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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Buprenorphine/Naloxone Pharmacology Podcast

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 19 October 2023

⏱️ 12 minutes

🧾️ Download transcript

Summary

On this episode, I discuss the use of buprenorphine/naloxone in managing opioid use disorder. I cover the kinetics, dosage forms, adverse effect, interactions and much more.



Buprenorphine/naloxone has numerous dosage form and they are not interchangeable. I discuss this further on the podcast.



Liver impairment is a potential reason to avoid the use of buprenorphine. I discuss this on the podcast.



You must keep an eye out for withdrawal symptoms when initiating and adjusting doses of buprenorphine/naloxone. They include sweating, nausea, tachycardia, and mood changes.

Transcript

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0:00.0

Hey all, welcome back to the real-life pharmacology podcast. I'm your host,

0:04.1

pharmacist Sarah Christensen. Thank you so much for listening today. As always, go sign up at

0:09.2

real-life pharmacology.com. Get your free 31-page PDF on the top 200 drugs. It's a great

0:16.2

refresher if you're out in practice or a great study guide if you're going through pharmacology classes.

0:22.6

So definitely go check that out.

0:24.7

Simply an email.

0:25.6

We'll get you access to that.

0:26.9

And we get you updates when we've got new podcasts and other content available as well.

0:33.1

All right.

0:33.5

Let's get into the drug of the day today.

0:35.8

And that is buprenorphin naloxone.

0:38.7

Many of you may know it by the brand name Suboxone.

0:43.5

And this is classified as a medication used for opioid use disorder.

0:50.3

It is two medications, to be clear.

0:54.0

Buprenorphin is a partial opioid agonist, and naloxone is an opioid antagonist.

1:02.4

So let's start with buprenorphin a little bit.

1:04.5

So this medication, being a partial opioid agonist has affinity for opioid receptors and activates them to a certain

1:17.8

extent. But it doesn't activate them to the extent of a full opioid agonists, such as morphine,

1:25.5

fentanyl, heroin, and other drugs like that.

1:29.8

So why this is used in opioid use disorder is because it has strong binding affinity for

1:36.1

those receptors, and it helps prevent full agonists from binding them and activating the receptors more fully.

1:46.7

The naloxone piece of it competes and doesn't allow other opioids to bind those

...

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