How to Deal with Suboxone Withdrawal

Suboxone can be a crucial part of recovery from opioid addiction, helping to reduce cravings and withdrawal symptoms. However, coming off Suboxone — especially suddenly — can lead to its own set of withdrawal symptoms.

If you’re considering tapering off or stopping Suboxone, it’s important to understand what withdrawal looks like and how to cope with the symptoms effectively. In this post, we’ll cover the effects of stopping Suboxone abruptly, when withdrawal typically begins, and tips for managing the process.

What to Expect With Suboxone Withdrawal

Suboxone withdrawal can feel different from withdrawing from short-acting opioids like heroin or oxycodone. Because Suboxone has a long half-life, symptoms may take longer to show up but can also linger longer than people expect.

Why Does Withdrawal Happen?

Suboxone works by binding to opioid receptors in the brain. Over time, your body adjusts to having the medication in your system. When you stop or reduce your dose, those receptors suddenly don’t get what they’re used to, which triggers withdrawal symptoms.

Suboxone Withdrawal Timeline

While everyone’s experience is unique, here’s a general idea of when symptoms may show up and what you might feel:

Early withdrawal (2–5 days after last dose):

Anxiety and restlessness
Trouble sleeping
Sweating and mild body aches

Peak withdrawal (5–10 days):

Stronger muscle aches and joint pain
Nausea, diarrhea, and stomach cramps
Flu-like symptoms such as chills and fatigue

Late withdrawal (10–20 days):

Lingering fatigue
Mood swings or depression
Difficulty sleeping

Some people also experience post-acute withdrawal syndrome (PAWS)—a collection of mild but frustrating symptoms like cravings, low energy, and mood changes that can last for weeks or months.

Why It’s Important to Be Prepared

Knowing what to expect can help you plan ahead and avoid surprises. For some, withdrawal symptoms are mild and manageable. For others, especially those on higher doses or using Suboxone long-term, medical support may be needed to stay safe and comfortable.

The Effects of Stopping Suboxone Cold Turkey

Stopping Suboxone abruptly can lead to significant withdrawal symptoms due to how the medication interacts with the brain. Suboxone contains buprenorphine, which affects opioid receptors, and naloxone, which helps prevent misuse. Quitting suddenly can disrupt the balance your body has developed, leading to intense symptoms.

Intense Physical and Psychological Symptoms

When you stop Suboxone cold turkey, you may experience symptoms such as nausea, body aches, anxiety, and intense cravings. These symptoms occur because your body is suddenly deprived of the medication it has relied on to stabilize itself.

Flu-like symptoms: Expect runny nose, sweating, chills, fever, and body aches.
Gastrointestinal issues: Nausea, vomiting, diarrhea, and abdominal cramping are common.
Mood disturbances: Anxiety, depression, irritability, and mood swings may set in.
Insomnia: Trouble falling asleep or staying asleep is frequent during withdrawal.
Fatigue and low energy: You might feel weak or lethargic, lacking the energy to complete daily tasks.
Restlessness: Some people experience an agitated, restless feeling or restless legs.

Increased Risk of Relapse

One of the biggest risks of stopping Suboxone without a proper tapering plan is the increased chance of relapse. Withdrawal symptoms can become overwhelming, making it challenging to manage cravings. This can lead to a return to opioid use, especially if you’re trying to cope without proper medical support.

What Happens if I Miss a Day of Suboxone?

Missing a dose of Suboxone can lead to mild withdrawal symptoms or increased cravings, depending on how long you’ve been taking it and your dosage. Since Suboxone has a long half-life, meaning it stays in your system for an extended period, missing one dose might not immediately cause severe symptoms, but it’s essential to stay on schedule.

What to Do if You Miss a Dose of Suboxone

If you miss a dose, take it as soon as you remember unless it’s close to your next scheduled dose. In that case, skip the missed dose to avoid taking too much at once. Always follow your doctor’s instructions, and contact them if you’re unsure about what to do after missing a dose.

How Long Before Suboxone Withdrawal Starts?

Understanding the timeline of Suboxone withdrawal can help you prepare and manage expectations. Symptoms typically begin within a day or two after stopping the medication, depending on your dosage and how long you’ve been using Suboxone.

Early Withdrawal (24-72 hours)

Initial symptoms such as anxiety, muscle aches, and sweating usually start within this time frame.

Peak Withdrawal (3-5 days)

Withdrawal symptoms typically peak during this period, which is often the most uncomfortable stage, marked by heightened physical and psychological symptoms.

