Chronic pain* relief
to help you get back to life

Chronic pain* relief
to help you get back to life

Belbuca® may be right for you

BELBUCA is a strong prescription pain medicine that contains an opioid (narcotic) that is used to manage pain severe enough to require daily, around-the-clock, long-term treatment with an opioid, when other pain treatments such as non-opioid pain medicines or immediate-release opioid medicines do not treat your pain well enough or you cannot tolerate them.

reduce pain icon

BELBUCA has been proven to reduce pain in those previously taking commonly prescribed opioids and in those who have not previously taken opioids

clinical trial icon

In clinical trials, people taking BELBUCA experienced side effects comparable to placebo. The most common side effects included nausea, constipation, headache, vomiting, dizziness, and sleepiness

prescription icon

BELBUCA has 7 dosing options that will help you and your healthcare provider find the dose that provides the relief you need while minimizing any side effects

Chronic pain—Beyond the physical


Chronic pain affects every aspect of your life:

  • Daily activities
  • Sleep
  • Relationships
  • Work

When you’re living with chronic pain, life can be a constant balancing act.


Pain can get in the way

If you are:

  • Not getting relief from your chronic pain
  • Losing sleep because of pain
  • Frequently using your short-acting opioid
  • Experiencing too many or severe side effects with your current treatment
Your healthcare provider may consider BELBUCA, a long-acting opioid, for you.
what are your aspirations graphic

BELBUCA is different

BELBUCA is a long-acting opioid

It stays in your system longer than short-acting opioids. This means that BELBUCA can be taken every 12 hours, instead of every 4-6 hours.

BELBUCA uses a unique delivery system

It delivers the medicine, buprenorphine, efficiently through the inside of your cheek, getting into your bloodstream more directly.

Why a film?

The unique BELBUCA film technology helps the medicine, buprenorphine, get into your bloodstream more directly than when it is swallowed. When swallowed, buprenorphine is significantly less effective at treating pain.


How to apply

Potential side effects

The possible side effects of BELBUCA include nausea, constipation, headache, vomiting, dizziness, and sleepiness. Call your healthcare provider if you have any of these symptoms and they are severe.

Get emergency help if you have any of the following symptoms while taking BELBUCA:

  • Trouble breathing
  • Shortness of breath
  • Fast heartbeat
  • Chest pain
  • Swelling in your face, tongue, or throat
  • Extreme drowsiness
  • Light-headedness when changing positions
  • Feeling faint
  • Agitation
  • High body temperature
  • Trouble walking
  • Stiff muscles
  • Mental changes such as confusion
  •  paint splatter

    APPROVED USE

    *BELBUCA® (buprenorphine buccal film) is:

    • A strong prescription pain medicine that contains an opioid (narcotic) that is used to manage pain severe enough to require daily around-the-clock, long-term treatment with an opioid, when other pain treatments such as non-opioid pain medicines or immediate-release opioid medicines do not treat your pain well enough or you cannot tolerate them.

    IMPORTANT SAFETY INFORMATION about BELBUCA®

    WARNING: ADDICTION, ABUSE, AND MISUSE; RISK EVALUATION AND MITIGATION STRATEGY (REMS); LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL EXPOSURE; NEONATAL OPIOID WITHDRAWAL SYNDROME; and RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES AND OTHER CNS DEPRESSANTS

    See full prescribing information for complete boxed warning.

    APPROVED USE

    *BELBUCA® (buprenorphine buccal film) is:

    • A strong prescription pain medicine that contains an opioid (narcotic) that is used to manage pain severe enough to require daily around-the-clock, long-term treatment with an opioid, when other pain treatments such as non-opioid pain medicines or immediate-release opioid medicines do not treat your pain well enough or you cannot tolerate them.
    • A long-acting opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose correctly as prescribed, you are at risk for opioid addiction, abuse, and misuse that can lead to death.
    • Not for use to treat pain that is not around-the-clock.

    Important information about BELBUCA:

    • Get emergency help right away if you take too much BELBUCA (overdose). When you first start taking BELBUCA, when your dose is changed, or if you take too much (overdose), serious or life-threatening breathing problems that can lead to death may occur.
    • Taking BELBUCA with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants (including street drugs) can cause severe drowsiness, decreased awareness, breathing problems, coma, and death.
    • Never give anyone else your BELBUCA. They could die from taking it. Selling or giving away BELBUCA is against the law.
    • Store BELBUCA securely, out of sight and reach of children, and in a location not accessible by others, including visitors to the home.

    Do not use BELBUCA if you have:

    • severe asthma, trouble breathing, or other lung problems.
    • a bowel blockage or have narrowing of the stomach or intestines.

    Before applying BELBUCA, tell your healthcare provider if you have a history of:

    • head injury, seizures
    • liver, kidney, thyroid problems
    • problems urinating
    • heart rhythm problems (long QT syndrome)
    • pancreas or gallbladder problems
    • abuse of street or prescription drugs, alcohol addiction, or mental health problems.

