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    Seizures certainly are a side effect with Contrave and really should not be taken in those with seizure disorders. The drug also can raise blood pressure level and heart rate, and mustn't be used in people who have a history of cardiac event or stroke in the earlier six months. Blood pressure and pulse should also be measured prior to starting the drug and throughout therapy using the drug.

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    Suboxone includes two drugs; buprenorphine and naloxone. The naloxone is irrelevant if your addict uses the medication properly, but in the event the tablet is dissolved in water and injected the naloxone will cause instant withdrawal. When suboxone is utilized correctly, the naloxone is destroyed in the liver after that uptake from your intestines and contains no therapeutic effect. Buprenorphine will be the active substance; it can be absorbed under the tongue (and through the entire mouth) but destroyed through the liver if swallowed. There is a formulation of buprenorphine without naloxone called subutex; I have used this formulation if the patient has apparent problems from naloxone, including headaches after dosing with suboxone. I have treated addicts who have had gastric bypass, the location where the first part of the intestine is bypassed and the stomach contents empty right into a more distal area of the small intestine. In such cases the naloxone escapes ?first pass metabolism', the process with normal anatomy where the drug is taken up with the duodenum and transferred right to the liver with the portal vein, where it's quickly and completely destroyed. After gastric bypass naloxone can be adopted by portions of the intestine that aren't served with the portal system, causing blood levels of naloxone sufficient to cause brief, relatively mild withdrawal symptoms.