Long-Term Withdrawal (Weeks to Months)

While the most intense symptoms subside after a week, some people experience longer-lasting symptoms like fatigue and mood swings that can persist for weeks or even months.

How to Cope with Suboxone Withdrawal

Withdrawal can feel overwhelming, but having a plan can make it more manageable. Here are some proven ways to ease symptoms and support your body and mind through the process.

Stay Hydrated and Eat Well

Your body loses a lot of fluids during withdrawal, especially if you’re sweating or experiencing diarrhea. Eating nourishing foods and staying hydrated helps your system recover and keeps your energy up.

Tips to make it easier:

Keep a water bottle nearby and take small sips often, even if you don’t feel thirsty
Try electrolyte drinks if you’re losing fluids from sweating or stomach issues
Focus on easy-to-digest foods like bananas, rice, and broth-based soups
Avoid caffeine and processed foods, which can worsen dehydration or irritability

Get Gentle Exercise

Moving your body—even in small ways—can help with aches, improve your mood, and promote better sleep. You don’t need to push yourself hard; gentle activity is enough.

How to try it:

Take a short 10–15 minute walk outside to get fresh air and sunlight
Stretch your muscles with simple yoga poses or light movement
Try deep breathing exercises or a calming tai chi routine
If you’re too tired for exercise, sit outside in the sun for a few minutes to boost your energy naturally

Create a Comfortable Resting Space

Sleep disturbances are common during withdrawal, but creating a calming environment can help you get the rest your body needs.

Ideas for your space:

Keep your bedroom cool, dark, and quiet
Use a white noise machine or soft music to block out distractions
Stick to a regular sleep schedule—even if you can’t fall asleep right away
Try relaxation techniques like progressive muscle relaxation before bed

Seek Emotional Support

Withdrawal isn’t just physical—it can take a toll on your mental health too. Connecting with supportive people can make a big difference.

Ways to get support:

Talk to a trusted friend or family member about what you’re going through
Join an online support group for people tapering off Suboxone
Work with a therapist who understands addiction and withdrawal challenges
Call a helpline if you’re feeling overwhelmed or tempted to use again

Consider Medical Support

In some cases, withdrawal symptoms may become too intense to manage alone. A doctor or treatment center can provide medications or supervised care to make the process safer and more comfortable.

When to reach out:

You’re experiencing severe symptoms like seizures, confusion, or extreme dehydration
Your withdrawal symptoms are getting worse instead of improving
You’re struggling with intense cravings or thinking about relapsing
You have a history of complicated withdrawals or other health issues

Get Support for Suboxone Withdrawal

Suboxone withdrawal can be challenging, but it’s important to remember that you don’t have to go through it alone. At Northpoint Recovery, we offer the comprehensive medical detox care you need to safely taper off Suboxone and minimize withdrawal symptoms.

Whether you’re struggling with cravings, anxiety, or other symptoms, we’re here to help. Our programs are tailored to your unique needs, giving you the tools and support to successfully transition.

FAQs About Suboxone Withdrawal

If you’re preparing to taper off Suboxone or experiencing withdrawal symptoms and have more questions on what to expect, this section is for you. Below are answers to some of the most frequently asked questions about the withdrawal process and how to manage it.

1. Can I taper off Suboxone on my own?

It’s not recommended to taper off Suboxone without medical supervision. A healthcare professional can create a safe tapering plan to minimize withdrawal symptoms and reduce the risk of relapse.

2. What are the most common Suboxone withdrawal symptoms?

Common symptoms include flu-like symptoms (nausea, sweating, chills), anxiety, depression, muscle aches, insomnia, and cravings. These symptoms vary in intensity depending on dosage and length of use.

3. Will I experience withdrawal if I’ve been on a low dose?

Even on a low dose of Suboxone, you may still experience withdrawal symptoms when stopping. However, tapering off gradually can help lessen the severity of the symptoms.

4. How can I manage cravings during Suboxone withdrawal?

Cravings can be managed through medication prescribed by a healthcare provider, therapy, and support groups. Staying connected with a recovery community or support network can also help reduce the risk of relapse.

5. Can exercise help during Suboxone withdrawal?

Yes, light exercises such as walking or yoga can help reduce withdrawal symptoms like anxiety and improve mood. Exercise promotes the release of endorphins, which can help relieve discomfort.

6. What medications can help with Suboxone withdrawal symptoms?

Your healthcare provider may recommend medications like clonidine for anxiety and blood pressure, or other treatments to alleviate nausea, insomnia, and muscle pain. Always consult your doctor before taking any medication during withdrawal.