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Concurrent Suboxone and Alcohol Abuse

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About Alcohol and Suboxone


Alcohol is the most commonly abused substance by both teenagers and adults in the United States, according to the Centers for Disease Control (CDC). In fact, the CDC found that in any given month, 25% of high school students admit to at least 1 episode of binge drinking. Furthermore, these binge episodes constitute a dangerously high 90% of all underage drinking. In light of this and other evidence, alcohol abuse has become a priority issue for city, state, and federal governments. On its own, alcohol abuse has pervasive negative health effects, many of which can culminate in death. However, alcohol becomes even more deadly when taken with other medications.


Young alcohol abusers are significantly more likely to abuse other drugs, including prescription painkillers. The prevalence of prescription painkiller abuse has sharply risen in recent years, especially among teens and young adults (Dart et al., 2015). Treatment for opioid addiction often involves the use of medication-assisted treatment (MAT), which has garnered support from the medical community for its ability to successfully treat opioid abuse. MAT involves the introduction of and eventual tapering off of certain opioid substances—used to gradually wean the patient off of opioids altogether, while minimizing withdrawal effects.

Suboxone is a a common medication used as part of MAT for opiate/opioid addiction and consists of:

  • Buprenorphine—An opiate-derived substance that produces similar but weaker effects compared to prescription opioids and heroin. Lessens the effects of withdrawal and helps curb cravings.
  • Naloxone—An opiate antagonist that counters the effects of opiate overdose. When misused, the naloxone in Suboxone initiates opiate withdrawal symptoms, discouraging abuse.

While effective at getting patients off of heroin or prescription opioids, Suboxone can itself be abused. Some studies even show moderately high rates of opioid relapse following prescribed regimens of Suboxone-related medication (O’Brien, 2005). Some users will even use alcohol in an attempt to strengthen the weaker effects of Suboxone. This is a risky practice, as the combination of the two drugs can produce significant dangers.

Signs and Symptoms of Alcohol With Suboxone

Signs of Alcohol Abuse

There are many indicators of potential alcohol abuse. Some of them are:

  • Drinking at inappropriate times.
  • Consistently drinking in excess.
  • Overvaluation of drinking.
  • Failed attempts at cutting back on drinking.
  • Defensiveness when asked about drinking habits.
  • Lack of interest in previously enjoyed activities.
  • Depression.

Signs of Suboxone Abuse

Due to buprenorphine‘s ceiling effect—where higher doses do not bring on more intense highs—and naloxone’s withdrawal-inducing effects, it is more difficult to discern the signs and symptoms of Suboxone abuse. However, some signs may include:

  • Changing moods or behavior.
  • The arrival of random packages at home or work.
  • Taking more than prescribed (requesting refills before their scheduled refill date).
  • Use of other drugs, like alcohol, to enhance effects.

Suboxone and Alcohol: Combined Effects

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Alcohol is a depressant which, when used with Suboxone (also a depressant), can have serious effects on the central nervous system. Potential combined effects include:

  • Dangerously slowed breathing.
  • Low blood pressure.
  • Faint heartbeat.
  • Decreased appetite.
  • Extreme dizziness.
  • Blacking out.
  • Coma.
  • Death.

In extreme cases such as overdose, there is an increased risk of alcohol poisoning, coma and death (Dart et al., 2015). If an individual is suspected to have overdosed on Suboxone or is showing symptoms like those listed above, then it is imperative that they are transported to a hospital immediately. Untreated reactions between Suboxone and significant quantities of alcohol can be fatal. Learn more about alcohol overdose.

Treatment for Co-Occurring Alcohol and Suboxone Addiction

There are several rehab programs and treatment options for patients suffering from concurrent addictions or poly-drug abuse of substances like alcohol and Suboxone. Depending on the severity of the addictions in question, and in order to address various other needs and preferences, patients will typically choose from either an inpatient/residential rehab center or a program of outpatient rehabilitation.

Hospital-based inpatient facilities keep patients overnight and provide 24-hour medical assistance, while outpatient programs only require that patients check in for therapy a certain number of hours per week. In cases of particularly severe addictions where the individual has attempted to stop but eventually relapsed, inpatient treatment can provide a setting wherein those in recovery can find consistent support in an immersive therapeutic environment, free from the temptations and distractions that might occur at home.

Those who feel they cannot leave their personal obligations such as family or work may prefer an outpatient treatment program; however, it’s important to note that many employers will allow employees to take time off for rehab, so if you feel this option will provide the biggest chance of success, it’s important to investigate its viability.

Both programs offer the kind of support system and structure that many need to begin an extended period of recovery. Generally, there are several different local rehabilitation programs for patients to choose from. Make sure the one you choose is able to meet all of your specific needs.

Statistics for Alcohol and Suboxone Use

Alcohol and Suboxone abuse are major problems in the United States. Consider the following statistics:

  • In 2013, 24.6% of people aged 18 or older reported that they had engaged in binge drinking in the past month; 6.8% reported that they had engaged in heavy drinking in the past month.
  • Nearly 88,000 people die from alcohol-related causes annually, making it the 3rd-leading preventable cause of death in the United States.
  • In 2006, problematic alcohol use cost the United States $223.5 billion.
  • Emergency room visits that involved buprenorphine (the main drug in Suboxone) increased from just over 3,000 in 2005 to more than 30,000 in 2010.
  • In 2010, 59% of ER visits involving buprenorphine also involved the use of other drugs like alcohol.

Resources, Articles, and More Information

For individuals looking to get sober, there is help available, and you can get back to living the kind of life that you always envisioned. Call for free at and we’ll be happy to assist you in finding a rehab program that fits your individual needs. Professional addiction treatment can start anyone battling a substance use problem on the path to a happier and healthier life.

You don’t have to give up. All it takes is a few steps in the right direction before you’re walking and then running. Make the right choice to get sober, and give us a call today.

To learn more about alcohol and Suboxone, see the following articles:

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Joe completed his Master of Arts in Psychology in 2013 at Boston University, focusing on clinical areas such as abnormal psychology, statistics, personality, neuroscience, and clinical psychology,

Originally from Texas, Joe moved to Boston in 2013 to complete his degree, at which time he was a teaching fellow and instructor at Boston University. There, he gave lectures on Psychology and Criminal Justice, Social Psychology, Abnormal Psychology, and other topics.

His Master's thesis delved into the associations and mediational relationships among treated individuals with bulimia and co-occurring borderline personality disorder symptomatology.

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