430:Morphine 3320:Ketamine 3265:Fentanyl 3175:Dezocine 3110:BW373U86 3080:Biphalin 2965:3-HO-PCP 2951:Agonists 2941:μ-opioid 2875:Oxazepam 2860:Diazepam 2753:Ibogaine 2713:Phenibut 2708:Baclofen 2576:Lobeline 2571:Cytisine 2338:25919527 2250:19773542 2201:26827910 2193:18457606 2098:10401443 2090:10928310 2040:23092049 1957:37584264 1920:36511932 1811:30 April 1805:DailyMed 1767:54478000 1759:30531584 1642:Archived 1612:19368419 1570:12 April 1564:nami.org 1536:ClinCalc 1459:21466501 1405:33061915 1349:28727399 1323:28292795 1269:28446428 1151:DailyMed 1112:25 March 1030:Indivior 1014:Medicaid 1010:insurers 956:Naloxone 815:efficacy 476:overdose 453:fentanyl 437:naloxone 425:Suboxone 357:11274356 217:ATC code 175:category 157:DailyMed 98:Naloxone 72:Naloxone 18:Suboxone 6067:Others: 5995:RB-3007 5947:BL-2401 5916:UFP-101 5881:NalBzOH 5876:JTC-801 5817:SR-8993 5754:MT-7716 5704:BU08070 5557:MR-2266 5537:MeJDTic 5467:CVL-354 5437:BU09059 5427:AZ-MTAB 5407:Arodyne 5367:6'-GNTI 5362:5'-GNTI 5321:U-50488 5301:(e.g., 5149:NalBzOH 5134:MR-2034 5099:Menthol 5089:Matrine 4824:BAM-22P 4819:BAM-18P 4814:BAM-12P 4754:6'-GNTI 4523:5'-NTII 4457:SNC-162 4397:NalBzOH 4317:KNT-127 4247:DPI-221 4182:Codeine 4142:BAM-18P 4132:AZD2327 4097:6'-GNTI 3991:Naloxol 3717:Viminol 3707:U-47700 3692:TRIMU 5 3597:Prodine 3540:OxyPNPH 3455:Neopine 3440:NalBzOH 3410:Metopon 3385:Matrine 3135:Codeine 3085:BU08070 3060:BAM-22P 3055:BAM-18P 3050:BAM-12P 3015:AH-7921 2759:Opioids 2501:13 July 2445:13 July 2410:NPR.org 2329:4527523 2241:2784702 2031:4039205 1911:9856241 1750:7442141 1695:13 July 1516:23 June 1450:3154701 1396:7517938 1314:5349718 1260:5421454 908:, into 903:isozyme 893:by the 797:in the 735:alcohol 647:alcohol 565:  560:  554:  549:  343:PubChem 272:: 233:) 227: ( 225:N07BC51 188: C 159::  6084:Portal 6005:Selank 5990:RB-120 5985:RB-101 5929:Others 5856:AT-076 5749:MCOPPB 5412:AT-076 5258:salvia 5139:N-MPPP 5079:LPK-26 4703:SDM25N 4553:AT-076 4492:TRV250 4452:SNC-80 4322:Kratom 4102:7-SIOM 3818:AT-076 3808:AM-251 3697:TRV734 3592:PL-017 3330:Kratom 3315:IBNtxA 2336:  2326:  2273:  2248:  2238:  2199:  2191:  2129:  2119:  2096:  2088:  2038:  2028:  1963:  1955:  1918:  1908:  1867:9 July 1840:9 July 1765:  1757:  1747:  1618:  1610:  1457:  1447:  1403:  1393:  1347:  1321:  1311:  1267:  1257:  1214:  944:. The 930:UGT1A3 926:UGT1A1 922:UGT2B7 918:UGT1A1 912:. The 906:CYP3A4 901:(CYP) 858:) and 750:CYP3A4 737:, and 508:  487:opioid 449:heroin 377:D10250 297: 284: 274:℞-only 260: 210:buccal 155:  58:opioid 6010:Semax 5649:(NOP) 5627:UPHIT 5612:RB-64 5552:ML350 5547:ML190 5507:JDTic 5482:DIPPA 5249:RB-64 5004:HS665 4869:CR665 4764:18-MC 4759:8-CAC 4735:(KOR) 4257:DSLET 4242:DPDPE 4192:DADLE 4152:BU-48 4078:(DOR) 3916:JDTic 3778:18-MC 3607:PZM21 3551:opium 3460:NFEPP 3140:DADLE 2944:(MOR) 2356:(PDF) 2197:S2CID 2094:S2CID 1961:S2CID 1830:(PDF) 1763:S2CID 1616:S2CID 1592:Drugs 1510:(FDA) 