A retrospective evaluation of patients switched from buprenorphine (subutex) to the buprenorphine/naloxone combination (suboxone)
2008

Switching from Buprenorphine to Suboxone: A Study

Sample size: 64 publication Evidence: moderate

Author Information

Author(s): Kaarlo Simojoki, Helena Vorma, Hannu Alho

Primary Institution: A-clinic Foundation, Espoo, Finland

Hypothesis

Does switching patients from buprenorphine to the buprenorphine/naloxone combination affect treatment outcomes and misuse potential?

Conclusion

The study suggests that careful planning is needed when transferring patients from buprenorphine to Suboxone, as dose adjustments may be necessary and the combination product appears to have a lower abuse potential.

Supporting Evidence

  • 90.6% of patients switched to Suboxone at the same dose as Subutex.
  • 50% of patients reported adverse events during the first 4 weeks.
  • Only one patient discontinued treatment due to adverse events during the 4-week study period.

Takeaway

This study looked at what happens when people switch from one medicine for addiction to another. It found that some people might need different doses and that the new medicine might be safer.

Methodology

Retrospective study involving data collection from 64 opioid-dependent patients who switched from Subutex to Suboxone across five treatment centers.

Potential Biases

Potential bias due to the retrospective nature and reliance on patient records.

Limitations

The study is retrospective with no control groups, and the sample size is relatively small.

Participant Demographics

{"gender":{"male":52,"female":null},"mean_age":29.9,"duration_of_heroin_use_mean":72.2}

Digital Object Identifier (DOI)

10.1186/1747-597X-3-16

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