Suboxone Withdrawal Timeline
Compiled from cited sources · not yet medically reviewedUpdated 5 sources
Need help now? SAMHSA’s National Helpline is free, confidential and open 24/7 in English and Spanish: 1-800-662-4357. In a mental health crisis, call or text 988. In an emergency, call 911.
For information only, not medical advice. Talk to a doctor before stopping or changing any medication. Medical disclaimer
⚠ Medical warning
Don’t go through opioid withdrawal alone. It is very hard to get through, and the biggest danger comes afterward: once your tolerance drops, using your old amount can cause a fatal overdose. Get medical help to stop. Medicines such as buprenorphine and methadone work. Call SAMHSA at 1-800-662-4357, or 911 in an emergency. If the opioid is prescribed, don’t stop it suddenly: ask your prescriber about a taper.
Quick answer
Buprenorphine, the main ingredient in Suboxone, is a partial opioid agonist. The FDA label says its withdrawal is typically milder than with full opioids and may be delayed in onset. As a long-acting opioid, it generally follows SAMHSA’s long-acting pattern: symptoms can start up to 36 hours or more after the last dose and the acute phase can last 14 days or more. The label says to taper gradually rather than stop abruptly. Stopping treatment also raises relapse and overdose risk, so plan it with your prescriber.
Suboxone withdrawal timeline at a glance
When did you last use or take it?
⚠ Medical warning (read before using this)
Don’t go through opioid withdrawal alone. It is very hard to get through, and the biggest danger comes afterward: once your tolerance drops, using your old amount can cause a fatal overdose. Get medical help to stop. Medicines such as buprenorphine and methadone work. Call SAMHSA at 1-800-662-4357, or 911 in an emergency. If the opioid is prescribed, don’t stop it suddenly: ask your prescriber about a taper.
This places the typical ranges from this article's sources on your date. It is not a prediction or a diagnosis, and being past a phase does not mean symptoms or risks are over.
A rough guide from published sources, not medical advice. Everyone is different.
| Phase | When | What you may feel | Severity | Red flags |
|---|---|---|---|---|
| Early withdrawal | Up to 36 hours after last use | Watery eyes, runny nose; Sweating, yawning; Restlessness, anxiety, insomnia; Muscle aches | Moderate | — |
| Fully developed withdrawal | 72 to 96 hours after last use | Dilated pupils, goosebumps; Stomach cramps, nausea, vomiting, diarrhea; Muscle twitching, joint and muscle pain; Fast heart rate, higher blood pressure | Severe | Vomiting or diarrhea you can’t keep up with, or signs of dehydration (dizziness, very little urine); Thoughts of suicide or self-harm: call or text 988 now |
| Easing | Through about day 14 or longer | Physical symptoms slowly fade; Tiredness, poor sleep | Moderate | Signs of overdose (slow or stopped breathing, can’t wake up, blue lips): call 911 and use naloxone if you have it |
| Protracted phase | Weeks to months | Low mood (dysphoria); Cravings; Insomnia; Increased sensitivity to pain | Moderate | Signs of overdose (slow or stopped breathing, can’t wake up, blue lips): call 911 and use naloxone if you have it; Thoughts of suicide or self-harm: call or text 988 now |
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Symptoms, phase by phase
The Suboxone label says chronic use produces opioid-type physical dependence, with withdrawal signs and symptoms on abrupt discontinuation or rapid taper. Symptoms are the familiar opioid ones: watery eyes, runny nose, sweating, yawning, aches, restlessness, stomach upset and poor sleep. Because buprenorphine is long-acting, the table uses SAMHSA’s long-acting timeline. Individual timing varies, and we haven’t found a primary source with exact Suboxone-specific day counts.
