Statcare Urgent Medical Care
Suboxone Doctors NYC & Long Island
Our LocationsHicksville, NYAstoria, NY

Our Suboxone® Treatment  Program

Suboxone treatment can be very effective for opiate dependency. Learn what you can expect and how Suboxone works when you come for treatment in our Long Island and NYC locations.

When you are ready to begin treatment, call (516) 938-1550 in Hicksville, Long Island or (347) 808-8830 in Astoria, Queens. We are open 7 days a week.

What To Expect With Our Suboxone Treatment Program

You are an ideal candidate for opioid addiction treatment with Suboxone if:

  • You are dependent on opioids
  • You are willing to follow safety precautions for treatment
  • You are committed to your treatment
  • You have no contraindications to buprenorphine treatment
  • You agree to get treated with Suboxone

Your First Visit

  • Complete the initial evaluation package (takes about 20 minutes)
  • See our medical doctor and define your treatment goals
  • Take your prescription to a pharmacy of your choice
  • Bring your medicine back to the office
  • Start the induction phase of the treatment by taking the medicine in our office under physician supervision (usually 30 minutes) and monitoring
  • You will start feeling better, and once this induction phase is over, you can go home with your medicine after you make your follow-up appointment.

Follow-up Visits

  • Complete an evaluation checklist (takes 5 minutes)
  • See our medical doctor and leave with your next stabilization phase treatment prescription
  • Make your follow-up appointment for treatment on the way out

Over time, our medical doctor will work with you to reduce the maintenance dose of buprenorphine treatment and you will be able to stop it completely. This process varies from person to person. It can take anywhere from 3 to18 months depending on your treatment dosage, how you feel and how your body responds to the medicine.

If you find the medication reduction is causing adverse symptoms, you can stop at a certain dose range and postpone the tapering to allow your body some time to adjust to the new dose.

Three Phases Of Suboxone Treatment

Our medical doctors will lead you through three phases of buprenorphine therapy: induction, stabilization, and maintenance.

Phase 1: Induction

Ideally, you need to abstain from using opioids for 12–24 hours or be in the early stages of an opioid withdrawal.

If you have other opioids in your bloodstream, then oral Suboxone (buprenorphine and naloxone) can sometimes precipitate a withdrawal syndrome. The induction phase is the start of your oral Suboxone (buprenorphine and naloxone) treatment with our doctor. It is always done in our office under medical observation, supervision and monitoring.

Phase 2: Stabilization

Once you have discontinued or greatly reduced the use of opiates and no longer have cravings or side effects, you will enter the stabilization phase. Often our doctors make adjustments in the Suboxone (buprenorphine and naloxone) dose during this phase. Once stabilized, it is sometimes possible to switch to alternate-day dosing as Suboxone (buprenorphine and naloxone) has a very long half-life.

Phase 3: Maintenance and Tapering

Once you are doing well on a steady dose of Suboxone (buprenorphine and naloxone), you have reached the maintenance phase. The length of time of this phase varies from patient to patient. Once you are stabilized, our doctors will lead you through a medically supervised reduction and stoppage of Suboxone (buprenorphine and naloxone) over a 2 to 4 month period.

How Suboxone Works

Suboxone comes in a thin film that you place under your tongue causing it to dissolve.  Suboxone is taken by mouth and dissolved under the tongue. The medicine gets absorbed through the mucosal lining and spreads through the bloodstream to bind to opiate receptors, relieving opioid withdrawal symptoms.

Suboxone is a slow onset and fairly long-lasting opiate compound. This helps it provide sustained relief from withdrawal symptoms.  Anyone on Suboxone can have a normal life and not have to worry about constantly taking opiates to prevent a debilitating withdrawal syndrome.

Buprenorphine is an opioid medicine with a maximal effect that is less than the effect produced by other opiate drugs. At low doses, buprenorphine produces just enough effects to enable an individual to quit using opioids without experiencing withdrawal symptoms.

