Can Suboxone Make You Extremely Tired? Learn the Causes and Solutions13 min read

In this article, we will explore the potential reasons behind extreme tiredness caused by Suboxone and provide you with actionable insights on how to manage it effectively. Discover the factors contributing to this fatigue and what steps you can take to address it.

  • Opioid Withdrawal Symptoms: Understand the physical and psychological signs that may lead to extreme tiredness when transitioning to Suboxone.
  • Central Nervous System Depression: Explore how Suboxone’s impact on brain activity can result in drowsiness and sedation.
  • Individual Sensitivity to Suboxone: Learn why some individuals may experience fatigue due to their unique reactions to the medication.
  • Common Symptoms of Extreme Tiredness: Recognize the signs of fatigue, drowsiness, and lack of energy, which may be associated with Suboxone use.
  • Managing Extreme Tiredness: Discover strategies for addressing Suboxone-induced fatigue, including consulting your healthcare provider, adjusting dosage, and lifestyle modifications.
  • When to Seek Medical Help: Find out when extreme tiredness may be a cause for concern and require immediate medical attention.

The Impact of Opioid Withdrawal Symptoms

Suboxone is often used to help individuals break free from opioid addiction. However, during the initial phases of treatment, some people may experience extreme tiredness as a result of opioid withdrawal symptoms. These symptoms can include physical discomfort such as muscle aches and yawning, as well as psychological challenges like anxiety and depression. The combination of these factors can lead to fatigue, making it important to address these issues during the early stages of Suboxone treatment.

Central Nervous System Depression

One of the mechanisms by which Suboxone can induce extreme tiredness is its impact on the central nervous system. This medication is known to depress brain activity, which can result in drowsiness and sedation. While this effect can be beneficial in reducing cravings and withdrawal symptoms, it can also lead to a feeling of extreme tiredness. Understanding this aspect of Suboxone’s action is crucial for individuals experiencing fatigue during treatment.

Managing Central Nervous System Depression

  • Dosage Adjustment: Your healthcare provider may recommend adjusting the Suboxone dosage to minimize central nervous system depression while still effectively managing withdrawal symptoms.
  • Monitoring Sedation: It’s essential to monitor your level of sedation and communicate any concerns to your healthcare provider to ensure your treatment plan is optimized.

Individual Sensitivity to Suboxone

Another factor contributing to extreme tiredness in some individuals is their unique sensitivity to Suboxone. Medications can affect people differently due to genetic and physiological variations. Some individuals may metabolize Suboxone more slowly, leading to a prolonged sedative effect and increased tiredness. Understanding your body’s response to Suboxone can help you and your healthcare provider tailor your treatment plan for better outcomes.

Managing Individual Sensitivity

  • Genetic Testing: Consider genetic testing to determine how your body processes Suboxone, which can help guide treatment decisions.
  • Close Monitoring: Work closely with your healthcare provider to monitor your response to Suboxone and make necessary adjustments to your treatment plan.

Common Symptoms of Extreme Tiredness

Fatigue and Lethargy

Fatigue often manifests as an overwhelming sense of weariness that can impact your ability to function normally. Lethargy, a related symptom, is characterized by a lack of physical or mental energy, making even the simplest tasks feel like a challenge. These symptoms can make daily life difficult for those experiencing extreme tiredness due to Suboxone.

Addressing Fatigue and Lethargy

  • Restorative Sleep: Prioritize getting enough quality sleep each night to combat fatigue and increase your overall energy levels.
  • Light Exercise: Engaging in light physical activity, like short walks, can help boost energy and combat feelings of lethargy.

Drowsiness and Sleepiness

Drowsiness refers to the persistent urge to sleep, even when you’ve had an adequate amount of rest. Sleepiness involves difficulty staying awake and alert during the day. Suboxone’s impact on the central nervous system can lead to these sensations, affecting your daily productivity and quality of life.

