WHY USE SUBUTEX WHEN YOU HAVE SUBOXONE?
Extremely widespread illicit IV use of Subutex in the former Soviet nation of Georgia was recently reported in a German newspaper. The question: since Suboxone is said (rightly or wrongly - we've seen no comparative data to support the theoretical advantage) to be significantly less liable to misuse by injection, and since both preparations are believed (again, with no reported evidence as far as we know) to have equal effectiveness, why is Subutex used at all? There are claims that Subutex is "better" at the start of treatment and perhaps (!) safer in pregnant patients - but if there's supporting evidence, then why doesn't FDA in USA and counterpart agencies elsewhere state unequivocally that Suboxone SHALL be prescribed unless there's a documented rationale for not doing so - and then, for some of us dummies, specify the key reasons for exceptions and the reported evidence on which they are based? Comments welcomed!
(For the record, no one at ICAAT has any relationship with the manufacturer of Subutex or Suboxone and zero interest in advocating the latter, trade-mark protected, formulation.)