    IMPORTANT SAFETY INFORMATION about BELBUCA®

    WARNING: ADDICTION, ABUSE, AND MISUSE; RISK EVALUATION AND MITIGATION STRATEGY (REMS); LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL EXPOSURE; NEONATAL OPIOID WITHDRAWAL SYNDROME; and RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES AND OTHER CNS DEPRESSANTS

    Addiction, Abuse, and Misuse

    BELBUCA exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to overdose and death. Assess each patient’s risk prior to prescribing BELBUCA, and monitor regularly for these behaviors and conditions.

    Risk Evaluation and Mitigation Strategy (REMS)

    To ensure that the benefits of opioid analgesics outweigh the risks of addiction, abuse, and misuse, the FDA has required a REMS for these products. Under the requirements of the REMS, drug companies with approved opioid analgesic products must make REMS-compliant education programs available to healthcare providers. Healthcare providers are strongly encouraged to

    • complete a REMS-compliant education program,
    • counsel patients and/or their caregivers, with every prescription, on safe use, serious risks, storage, and disposal of these products,
    • emphasize to patients and their caregivers the importance of reading the Medication Guide every time it is provided by their pharmacist, and
    • consider other tools to improve patient, household, and community safety.

    Life-Threatening Respiratory Depression

    Serious, life-threatening, or fatal respiratory depression may occur with use of BELBUCA. Monitor for respiratory depression, especially during initiation of BELBUCA or following a dose increase. Misuse or abuse of BELBUCA by chewing, swallowing, snorting, or injecting buprenorphine extracted from the buccal film will result in the uncontrolled delivery of buprenorphine and poses a significant risk of overdose and death.

    Accidental Exposure

    Accidental exposure to even one dose of BELBUCA, especially in children, can result in a fatal overdose of buprenorphine.

    Neonatal Opioid Withdrawal Syndrome

    Prolonged use of BELBUCA during pregnancy can result in neonatal opioid withdrawal syndrome, which may be life-threatening if not recognized and treated. If prolonged opioid use is required in a pregnant woman, advise the patient of the risk of neonatal opioid withdrawal syndrome and ensure that appropriate treatment will be available.

    Risks from Concomitant Use with Benzodiazepines Or Other CNS Depressants

    Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing for use in patients for whom alternative treatment options are inadequate; limit dosages and durations to the minimum required; and follow patients for signs and symptoms of respiratory depression and sedation.

    Tell your healthcare provider if you are:

    • pregnant or planning to become pregnant. Prolonged use of BELBUCA during pregnancy can cause withdrawal symptoms in your newborn baby that could be life-threatening if not recognized and treated.
    • breastfeeding. Not recommended during treatment with BELBUCA. It may harm your baby.
    • taking prescription or over-the-counter medicines, vitamins, or herbal supplements. Taking BELBUCA with certain other medicines can cause serious side effects and could lead to death.

    When taking BELBUCA:

    • Do not change your dose. Apply BELBUCA exactly as prescribed by your healthcare provider. Use the lowest effective dose possible for the shortest time needed.
    • See the detailed Instructions for Use for information about how to apply BELBUCA.
    • Do not apply BELBUCA if the package seal is broken or the film is cut, damaged, or changed in any way.
    • After the film has adhered to your cheek, avoid eating or drinking until the film has completely dissolved, usually within 30 minutes.
    • Avoid touching or moving the buccal film with your tongue or fingers.
    • Do not chew, swallow, snort or inject BELBUCA. This will result in uncontrolled delivery of buprenorphine and may cause you to overdose and die.
    • Call your healthcare provider if the dose you are using does not control your pain.
    • Do not stop using BELBUCA without talking to your healthcare provider.
    • Dispose of expired, unwanted, or unused BELBUCA by removing the BELBUCA film from the foil packaging, and promptly flushing down the toilet (if a drug takeback option is not readily available). Visit www.fda.gov/drugdisposal for additional information on disposal of unused medicines.

    While using BELBUCA DO NOT:

    • Drive or operate heavy machinery, until you know how BELBUCA affects you. BELBUCA can make you sleepy, dizzy, or lightheaded.
    • Drink alcohol or use prescription or over-the-counter medicines containing alcohol. Using products containing alcohol during treatment with BELBUCA may cause you to overdose and die.

    The possible side effects of BELBUCA are:

    • nausea, constipation, headache, vomiting, dizziness, and sleepiness. Call your healthcare provider if you have any of these symptoms and they are severe.

    Get emergency medical help if you have:

    • trouble breathing, shortness of breath, fast heartbeat, chest pain, swelling of your face, tongue or throat, extreme drowsiness, light-headedness when changing positions, feeling faint, agitation, high body temperature, trouble walking, stiff muscles, or mental changes such as confusion.

    These are not all the possible side effects of BELBUCA. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. For more information go to dailymed.nlm.nih.gov

    Please see full Prescribing Information, including Boxed Warning, and Medication Guide, or speak to your healthcare provider if you have questions about BELBUCA.

    Manufactured for: BioDelivery Sciences International, Inc.