Suboxone (buprenorphine/naloxone) is a prescription medication commonly used to treat opioid use disorder (OUD). It works by reducing withdrawal symptoms and cravings, helping people manage recovery.
Interested in seeing if a Suboxone prescription online is right for you? Talk to a licensed provider through Klarity and, if medically appropriate, receive a Suboxone prescription within as little as 24 hours.*
Providers on Klarity Health are independent practitioners with clinical autonomy; a diagnosis, treatment, or prescription is not guaranteed.
Providers on Klarity Health are independent practitioners with clinical autonomy; a diagnosis, treatment, or prescription is not guaranteed.
Your provider will discuss treatment options with you, which may or may not include medication.
Klarity Health connects you with experienced, licensed providers who specialize in the treatment of opioid use disorder. Select your state to see available providers.
You can get a Suboxone prescription through a telehealth platform like Klarity Health if a licensed provider determines it’s medically appropriate. The process is safe, confidential, and can often be completed in less than 24 hours.*
To get a Suboxone prescription online, you’ll need to meet with a licensed provider, such as a physician or psychiatrist (MD), physician assistant/associate (PA), nurse practitioner (NP), or psychiatric nurse practitioner (PNP). But, not all providers can prescribe Suboxone; they must have a buprenorphine-waiver training or special certification to prescribe for opioid use disorder.
A qualified provider can discuss your symptoms and treatment goals and, if appropriate, electronically send the prescription to your preferred pharmacy.
Suboxone is available as a tablet or a film, both of which are dissolved under the tongue. The medication is typically started after mild to moderate opioid withdrawal symptoms begin.
Suboxone tablets and films are a combination medicine with a 4:1 ratio of buprenoprhine to naloxone. Films are available in:
• 2 milligrams buprenorphine/0.5 milligrams naloxone
• 4 milligrams buprenorphine/1 milligrams naloxone
• 8 milligrams buprenorphine/2 milligrams naloxone
The tablets only come in 2 milligrams/0.5 milligrams and 8 milligrams/2 milligrams strengths.
Brand name Zubsolv sublingual tablets are available in:
• 0.7 milligrams / 0.18 milligrams
• 1.4 milligrams / 0.36 milligrams
• 2.9 milligrams / 0.71 milligrams
• 5.7 milligrams / 1.4 milligrams
• 8.6 milligrams / 2.1 milligrams
• 11.4 milligrams / 2.9 milligrams
The dosing schedule is usually as follows:
• Starting dose on day 1: a single dose of 2 milligrams/0.5 milligrams or 4 milligrams/1 milligrams, then gradually increase every two hours by 2 milligram or 4 milligram increments of buprenorphine up to the maximum recommended dose of 8 milligrams/2 milligrams.
• Day 2: a single daily dose of up to 16 milligrams/4 milligrams
• Typical maintenance dose beginning on day 3 onward: a daily dose adjusted in increments/decrements of 2 milligrams/0.5 milligrams or 4 milligrams/1 milligrams up to a maximum recommended daily dose of 24 milligrams/6 milligrams.
• Maintenance dose after stabilization: 4 milligrams/1 milligrams to 24 milligrams/6 milligrams per day, depending on how much is needed to prevent cravings and decrease withdrawal symptoms.
• Maximum dose: the maximum recommended dose is 24 milligrams/6 milligrams per day.
The film or tablet should be placed under your tongue close to the base and allowed to dissolve completely. Don’t cut, chew, or swallow the tablet or film. Place one film under your tongue on either the left or right side. If you need a second film to reach your required daily dose, place it on the opposite side. If a third film is needed, wait until the first two have dissolved, then place the third under your tongue on either side.
After it is dissolved, you can sip a small amount of water, swish it around your mouth, and swallow. Do not eat or drink anything until the medication has completely dissolved.
If you need to stop taking Suboxone, your provider will gradually decrease your daily dose to avoid withdrawal symptoms. There is no maximum recommended duration of maintenance treatment.
Like any medication, Suboxone can cause side effects. Most are mild, but some require medical attention.
Common side effects include:
• Feelings of weakness
• Chills
• Headache
• Pain
• Vasodilation
• Constipation or diarrhea
• Nausea and vomiting
• Insomnia
• Sweating
• Rhinitis
Serious side effects:
• Addiction, abuse, and misuse
• Respiratory and central nervous system (CNS) depression
• Neonatal opioid withdrawal syndrome
• Adrenal insufficiency
• Opioid withdrawal
• Hepatitis or hepatic events
• Hypersensitivity reactions
• Orthostatic hypotension
• Elevation of cerebrospinal fluid pressure
• Elevation of intracholedochal pressure
Suboxone can interact with certain medications, including:
• Benzodiazepines or other CNS depressants
• CYP3A4 inhibitors and inducers
• Antiretrovirals
• Serotogenic drugs
• Monoamine oxidase inhibitors (MAOIs)
• Muscle relaxants
• Diuretics
• Anticholinergic drugs
If you take any form of Suboxone and have any side effects, work with your provider and consider reporting negative side effects to the FDA by visiting MedWatch or calling 1-800-FDA-1088.
