If any of these effects last or get worse, tell your doctor or pharmacist right away. 85, which is 70% off the average retail price of. (330) 792-5247. Call now Request appointment. Dr. Annemarie Jones, Nurse Unit Manager, Kempsey Opioid Substitution Treatment Clinic, Mid North Coast Local Health District Debbie Kaplan, Manager, Clinical Policy, Alcohol and Other Drugs, Centre for Population Health,. The chemical name of buprenorphine hydrochloride is 21-(Cyclopropyl-7α-[(S)-1-hydroxy-1,2,2- trimethylpropyl]-6,14-endo-ethano-6,7,8,14-tetrahydrooripavine hydrochloride. Buprenorphine dosing every one, two or three days in opioiddependant patients. appropriate level and type of care within the health care system — from intensive care to treatment in an outpatient clinic — for patients who are seen in the ED. It binds to the same receptors in the brain that opioids bind to. Our $100,000 challenge is underway. For example, the risk of respiratory. 17 Buprenorphine jobs available in Various Remote on Indeed. We reviewed the medical records of 281 patients living in halfway houses and treated at an office-based buprenorphine MAT clinic following a diagnosis of OUD between July 1, 2018 and June 30, 2019. Gov. Drug Alcohol Depend. An analgesic is a drug that is used. In many cases, mild side effects from the drug can be temporary. 4 mg buprenorphine with 0. It is administered as a weekly injection (8 mg, 16 mg, 24 mg, or 32 mg) or monthly injection (64 mg. Additionally, the Comprehensive Addiction and Recovery Act (CARA), which was signed into law in July 2016, temporarily expands eligibility to prescribe buprenorphine-based drugs for medication-assisted treatment. Publication Date. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins. This is not a complete list of side effects and others may occur. Buprenorphine is a Schedule III opioid analgesic with unique pharmacodynamic and pharmacokinetic properties that may be preferable to those of Schedule II full μ-opioid receptor agonists. Treatment with buprenorphine. Buprenorphine is a partial mu-opioid receptor agonist with lower potential for misuse and overdose compared with the full mu-opioid receptor agonist methadone. Jessica Colarossi. We’ve helped thousands on their recovery journey. of. Find required practitioner training for substance use disorder treatment topics, as well as recommended resources. 09. BESMART was developed in 2019 to be a specialized provider network focused on contracting with high quality medication assisted treatment (MAT) providers to provide comprehensive care to TennCare members with opioid use disorder (OUD). Buprenorphine is an opioid partial agonist. Buprenorphine is an opioid partial agonist. Buprenorphine is a medication approved by the Food and Drug Administration (FDA) to treat Opioid Use Disorder (OUD). 65. ACOG and SAMHSA recommend treatment with methadone or buprenorphine for. Buprenorphine antagonism of ventilatory depression following fentanyl anaesthesia. Adults and children ages 12 years and older may be given one. The SAMHSA initial test cutoff level is 500 ng/mL. com. Recovery is possible and Cleveland Clinic Akron General Alcohol and Drug Recovery Center offers help and guidance. I. hhs. Guidelines produced by a committee of professionals led by TDMHSAS and the Tennessee Department of Health on prescribing buprenorphine in non-residential settings. Let us help you. According to the National Center for Health Statistics, life expectancy in the United. Get buprenorphine for as low as $35. BUP differs significantly from MET in its pharmacology, side effects, and safety issues. Common side effects include headache, difficulty sleeping, and nausea. “Off-label" use of a drug refers to when a doctor prescribes a medicine for a different purpose than those formally approved by the FDA and found in the package labeling. HHS. Get buprenorphine for as low as $98. The most common primary payment type accepted by survey respondents. The Prevalence and Detection of. A list of Suboxone (buprenorphine) prescribers and treatment programs in Iowa. Overdose with buprenorphine in adults is less common, and most likely occurs in individuals without tolerance, or who are using co-occurring substances like alcohol or. This drug is slightly less popular than comparable drugs. People as young as 16 may use Suboxone. Buprenorphine is a Schedule III opioid analgesic with unique pharmacodynamic and pharmacokinetic properties that may be preferable to those of Schedule II full μ-opioid receptor agonists. Most of the 1. Despite the numerous studies that have documented the safety and efficacy of methadone, buprenorphine, and extended-release injection naltrexone in treating opioid use disorder [], access to these treatments remains limited. Buprenorphine works in a way that may also make it helpful for treating chronic pain. Generally, most physical withdrawal symptoms will subside after one month,. 