boyfriend on suboxone/uses drugs recreationally

Hi, my bf is on suboxone, the blue pakage one not the green and not often but occasionally will smoke pot and/or use coke.he has done coke 3 times since he's been on sub that im aware of. What are the risks of doing other drugs mixed with suboxone?

[Julia M Aharonov, DO]

Suboxone is a opioid receptor agonist/ antagonist, so I hope you realize that he is addicted to narcotics.  On top of that he smokes pot, which in itself is not an awful thing, however it exposes his to people that sell illegal substances and that alone makes them criminals.  Pot also has been shown to cause earlier onset of psychosis in susceptible individuals.  However, cocaine is most concerning of all.  Even one time use can result in cardiovascular and brain damage , specifically in the central nervous system.  Example would be hypertensive crisis, arrhythmia, onset of Parkinson like syndrome.

The use of cocaine, depending on the severity, can cause mood swings, paranoia, insomnia, psychosis, high blood pressure, tachycardia, panic attacks, cognitive impairments and drastic changes in the personality that can lead to aggressive, compulsive, criminal and/or erratic behaviors.

It is entirely up to you who you hang out with, but  you are obviously bothered by it. Good luck making right decisions.