Also, what are the ramifications if the patient is snorting it instead of putting it under his tongue?
It is not just the subutex that a person needs when treating an opiate addiction, it is a desire to recover, support, counseling for addiction and a willingness to change. If a person is not following the instructions on how to properly use subutex, that is a good indication they don't realize how bad their addiction is, if you don't use a tool properly, you can't expect the right outcome and the right outcome here will be recovery. Subutex is abused by snorting it,and No Judgement, but this person is not going to recover if they continue on this path.
Did you go to the clinic on your own to get help or were you forced into this? It is my gut feeling that this person isn't on this medication to recover from an addiction. He shouldn't be snorting this or any medication and if he continues this habit he should seek some kind of counseling. The point of getting on medication like this is to make changes and this needs to be one of them. Good luck.
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