10. Methadone, naltrexone, and buprenorphine are all opioid-based medications and require a prescription for use,. doi: 10. Practical Tools for Prescribing and Promoting Buprenorphine in Primary Care Settings. (Pharmacotherapy 2019;39(10):1023– 1029). This brochure informs patients about buprenorphine and medication-assisted treatment for opioid use disorder. It can also be prescribed by specially-trained physicians and filled at a pharmacy. In an effort to get evidenced-based treatment to more Americans with opioid use disorder, the Department of Health and Human Services (HHS) is releasing new buprenorphine practice guidelines that among other things, remove a longtime requirement tied to training, which some practitioners have cited as a barrier to treating. towards recovery. And this dose is given by either IV or IM injection once every 4 to 6 hours. Call your doctor for medical advice about side effects. The panel also provided clinical recommendations on the appropriate use of buprenorphine and conversion. This medication is used to help relieve severe ongoing pain (such as due to arthritis, chronic back pain). David G. Nausea and vomiting. Check Insurance Online. Last Update: April 29, 2023. Mechanisms of Buprenorphine Efficacy for Treatment of Opioid Use Disorder. Understand that discontinuing. Dosages of transdermal buprenorphine >20 mcg/hr and buccal film >900 mcg every 12 hours should be avoided. Currently, buprenorphine formulations for the treatment of opioid use disorder (OUD) include an implant, as well as oral formulations combined with an opioid antagonist, naloxone. Buprenorphine-naloxone has a very high affinity for the mu-receptor and can cause precipitated opioid withdrawal, typically more severe than withdrawal that occurs. Take one 16mg dose 45 minutes DAY 2: 16mg of buprenorphine A Guide for Patients Beginning Buprenorphine Treatment at Home 16mg Repeat this dose until your next follow-up appointmentozanimod and buprenorphine both increase sympathetic (adrenergic) effects, including increased blood pressure and heart rate. 3408 Babcock Blvd. 2 mg q10 minutes Herring, A. Wolff 321 Mill Street Akron, IA 51001 (712) 568-2411 Cedar Falls. Usually, the maintenance dose for pain management is between 0. It is therefore available as sublingual tablets. The usual dose is 2 to 6 micrograms (mcg) of drug per kilogram (kg) of body weight. Buprenorphine has a favorable safety profile due to its ceiling effect for respiratory depression [] and is an effective. 2 Patients and clinicians have raised concerns that individuals using fentanyl may. approval: 1981 . This drug is more popular than comparable drugs. And while buprenorphine — often referred to by a common brand name, Suboxone — can be prescribed by any doctor, it is increasingly. g. . CA Bridge is an implementation facilitation program for opioid use disorder (OUD) treatment in California emergency departments (EDs). It reduces relapses and overdose deaths and curbs. INTRODUCTION. 7 out of 10 from a total of 1106 ratings on Drugs. The prevalence of synthetic drugs is undercutting a previously. The dose and regimen of buprenorphine were derived from efficacy, pharmacokinetic, and safety data generated in a phase 1 trial. 18VAC90-40-270. A et al. Call your. Four participants had COWS scores between four and eleven (mild range) at the end of the induction and one had a score of fifteen (moderate range). Suboxone is sometimes used “off-label” by doctors to help with acute or chronic pain in certain patients. Buprenorphine is a long-acting opioid drug used to replace the shorter-acting opioids that someone may be addicted to, such as heroin, oxycodone, fentanyl or hydromorphone. A patient returns to the outpatient clinic for follow-up of buprenorphine treatment of opioid use disorder. To prevent constipation, eat dietary fiber, drink. in the Physicians Pavilion. 13228. Drowsiness, dizziness, constipation, or headache may occur. constipation. 33 Studies of low-dose transdermal buprenorphine patches have found patches were better tolerated than sublingual buprenorphine and were. It is used to treat opioid use disorder. Buprenorphine Practitioner Locator Find practitioners authorized to treat opioid dependency with buprenorphine by state. 7 mg buprenorphine with 0. 20. Buprenorphine is an opioid agonist-antagonist with a 'ceiling effect' for respiratory depression. email. The physician holds a subspecialty board certification in addiction. Ensure your benefits cover treatment. Reality: Suboxone, like any opiate, and many other medications, can be misused. 