Saturday, October 25, 2014

Monday, February 07, 2011 tracy, Community Member, asks

Q: how is butrans different than suboxene?

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Answers (3)
Cort, Health Guide
2/ 7/11 11:38am

Butrans or buprenorphine is an opioid based drug used to treat moderate to severe pain that produces less of a "high" than other opioid based products.  Subuxone contains buprenorphine but it also contains naloxene which blocks the effects of opioid based drugs. Subuxone is  used to assist with withdrawal from these drugs. Butrans is simply used for pain.

2/ 8/11 10:42pm

Nice try Cort.


Butrans and Suboxone both contain Buprenorphine, the primary active ingredient. The difference is the delivery system for the Buprenorphine. Butrans is a TRANSdermal delivery system. Suboxone is a sublinguial delivery system. Both will create a steady-state blood level of buprenorphine in the body when used as directed.


Suboxone does contain Naloxone in order to prevent tampering. Naloxone only becomes active if the sublinguial delivery system is tampered with. When Suboxone is used as directed, Naloxone passes through without activation.


Buprenorphine (both Butrans and Suboxone) does block the effects of other opioids by virtue of its agonist/partial antagonist relationship with the opioid receptor. Buprenorphine is an opioid receptor "bully" kicking everyone else off and away.


Now, the other difference between the two is marketing. Butrans is marketed for pain and Suboxone is marketed for the treatment of opioid chemical dependency. In reality, both can be used for either condition.


And that is the real story about Butrans and Suboxone.


Dr. Christina Lasich, MD

Kenli, Community Member
1/28/14 9:43pm

Do you have to go to a "certified" doctor for Butrans like you would for suboxone?  If so, how do you find a doctor that is certified?  

lildebi, Community Member
2/24/14 7:27pm

I ha e been trying to find out the same info!

Charlie, Community Member
5/24/14 8:45pm
Any doctor can write an Rx for Butrans. As the good doctor noted above- despite clever marketing- both Suboxone and Butrans deliver the same active ingredient- the opioid buprenorphine. The only difference being the delivery systems. In other words, if a savvy GP had a trusted patient who needed help with opiate detoxing and perhaps was unable to pay the "cash up front" to a Suboxone-certified MD (relief from cravings, withdrawal symptoms, etc.) he or she could give that patient Butrans. Reply
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By tracy, Community Member— Last Modified: 05/24/14, First Published: 02/07/11