How Long Does Suboxone Withdrawal Last?

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Suboxone withdrawal can vary significantly in duration and intensity, depending on the length of use, dosage, and individual physiology. Withdrawal symptoms typically begin within 24-72 hours after the last dose. The acute phase, characterized by symptoms including nausea, sweating, insomnia, and muscle aches, usually peaks within the first week. This period can last anywhere from a few days to two weeks. However, some individuals may experience prolonged withdrawal symptoms, known as post-acute withdrawal syndrome (PAWS), which can persist for several months.

Suboxone (buprenorphine/naloxone) is a medication that is considered the gold standard in treating opioid addiction. You may have been prescribed Suboxone if you were detoxing from drugs like heroin, fentanyl, oxycodone, or morphine. While this medication is highly effective at treating opioid withdrawal and reducing drug cravings, it can be physically addictive.[1]

Buprenorphine is a partial opioid receptor agonist. Even though it is safer and less addictive than methadone and other opioids, it still has opioid properties.[2] As a result, people who take medications containing buprenorphine, like Suboxone, may experience withdrawal symptoms when they stop. Whether you have been taking Suboxone as prescribed or have been abusing it, you may be wondering how long Suboxone withdrawal lasts and what you can expect while detoxing.

You will find that your experience with withdrawal depends largely on how long you have been using Suboxone and at what dose. Fortunately, opioid rehab programs offer precise tapering schedules that can help you endure a safer and more comfortable withdrawal.

Symptoms of Withdrawal

Suboxone withdrawal is similar to opioid withdrawal. However, the timeline may last a little longer because buprenorphine is a long-acting opioid. Symptoms of withdrawal include:

Muscle pain and body aches
Nausea and diarrhea
Cold chills
Sweating
Fatigue
Loss of appetite
Insomnia
Drug cravings
Mood swings
Depression
Anxiety
Suicidal thoughts

How Long Does Suboxone Withdrawal Last?

Everyone experiences Suboxone withdrawal differently depending on individual factors. This is because there are many variables that influence how long Suboxone withdrawal lasts. Some of these include:

How long you have been taking Suboxone or buprenorphine
What dose of Suboxone you have been taking
Your overall health including liver and kidney function
Your age, weight, BMI, and gender

Overall, Suboxone withdrawal lasts 7-14 days. Most people report that the worst of their symptoms subside after 7 days, but symptoms of depression or anxiety may linger for several months. In general, symptoms will peak around day 3.[3]

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Suboxone Withdrawal Timeline

How long suboxone withdrawal lasts will vary from one person to the next, however, here is a general timeline of what you can expect.

Days 1-3

Most people begin experiencing symptoms of withdrawal between 6-12 hours after their last dose wears off. Muscle pain, diarrhea, and nausea are common during this time.

Days 4-7

After the first three days, symptoms of withdrawal usually peak. You may experience insomnia, anxiety, irritability, body aches, nausea, diarrhea, and muscle pain.[3]

Weeks 2-5

Towards the end of the first week, your physical symptoms should begin to subside, however, you may be prone to psychological symptoms like depression, anxiety, and cravings.

2 Months +

Most of your symptoms should subside by this time, but it is important that you don’t let your guard down. You should continue to participate in treatment and counseling to stay on top of your recovery.

What factors influence how long Suboxone withdrawal lasts?

The duration and intensity of Suboxone withdrawal can differ greatly from one person to another. Several clinical and individual factors help determine how long symptoms may persist and how severe they may be.

Duration of use meaning how long the person has been taking Suboxone. Longer use often leads to a more prolonged withdrawal experience.
Dosage of Suboxone with higher daily doses potentially leading to a longer period of physical dependence.
Tapering versus abrupt discontinuation because a slow, medically supervised taper generally reduces the intensity of symptoms.
Overall health and metabolism including liver and kidney function, which affect drug clearance from the body.

Understanding these factors can help clinicians and individuals set realistic expectations for the withdrawal process and tailor medical support appropriately.

Understanding how withdrawal management supports long-term recovery

Effective management of Suboxone withdrawal goes beyond simply tracking the duration of symptoms. Suboxone contains buprenorphine, a partial opioid agonist with a long half-life that alters opioid receptor activity, which can make the withdrawal experience distinct from that of short-acting opioids. Withdrawal management should be tailored to each individual, taking into account the interplay between physical discomfort, psychological symptoms, and the person’s overall recovery goals.

Clinicians often use a combination of medical supervision, gradual tapering when appropriate, and supportive therapies to reduce the severity of withdrawal symptoms while promoting stability. Behavioral health interventions, including counseling and participation in structured support programs, also play a vital role in addressing underlying substance use patterns and strengthening coping skills.

Monitoring during the withdrawal phase allows clinicians to identify co-occurring issues, such as sleep disturbances or mood dysregulation, that may require additional treatment. By integrating symptom management with a comprehensive recovery plan, individuals increase their likelihood of completing the withdrawal phase and engaging successfully in ongoing care.

Coping During Suboxone Detox

Suboxone withdrawal is not as intense as opioid withdrawal, and if you have been participating in a medication-assisted treatment (MAT) program, you should have the tools and resources you need to cope with most of your symptoms. There are many ways you can cope with withdrawal and reduce your symptoms, some of which can be achieved right in your own home. Still, it is a good idea to consult with your physician before stopping Suboxone. Your doctor will be able to help you taper off Suboxone slowly. Although tapering increases the withdrawal timeline, it can help you avoid many of the unruly withdrawal symptoms. While stopping Suboxone, some coping mechanisms that can help you through withdrawal are:

Sober support – Humans are social by nature, but people in recovery need to have a sober support network of people they can turn to during difficult times. While detoxing, you should stay connected with your sober supports and make an extra effort to ask for help.
Hydration – Without water, you can’t survive. But even the slightest level of dehydration can exacerbate your symptoms. Stay hydrated and drink plenty of water. You will have more energy and be able to flush your system out faster and speed up the Suboxone withdrawal timeline.
Nutritious diet – Eating a balanced and healthy diet can help improve your mood and reduce your discomfort. Even if you don’t feel hungry, a small snack of fruits and vegetables can go a long way.
Stay busy – The more time your mind has to wander, the more you will focus on your symptoms of discomfort. Try staying busy by reading a book, going for a walk, playing a game, or doing an activity you enjoy.

In addition to a gradual Suboxone taper, you may be able to take some over-the-counter medications to help treat some of your symptoms. However, be sure to consult with your doctor before taking any medication. Some common home remedies used for Suboxone withdrawal include:

Ibuprofen or acetaminophen for body aches and muscle pain
Tums or ginger ale for stomach aches
Pepto-Bismol for nausea
Loperamide or other antidiarrheals
Vitamins and supplements

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Although Suboxone is an FDA-approved treatment medication, it does carry a risk of abuse. And, if you’ve been abusing Suboxone, you may experience withdrawal symptoms when you quit. Even if you have been taking Suboxone as prescribed by your doctor, your body may have become physically dependent, so you may need assistance with detox. Regardless of your circumstances, our team at Woburn Addiction Treatment Center is not here to judge you. Instead, we’re here to help connect you with the resources you need to get clean and stay clean. Don’t wait any longer. Contact our dedicated treatment professionals today.

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