Yes, although I'd point out that a dependence on a low dose of Suboxone is really not that big of a deal; it being a partial agonist means that it doesn't reall

Yes, although I'd point out that a dependence on a low dose of Suboxone is really not that big of a deal; it being a partial agonist means that it doesn't really have adverse side effects over the long term unlike full agonists like traditional opioids or methadone. It may prevent relapse over the longer term much more effectively than abstinence. I definitely agree with a point you raise however about the availability of lower doses - 2mg is far too high to jump off of, or even 0.25mg for that matter. Suboxone is commonly prescribed at FAR too high a dosage, 8 to 16mg or even 24mg, when in reality 4mg is plenty for almost everyone, and 2mg will work in many cases. The withdrawal of Suboxone can at first glance seem not all that bad compared to traditional opioids, BUT - it lasts for at least a month, if not 2 or even 3. Suffering over a long time period is a LOT harder than people think. So, I think the pragmatic - and humane, for that matter - is simply to let the dependent person choose. Many may choose to discontinue it of their own volition if they are given the space to determine their own tapering plan and see how it goes. Forcing them into something is likely to cause far more harm than any perceived (to say nothing of actual) benefit.