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Buprenorphine HCl 0.864 mg/ml Sublingual Liquid

The Buprenorphine HCl 0.864 mg/ml Sublingual Liquid is a specially formulated medication designed for sublingual administration. This means it is intended to be administered under the tongue using the provided dropper bottle. This method allows for precise and controlled dosing, ensuring the correct amount of medication is delivered each time.

The sublingual administration route facilitates rapid absorption of the active ingredient, Buprenorphine HCl, into the bloodstream via the highly vascularized sublingual mucosa. This results in efficient and targeted delivery of the medication, providing fast-acting effects and bypassing the digestive system, which can sometimes hinder the effectiveness of certain medications.

This formulation is used to treat various disease states. Please consult with your healthcare provider to determine if this medication is suitable for your specific condition.

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Formula Information

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This formulation of Buprenorphine HCl 0.864 mg/ml Sublingual Liquid is specifically designed for sublingual administration, meaning it is to be placed under the tongue. The medication is dispensed in a dropper bottle, which allows for precise and controlled dosing. This method of administration facilitates rapid absorption of the medication into the bloodstream through the highly vascularized sublingual mucosa. This provides efficient and targeted delivery for fast-acting effects and bypasses the digestive system, which can often degrade or slow the absorption of certain medications.

Buprenorphine HCl is a powerful opioid medication used to treat severe pain. It can also be used as part of a comprehensive treatment program for opioid use disorder (OUD), which includes counseling and psychosocial support. Buprenorphine works by binding to the same receptors in the brain that opioids do, helping to prevent withdrawal symptoms and reduce cravings. It is a partial agonist, meaning it does not produce the same level of euphoria or respiratory depression as full opioid agonists, making it a safer alternative for long-term management of OUD.

It's important to note that while Buprenorphine HCl can be a highly effective part of a comprehensive treatment plan, it is not a cure for opioid addiction. It should be used as part of a broader treatment approach that includes counseling and other behavioral therapies to provide patients with a more holistic approach to their recovery.

Patients should be aware that Buprenorphine HCl can cause side effects, including nausea, vomiting, constipation, and drowsiness. It can also cause more serious side effects such as respiratory distress if not used as directed. It is important to use this medication under the supervision of a healthcare provider and to follow all dosing instructions carefully.

Prescribers should be aware that Buprenorphine HCl is a Schedule III controlled substance, meaning it has potential for abuse, although less than Schedule I and II substances. It should be prescribed with caution, and patients should be closely monitored for signs of misuse, abuse, and addiction.

If you have any questions about this formulation of Buprenorphine HCl 0.864 mg/ml Sublingual Liquid, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Drug Interactions

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Buprenorphine HCl is a potent opioid medication used primarily for the treatment of opioid addiction, chronic pain, and acute pain. It works by binding to the opioid receptors in the brain, thereby reducing the symptoms of opioid withdrawal and cravings. However, like all medications, Buprenorphine HCl can interact with other drugs, potentially altering its effectiveness or increasing the risk of adverse effects.

One of the most significant interactions is with other central nervous system (CNS) depressants, such as benzodiazepines, alcohol, and other opioids. Concurrent use of these substances can lead to profound sedation, respiratory depression, coma, and even death. Therefore, it is crucial to avoid the use of other CNS depressants while taking Buprenorphine HCl unless under the direct supervision of a healthcare provider.

Another important interaction is with medications that inhibit or induce the cytochrome P450 3A4 enzyme system, which metabolizes Buprenorphine HCl in the liver. Drugs that inhibit this enzyme, such as ketoconazole, erythromycin, and grapefruit juice, can increase the levels of Buprenorphine HCl in the body, potentially leading to an overdose. On the other hand, drugs that induce this enzyme, such as rifampin, phenytoin, and St. John's wort, can decrease the levels of Buprenorphine HCl, potentially leading to a lack of efficacy.

Furthermore, Buprenorphine HCl can interact with antiretroviral drugs used to treat HIV, such as atazanavir and ritonavir. These drugs can increase the levels of Buprenorphine HCl in the body, potentially leading to an overdose. Therefore, dose adjustments may be necessary when these drugs are used concurrently.

Lastly, Buprenorphine HCl can interact with serotonergic drugs, such as selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs). Concurrent use of these drugs can lead to serotonin syndrome, a potentially life-threatening condition characterized by agitation, hallucinations, rapid heartbeat, fever, and other symptoms.

It is important to note that this is not an exhaustive list of all potential drug interactions. Patients should always inform their healthcare provider of all medications, supplements, and herbal products they are currently taking. Additionally, they should never start or stop any medication without first consulting their healthcare provider.

If you have any questions about Buprenorphine HCl or its potential drug interactions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

How Does it Work

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Buprenorphine HCl 0.864 mg/ml Sublingual Liquid works by binding to the opioid receptors in the brain. These receptors are responsible for the feelings of pain and pleasure. Buprenorphine is a partial opioid agonist, which means it partially activates these receptors to help reduce the sensation of pain. At the same time, it also blocks other opioids from binding to these receptors, which can help prevent the effects of opioid withdrawal.

