image of Suboxone-Buprenorphine package.

Quitting Suboxone: What to Expect and How to Do It Safely

Suboxone has helped many people break free from opioid addiction, but discontinuing its use isn’t always easy. While the medication can be an invaluable tool in recovery, long-term use can trigger the development of dependence. 

This page is designed for anyone who’s thinking about quitting Suboxone. You can learn about the withdrawal process and find out what support options can help you move from opioid dependence to sustained sober living.

What is Suboxone?

Suboxone is a medication used to treat opioid addiction (opioid use disorder). It contains two active ingredients: 

  • Buprenorphine: This partial opioid agonist reduces cravings and withdrawal symptoms, so it’s commonly used during detox.
  • Naloxone: Naloxone is an antagonist that discourages opioid abuse by blocking its rewarding effects if the drug is injected. 

Suboxone doesn’t deliver the opioid high associated with drugs like heroin and fentanyl, so it can help people transition off addictive substances and promote ongoing abstinence. That said, the body can become dependent on Suboxone over time, provoking the presentation of withdrawal symptoms upon quitting.

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Why Do People Want to Quit Suboxone?

Suboxone can be life-saving, but not everyone wants to use the medication long-term. Some people choose to stop because they: 

  • Feel stable in their recovery and no longer need medication support
  • Experience side effects like nausea, headaches, or low energy
  • Worry about Suboxone dependence
  • Want to live substance-free 

Regardless of the underlying reason for quitting Suboxone, the process is best performed with professional support and a clear plan to mitigate discomfort and reduce the risk of relapse. 

What Happens During Suboxone Withdrawal?

When someone stops using Suboxone, the brain must adjust to the absence of buprenorphine. This process may prompt withdrawal symptoms similar to those of other opioids, although they’re usually milder. 

Early symptoms (first 24 to 72 hours): 

  • Anxiety
  • Restlessness
  • Muscle aches
  • Joint pain
  • Sweating and chills
  • Nausea
  • Stomach cramps
  • Insomnia 

Peak withdrawal symptoms (days 3 to 7):

  •  Intense cravings
  • Flu-like symptoms
  • Digestive issues
  • Diarrhea
  • Depression
  • Mood swings
  • Increased blood pressure
  • Elevated heart rate 

Lingering symptoms (weeks 2 to 4 and beyond): 

  • Ongoing cravings
  • Sleep disturbances
  • Low energy
  • Reduced motivation
  • Anxiety
  • Depression 

If someone develops PAWS (post-acute withdrawal syndrome), psychological complications like cravings and depression can persist for months. A long-term recovery plan can help manage these lingering effects.

How Long Does Suboxone Withdrawal Last?

The Suboxone withdrawal timeline varies according to the scope and duration of use. It usually unfolds as follows:

  • Days 1 to 3: Mild symptoms appear.
  • Days 4 to 7: Peak withdrawal with intense physical discomfort.
  • Week 2: Improvement in symptoms, although fatigue and cravings remain.
  • Weeks 3 to 4: Physical symptoms fade, but mental health issues continue.
  • Months later: Mood swings, sleep issues, and cravings can manifest for months.
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Tapering vs. Quitting Suboxone Cold Turkey

Some people attempt to quit Suboxone abruptly. This is inadvisable and can make withdrawal more intense and less manageable. A gradual taper is the safest and most comfortable way to stop. 

Benefits of tapering 

  • Reduces the severity of withdrawal symptoms
  • It gives the brain time to adjust to lower doses
  • Lowers the risk of relapse
  • Smoothens the transition to a drug-free life 

How a Suboxone Taper Works

A doctor can create a tapering schedule that slowly reduces your Suboxone dose over weeks or months. Common tapering approaches include: 

  • Reducing the dose by 10 to 20% every week or two
  • Switching to a milder drug like Subutex before stopping completely
  • Using supportive medications to alleviate withdrawal symptoms 

If you’re unsure how to go about quitting Suboxone, a healthcare provider can develop a plan based on your needs and recovery goals. Don’t hesitate to reach out for help.