According to drugs.com, with its discount, Suboxone costs:
Formulation | Dose/Quantity | Price |
Film | 2 mg-0.5 mg (30 films) | $166.16 |
Film | 4 mg-1 mg (30 films) | $290.50 |
Film | 8 mg-2 mg (30 films) | $290.50 |
Film | 12 mg-3 mg (30 films) | $571.76 |
According to drugs.com, with its discount, generic buprenorphine/naloxone costs:
Formulation | Dose/Quantity | Price |
Film | 2 mg-0.5 mg (30 films) | $54.44 |
Film | 4 mg-1 mg (30 films) | $90.21 |
Film | 8 mg-2 mg (30 films) | $90.21 |
Film | 12 mg-3 mg (30 films) | $178.66 |
Tablet | 2 mg-0.5 mg (30 films) | $62.83 |
Tablet | 8 mg-2 mg (30 films) | $105.23 |
According to drugs.com, with its discount, Zubsolv costs:
Formulation | Dose/Quantity | Price |
Film | 0.7 milligrams / 0.18 milligrams | $175.37 |
Film | 1.4 milligrams / 0.36 milligrams | $175.37 |
Film | 2.9 milligrams / 0.71 milligrams | $341.71 |
Film | 5.7 milligrams / 1.4 milligrams | $341.71 |
Tablet | 8.6 milligrams / 2.1 milligrams | $507.96 |
Tablet | 11.4 milligrams / 2.9 milligrams | $674.17 |
You can find lower prices using coupons from sites like WellRx, GoodRx, and NeedyMeds, allowing patients to save up to 80% on their prescriptions. Additionally, Indivior, the manufacturer of Suboxone, offers a savings card that lets commercially insured patients pay as little as $5 per month with a savings of up to $75 per fill, and uninsured or cash-paying patients save up to or more than $170 per monthly prescription.
Compared to Suboxone, Methadone is a full opioid agonist that’s been around for a long time. It can be highly effective but comes with a higher risk of dependence and usually requires daily visits to a licensed clinic.
Brixadi is a newer, extended-release version of buprenorphine (the main ingredient in Suboxone). It’s available as a weekly or monthly injection, offering more flexibility and eliminating the need for daily dosing. But, only healthcare professionals can administer Brixadi; it cannot be picked up from a pharmacy.
Sublocade is another long-acting buprenorphine option. It’s a monthly injection done by a healthcare professional that delivers a steady dose without daily pills or films. It’s effective but can be expensive and must be administered at a clinic. Another transdermal film version of buprenorphine is available under the brand name Butrans, but it is only approved for the management of severe and persistent pain.
Vivitrol is another option that works differently because it’s not an opioid at all. It’s a monthly injection of naltrexone, which blocks opioid receptors to prevent opioids from producing a high. Because it doesn’t have an opioid component, there’s no risk of addiction with Vivitrol, but you must fully detox before starting, or it can trigger sudden withdrawal.
All of these medications have different FDA approvals, and all can cause side effects. Suboxone is FDA-approved to treat opioid dependence and can cause side effects like headaches, nausea, and constipation. Methadone is approved for both opioid use disorder and chronic pain but may lead to drowsiness, constipation, and respiratory issues. Brixadi and Sublocade are long-acting buprenorphine injections approved for opioid use disorder, with common side effects including injection site pain, nausea, and headache. Vivitrol, approved for opioid and alcohol dependence, is non-addictive but can cause nausea, dizziness, and withdrawal symptoms if opioids are still in the system.
Read through stories from real patients who received treatment from healthcare providers on Klarity.
*Appointments are generally available within 24 hours. Free initial consultations are available only with select providers. Prescriptions, particularly for controlled substances, may require an in-person evaluation depending on the state of residence and current federal regulations.
The information provided in this article is for educational purposes only and should not be construed as medical advice. Controlled substances may not be appropriate for all patients and any mention of these medications is for educational purposes only, not for marketing or encouraging self-diagnosis. Always seek the guidance of a qualified healthcare professional with any questions or concerns you have regarding your health. Providers on Klarity Health are independent practitioners with clinical autonomy. Nothing in this article is intended to diagnose or treat any condition, including guaranteeing prescription medication of any kind or dosage. Not all providers on Klarity Health prescribe all medications, particularly medications that are controlled substances.
If you’re having a mental health crisis or experiencing a psychiatric emergency, it’s crucial to seek immediate help from a mental healthcare professional, such as a psychiatrist, psychologist, or therapist. You can also call your local emergency services, visit your nearest emergency room, or contact a crisis hotline, such as the National Suicide Prevention Lifeline, by calling or texting 988 or dialing the Lifeline’s previous phone number, 1-800-273-TALK (1-800-273-8255) in the U.S.