There is no “cookie-cutter” approach for deciding what patient gets Suboxone and what patient gets methadone. Some feel better on Suboxone, some feel better on methadone.
Although both methadone and suboxone treat the same condition and are highly effective, there are some important differences.
Patients are prescribed either treatment according to their level of drug abuse as well as what they are comfortable with. Patients are under careful supervision and dose adjustments are made based on your symptoms and level of comfort.
Suboxone is metabolized by the liver. Suboxone stays in the body for approximately 37 hours and is typically given once a day. For some people, suboxone may last longer than that and they may need to take the medicine every other day.
Naloxone is added to Suboxone to prevent people from injecting Suboxone. When injected, it blocks the effect of medicines and drugs like methadone, heroin, morphine and other opioids. In addition, it will put you into withdrawal.
When you use Suboxone under your tongue, as prescribed, the naloxone is not active and hence has no effect.