Belbuca vs Suboxone: Which Should You Choose for Opioid Use Disorder?

January 30, 2025

5 minutes

Pharmacist explaining Belbuca vs. Suboxone

For opioid use disorder (OUD), the right medication can mean the difference between staying on the path to recovery or falling back into the cycle of dependency. Suboxone and Belbuca may both sound like solutions on the surface—they even share the same active ingredient, buprenorphine—but these two medications are worlds apart in purpose. One was built to combat opioid addiction head-on, while the other was designed with chronic pain management in mind.

So, where does that leave you if you’re starting or undergoing OUD treatment?

Choosing the right option isn’t about picking the most familiar name; it’s about understanding how each medication works, what it’s designed for, and how it fits into your recovery journey. In this article, we’ll dive into the key differences between Belbuca and Suboxone, explore why Suboxone is the gold standard for OUD treatment, and give you the clarity you need to make an informed decision. Let’s break it down!

What Are Belbuca and Suboxone?

Before we dive into the specifics of opioid use disorder (OUD) treatment, it’s important to understand what makes Belbuca and Suboxone unique. While they share buprenorphine as their active ingredient, these two medications serve very different purposes.

Suboxone: Designed for Opioid Use Disorder

Suboxone is a combination medication that contains buprenorphine and naloxone. Together, these ingredients are designed to:

  • Ease withdrawal symptoms and cravings by partially activating opioid receptors in the brain (thanks to buprenorphine).
  • Prevent misuse by triggering withdrawal symptoms if the medication is injected or snorted (due to naloxone).

Suboxone is FDA-approved for treating opioid use disorder and is considered a cornerstone of Medication-Assisted Treatment (MAT). By stabilizing your body during withdrawal and reducing cravings, Suboxone helps you focus on recovery rather than fighting your body’s physical dependence.

Belbuca: Designed for Chronic Pain

Belbuca, on the other hand, is a buccal film (a small strip placed inside the cheek) that contains buprenorphine as its sole active ingredient. Unlike Suboxone, it does not include naloxone. Belbuca is designed to:

  • Provide long-lasting relief for chronic pain in patients who need around-the-clock pain management.
  • Offer a safer alternative to full opioids like oxycodone or morphine, with less risk of respiratory depression.

Belbuca is FDA-approved for managing chronic pain and is typically prescribed to patients for whom other pain medications, like non-opioids or short-acting opioids, are no longer effective. However, it is not designed to treat opioid addiction and lacks the misuse-deterrent properties of Suboxone.

Key Differences Between Belbuca and Suboxone

Though they may sound similar at first glance, Belbuca and Suboxone serve very different purposes. Here’s a closer look at the differences that matter most:

FeatureSuboxoneBelbuca
PurposeTreats opioid use disorder (OUD)Manages chronic pain
Active IngredientsBuprenorphine + NaloxoneBuprenorphine only
Abuse DeterrentContains naloxone to discourage misuseNo abuse-deterrent component
FDA ApprovalApproved for OUD treatmentApproved for chronic pain
AdministrationSublingual film or tabletBuccal film

Why Suboxone Is the Gold Standard for Opioid Use Disorder

When it comes to treating opioid addiction, Suboxone is specifically designed to help individuals safely taper off opioids and stay in recovery. Here’s why it stands out:

1. Combines Buprenorphine with Naloxone

The addition of naloxone sets Suboxone apart in a big way. Not only does it block the effects of other opioids, but it also prevents Suboxone from being misused. If someone tries to inject Suboxone to get high, the naloxone component will activate and block the euphoric effects, making it far less likely to be abused.

2. Reduces Withdrawal Symptoms and Cravings

Withdrawal can be one of the most challenging aspects of recovery. Suboxone’s buprenorphine component binds to opioid receptors in the brain, reducing cravings and withdrawal symptoms without delivering the same high as full opioids like heroin or fentanyl.

3. Supports Long-Term Recovery

When used as part of a MAT program, Suboxone has been proven to help individuals stay in recovery longer. Studies show that MAT reduces the risk of relapse and improves the overall quality of life for people with OUD.

Can You Use Belbuca for Opioid Addiction?

While Belbuca contains buprenorphine, it’s not approved or intended for treating opioid use disorder. 

Here’s why:

  1. No Naloxone Component:
    Belbuca lacks naloxone, which is critical for preventing misuse in individuals with a history of addiction. Without it, Belbuca is more likely to be abused.
  2. Pain-Focused Dosing:
    Belbuca is formulated and dosed specifically for chronic pain management, not for addressing withdrawal symptoms or opioid cravings.
  3. FDA Approval and Guidelines:
    Belbuca is approved for chronic pain, not addiction treatment. Healthcare providers typically won’t prescribe it for OUD when more effective options like Suboxone are available.

If you’re seeking help for opioid addiction, Suboxone is the better choice for managing cravings, withdrawal, and long-term recovery.

Choosing the Right Treatment for You

Deciding between Belbuca and Suboxone comes down to your specific medical needs:

  • If you’re struggling with opioid addiction or looking to manage cravings and withdrawal, Suboxone is specifically designed to help you recover safely and effectively.
  • If you’re dealing with chronic pain and want to avoid full-strength opioids, Belbuca may be the better fit for managing pain without introducing addiction risks associated with stronger painkillers.

Ultimately, the proper medication depends on your health history and goals. A healthcare provider at QuickMD can help you weigh your options and decide on the best course of action.

QuickMD: Helping You Find the Right Treatment

If you’re seeking treatment for opioid use disorder, QuickMD is here to help.

Our licensed providers specialize in Medication-Assisted Treatment (MAT) and offer same-day Suboxone prescriptions through convenient telemedicine appointments.

With QuickMD, you can:

  • Access discreet, compassionate care from the comfort of your home.
  • Receive personalized treatment tailored to your recovery needs.
  • Get expert guidance on managing cravings, withdrawal symptoms, and staying on track.

Final Thoughts

While Belbuca and Suboxone both contain buprenorphine, their purposes couldn’t be more different. Belbuca is designed for chronic pain management, while Suboxone is the gold standard for opioid addiction treatment, offering a safe and effective way to manage withdrawal symptoms and cravings.

If you’re ready to take the first step toward recovery, contact QuickMD today for expert care and support.

Your journey to a healthier, opioid-free life starts here.

Disclaimer

Disclaimer Articles on this website are meant for educational purposes only and are not intended to replace professional medical advice, diagnosis or treatment. Do not delay care because of the content on this site. If you think you are experiencing a medical emergency, please call your doctor immediately or call 911 (if within the United States). This blog and its content are the intellectual property of QuickMD LLC and may not be copied or used without permission.

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