Suboxone contains buprenorphine and naloxone. Buprenorphine is an opioid and naloxone is an opioid antagonist. Both are used for opioid addiction. All opioids are known to cause increased prolactin level in blood and reduced sexual drive to varying extent. These side effects are not permanent and shall resolve once you stop Suboxone. Your prolactin level is marginally high not amounting to prolactinoma. In prolactinoma, prolactin level usually goes above 150 ng/mL, which is not the case with you. Stress (mental & physical) also increases blood prolactin level. You need to monitor your prolactin level over a period of time. Advice 1. Continue Suboxone as suggested. You don’t have to take it permanently. Once you stop it your problem will resolve, but do not stop it without your doctor’s permission. Sudden stoppage will causes withdrawal symptoms of opioid. Follow your doctor’s advice on Suboxone 2. Stop smoking and alcohol 3. Avoid mental tension 4. Do meditation 5. Start workout in gym at least ½ an hour in a day for 4 – 5 days in a week 6. Do not worry much about your sexual drive. It will return once you stop Suboxone 7. Monitor your blood prolactin level every month. If level is static then there is no need to worry. If level starts rising then consult an endocrinologist for specialist management of hyperprolactinemia I hope this information will help you. I will be happy if you ask another question Thanks