999 N Main St Akron, OH 44310 Phone: 866-928-5995 Website: Medication Types Buprenorphine Suboxone (buprenorphine / naloxone) Vivitrol. It is highly effective for the treatment of opioid. CDC’s National Center for Injury Prevention and Control has compiled a data file of opioid analgesic medications by National Drug Code (NDC) to help with analyzing population-level opioid prescription data. Suboxone Synthetic Opioids. In order to curb the abuse potential of this drug, many treatment centers and prisons crush Subutex tablets before administering them to patients. buprenorphine increases risk of overdose death upon Try to avoid very hairy areas, or trim the hairs first before applying the patch. And this dose is given by either IV or IM injection once every 4 to 6 hours. 14, 2023. He cycled in and out. When a patient is pregnant; 2. Access to buprenorphine could skyrocket this year. 18 mg naloxone, 1. 50 0. Reference Number: Espranor 2 mg Oral Lyophilisate: PL 00156/0364. L Ö × d È È IsÈ «È. (link sends email) For more information about OTP certification and opening a treatment program, contact your states OTP Compliance Officer. Transdermal buprenorphine to subcutaneous morphine or oxycodone infusions 12 12. AP. Numerous clinical studies and randomized clinical trials have demonstrated buprenorphine's efficacy in retaining patients in treatment and reducing illicit opioid use compared with treatment without medication and medically supervised withdrawal. The structure of buprenorphine allows for multimechanistic interactions with opioid receptors μ, δ, κ, and opioid receptor-like 1. Petry NM, Bickel WK, Badger GJ. atients receiving a buprenorphine product should be offered a naloxone kit or prescription. 3 Department of Palliative Care, Geisinger Medical. Introduction. Usually, the maintenance dose for pain management is between 0. Buprenorphine Extended-Release (Bup ER) is a patented compounded opioid that provides up to 48 hours of analgesia and is only available by prescription from a. Sublingual buprenorphine to oral morphine 12 13. Buprenorphine comes in different forms, including under-the-tongue products, skin patches, and injections. Gov. Listen to the audio pronunciation in the Cambridge English Dictionary. The pharmacology of buprenorphine increases the risk of a precipitated opioid withdrawal when commencing patients on. These receptors are responsible for pain relief. Do not use this medicine if the pouch seal is broken, or if the patch is cut, damaged, or changed in any way. counties did not have a single doctor or clinic who prescribed buprenorphine. Boas RA, Villiger JW. May 16, 2023 - 03:03 PM. Its use in dogs, small mammals, large animals, and sometimes cats to treat pain is ‘off label. The anniversary also coincides with a significant milestone for the groundbreaking program, as it recently surpassed over 21,000mg of buprenorphine. Myth #2: People frequently misuse Suboxone. 800. 28 and is open weekdays from 4 to 7:30 p. Buprenorphine was patented in 1965, and approved for medical use in the United States in 1981. Gov. 1994 May;55 (5):569-80. 1 in The New. It is also used to treat pain. This approval eliminates the need to visit specialized treatment clinics, thereby expanding access to treatment for many who need it. (2021). Buprenorphine confirmatory testing at the last visit had shown a urine buprenorphine level greater than 2,000 ng/mL and a. Buprenorphine, sold under the brand name Subutex among others, is an opioid used to treat opioid use disorder, acute pain, and chronic pain. Completion will allow qualified physicians to apply for a Drug Enforcement Administration. Dosage of buprenorphine injection. Buprenorphine (BPN) UDS testing is complex. T32 DA016176/DA/NIDA NIH HHS/United States. Addresses screening and assessment and offers detailed protocols for opioid addiction treatment with buprenorphine, including management of special populations. Though each drug is often dosed once daily for addiction, their analgesic effects last only six to eight hours. The aim of the study was to compare buprenorphine's behaviour with respect to the occurrence of ceiling (or apparent maximum) in these. For simple non painful procedures dose can be reduced to: 0. 