Suboxone is the preferred prescription for outpatient narcotic detox and maintenance. The FDA, DEA, American Society of Addiction Medicine, the Suboxone manufacturer, and addictionists prefer Suboxone over Subutex because of the reduced risk of abuse. Subutex is priced higher than Suboxone to reinforce this. Subutex is used under these circumstances: in the hospital for detox, in pregnancy, if the patient is allergic to the naloxone in Suboxone, or a patient has side effects from Suboxone that may be due to naloxone. Symptoms that may be due to the naloxone in the Suboxone being absorbed in a patient are swelling, jerks, or narcotic withdrawal symptoms that can’t be controlled by Suboxone.
Subutex is used during pregnancy. There is more experience using buprenorphine than naloxone during pregnancy and buprenorphine appears to be fairly safe for the fetus.