Can suboxone give you pinpoint pupils?

Yes, Suboxone, which contains buprenorphine, can cause pinpoint pupils as a side effect, particularly at higher doses or in individuals who are opioid-naive. This symptom is due to buprenorphine's partial agonist activity at opioid receptors, similar to other opioids. However, pinpoint pupils are less common with buprenorphine compared to full agonist opioids. If you experience this symptom, it's important to consult a healthcare professional.