8972. It is used to treat opioid use disorder. Buprenorphine/naloxone combinations were on average 19. It is usually given once monthly with at least 26 days in between doses. It is used along with drug counseling and other measures to treat OUD. Submit a new suboxone treatment clinic here. Using medications to treat opioid use disorder is a lifesaving cornerstone of treatment — much like insulin for type 1 diabetes. You may report side effects to FDA at 1-800-FDA-1088. How to say BUPRENORPHINE. We present data from clinical studies of buprenorphine induction and propose a neuropharmacologic working model, which posits that acute clinical success of buprenorphine induction (achieving a positive agonist. buprenorphine 300mg and were released from the research clinic one hour after the injection. This is not a complete list of side effects and others may occur. slow or irregular heartbeat. fatigue or drowsiness (especially soon after a dose) loss of appetite, nausea and vomiting. Buprenorphine extended-release (long-acting) injection comes as a solution (liquid) to be injected subcutaneously (just under the skin) by a health care provider into the stomach area. JAMA, 313(16), pp. rapid breathing. 5mg and 8/2mg sublingual film Subutex® contains. This Network will now be known as the Buprenorphine Enhanced Supportive Medication-Assisted Recovery and Treatment (BE-SMART) Network. The. Medical policy no. The drug is used to relieve pain and increase feelings of euphoria in cats. 05% each year and was highest in the summer and spring. covers opioid use disorder treatment services in opioid treatment programs. constipation, nausea, vomiting, headache, increased sweating, sleep problems (insomnia), or pain anywhere in your body. 4 CONTRAINDICATIONS . In special circumstances, doctors may recommend the naloxone-free form of buprenorphine instead of methadone. 1 million Americans, 1 and opioid-related overdose is one of the leading causes of preventable mortality for Americans. The Substance Abuse and Mental Health Services Administration (SAMHSA) also has a treatment locator at 1-866-287-2728. How It Works. Publication ID. Give now through Nov. 01 and 0. Clinical actions of fentanyl and buprenorphine. Buprenorphine has a high potential for. 5 QTc prolongation has been observed in clinical studies for dosages of transdermal buprenorphine two 20 mcg/hr patches and buprenorphine buccal film up to 900 mcg every 12 hours. Start your search for Akron, Ohio drug and alcohol rehab, detox facilities, and outpatient or inpatient rehabs for yourself or a loved one today. Background: An increasing number of patients with opioid use disorder (OUD) are treated with opioid agonist-antagonists such as buprenorphine/naloxone. All NPs and PAs are knowingly subject to theOpioids (excluding Buprenorphine) Buprenorphine Current Qty Current mg/day 30 Day Avg mg/day 48 2. Medicare drug coverage (Part D) also covers drugs like buprenorphine (to treat opioid use disorders) and methadone (when prescribed for pain). 4 o The patients cut SL dual formulation buprenorphine/naloxone 2mg tablets or films to obtain the 0. Learn about the federal statutes, regulations, and guidelines that apply to medications for practitioners and opioid treatment programs (OTPs). Perioperative management of patients on buprenorphine/naloxone is inconsistent and remains a controversial topic with mismanagement posing a significant risk to the long-term health. com. outpatient clinic. In clinical trial studies, the half-life of sublingually administered buprenorphine/naloxone 2mg/0. Federal law (DEA Diversion Control Division 72-hour exception) allows a physician to administer methadone or buprenorphine, once a day, for up to a 72-hour period, in the case of an emergency, while a connection to addiction treatment is made. Pain, itching, or redness at the injection site may also occur. Drawing on archival research, document analysis, and interviews with. 800. Multiple formulations of buprenorphine are approved for clinical use. 1636-1644. buprenorphine will generally be too weak to prevent withdrawal symptoms and is best used for patients with chronic pain. Buprenorphine belongs to a class of drugs called mixed opioid agonist-antagonists. Current literature shows strong data for transdermal buprenorphine and promising data for sublingual buprenorphine. A breastfeeding mother taking sublingual buprenorphine maintenance 4 mg daily during pregnancy and lactation had milk samples collected 6 times over the course of a day at 4 weeks postpartum. Buprenorphine is an excellent home pain relief management option for cats. Buprenorphine dose and dosing frequency should be individualized based on patients' treatment needs, the possibility of novel components in the drug supply should be considered during OUD treatment, and all forms of opioid agonist treatment should be offered and considered for patients. Rural Health Clinics (RHCs) can still apply for a $3,000 payment on behalf of each provider who trained between January 1, 2019, and December 29, 2022 (when Congress eliminated the waiver requirement). Buccal