, Drug Name Indication Half-life Notable Side Effects (link to Initial Dosing
Neurotransmitter(s) Affected (T1/2), NT or affected brain circuit) Considerations
Target Symptoms Metabolism Specific lifespan
(CYP 450 considerations (age,
enzyme) pregnancy, breastfeeding)
Buprenorphine Indication: Half-life: Headache, Initial dosing:
(Subutex) constipation, nausea Day 1: 8 mg
Maintenance 24-42 Oral hypoesthesia, Day 2: 12-16 mg Days 3-
treatment of opioid hours glossodynia 7: Increase in increments
dependence CYP450: Orthostatic of 4 mg, maximum 32 mg
Maintenance CYP3A4 hypotension Considerations:
treatment of opioid Implant specific:
dependence in insertion site pain, Use with
patients who have pruritis, erythema caution in elderly
achieved and Respiratory and those with
sustainced depression cardiac
prolonged clinical Hepatotoxicity impairment
stability on low-to- Maybe
moderate doses of a preferable to
transmucosal methadone in
buprenorphine- pregnant women
containing product Neonatal
Moderate to withdrawal may
severe opioid use occur
disorder in patients Drug is found in
who have initiated breast milk,
treatment with a recommended to
transmucosal DC drug or bottle
buprenorphine- feed
containing product, Safety and
followed by dose efficacy has not
adjustment for a been established
minimum of 7 days