There seems to be a lot of confusion among patients and Doctors who are licensed to prescribe Suboxone/Subutex/Temgesic, Buprenorphine... Doctors in the USA are required to take an eight hour class to obtain their License to prescribe the above mentioned medications. These prescriptions are used to treat an array of different ailments and diseases, ranging from pain management to opioid dependency. The issue here in the USA is the difference between Suboxone and Subutex, how and to whom doctors prescribe the medication to. By law no doctor is permitted to prescribe narcotics to a patient who is a known drug addict. In general, suboxone is used to treat opioid dependency, whereas Subutex is prescribed for pain management. I recently spoke with a patient who is prescribed Suboxone for opioid dependency, the information that I gathered from this patient basically boiled down to Money, Insurance and Doctors who seem oblivious to the fact that Subutex is an option for opioid dependent patients.
The medication Suboxone is made up of Buprenorphine & Naloxone, whereas Subutex is simply Buprenorphine. Subutex has recently become available in generic form which is much cheaper than the brand-name, A prescription for a one month supply of sixty 8mg. Subtex tablets costs around $500.00USD the generic equivalent costs around $180.00USD. However, most Doctors will not prescribe Subtex to an opioid dependent patient on the grounds that Subutex can be abused. Suboxone which is made up of Buprenorphine also contains Naloxone which is supposed to prevent abuse when the pill is crushed for injection. There is never going to be a generic Suboxone as many Pharm. Company's have stated that it is to expensive to create a generic version of Suboxone due to major difficulties with Naloxone being evenly contained in each tablet.
Big Pharmaceutical business is creating pandemonium among patients who are prescribed Suboxone for opioid dependency and the Doctors who are prescribing. On one hand the patients safety is the major issue, however on the other hand many patients have a difficult time paying $500 a month due to lack of insurance or their insurance does not cover Suboxone. Basically, Suboxone and Subutex are the same the Naloxone put in Suboxone to deter abuse is a false claim that has been disproved a million times over, Most doctors are unaware that Suboxone is as easy to abuse as Subutex and I don't believe any patients will willingly point this out to their Doctors. The ultimate decision is on the Doctor, if the Dr. trusts his patient then I see no reason why the cheaper alternative generic Subutex wouldn't be prescribed. I am sure that in the future the world will hear much more information on this topic.