film (inside the cheek): 2. • Sethi R, Petrakis I. This drug is more popular than comparable drugs. The NP or PA is contracted into the MCO’s enhanced buprenorphine MAT Provider Network. Akron, OH 44305 (330) 434-4141 Saint Thomas Hospital - Ignatia Hall 444 North Main Street Akron, OH 44310. Start Preamble AGENCY: Office of the Secretary, Department of Health and Human Services. doi: 10. The new Practice Guidelines for the Administration of. Barriers to Dissemination of Medication Treatments for Opioid Use Disorder. The study, which will be published Dec. VA Buprenorphine Helpline Resource Guide—Version 9—June 2009 5. drowsiness. Buprenorphine is a generic prescription drug classified as a partial opioid agonist. 1 mg every six to eight hours, increasing weekly in 0. 9huvlrq ± 3djh ri 0217+ $1' '$< 'hdu )ulhqgv dqg &roohdjxhv :h duh sohdvhg wr vkduh zlwk x wkh )doo xsgdwh ri wkh 7hqqhvvhh 1rquhvlghqwldo %xsuhqrusklqh 7uhdwphqw *xlgholqhvBuprenorphine is a partial agonist at the mu opioid receptor and can be used in the treatment of opioid use disorder. Addiction is a difficult and frustrating illness. 2,5 Suboxone is a combination of buprenorphine (a long-acting partial opioid agonist) and naloxone (an opioid receptor antagonist) and can be used to stabilize people during detox and withdrawal. Buprenorphine undergoes extensive first-pass metabolism and therefore has very low oral bioavailability. Urine drug screens may also be used in criminal justice and child protection settings. Those prescribed more than 24 mg were unable to be analyzed due to the small number (0. SAMHSA’s National Helpline – provides 24-hour, free, and confidential mental and substance use disorder information and treatment referral in English and Spanish. Buprenorphine is a Schedule III partial μ-opioid receptor agonist that is an equally effective but potentially safer treatment option for chronic pain than full μ-opioid receptor agonists. Official answer. 6847. Community Medical. Buprenorphine affects everyone differently. Some 1. Accidental Exposure Accidental exposure to even one dose of BUTRANS, especially by children, can result in a fatal overdose of buprenorphine [see Warnings and Precautions (5. Approximately $889,000 in program funding remains available for RHCs and will be paid on a first-come, first-served basis until funds. 2. Check your local drug store and clinics for take-back locations. A retrospective study of retention of opioid-dependent adolescents and young adults in an outpatient buprenorphine/naloxone clinic. 10 Last Updated 01/27/2023 1 . Buprenorphine (Belbuca) is a controlled substance. From 2016 through 2019, scarcely more than 20 percent of patients diagnosed with opioid use disorder filled prescriptions for buprenorphine, the medication considered the gold standard in opioid. 10. Prices Medicare Drug Info Side Effects Images. (4) -----WARNINGS AND PRECAUTIONS----- • Addiction, Abuse, and Misuse: Buprenorphine can be abused in a manner similar to other opioids. BUPRENORPHINE treats severe pain. 6. 3 mg intravenous/ intramuscular (IV/IM) every 6 hours; for IV. Sublingual tablet (under the tongue): 0. Some of the most common side effects reported with the use of buprenorphine were: difficulty sleeping, anxiety. Buprenorphine, a synthetic opioid, treats pain, and opioid use syndrome. doi: 10. 6 million Americans have opioid use disorder (OUD), and the overdose crisis has worsened over the past several years, with preliminary data from 2019 and 2020 indicating that opioid overdose death rates are climbing. Dr. In addition, buprenorphine has been. Buprenorphine Prescribing for TennCare Members (2/2) 5. 30. 9 mg buprenorphine with. Immunoassay often does not detect BPN and gas chromatography-mass spectrometry (GC-MS) is needed. Buprenorphine is also a promising treatment for depression and anxiety, and neonatal opioid withdrawal. Bampton Road. The data source for the study consisted of 2,548,372 pregnancies that ended in live births. doi: 10. A comparison of four buprenorphine dosing regimens in the treatment of opioid dependence. loss of bladder control. Is it feasible to treat homeless opioid dependent patients with. The 8-hour opioid or other substance use disorders training activities below (along with the other pathways) meet the Federal training requirement of the 2022 Medication Access and Training Expansion (MATE) Act. Buprenorphine administration dose-dependently increases buprenorphine plasma concentration and occupancy of brain mu-opioid receptors (MORs) that translate into beneficial clinical outcomes. It is usually given once monthly with at least 26 days in between doses. 