Managing Drowsiness and Sleepiness

  • Schedule Naps: If possible, plan short power naps during the day to combat excessive sleepiness without disrupting your nighttime sleep schedule.
  • Limit Caffeine and Stimulants: Reducing your intake of caffeine and stimulants can help regulate your sleep-wake cycle and alleviate drowsiness.

Lack of Energy and Motivation

Extreme tiredness from Suboxone may also manifest as a profound lack of energy and motivation. This can result in difficulty initiating activities, both essential tasks and enjoyable ones, which can negatively impact your overall well-being.

Boosting Energy and Motivation

  • Set Small Goals: Break tasks into smaller, manageable goals to make them feel less overwhelming and increase motivation to accomplish them.
  • Positive Reinforcement: Reward yourself for completing tasks to create positive associations and motivate continued productivity.

Managing Extreme Tiredness Caused by Suboxone

Consult Your Healthcare Provider

Consulting your healthcare provider is crucial when dealing with extreme tiredness from Suboxone. They can evaluate your specific situation, adjust your treatment plan, and provide guidance on managing fatigue effectively.

Steps to Take When Consulting Your Healthcare Provider

  • Open Communication: Be honest about your symptoms and their impact on your daily life to receive tailored advice.
  • Regular Follow-ups: Maintain regular check-ins with your healthcare provider to track your progress and make necessary adjustments.

Adjusting Suboxone Dosage

If extreme tiredness persists, your healthcare provider may recommend adjusting your Suboxone dosage. This can help balance the benefits of the medication in managing addiction with minimizing unwanted side effects like fatigue.

Considerations When Adjusting Dosage

  • Gradual Changes: Dosage adjustments are typically made gradually to avoid abrupt disruptions in your treatment plan.
  • Monitoring Side Effects: Pay close attention to how your body responds to dosage changes and communicate any concerns to your healthcare provider.

Lifestyle Modifications for Managing Extreme Tiredness

Improving Sleep Hygiene

Good sleep hygiene practices can significantly reduce extreme tiredness associated with Suboxone. Maintain a regular sleep schedule, create a comfortable sleep environment, and avoid stimulating activities close to bedtime. These habits can enhance the quality and quantity of your sleep.

Effective Sleep Hygiene Tips

  • Limit Screen Time: Reduce exposure to screens before bedtime to prevent disruptions in your sleep-wake cycle caused by blue light.
  • Dark and Quiet Bedroom: Ensure your sleeping area is conducive to rest with minimal light and noise.

Incorporating Regular Exercise

Exercise can combat fatigue by increasing your overall energy levels. Engaging in physical activity, even in moderation, releases endorphins and promotes a sense of well-being, which can help counteract extreme tiredness.

Exercise Strategies for Managing Tiredness

  • Choose Enjoyable Activities: Opt for physical activities you enjoy to maintain motivation and consistency.
  • Start Slowly: If you’re new to exercise, begin with gentle activities and gradually increase intensity to avoid excessive fatigue.

When to Seek Medical Help for Extreme Tiredness

Persistent and Severe Fatigue

While some tiredness during Suboxone treatment is expected, persistent and severe fatigue should be addressed promptly. It may be indicative of an underlying issue or an adverse reaction that requires medical evaluation.

Indications to Seek Medical Help

  • Unrelenting Fatigue: If extreme tiredness persists despite adjustments to your treatment and lifestyle, consult your healthcare provider.
  • Additional Symptoms: Pay attention to accompanying symptoms like shortness of breath, chest pain, or cognitive changes.

Breathing Difficulties

In rare cases, Suboxone can lead to respiratory issues. If you experience significant breathing difficulties, it’s crucial to seek immediate medical assistance, as this could be a serious and potentially life-threatening situation.

Signs of Respiratory Distress

  • Shortness of Breath: If you’re struggling to breathe or experience rapid, shallow breaths, don’t hesitate to call for medical help.
  • Blue Lips or Skin: Cyanosis, characterized by bluish discoloration of the lips or skin, is a concerning sign of oxygen deprivation.