When administered sublingually, the medication is rapidly absorbed into the bloodstream through the highly vascularized sublingual mucosa. This method of administration bypasses the digestive system, which can often delay the onset of the medication's effects and potentially degrade the medication. By bypassing the digestive system, the medication can provide faster relief from pain and withdrawal symptoms.

This formulation is specifically designed for administration under the tongue, dispensed in a dropper bottle. This allows for precise and controlled dosing, which is particularly important for medications like Buprenorphine that can have significant side effects if taken in excess. The dropper bottle also makes it easier for patients to self-administer the medication, which can be particularly beneficial for those who are managing chronic pain or opioid dependence at home.

Buprenorphine HCl 0.864 mg/ml Sublingual Liquid is used to treat moderate to severe chronic pain when other pain treatments do not work or cannot be tolerated. It is also used as part of a comprehensive treatment program for opioid dependence, which may include counseling and psychosocial support. It can help to reduce withdrawal symptoms and cravings, making it easier for patients to stop using opioids.

It's important to note that while Buprenorphine can help manage pain and withdrawal symptoms, it is not a cure for opioid dependence. Long-term recovery from opioid dependence often requires ongoing treatment and support. It's also important to use Buprenorphine as directed by a healthcare provider, as misuse can lead to addiction, overdose, or death.

If you have any questions about Buprenorphine HCl 0.864 mg/ml Sublingual Liquid, or if you need help understanding how to use this medication, please reach out to us. We are here to help.

Other Uses

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Apart from its primary use in managing chronic pain conditions and for opioid dependence, Buprenorphine HCl Sublingual Liquid may have other potential uses. In palliative care, it has been used off-label for managing severe, intractable pain in patients with advanced stages of cancer. Its extended duration of action, minimal side effects, and fast onset make it a suitable choice for around-the-clock pain management. For patients unable to take oral medications, this sublingual formulation offers a viable alternative. Moreover, it can also be considered in patients with liver disease because buprenorphine is less hepatotoxic than other opioids.

In terms of psychiatric uses, there are emerging studies indicating that Buprenorphine HCl Sublingual Liquid may have potential benefits in treating treatment-resistant depression. This is due to buprenorphine's kappa-opioid receptor antagonist activity which has been linked to mood improvement and overall well-being. However, because these potential uses are outside the medication's approved indications, they should only be considered in collaboration with a healthcare professional.

Please be aware that using any medication for an unapproved use comes with risks. Ensure to discuss all the possible benefits, side effects, and risks, including the potential for dependency and withdrawal, with your healthcare provider before starting this or any new medication. Additionally, note that buprenorphine can cause slowed or stopped breathing, especially when starting your treatment or whenever your dose is changed. Patients should always take this medication as directed by a physician and it should never be shared with another person, particularly someone who has a history of drug abuse or addiction.

If you have any further inquiries about the uses of Buprenorphine HCl Sublingual Liquid, please feel free to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists will be happy to assist you.

Frequently Asked Questions

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What is Buprenorphine HCl 0.864 mg/ml Sublingual Liquid?

This is a liquid formulation of the medication Buprenorphine HCl, specifically designed for administration under the tongue. This formulation is dispensed in a dropper bottle and allows for precise and controlled dosing.

How is Buprenorphine HCl 0.864 mg/ml Sublingual Liquid administered?

It is administered sublingually, meaning it is placed directly under the tongue. This method allows for the active ingredient to be rapidly absorbed into the bloodstream through the highly vascularized sublingual mucosa.

What advantages does the sublingual method offer?

The sublingual method provides efficient and targeted delivery for fast-acting effects and can bypass the digestive system. This is beneficial because it can mean fewer side effects and the active ingredient can begin working more quickly.

What is the purpose of the dropper bottle in which it is dispensed?

The dropper bottle allows for precise and controlled dosing, ensuring the patient receives the correct amount of medication.

Can this formulation be swallowed?

No, this formulation is not designed to be swallowed. It is meant to be administered under the tongue in order to facilitate rapid absorption into the bloodstream.

Is Buprenorphine HCl 0.864 mg/ml Sublingual Liquid faster acting than other forms of medication?

Yes, due to its method of administration and the nature of the sublingual mucosa, this formulation can begin working more quickly than medications that need to be digested first.

Is Buprenorphine HCl 0.864 mg/ml Sublingual Liquid safe to take with other medicines?

While it may be safe to take with other medicines, you should always inform your healthcare provider about all the medications you're currently taking. This will help avoid any potential interactions or side effects.

Can anyone use Buprenorphine HCl 0.864 mg/ml Sublingual Liquid?

This medication should only be used by the individual it has been prescribed for. Always follow the instructions provided by your healthcare provider, and do not share your medication with others.

What if I miss a dose?

If you miss a dose, take it as soon as you remember. If it's close to the time of your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at the same time to compensate for the missed dose.

What should I do in case of an overdose?

If you suspect an overdose, seek emergency medical attention or call the Poison Help line. Overdose symptoms may include severe drowsiness, cold and clammy skin, slow heart rate, shallow breathing, fainting, or coma.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.