Our expert says:
We seem to be missing the earlier parts of this story. It sounds as though you are in treatment for chronic addiction problems with narcotic / opioid painkillers, and the Suboxone is being used to try to help with that.
Suboxone is a curious combination of two drugs, Buprenorphine and Naloxone. The hope is that it will reduce withdrawal symptoms when one stops taking those risky drugs, and also block their effects which an addict may find enjoyable.
Used properly, with the guidance of a skilled & experienced physician, it can make detox more comfortable and useful, but it has risks and problems of its own.
Mild nausea & vomiting are quite common side-effects. But severe nausea & vomiting, especially when you say it lasts 20 hours, is not usual. Apart from more ordinary nausea as an ordinary side-effect, there is an uncommon but serious possibility ( as also occurs with some other drugs ) of the Serotonin Syndrome arising ( you may want to look this up online, too ) and this includes more serious vomiting along with a number of other significant symptoms. It has serious risks, and needs urgent attention, usually including a stopping of the drug.
It is really inappropriate and not recommended for a doctor to start someone on a drug like this and then not see then again for a couple of months : precisely because if such complications arise, this needs to be assessed and dealt with by that doctor.
The possibility of this more serious cause of your vomiting needs to be properly and expertly assessed, and urgently. It'd probably not be wise to continue taking the Suboxone until this issue has been assessed. But contact the office of the prescribing doctor / your rehab unit, or whoever is in charge of your case, report these serious symptoms and ask for assessment and advice.
Adding other drugs to try to control the severe nausea is not a good idea, without the specific advice of your personal doctor, as this could potentially in some cases worsen the situation,
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