Changes in Mental State

Extreme tiredness, when accompanied by significant changes in mental state, requires immediate attention. These changes may include confusion, hallucinations, or altered consciousness, which can be signs of a medical emergency.

Recognizing Altered Mental State

  • Confusion: If you or someone you know suddenly becomes disoriented, struggles to focus, or cannot recognize familiar surroundings, seek medical help without delay.
  • Altered Consciousness: Any alteration in consciousness, such as loss of consciousness or unusual behavior, warrants immediate medical evaluation.

Suboxone Dosage and Extreme Tiredness

Optimizing Your Suboxone Dosage

Finding the right Suboxone dosage is essential to minimize extreme tiredness. Your healthcare provider will work with you to establish the most effective dose for managing addiction while minimizing side effects.

Factors Influencing Dosage Adjustment

  • Severity of Addiction: The extent of your opioid dependence may influence the initial dosage prescribed.
  • Individual Response: How your body reacts to Suboxone will guide adjustments to achieve the desired therapeutic effect.

The Role of Tapering

Tapering, or gradually reducing your Suboxone dose over time, can help prevent extreme tiredness as you progress in your recovery. This approach allows your body to adapt to decreasing levels of the medication, reducing the likelihood of fatigue.

Tapering Strategies

  • Physician Supervision: Tapering should always be under the supervision of a healthcare provider who can monitor your progress and adjust the taper schedule as needed.
  • Psychological Support: Consider incorporating therapy or counseling to address the psychological aspects of addiction during the tapering process.

Combating Fatigue with Nutrition

The Importance of a Balanced Diet

Proper nutrition plays a vital role in managing extreme tiredness. A well-balanced diet provides essential nutrients that can help improve energy levels and overall well-being.

Components of a Balanced Diet

  • Proteins: Include lean sources of protein such as poultry, fish, and legumes to support muscle health and energy.
  • Fruits and Vegetables: A variety of colorful fruits and vegetables supply essential vitamins and minerals for optimal energy production.

Avoiding Sugar and Caffeine Crashes

While sugar and caffeine may provide temporary energy boosts, they can also lead to energy crashes, exacerbating extreme tiredness. Reducing consumption of these substances can help stabilize your energy levels.

Strategies to Minimize Sugar and Caffeine

  • Gradual Reduction: If you’re accustomed to high sugar or caffeine intake, slowly reduce consumption to minimize withdrawal symptoms.
  • Hydration: Staying hydrated can help prevent the sluggishness often associated with caffeine withdrawal.

Psychological Support for Managing Extreme Tiredness

Counseling and Therapy

Seeking psychological support through counseling or therapy can be invaluable when dealing with extreme tiredness during Suboxone treatment. These professionals can help you address the emotional and psychological aspects of fatigue.

Benefits of Counseling and Therapy

  • Identifying Triggers: Therapists can assist you in recognizing triggers that contribute to fatigue and help you develop coping strategies.
  • Emotional Support: Counseling provides a safe space to discuss your feelings and concerns, reducing emotional fatigue.

Support Groups

Engaging in support groups, either in-person or online, can connect you with individuals facing similar challenges. These groups offer a sense of community and shared experiences, which can combat feelings of isolation and exhaustion.

Benefits of Support Groups

  • Peer Understanding: Support group members can relate to your experiences, offering empathy and valuable insights.
  • Accountability: Group participation encourages accountability in managing extreme tiredness and staying on the path to recovery.

The Role of Stress Management

Suboxone treatment, coupled with the challenges of addiction recovery, can be stressful, contributing to extreme tiredness. Effective stress management techniques can mitigate the impact of stress on your energy levels.

Stress Reduction Strategies

Implement stress-reduction techniques such as mindfulness meditation, deep breathing exercises, and yoga. These practices can help you better cope with the emotional and physical toll of stress, reducing the likelihood of extreme tiredness.

Benefits of Mindfulness Meditation

  • Stress Reduction: Mindfulness meditation promotes relaxation and reduces the body’s stress response.
  • Improved Sleep: Practicing mindfulness can lead to better sleep quality, ultimately combating fatigue.

