Yeah that's really dumb prescribing bupe/nal for pain. Even dumber than prescribing it with naloxone for addiction seeing as buprenorphine's binding affinity is always gonna out compete the naloxone even if you do inject it.
It's like everyone (the end users, the pharmaceutical companies etc) except the prescribing doctors (who hand it out believing it's a miracle drug thats impossible to abuse) know that the naloxone does nothing to prevent abuse.
My experience and understanding is that all the naloxone does is make Suboxone less likely to be tolerated in individuals who, for whatever reason experience side effects from naloxone.
In my country they can't even prescribe buprenorphine w/o naloxone for opioid addiction, so if it doesn't agree with you, you gotta go on mdone and if you dont want that you're screwed.
This whole attitude that for a drug to be suitable for substitution treatment it has to be the least euphoric or abusable drug possible (even at the cost of treatment efficacy/patient quality of life/side effects) is absolute rubbish.
Substitution is at its most effective when treatment retention is high and the patient is completely satiated and feels no desire to use illicit opioids on top.
Obviously euphoria is an important reason why we use opioids in the first place and would be a huge asset to any substitution treatment by improving treatment retention.
I mean when you look at IV diamorphine substitution treatment studies from more progressive countries you see that despite intravenous administration and a more euphoric drug it still has similar efficacy to methadone treatment. It also can stabilize patients who were never able to quit using Heroin & Co. while on the more conventional methadone treatment.
In conclusion, I want to eat the eyeballs of all the so called 'addiction specialists' (well at least the ones whose views don't align with my own hahaha

) and then they can crown me "International King of addiction treatment" because I am right and they are wrong and I will bring a new age of enlightenment to the world and the elves won't have to leave middle earth. And goku will be my right hand man/enforcer cause I cbf training in 200x normal gravity.