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- Lucas Belmore, Timothy Ahn, Eric Nguyen, and Timothy Lenz.
- Touro University Osteopathic Medical School, Las Vegas, Nevada.
- Prehosp Emerg Care. 2024 Jul 23: 131-3.
AbstractNon-ST segment elevation myocardial infarction (NSTEMI) is a relatively unknown complication of injecting sublingual Suboxone (buprenorphine/naloxone). Buprenorphine/naloxone should be taken as a sublingual tablet or a buccal film and not injected, so its effects from this mode of administration are not well known. While the differential diagnosis for chest pain is very broad, many practitioners do not associate chest pain with the use of buprenorphine/naloxone. We recommend considering serial electrocardiograms (ECGs) and high-sensitivity troponins for a patient who presents with chest pain after buprenorphine/naloxone use.
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