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Buprenorphine, sold under the brand name Subutex among others, is an opioid used to treat opioid use disorder, acute pain, and chronic pain. [18] It can be used under the tongue (sublingual), in the cheek (buccal), by injection (intravenous and subcutaneous), as a skin patch (transdermal), or as an implant.
Buprenorphine/naloxone, sold under the brand name Suboxone among others, is a fixed-dose combination medication that includes buprenorphine and naloxone. [3] It is used to treat opioid use disorder, and reduces the mortality of opioid use disorder by 50% (by reducing the risk of overdose on full-agonist opioids such as heroin or fentanyl).
The company's main products are Sublocade, Subutex and its Naloxone-combined preparation Suboxone, both substitution products for opioid addiction. [2] Other products include remedies for cocaine and opioid analgesic overdose and treatment for alcohol dependence: the company claims this to be the largest pipeline of addiction drugs in the world.
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[9] [7] The effects of morphine withdrawal can range from gastrointestinal disturbances to symptoms like tremors (involuntary shaking, most commonly in hands), opioid cravings, anxiety and insomnia. [10] [11] While morphine withdrawal is not fatal, patients in withdrawal may experience anxiousness, fear and become difficult to manage. [12]
Some addiction medicine practitioners use the term withdrawal management instead of detoxification. [ 1 ] [ 2 ] A detoxification program for physical dependence does not necessarily address the precedents of addiction , social factors, psychological addiction, or the often-complex behavioral issues that intermingle with addiction.
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Another case report noted a similar phenomenon in a female patient who abruptly reduced her diazepam dosage from 30 mg to 5 mg per day. She developed electric shock sensations, depersonalization , anxiety , dizziness , left temporal lobe EEG spiking activity, hallucinations , visual perceptual and sensory distortions which persisted for years.