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What is Addiction?
Addiction is the compulsive use of a habit-forming substance known by the user to be harmful. It is characterized by progressive tolerance and well-defined physiological symptoms upon withdrawal (dope sickness).

What are the drug use requirements?
You must be in withdrawal (dope sickness) to start buprenorphine/naloxone (Suboxone).

To ensure this

  • Methadone must be discontinued 72 hours prior to starting buprenorphine/naloxone (Suboxone).
  • Heroin must be discontinued 4 hours prior to starting buprenorphine/naloxone (Suboxone).
  • Oxycontin, Morphine, Vicodin, Percocet must be discontinued 12 hours prior to starting buprenorphine/naloxone (Suboxone).


Is Buprenorphine safe for pregnant patients?
Buprenorphine is not approved by the FDA for use during pregnancy and is classified as “Category C,” meaning there is limited safety data in humans. However, you should be made aware of the fact that there are a number of recent studies showing neonatal outcomes are no different with buprenorphine than with Methadone. There is also a significant drop in the incidence and the severity of Neonatal Abstinence Syndrome (NAS). Consequently, choosing to proceed with buprenorphine treatment during pregnancy is a personal decision that only you can make. To help you with your decision, you will be supplied with a series of articles to read and pass along to your prenatal care provide.