Suboxone Withdrawal Symptoms:

Since opioids work by slowing the body, when they are withdrawn the body experiences an overcorrection and become hyperactive. These symptoms include [7]: 

  • Muscles aches and pains
  • Sweating
  • Chills
  • Stomach cramps or diarrhea 
  • Nausea or vomiting 
  • Tremors or twitching
  • Anxiety 
  • Restlessness 
  • Runny nose
  • Teary eyes
  • Goosebumps

How to Cope with Suboxone Withdrawal Symptoms

Even with a taper, Suboxone withdrawal can be uncomfortable. The following strategies can make the process smoother: 

  • Stay hydrated and eat well: Dehydration can worsen symptoms like fatigue and headaches. Drink plenty of fluids and eat nutrient-rich foods to help your body recover.
  • Manage pain and discomfort: OTC medications like ibuprofen can relieve muscle aches. Warm baths or heating pads can help with chills and body pain.
  • Get plenty of rest: Sleep disturbances are common during Suboxone withdrawal. Stick to a regular bedtime, avoid caffeine, and practice relaxation techniques to improve sleep quality.
  • Try natural remedies: Some people find relief using herbal teas, vitamins, or supplements like melatonin or magnesium. Consult your doctor before using new supplements.
  • Stay active: Light exercise like walking or yoga can boost mood and reduce anxiety. Stretching and deep breathing exercises can also be beneficial.
  • Seek emotional support: Suboxone withdrawal can be taxing. Consider talking to a therapist, attending support groups, or leaning on loved ones.

When to Seek Medical Help

While Suboxone withdrawal is not usually life-threatening, some situations may demand medical attention. Seek help if you experience: 

  • Severe dehydration from diarrhea or vomiting
  • Intense depression
  • Suicidal thoughts
  • Uncontrollable cravings
  • Chest pain or irregular heartbeat 

A doctor or addiction specialist can provide support and medical treatments to ease withdrawal symptoms and reduce cravings.

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Treatment Options for Quitting Suboxone

If quitting Suboxone feels too challenging, professional treatment options can help. These include: 

Medical detox

A detox facility offers 24-hour medical care to monitor symptoms and provide medication for relief. This can be highly beneficial for those with severe dependence or co-occurring mental health disorders.

Outpatient treatment

Outpatient programs offer a flexible and affordable pathway to recovery for those who do not need 24/7 care. These programs, available at varying intensities, deliver therapy, medications, and support while allowing individuals to continue their daily responsibilities. 

Inpatient rehab

Inpatient or residential rehab can be effective if Suboxone dependence is part of a broader addiction issue. This treatment provides intensive, immersive care, therapy, and relapse prevention strategies. 

Therapy and counseling

Behavioral therapies like CBT (cognitive behavioral therapies) can help probe underlying issues and teach coping skills for life after Suboxone. 

Support groups

Groups like NA (Narcotics Anonymous) or SMART Recovery provide peer support and accountability for those in recovery. Many people find strength in connecting with others who understand their experiences. 

Quitting Suboxone is just one part of the recovery journey, though. Staying sober and maintaining emotional well-being calls for ongoing effort and a comprehensive aftercare plan. Here’s how you can achieve this.

Get Help with Opioid Addiction at Tree House Recovery

If you or someone you care about has been misusing any type of opioids and needs help getting back on track, reach out to Tree House Recovery right away. The progressive nature of all opioid addictions means getting help sooner makes treatment easier. 

When you choose an outpatient or intensive outpatient program at our luxury beachside facility, you’ll join others battling similar conditions while living at home and maintaining your everyday obligations. 

Since all opioid addictions are different, all Tree House treatment plans are customized to reflect this. Engage with a personalized array of talk therapies, motivational therapies, medication-assisted treatment, and holistic interventions to kickstart your recovery from Suboxone. Call admissions for immediate assistance at (855) 202-2138.

For more info: See reviews from former patients, our success rates, read about our staff, or look at our facilities.

Disclaimer:
No content on this website should ever be used as a substitution for direct medical care and advice from qualified physician clinician.

Updated March 27, 2025

Derek Swain Tree House Recovery Addiction Writer
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