September 5

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Suboxone and Anxiety: What Meds are Safe to Take Together?

By Joshua Turner

September 5, 2023


If you’re struggling with anxiety and addiction, you may wonder what medications you can safely take with Suboxone.

It is a medication used to treat opioid addiction but can interact with other medicines, including anxiety medications. Understanding the potential risks and side effects of combining drugs is vital before starting a new treatment plan.

Anxiety disorders are common among people with addiction, making recovery even more challenging. While the medicine can manage opioid cravings and withdrawal symptoms, it doesn’t treat the condition alone.

That’s why many people with co-occurring anxiety and addiction turn to meds like benzodiazepines or antidepressants. However, these can interact with the drug, increasing the risk of dangerous side effects. Working closely with a healthcare provider who can help you find the right medication combination for your unique needs is crucial.

Key Takeaways

  • Suboxone can interact with anxiety drugs, so working closely with a healthcare provider is essential to find a safe treatment plan.
  • Anxiety disorders are common among people with addiction, and they can make recovery more challenging.
  • Combining meds can increase the risk of side effects, so understand the potential risks and work with a healthcare provider to manage them.

Understanding Suboxone

Suboxone is a medication used to treat opioid addiction and dependence. It is a combination of two active ingredients, buprenorphine and naloxone. Buprenorphine is an opioid agonist that helps reduce withdrawal symptoms and cravings, while naloxone is an opioid antagonist that helps prevent drug misuse and abuse.

It is often used as part of a comprehensive treatment plan that includes counseling and behavioral therapy. The drug is available in different doses and forms, including tablets, films, and injections.

It is not a cure for addiction but it can help manage symptoms and improve quality of life. Follow the prescribed dosage and use the medication as a healthcare provider directs.

If you are taking other meds or have a medical condition, talk to your healthcare provider before taking it. Some may interact with it and cause unwanted side effects or reduce its effectiveness.

Anxiety Disorders and Treatment

Anxiety disorders are a group of mental health conditions that can cause excessive worry, fear, and nervousness. These disorders can be debilitating and significantly impact an individual’s quality of life. Treatment typically involves a combination of therapy and medication.

Therapy can help individuals learn coping mechanisms and strategies to manage symptoms. Anxiolytics and anti-anxiety medications can also be used to treat them. Work with a healthcare provider to develop a treatment plan tailored to your needs.

When taking it, consider the potential interactions with drugs. Some, such as benzodiazepines, can have dangerous interactions with it and should be avoided.

However, others, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), can be safely used with it.

Discuss any prescriptions with your healthcare provider before starting treatment. They can help determine the best course of action and avoid any potential interactions. With the right treatment plan, individuals with disorders can effectively manage their symptoms and improve their quality of life.

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Medication Interactions with Suboxone

Benzodiazepines, such as Xanax, Ativan, Clonazepam, Lorazepam, Klonopin, and Valium, are commonly prescribed for the condition. Still, they can interact with Suboxone and cause serious side effects, including respiratory depression, coma, and death.

If you are taking it for this mental health condition, it’s best to avoid benzodiazepines altogether. However, if you must take a benzodiazepine, your doctor may need to adjust your dosage and closely monitor you for side effects.

Other medications that can interact include opioids, sedatives, and tranquilizers. Tell your doctor about all your meds, including prescription drugs, over-the-counter ones, and herbal supplements, to avoid potential interactions.

In some cases, your doctor may need to switch you to a different drug or adjust your dosage to avoid interactions. Always follow your doctor’s instructions and never stop taking medication without consulting your doctor first.

Suboxone and Antidepressants

If you are taking it for opioid addiction, you may also be struggling with anxiety and depression. In such cases, your doctor may prescribe antidepressants along with the drug.

Antidepressants are often used to treat anxiety and depression, but they can interact with it and cause adverse effects.

Selective serotonin reuptake inhibitors (SSRIs) like Prozac (fluoxetine) are commonly prescribed antidepressants. They work by increasing the levels of serotonin in the brain.

However, combining SSRIs with it can increase the risk of serotonin syndrome, a potentially life-threatening condition that can cause high fever, seizures, and irregular heartbeat.

Tricyclic antidepressants are another type of antidepressant that can interact with Suboxone. They work by blocking the reuptake of serotonin and norepinephrine. Combining tricyclic antidepressants with it can increase the risk of side effects like drowsiness, dizziness, and difficulty concentrating.

Suboxone and Anxiety Medication

Anxiety is a common co-occurring condition with opioid addiction, and many individuals may require medication to manage their symptoms. However, not all prescriptions are safe to take with the prescription.

Buspirone is an anxiety medication that is safe to take with Suboxone. It is a non-addictive medication used to treat disorders and can be an effective treatment option for individuals with symptoms. Buspirone works by increasing serotonin levels in the brain, which can help alleviate symptoms.

Suboxone for Depression

The drug contains buprenorphine and naloxone. Buprenorphine is a partial opioid agonist, which means it can produce similar effects to opioids but to a lesser degree. Naloxone is an opioid antagonist, which means it can block the effects of opioids.

Research has shown that buprenorphine can effectively treat depression, especially in patients who have not responded well to other antidepressant medications. Buprenorphine has been found to improve mood, reduce anxiety, and decrease symptoms of depression.

It should only be used for depression under the guidance of a healthcare provider. It should not be used as a first-line treatment for depression, and it should not be used without other treatments, such as therapy.

