Naxolene is the added ingredient on a variation of subutex which is called suboxone. It is the form normally given to patients. Its results are the same as Subutex. Like subutex, it is used as a pain reliever and a medication drug in treating opioid addiction.
Studies have been made as to determine the real effects of suboxone to the patient. Suboxone tablets have been studied in 575 patients, Subutex tablets in 1834 patients and buprenorphine sublingual solutions in 2470 patients. A total of 1270 females have received buprenorphine in clinical trials. Dosing recommendations are based on statistics from one trial of both tablet formulations and two trials of the ethanolic solution. All trials used buprenorphine in combination with psychosocial counseling as component of a complete addiction treatment program. There have been no clinical studies conducted to review the efficacy of buprenorphine as the only component of treatment.
In a double blind placebo and active controlled study, 326 heroin-addicted subjects were by chance given to either Suboxone 16 mg per day, 16 mg Subutex per day or placebo tablets. The main study comparison was to test the efficacy of Subutex and Suboxone individually against placebo. The proportion of thrice-weekly urine samples that were negative for non-study opioids was statistically higher for both Subutex and Suboxone, than for placebo.
Since suboxone is a blend of two presently marketed medications, buprenorphine and naloxone, it gives a combination of a weak narcotic (buprenorphine) and a narcotic antagonist (naloxone). The latter is supplemented to put off addicts from injecting the tablets intravenously, as has happened with tablets only containing buprenorphine; because it contains naloxone, Suboxone is very likely to generate intense withdrawal symptoms if misused intravenously by opioid-addicted individuals. Buprenorphine is a partial agonist at the mu-opioid receptor and an antagonist at the kappaopioid receptor. Naloxone is an antagonist at the mu-opioid receptor.
Like most addictions, suboxone or subutex addiction is quite unavoidable. The drug is not supposed to be used occasionally. It must be used as a permanent treatment method and thus, may become hazardous if usage is stopped too quickly. Like heroin, suboxone could result to a “euphoric” feeling. It cannot be denied that the person who is continuously taking the drug has a very intense risk of becoming dependent and addicted to the drug. It has a system that copies the actions of naturally occurring pain-reducing chemicals called endorphins. Endorphins are found in the brain and spinal cord and reduce pain by combining with opioid receptors. However, opioids also act in the brain to cause feelings of euphoria and hallucinations. This very much illustrates their addictive inclination among people who are taking them in a long-term basis.
Moreover, in using suboxone, one should be very careful. As much as possible this should be taken with great administration by a medical expert. This medicine may cause drowsiness. If affected, do not drive or operate machinery. Drowsiness will be made worse by alcohol, tranquilizers, sedatives and sleeping tablets such as benzodiazepines. Taking these in mixture with buprenorphine can also cause potentially dangerous problems with breathing and so should be avoided while taking this medicine. The liver function should be frequently monitored while receiving treatment with this medicine.
In substance addiction, it is very excellent to use drugs such as subutex and suboxone. However, there has not at all been a drug that has been found to be an effective medication for addiction that is at the same time non-addictive. Science may have been in the practice of trying to find the perfect drug that would provide us with the two benefits.
Drugs, therefore, must be taken with warning and correct supervision from medical professionals. In addition, it is the responsibility of the individual himself to look after his in-take of a drug. He should be the first to control the substance, not the other way around.