Early withdrawal: Up to 36 hours after last use
- Watery eyes, runny nose
- Sweating, yawning
- Restlessness, anxiety, insomnia
- Muscle aches
Fully developed withdrawal: 72 to 96 hours after last use
- Dilated pupils, goosebumps
- Stomach cramps, nausea, vomiting, diarrhea
- Muscle twitching, joint and muscle pain
- Fast heart rate, higher blood pressure
Easing: Through about day 14 or longer
- Physical symptoms slowly fade
- Tiredness, poor sleep
Protracted phase: Weeks to months
- Low mood (dysphoria)
- Cravings
- Insomnia
- Increased sensitivity to pain
What makes withdrawal longer or shorter
- Dose and time on treatment. SAMHSA’s TIP 63 says the severity of withdrawal reflects how physically dependent you are.
- How fast you taper. The label says to taper gradually.
- Whether you’re stable. Stopping treatment before you’re ready raises relapse risk.
- Formulation. Films, tablets and long-acting injections leave the body at different speeds.
When to see a doctor or get help now
- Before reducing or stopping Suboxone.
- If withdrawal becomes hard to manage during a taper, your prescriber may slow it.
- Signs of overdose (slow or stopped breathing, can’t wake up, blue lips): call 911 and use naloxone.
- Call or text 988 for thoughts of suicide.
Not sure where to start? Call SAMHSA’s free, confidential helpline at 1-800-662-4357, 24/7. See Get Help.
Tapering
The FDA label says to gradually taper the dose when discontinuing. How quickly depends on you; your prescriber should plan and adjust it. Many people stay on buprenorphine long-term, and that’s a valid, evidence-based choice. We don’t publish dose schedules.
Tips for getting through it
- Keep naloxone (Narcan) on hand and tell someone where it is
- Drink enough fluids and eat several small meals, as NSW Health’s opioid withdrawal guidance advises; skip alcohol and go easy on caffeine
- Never use alone, and know that tolerance drops fast after withdrawal
- Find treatment at FindTreatment.gov or call SAMHSA at 1-800-662-4357
Frequently asked questions
How long does Suboxone withdrawal last?
As a long-acting opioid, buprenorphine generally follows SAMHSA’s long-acting pattern of 14 days or more for acute symptoms, but the label says withdrawal is typically milder than with full opioids. Lingering low mood, cravings and poor sleep can last longer.
Is Suboxone withdrawal worse than heroin withdrawal?
The FDA label says buprenorphine withdrawal is typically milder than full opioid withdrawal, though it may start later.
What is precipitated withdrawal?
When buprenorphine is started too soon after a full opioid, it can push out the other opioid and cause sudden, severe withdrawal. The label warns about this. It’s about starting Suboxone, not stopping it.
Should I stop Suboxone?
That’s a decision to make with your prescriber. Long-term treatment is common and effective.
Next steps
- Track your dayEnter when you stopped to see where you are on the timeline
- Combine timelinesAdd other things you are stopping and see them on one chart
- Talk to othersAsk questions on our community forum (peer support, not medical advice)
- Read nextOpioid Withdrawal Timeline: Short-Acting vs Long-Acting
- Get helpFree, confidential helplines and when to see a doctor
Talk to others going through it. Share your experience or ask questions on the Opioids & Kratom board in our community forum. Forum posts are personal experiences, not medical advice. Please read the community guidelines.
Related timelines
- Opioid Withdrawal Timeline: Short-Acting vs Long-Acting
- Methadone Withdrawal Timeline
- Fentanyl Withdrawal Timeline
- Precipitated Withdrawal: Suboxone, Naloxone and Kratom/7-OH
Sources
- FDA-approved label: SUBOXONE (buprenorphine and naloxone) sublingual film, via DailyMed
- SAMHSA: TIP 63, Medications for Opioid Use Disorder (updated 2021), Exhibit 2.10
- MedlinePlus (U.S. National Library of Medicine): Opiate and opioid withdrawal
- SAMHSA National Helpline
- NSW Health: NSW Clinical Guidelines: Treatment of Opioid Dependence, abbreviated version (2018)
Last reviewed: October 25, 2026. Researched and written by Withdrawal Timelines from the cited sources. This article has not yet been reviewed by a medical professional. See How We Review and our Medical Disclaimer. This is general information, not medical advice.
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