Suboxone and Alcohol

While taking the drug, avoid alcohol, as it can increase the risk of respiratory depression, sedation, and other side effects. Alcohol can increase the risk of cravings for opioids and other substances, increasing the risk of relapse.

Do not mix the prescribed dosage with other substances, including alcohol.

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Suboxone and Opioid Medications

If you are taking the drug for opioid addiction, you may wonder if you can take other medications for anxiety. The good news is that several meds can be safely taken with it. However, talk to your doctor before starting any new medication.

When it comes to opioid medications, it is generally not recommended to take them with it. Suboxone and opioids can depress the central nervous system, leading to respiratory depression and other serious side effects. Your doctor may prescribe a non-opioid pain medication if you need pain relief.

Methadone is another opioid medication that should not be taken with Suboxone. It is a long-acting opioid that can stay in your system for several days, increasing the risk of respiratory depression when taken with the drug.

If you are struggling with heroin addiction, it can be an effective treatment option. It is safe to take with most medications, including benzodiazepines and SSRIs.

Oxycodone and fentanyl are opioid medications that should not be taken with it. The same goes for Hydrocodone and OxyContin, and Morphine. These medications can increase the risk of respiratory depression and other serious side effects when taken with it.

Vivitrol is a medication used to treat opioid addiction. It is safe to take with most medications, including benzodiazepines and SSRIs.

Suboxone and Other Drug Interactions

Certain medications can affect the way it works and vice versa. Here are some common drugs that may interact with Suboxone:

Suboxone Administration and Dosage

It is typically administered sublingually, meaning it is placed under the tongue and allowed to dissolve. This method lets the medication into the bloodstream quickly and effectively.

Follow the dosage instructions provided by your healthcare provider. The initial dose is usually 2-4 mg, and it may be adjusted based on individual needs and tolerance. It is not recommended to exceed a daily dose of 24 mg.

Tolerance can develop over time, leading to a need for higher doses to achieve the same effects. Communicate with your healthcare provider about any changes in your tolerance or effectiveness of the medication.

Potential Risks and Side Effects

While these medications can effectively treat anxiety, they can also negatively affect the body.

Some common side effects include headache, dizziness, sweating, sedation, constipation, and nausea. These side effects can be uncomfortable, but they usually go away after a few days of taking the medication.

Withdrawal symptoms can also occur if you stop taking the medication abruptly. These symptoms can include anxiety, insomnia, irritability, and agitation. It’s important to talk to your doctor about tapering off the drug gradually to avoid these symptoms.

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Overdose is another potential risk. Taking too much can lead to respiratory depression, which can be life-threatening. If you experience slowed heart rate or difficulty breathing symptoms, seek medical attention immediately.

In rare cases, it can lead to coma or even death. This is more likely to occur if you take the medication with other drugs or alcohol. Be honest with your doctor about any other substances to avoid this risk.

Managing Anxiety and Addiction

One approach to managing the condition is through therapy. Cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT) can help individuals learn new coping skills and techniques to manage their symptoms.

In addition to therapy, having a comprehensive treatment plan that addresses addiction and anxiety can also be helpful. This may include medication-assisted treatment (MAT) such as suboxone, which can help manage opioid cravings and withdrawal symptoms while reducing symptoms.

Conclusion

In conclusion, it is possible to take anxiety medication while on suboxone treatment. However, consult with a healthcare professional before starting any new medication. This is because some meds may interact with the medicine and cause harmful side effects.

When it comes to anxiety medication, there are several options available that can be used alongside the drug. These include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and benzodiazepines.

SSRIs and SNRIs are commonly used to treat disorders and are generally considered safe with the prescribed drug. However, benzodiazepines should be used cautiously as they can be highly addictive and may cause respiratory depression when taken with it.

It is important to note that medication is not the only treatment option. Other therapies, such as cognitive-behavioral therapy and mindfulness-based stress reduction, can also effectively manage symptoms.

Overall, if you are on suboxone treatment and experiencing anxiety, you must talk to your healthcare provider about your treatment options. With the right treatment plan, managing addiction and anxiety and achieving long-term recovery is possible.

Frequently Asked Questions

What medications can be safely taken with Suboxone for anxiety?

Some of the commonly prescribed medications for anxiety that can be taken with it include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and tricyclic antidepressants (TCAs).

What are some non-benzodiazepine anxiety medications that can be taken with Suboxone?

Non-benzodiazepine medications, such as buspirone, hydroxyzine, and pregabalin, can be taken with it for anxiety treatment. These are less likely to cause dependence and withdrawal symptoms than benzodiazepines and are generally safer with Suboxone.

Is it safe to take Ativan or lorazepam with Suboxone?

Ativan or lorazepam, which are benzodiazepines, should only be taken with it under the supervision of a healthcare provider. Combining these can increase the risk of respiratory depression, sedation, and other adverse effects.

What are the best anxiety medications to take while on Suboxone?

It depends on the individual’s medical history, symptoms, and other factors. SSRIs, SNRIs, and TCAs are commonly prescribed for anxiety and can be taken with it. Non-benzodiazepine medications, such as buspirone, hydroxyzine, and pregabalin, are also effective and generally safer with Suboxone.

Can Suboxone be taken with buspirone for anxiety treatment?

Yes. Buspirone is a non-benzodiazepine medication commonly prescribed for anxiety and is generally safe to use in combination with it.

What sleep aids can be safely taken while on Suboxone?

Several sleep aids can be safely taken while on Suboxone, including melatonin, diphenhydramine, and doxylamine.

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