1506:U.S. 1481:(FDA) 1477:U.S. 1183:(EMA) 940:into 895:liver 56:, an 5397:ANTI 5014:HZ-2 4568:BNTX 3851:CTOP 3847:CTAP 2549:N07B 2503:2020 2447:2020 2418:2018 2392:2018 2367:2017 2334:PMID 2308:JAMA 2271:ISBN 2246:PMID 2189:PMID 2127:OCLC 2117:ISBN 2086:PMID 2036:PMID 1991:2023 1953:PMID 1916:PMID 1889:JAMA 1869:2023 1842:2023 1813:2021 1755:PMID 1697:2020 1608:PMID 1572:2021 1543:2022 1518:2018 1488:2020 1455:PMID 1401:PMID 1345:PMID 1319:PMID 1265:PMID 1212:ISBN 1191:2020 1159:2020 1114:2024 1086:2017 980:Cost 942:bile 928:and 920:and 435:and 368:KEGG 125:AHFS 5492:ECG 5487:EGC 4603:EGC 4598:ECG 4277:FIT 3881:EGC 3876:ECG 2440:CNN 2324:PMC 2316:doi 2312:313 2236:PMC 2228:doi 2181:doi 2078:doi 2074:148 2026:PMC 2018:doi 2014:104 1945:doi 1906:PMC 1898:doi 1894:328 1745:PMC 1737:doi 1600:doi 1445:PMC 1437:doi 1391:PMC 1381:doi 1309:PMC 1255:PMC 1245:doi 1241:357 1237:BMJ 873:max 864:max 856:max 625:or 459:or 451:or 393:EPA 347:CID 286:POM 230:WHO 6110:: 5958:D 5313:, 5309:, 5305:, 2839:AA 2733:AA 2693:AA 2623:AD 2593:AA 2493:. 2480:^ 2463:. 2438:. 2426:^ 2408:. 2383:. 2358:. 2332:. 2322:. 2310:. 2306:. 2244:. 2234:. 2224:37 2222:. 2218:. 2195:. 2187:. 2177:10 2175:. 2163:^ 2147:. 2125:. 2092:. 2084:. 2072:. 2048:^ 2034:. 2024:. 2012:. 2008:. 1981:. 1959:. 1951:. 1941:22 1939:. 1914:. 1904:. 1892:. 1886:. 1859:. 1832:. 1803:. 1761:. 1753:. 1743:. 1733:13 1731:. 1727:. 1705:^ 1687:. 1676:^ 1650:^ 1636:. 1614:. 1606:. 1596:69 1594:. 1580:^ 1562:. 1551:^ 1534:. 1504:. 1475:. 1453:. 1443:. 1431:. 1427:. 1413:^ 1399:. 1389:. 1377:11 1375:. 1371:. 1357:^ 1331:^ 1317:. 1305:63 1303:. 1299:. 1277:^ 1263:. 1253:. 1239:. 1235:. 1178:. 1167:^ 1149:. 1122:^ 1102:. 1076:. 1061:^ 1049:. 952:. 854:(C 745:. 733:, 690:, 686:, 678:, 662:, 463:. 305:EU 293:US 280:UK 269:CA 262:S8 256:AU 208:, 184:AU 152:US 6086:: 5939:: 5850:2 5776:2 5698:2 5690:2 5682:2 5678:2 5670:2 5317:) 5260:) 5256:( 3553:) 3549:( 2958:) 2922:e 2915:t 2908:v 2889:) 2885:( 2877:) 2858:( 2850:) 2846:( 2820:) 2811:( 2771:) 2767:( 2749:) 2740:( 2704:) 2700:( 2604:) 2600:( 2551:) 2547:( 2536:e 2529:t 2522:v 2505:. 2474:. 2449:. 2420:. 2394:. 2369:. 2340:. 2318:: 2279:. 2252:. 2230:: 2203:. 2183:: 2157:. 2133:. 2100:. 2080:: 2042:. 2020:: 1993:. 1967:. 1947:: 1922:. 1900:: 1871:. 1844:. 1815:. 1789:. 1769:. 1739:: 1699:. 1622:. 1602:: 1574:. 1545:. 1520:. 1490:. 1461:. 1439:: 1433:4 1407:. 1383:: 1351:. 1325:. 1271:. 1247:: 1220:. 1193:. 1161:. 1116:. 1088:. 562:— 551:— 395:) 391:( 307:: 295:: 282:: 258:: 186:: 127:/ 34:. 20:)

Index

Suboxone
Bupropion/naltrexone

Buprenorphine
opioid

Naloxone
Buprenorphine
Opioid modulator
Naloxone
Opioid antagonist
Trade names
AHFS
Drugs.com
Monograph
License data
DailyMed
Buprenorphine and naloxone
Pregnancy
category

Routes of
administration

Sublingual
buccal
ATC code
N07BC51
WHO
Legal status
S8
℞-only
POM
Schedule III

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