Buprenorphine also has a “ceiling effect,” which means that higher doses quickly reach a plateau in their effects. Hence, buprenorphine carries lower risks of abuse or addiction. It also has lower side effects than other opiates. In fact, in high doses, buprenorphine will block the effects of other opioids and can even precipitate withdrawal.

Safety of Suboxone

Because of its ceiling effect, Suboxone is safer in overdose than opioids.

The maximal effects of buprenorphine appear in 16–32 mg dose range.

Respiratory depression from Suboxone overdose is less likely than from other opioids. There is no evidence of organ damage or cognitive decline with chronic use of Suboxone.

Suboxone is classified by the FDA as Pregnancy Category C and is not safe in pregnancy.

Abuse Potential of Suboxone

Naloxone is added to buprenorphine to decrease the likelihood of diversion and abuse of the combination medicine.

Stopping Suboxone

Stopping Suboxone needs to be a gradual taper under medical guidance, else there is risk of a withdrawal syndrome. Most of the time, a 4 to 6 week period is sufficient for a slow tapering of the medicine.

Efficacy of Suboxone

Suboxone is highly effective and has been used successfully for opiate withdrawal for over a decade.

Side Effects of Suboxone

Side effects of Suboxone include nausea, vomiting, constipation and precipitation of opioid withdrawal syndrome. Signs and symptoms of opioid withdrawal include:

  • Mood changes, including irritability
  • Nausea and vomiting
  • Muscle aches and muscle cramps
  • Excessive tearing in the eyes
  • Excessive nasal secretions
  • Sweating
  • Goose bumps
  • Diarrhea
  • Yawning
  • Fever
  • Sleeplessness
  • Craving

How Can I Get Suboxone?

Suboxone may only be prescribed by physicians authorized to do so under a federal program.  Suboxone doctors need to have undergone special training in the buprenorphine treatment of opioid dependency. The best way to find medical doctors who have been approved to write prescriptions for Suboxone is through the Federal Substance Abuse and Mental Health Services Administration (SAMHSA) website:

www.samhsa.gov

There are other paid listings on “locator” websites that may promote one doctor over another based on their mutual agreement. It is best to call the medical office to find out all the details before actually going to one.

Dosage Forms and Strengths for Suboxone, Subutex, Zubsolv, Bunavail

SUBOXONE sublingual film comes as an orange rectangular film supplied in four dose strengths:

  • Buprenorphine/naloxone 2 mg/0.5 mg film
  • Buprenorphine/naloxone 4 mg/1 mg film
  • Buprenorphine/naloxone 8 mg/2 mg film
  • Buprenorphine/naloxone 12 mg/3 mg film

SUBUTEX sublingual tablet comes in two dose strengths:

  • Buprenorphine 2 mg
  • Buprenorphine 8 mg

ZUBSOLV sublingual tablet comes in two dose strengths:

  • Buprenorphine/naloxone 1.4 mg/0.36 mg
  • Buprenorphine/naloxone 5.7 mg/1.4 mg

BUNAVAIL buccal film comes as a yellow rectangular buccal film in three dose strengths:

  • Buprenorphine/naloxone 2.1 mg / 0.3 mg Film
  • Buprenorphine/naloxone 4.2 mg / 0.7 mg Film
  • Buprenorphine/naloxone 6.3 mg / 1 mg Film

Buprenorphine Interactions and Contraindications

It is best to refer to the manufacturer websites for up-to-date comprehensive listings of drug interactions, contraindications, warnings, and precautions.

Buprenorphine Information

The best and most up-to-date information is available on the following manufacturer’s websites:

http://www.suboxone.com/

http://www.zubsolv.com/

https://www.btodrems.com/SitePages/MedicationGuides.aspx

Affordable Suboxone® Treatment Program In Long Island And NYC

We welcome your call about our Suboxone (buprenorphine and naloxone) treatment program and will be happy to answer any questions you have. Call our office at (516) 938-1550 in Hicksville, Long Island or (347) 808-8830 in Astoria, Queens. We are open 7 days a week, including holidays.