Exploring Alternative Medications

If extreme tiredness persists despite dosage adjustments and lifestyle modifications, it may be worth considering alternative medications for opioid addiction treatment. Some individuals may respond better to different medications with fewer fatigue-inducing side effects.

Alternative Medication Options

Discuss potential alternatives with your healthcare provider, such as metha or naltrexone. These medications have different mechanisms of action and may be better suited to your needs while minimizing fatigue.

Considerations for Medication Switch

  • Medical Evaluation: Your healthcare provider will conduct a comprehensive assessment to determine the most suitable alternative medication.
  • Transition Plan: If switching medications, a carefully planned transition will ensure continuity of care and minimal withdrawal symptoms.

The Importance of Patience

Recovery from opioid addiction and managing extreme tiredness can be a lengthy process. It’s essential to practice patience and not be too hard on yourself during this journey.

Understanding the Recovery Timeline

Recognize that recovery is not linear, and there may be ups and downs along the way. Fatigue is a common part of the recovery process, but it can improve with time and consistent efforts.

Patience and Self-Compassion

  • Self-Acceptance: Embrace the challenges as part of your recovery journey and celebrate small victories along the way.
  • Seek Support: Lean on your support network, including friends, family, and healthcare providers, for encouragement and guidance.


Managing extreme tiredness during Suboxone treatment requires a multifaceted approach. By optimizing your Suboxone dosage, making lifestyle modifications, seeking psychological support, and exploring alternatives when necessary, you can effectively combat fatigue and enhance your overall well-being. Remember that recovery is a journey, and with patience and persistence, you can achieve a healthier, more energized life.

Frequently Asked Questions (FAQs)

1. Can Suboxone make you extremely tired?

Yes, it can. Extreme tiredness is a known side effect of Suboxone in some individuals, often associated with opioid withdrawal during the initial stages of treatment or central nervous system depression.

2. How long does extreme tiredness from Suboxone last?

The duration of extreme tiredness varies from person to person. It is typically most pronounced during the first few weeks of treatment and gradually improves as your body adjusts to the medication.

3. Are there ways to reduce tiredness while on Suboxone?

Yes, lifestyle modifications, such as improving sleep hygiene, incorporating regular exercise, and maintaining a balanced diet, can help reduce tiredness. Additionally, consulting your healthcare provider for possible dosage adjustments is important.

4. Can Suboxone-induced tiredness be a sign of an underlying problem?

Extreme tiredness can sometimes indicate an underlying medical issue, but it is more commonly associated with Suboxone’s side effects. If you’re concerned, consult your healthcare provider for a thorough evaluation.

5. Is it safe to drive or operate heavy machinery while experiencing extreme tiredness from Suboxone?

Extreme tiredness can impair your alertness and reaction times. It is generally advisable to avoid driving or operating machinery if you’re feeling excessively tired due to Suboxone.

6. Are there any supplements that can help combat fatigue from Suboxone?

While supplements like B vitamins and iron may support energy levels, it’s essential to consult your healthcare provider before taking any supplements, as they can interact with Suboxone or other medications.

7. Can Suboxone-induced tiredness lead to depression?

Extreme tiredness may contribute to feelings of low energy and motivation, which can resemble symptoms of depression. It’s crucial to differentiate between the two and seek appropriate treatment if needed.

8. Can I stop taking Suboxone if I’m experiencing extreme tiredness?

Do not stop taking Suboxone without consulting your healthcare provider. Abruptly discontinuing Suboxone can lead to withdrawal symptoms and jeopardize your recovery.

9. Can caffeine help alleviate extreme tiredness from Suboxone?

Caffeine may provide temporary relief, but it can also lead to energy crashes. It’s best to moderate caffeine intake and focus on more sustainable strategies to combat fatigue.

10. Can extreme tiredness from Suboxone affect my relationships and work?

Yes, extreme tiredness can impact your ability to engage in social activities and perform well at work. Open communication with loved ones and employers, as well as seeking treatment for fatigue, can