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Buprenorphine is the generic form of Subutex, a prescription drug used to treat dependence on opioid painkillers such as oxycodone (OxyContin). It’s also prescribed in lower dosages to treat pain.

Indications and usage
If you are recovering from surgery, your doctor may start you on buprenorphine to treat your post-operative pain. The drug works on your nervous system and in your brain to reduce the way you feel pain.

Buprenorphine is also used in the treatment of some narcotic drug addictions. When it is used for this purpose, buprenorphine is often combined with naloxone, an ingredient that counters the effects of an overdose of buprenorphine. This combination drug, called Suboxone, is normally given in the privacy and safety of a doctor’s office.

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How to take
Your doctor will prescribe either tablets of injection forms of buprenorphine to ease acute pain, such as the type of pain you get after an operation.

Buprenorphine also comes in the form of a skin patch that is only used for treatment of chronic or long-term pain. The patches release buprenorphine slowly and evenly over several days.

If your doctor prescribes tablets, he will tell you how many to take and when to take them. Place the tablets under your tongue until they melt. This should take two to 10 minutes.
If you are taking more than two tablets, either place them all under your tongue at the same time or place them under your tongue two at a time. Do not chew the tablets or swallow them whole.

Your doctor will start you on a low dose of buprenorphine and may increase your dose until the medication works properly.

Side effects
Buprenorphine may cause side effects. Tell your doctor if you have any of these symptoms that do not go away.

Stomach pain
Difficulty falling asleep or staying asleep
Less serious side effects may include:

Dizziness, spinning sensation, weakness, tired feeling
Nausea, vomiting, constipation
Increased sweating, numbness or tingly feeling
Headache, depressed mood

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