Generic name: Buprenorphine

injectable solution: Schedule III (Buprenex)

tablet, sublingual: Schedule III (generic)


Buprenorphine hydrochloride is a drug that raises the likelihood of dependence and abuse or misuse which can lead to an overdose or even death. Consider the risk prior to starting therapy and watch for indicators of addiction, misuse, or abuse during therapy. A life-threatening, serious, or even fatal respiratory depression can occur, especially during treatment beginning and as doses increase. Be aware of symptoms of respiratory depression throughout treatment. The prolonged use of opioids during pregnancy can cause an opioid withdrawal in neonates which could be life-threatening if not detected and treated. If long-term use is necessary during pregnancy be sure to inform the patient about the potential risk to the fetus. The simultaneous use of benzodiazepines and opioids could cause profound depressurization, sedation as well as coma or death. Consider concomitant prescribing only for patients who do not have adequate alternatives to treatment. Limit duration and dosages to the maximum amount required and observe patients for symptoms and signs of respiratory depression or sedation¹.

Brands name

In the U.S.

Available Dosage Forms:

Therapeutic Class: Analgesic

Chemical Class: Opioid

Buprenorphine uses

Buprenorphine injections are utilized for the relief of moderate to extreme pain. It can also be used by patients who have been treated with oral buprenorphine, which is injected on the tongue or inside the cheeks for seven days. It is then followed by an adjustment of the dosage for at least seven days.

Buprenorphine is part of the category of drugs known as analgesics that are narcotic (pain medications). It affects the central nervous system (CNS) to alleviate discomfort.

When a narcotic medication is used over a long period of time, it can develop into a habit, leading to physical or mental dependence. But, those with chronic pain shouldn’t allow the fear of dependence to hinder them from taking the narcotics they need to alleviate their discomfort. Mental dependence (addiction) is unlikely to happen when narcotics have been employed for this purpose. Physical dependence could cause withdrawal side effects when treatment is abruptly stopped. However, serious withdrawal adverse effects are usually avoided by gradually decreasing the dosage over a long period of time until the treatment is completely stopped.


Before using buprenorphine

When deciding whether to take any medicine, the dangers of using the medication should be evaluated against the benefits it can bring. It is a choice you as well as your doctor make. When you are prescribed buprenorphine, these must be taken into consideration:


Discuss with your physician If you’ve ever experienced an unusual reaction or allergy to buprenorphine or other medication. Inform your health care doctor if you are suffering from other allergies, for example, to dyes, foods or preservatives, or animals. For products that are not prescription-only, you must review the label or the ingredient list carefully.


No appropriate studies have been conducted on the relation of age and the effects on Sublocade(r) injection in the infant population. The safety and efficacy of Sublocade haven’t been confirmed.

Studies that are appropriate up to now have not found issues that are specific to children, which could restrict the use of buprenorphine infusion as well as Buprenex(r) in children aged between 2 and 12 years old. But, safety and effectiveness aren’t proven in infants less than 2 years old. age.


Studies that are appropriate so far have not revealed specific geriatric issues that could hinder the effectiveness of buprenorphine injections for the elderly. However, patients who are elderly may be more susceptible to the effects of buprenorphine than younger people and more likely to suffer from age-related liver, kidney, or heart issues, which could need to be treated with caution and adjustments to the dosage for those who receive buprenorphine injections.


There aren’t enough research studies on women to determine the risks to babies when using this medication while breastfeeding. Be sure to weigh the potential benefits against the risk of using this medication during nursing.

Interactions between medicines

While certain medications should not be taken together In other instances, two medicines can be taken together, even if interactions could occur. In these instances, your doctor might decide to adjust the dose or any other precautions could be required. If you’re taking buprenorphine it is crucial that you let your doctor be aware of if you’re using any one of these drugs mentioned below. The following interactions were determined based on their potential impact and are not all-inclusive.

Utilizing buprenorphine in conjunction together with any of the following drugs is not recommended. Your doctor could decide to not treat you with this drug or modify one of the other medications you are taking.

Utilizing buprenorphine together with any of the following drugs is not usually recommended, but it could be necessary for certain instances. If the two medications are prescribed and your doctor recommends a change in the dosage or frequency you take one or both of the drugs.

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