Yesterday, a busy day in my office seeing mostly Suboxone patients, I had seven patients mention that the Suboxone films were crumbly when they opened the foil package. I’ve had a patient tell me this last year, and I asked the Reckitt-Benckiser drug rep about it. She said the film should not be crumbling, and that my patients should return defective films to the pharmacy.
It’s odd that patients started mentioning this all on the same day. I wonder if the recent heat wave has anything to do with this crumbling. Maybe the 90-plus degree heat in our area has affected the films while they are being shipped. I don’t know if the drug company has done any testing on films – or tablets – to see what they do when heated.
Beginning when the Suboxone films were first introduced, I had some of my patients say that the films aren’t as strong as the tablets. Initially I wrote this off as resistance to change, but some of these patients were stable and active in counseling. Then I’ve had so many people write comments on this blog, saying the film is weaker. Now there’s this problem with crumbling. I’m not entirely comfortable with prescribing the film, and plan to talk to the drug company to see what they have to say about crumbling films.
I’ll keep you updated.