Belbuca vs. Suboxone: Which is Right for You?

Medically Reviewed:
Dr. Randy Gelow, MD, FASAM
Ray Hamilton, DNP, PMHNP-BC, FNP-C
Last Updated: December 4, 2024

If you’re dealing with chronic pain or opioid addiction, you’ve probably heard of Belbuca and Suboxone. Healthcare providers widely prescribe these medications for chronic pain management and to treat opioid use disorder (OUD). Both contain buprenorphine, but they serve different purposes and have unique benefits. Understanding the differences between Belbuca and Suboxone can help you decide which one is right for you.

This guide compares Belbuca and Suboxone. It explains how they work, their benefits, side effects, and when to use each one.

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What is Belbuca?

Benefits of Belbuca:

  • Long-acting pain relief: Designed to provide steady pain relief throughout the day.
  • Lower risk of misuse: Its unique delivery method reduces the likelihood of misuse compared to opioids like pills.
  • Less sedating: Patients often report feeling less sleepy or foggy compared to other opioid pain relievers.

How Belbuca Works:

Belbuca targets opioid receptors in the brain to reduce pain signals. Unlike stronger opioids, it doesn’t produce intense euphoria, making it a safer option for chronic pain management.

Ready to Find Relief for Chronic Pain? Learn more about how Belbuca can help manage your pain.

What is Suboxone?

Suboxone is a combination medication containing buprenorphine and naloxone. Suboxone actively supports opioid addiction recovery. It reduces cravings and controls withdrawal symptoms. Its naloxone component blocks opioid effects, preventing misuse if tampered with.

Benefits of Suboxone:

  • Reduces cravings and withdrawal symptoms: Helps individuals manage opioid withdrawal during recovery.
  • Prevents misuse: The addition of naloxone helps reduce the risk of misuse or overdose.
  • Convenient form: Available as a sublingual film or sublingual tablet, making it easy to take.

 How Suboxone Works:

Suboxone’s buprenorphine treatment partially stimulates opioid receptors, relieving cravings and withdrawal without the high. The naloxone ensures safety by blocking opioid effects when misused.

Struggling with Opioid Addiction? Explore how Suboxone can support your recovery journey.

Belbuca and Suboxone for Chronic Pain

If you are dealing with chronic pain, Belbuca is likely the better choice. It offers long-lasting relief with a lower risk of misuse compared to traditional pain medications. Belbuca delivers buprenorphine through the cheek, offering steady pain relief without causing the euphoria that can lead to addiction.

On the other hand, Suboxone is not typically used for pain management. Its main purpose is to help people with opioid addiction manage withdrawal symptoms and cravings. Naloxone in Suboxone blocks the euphoric effects of opioids, making it ineffective as a pain relief medication.

Belbuca vs. Suboxone for Addiction Treatment

Suboxone is the preferred treatment for opioid addiction. It helps manage withdrawal symptoms and reduces cravings, making it an essential part of many opioid addiction treatment programs. The naloxone in Suboxone prevents misuse, ensuring it can’t be used to get high.

While Belbuca is effective for chronic pain, it is not designed for addiction treatment. Without naloxone, Belbuca carries a risk of misuse, especially for those with a history of opioid addiction.

Belbuca and Suboxone Side Effects

Both Belbuca and Suboxone come with side effects, though they can differ based on the medication’s purpose and formulation.

Common Side Effects of Belbuca:

  • Nausea
  • Headache
  • Drowsiness
  • Constipation
  • Mouth or throat irritation

While Belbuca is generally well tolerated, it can cause mild opioid-related side effects such as drowsiness or nausea, especially when starting treatment.

Common Side Effects of Suboxone:

  • Headache
  • Nausea
  • Sweating
  • Constipation
  • Insomnia

The presence of naloxone in Suboxone can cause withdrawal symptoms in people who are physically dependent on opioids. Some individuals may experience discomfort when starting Suboxone as their body adjusts to the medication.

Concerned About Side Effects? Choose the right medication.

Belbuca vs. Suboxone: Key Differences

While both Belbuca and Suboxone contain buprenorphine, they are used for different conditions and work in different ways.

  1. Purpose:
  1. Formulation:
  • Belbuca: Buccal films that dissolve in the cheek for steady pain relief.
  • Suboxone: Comes as a tablet or film that dissolves under the tongue to manage opioid cravings and withdrawal.
  1. Additional Ingredients:
  • Belbuca contains only buprenorphine.
  • Suboxone contains both buprenorphine and naloxone to prevent misuse and overdose.
  1. Risk of Misuse:
  • Belbuca lowers the risk of misuse because of its absorption method, but it still carries some risk of dependence.
  • Suboxone prevents misuse because of the naloxone it contains.

What Type of Pain Does Belbuca Treat?

Belbuca is ideal for chronic pain that requires consistent and steady management. It is not meant for acute or short-term pain, but it works well for ongoing conditions where traditional opioids pose a high risk of misuse.

Ready to Relieve Your Chronic Pain? Explore how Belbuca can help manage your condition.

Trouble Breathing and Other Precautions

Both medications can cause respiratory issues, such as trouble breathing, particularly in individuals with compromised lung function. Always consult your healthcare provider about potential risks before starting these medications.

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Finding Help for Pain Management

Choosing between Belbuca and Suboxone depends on your needs. If you’re looking for chronic pain relief, Belbuca is a great option. It provides long-lasting pain relief with less risk of misuse. On the other hand, if you’re dealing with opioid use disorder, Suboxone helps manage withdrawal symptoms and cravings.

Before starting any medication, it’s important to talk to your healthcare provider to find the best treatment for your condition. Both of them are effective, but your doctor will help you choose the one that works best for your health.

If you’re struggling with chronic pain or opioid addiction, finding the right treatment is crucial. For opioid use disorder, Suboxone can help reduce cravings and prevent opioid overdose, supporting your recovery.

Our Treatment Facility in Scottsdale, Arizona, offers a luxury rehab experience for those battling opioid addiction. We offer personalized treatment plans that include Suboxone as part of opioid addiction treatment programs. Our team of specialists will guide you through your recovery journey and help you find the support you need. Contact us today to learn more about our services.

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