6 million Americans with OUD do not receive effective OUD treatment. The most common medication for opioid use disorder will soon be buprenorphine. nih. Opioid Treatment Program Contacts. Most participants reported prescribing both buprenorphine and naltrexone in their practices. It is available in both brand and generic versions. Ste. 17 Buprenorphine jobs available in Worldwide USA on Indeed. sleep problems ( insomnia ). 2%, or 15 patients) prescribed such doses during the study period. 6% of opioid‐negative urine. 1038/clpt. SUMMARY: The Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder provides eligible physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives, who are state. 2 mg q10 minutes Herring, A. fatigue, weakness, numbness. Its pharmacological profile is determined primarily by partial agonism at mu-receptors and unusually slow kinetics at these receptors. 5mg and 1mg doses needed for the induction protocols. Buprenorphine is a common medication used to treat opioid use disorder. 02, which is 88% off the average retail price of $300. We review 12 reasons for considering buprenorphine as a frontline analgesic for moderate to severe pain: (1) Buprenorphine is effective in cancer pain; (2) buprenorphine is effective in treating neuropathic pain; (3). An analgesic is a drug that is used to relieve pain. Advertising on our site helps support our mission. It may also be called an opioid analgesic. It works by reducing withdrawal symptoms and cravings to use opioids. 5 Despite buprenorphine being the most accessible form of medication for OUD in the US, under current federal law, it can only be prescribed in office-based settings by clinicians. Opioids, used medically for pain relief, have analgesic and central nervous system depressant effects, as well as the potential to cause euphoria. Buprenorphine (Butrans) is an expensive drug used to treat moderate to severe pain. Food and Drug Administration and 53% of those prescribed the higher 24 mg daily dose discontinued treatment within 180 days. ( 21142534) (1) Buprenorphine with naloxone is safe in pregnancy. 3 Effective: 2/23/11 To qualify for a waiver under DATA 2000 a licensed physician (MD or DO) must meet any one or more of the following criteria: 1. Buprenorphine for pain Brand names: Butec, Buvidal, Espranor, Suboxone, Subutex. It also stays attached to those receptors for longer, which means it has a prolonged effect. How to pronounce BUPRENORPHINE. QUICK START GUIDE &ª»±¾Ès«È I± «È ȱ. Buprenorphine tablets for addiction treatment. Get. 19. doi: 10. 2 mg per 70 kg and 0. Search the for Website expand_more. Buprenorphine is used to treat addiction to opioid drugs (such as heroin) and narcotic painkillers. Espranor 8 mg Oral Lyophilisate: PL 00156/0365. Select a state from the map or use the dropdown lists to view practitioners by city, state or zip code who previously held a DATA-2000 waiver to prescribe buprenorphine for the treatment of opioid use disorder (OUD). We are here to listen and support your road to recovery. Some physicians have suggested that the current daily maintenance target dose of buprenorphine (16 mg) may be inadequate to control withdrawal and cravings in patients who used fentanyl 11 and that a higher daily dose may better suppress withdrawal and cravings. Español. We investigated the efficacy of adding buprenorphine in reducing METH cravings during treatment with the Matrix program. A 2020 Department of Health and Human Services Office of Inspector General report found 40% of U. 12-14 Such opinions are consistent with case studies demonstrating. Monitor patients for conditions indicative of diversion or progression of opioid dependence andbuprenorphine and buprenorphine / naloxone approved for opioid dependence / addiction have been used off-label for the treatment of patients with chronic pain1,3 4; however, the use of high-strength sublingual buprenorphine or buprenorphine/naloxone solely for pain management is not sufficiently supported by evidence. 9 mg buprenorphine with 0. 7,8 How It Works. of. (See. Book an appointment today! 999 N Main St Akron, OH 44310 Phone: 866-928-5995 Website: Medication Types Buprenorphine Suboxone (buprenorphine / naloxone) Vivitrol (naltrexone) Spero Health Akron, Ohio Addiction Treatment. 22,23 • TD buprenorphine was used for eleven outpatients as a bridge medication from an opioid full agonist to standard doses of SL buprenorphine24 or SL dual formulation. skin reactions, if you are using a buprenorphine patch. Buprenorphine is an opioid agonist used to treat opioid dependence OR for treatment of moderate-to-severe pain. Transdermal buprenorphine (a buprenorphine patch) may be used for the treatment of moderate-to-severe chronic pain that requires around-the-clock opioid analgesia.