Suboxone can definitely cause physical withdrawal symptoms in some people.
I envy people that don't experience withdrawals from buprenorphine. I know there are ALOT of factors involved in whether one will become physically dependent on the substance or not i.e length of treatment or mainentance, individual biochemistry, dose used and how frequently and the list goes on. Point is I was not fortunate enough to discontinue suboxone without undergoing agonizing withdrawals. For the record I am in no way demeaning the drug suboxone it has potential to do incredibly things and improve quality of life for those of us who are opiate dependent. I was first introduced to buprenorphine in a subcutaneous form during a clinical trial conducted by Reckitt Benckiser (sp? the manufacturer). It worked extremely well I didnt crave oxycodone, heroin, dilaudid or any other hard narcotic. Unfortunately, once the trial was complete 32 days later I was transitioned to methadone 60 mgs per day plus take homes on the weekend. Being the irresponsible jerk I am when it comes to opioids I would dose 150 mgs every friday. This continued for approximately two months. Fortunately Reckitt Benkiser switched us trial patients back to suboxone and provided a free year supply. I remained stable on it for ten months before I grew to despise the stuff. Irrationally, I discarded my remaining strips and prepared for the withdrawal. Jesus H. Christ the withdrawals were so brutal I felt like Renton from Trainspotting (delirium and hallucinations). No amount of xanax and I mean none, could calm me down. Fortunately, this was 44 days ago and I have not used any form of opia/oid since then. I still do not feel 100% my sleep cycle is utterly demented and the m whalaise is still present but I actually managed to quit all forms of opiates (I drink alcohol occasionally; cut me some slack I'm a college student). For those of you who have more sense than I do please, please taper as low as humanly possible and try not to use it for Opioid Replacement Therapy unless your doctor deems it necessary otherwise you may be on it for good. A previous post mentioned that one should use it for a short term taper detox. That is wonderful advice. High dose tablets of buprenorphine are fairly new on the market (not buprenorphine itself, I believe it was synthesized in the early 80s) so there hasn't been extensive research into the long term effects of using high doses of partial opioid agonists for extended periods of time. I wish everyone the best of luck whether you use it long term or do a brief taper it is truly a lifesaving drug, I just wish doctors were more knowledgable about addiction. I know people with massive heroin problems who feel completely fine after one 8mg strip.