Prescribers should note this risk of misuse, especially if Subutex is dispensed un‐supervised. Most patients seem to try snorting Subutex for a ‘buzz’, and reported feelings similar to a ‘gouch’, but often quicker in onset and shorter lasting. Peer influence, contextual factors and availability of Subutex in prisons all play their part in initiating and maintaining this habit. Patient experiences after snorting Subutex were: a ‘buzz’, similar to using heroin and some unpleasant experiences.Ĭonclusions: Snorting Subutex seems particularly popular in prisons. But snorting or smoking heroin provides no barrier to addiction or to overdose, and most youngsters who start snorting eventually turn to injection. Reasons given for snorting Subutex included: it is safer than injecting, only a small amount required to get a buzz, peer influence and the relative ease of procuring Subutex in prisons. The sample snorted Subutex on average 4.8 times while in prison, always as a group activity and never overdosed on it. Snorting heroin for more than four weeks can lead to permanent damage to the nasal and sinus passageways. Six heroin dependent patients who reported having snorted Subutex.įindings: The practice of snorting Subutex seemed almost exclusive to prison settings. Setting and participants: A tier 3 NHS community drug treatment service in Birmingham. Heroin is typically sold as a white or brown powder and is either ingested nasally (snorted) or intravenously (injected). Aim: To present an account of six heroin addicts who have snorted buprenorphine (Subutex) and to provide a brief insight into their reasons for and experiences of snorting Subutex.ĭesign: A case series of six patients studied using a semi‐structured questionnaire with a qualitative component. Heroin is an illicit, potent, and extremely habit-forming narcotic opioid that is naturally derived and processed from morphine. In some cases, people addicted to prescription opioids transition to heroin as a cheaper and more accessible alternative.
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