Buprenorphine

Buprenorphine is a partial opioid agonist commonly used to treat opioid addiction. Unlike full agonists like heroin or oxycodone, buprenorphine activates opioid receptors in the brain to a lesser degree, reducing cravings and withdrawal symptoms without producing the same intense euphoria. It is often combined with naloxone (as in Suboxone) to prevent misuse. Buprenorphine has a “ceiling effect,” meaning its effects level off at higher doses, lowering the risk of overdose compared to other opioids. It is a cornerstone of Medication-Assisted Treatment (MAT), helping individuals transition to a stable recovery. While it is a critical tool for addiction treatment, buprenorphine itself can be misused, particularly if injected or taken in unregulated doses.

Signs of buprenorphine addiction include increased tolerance, emotional reliance, and using the drug outside of prescribed guidelines. Withdrawal symptoms like anxiety, irritability, and muscle aches are common. Behavioral changes, such as “doctor shopping,” neglecting responsibilities, and preoccupation with the drug, indicate dependency.

Treatment for buprenorphine misuse at Tranquility Woods includes medically supervised tapering to manage withdrawal symptoms and prevent relapse. Clients participate in three addiction therapy sessions weekly to address emotional dependency and triggers. Mental health therapy sessions target co-occurring conditions like anxiety or depression. Weekly acupuncture and massages offer stress relief and promote relaxation. Holistic practices like yoga and mindfulness help clients rebuild emotional balance and maintain long-term sobriety.

• Depression: Misuse can lead to or exacerbate depressive symptoms, especially during withdrawal.
• Anxiety Disorders: Worries about access to the drug or withdrawal can heighten anxiety.
• Substance-Induced Mood Disorders: Emotional instability due to dependency or misuse.
These conditions require careful assessment and integrated treatment alongside addiction care.

While safer than full opioid agonists, buprenorphine can cause side effects like nausea, constipation, and drowsiness. Misuse increases the risk of overdose, especially when combined with sedatives like benzodiazepines or alcohol. Withdrawal symptoms, though typically milder than with other opioids, can still occur and include restlessness, sweating, and mood swings. The stigma surrounding buprenorphine use can also discourage patients from continuing treatment, emphasizing the need for supportive care and education.