The purpose of a montly urine tox is....?

What dose of Suboxone do you take? Does your buprenorphine wear off? Do you have opioid withdrawal symptoms?
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tunafish
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The purpose of a montly urine tox is....?

Post by tunafish » Mon Dec 19, 2011 1:17 pm

Hey all,

I posted this on another forum a while ago but didn't get much of a response. This place seems like it would be very helpful. I'm about to go into my appt in just under an hour so I don't think I'll get the answer I need in time today but I would love to get an answer.
Anyway, every month I have to take a urine tox screen (a standard 9 panel drug test) and a test for buprenorphine and buprenorphine metabolites. At my last appointment I was talking to my doc and he said every month I show up negative for opiates on the 9 panel and my suboxone test and my metabolites comes back positive. This is apparently not the result I want since I am supposed to show up positive for opiates on the UTS, he says. I thought that the UTS was to test if I had been taking other opiates (oxycodone, hydrocodone, etc) that I shouldn't be? He tells me that suboxone should show up as an opiate and I should be testing positive and that he orders the other(sub+metabolites) test to make sure that patients have been taking their suboxone regularly (not just the day of the test). I've been to three different labs now and all of them don't show positive for buprenorphine on the panel test. I'm really starting to think I'm right about this.
That really doesn't sound right because how would he be testing to see if patients, especially those taking suboxone for addiction treatment, are taking other opiates? I think he might be making a huge error. Am I wrong here?

Thanks

Ironic

Post by Ironic » Mon Dec 19, 2011 1:59 pm

I have never tested positive for opiates on bupe, only for bupe. It has to do with bupe being a synthetic opioid, relatively unrelated to morphine or hydrocodone.

I am talking here about a dip stick test, not a lab test. I could see how it would be possible for a lab test to pick it up differently, but they should still be able to tell exactly what you're taking.

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Breezy_Ann
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Post by Breezy_Ann » Mon Dec 19, 2011 4:57 pm

Hi and welcome! I am tested every 3 months at the lab and am always negative for opiates. Sub does not show up on a standard opiate test. A simple call to the lab should be able to clarify this for your Dr. Instead of telling him your suspicions were confirmed on an internet forum, I would ask him to call the lab. Hope this helps!

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Post by hatmaker510 » Tue Dec 20, 2011 5:56 am

I agree. Bupe/suboxone will not show up as an "opiate". It will show up as bupe only on a test that is looking for it. But it won't show up as other opiates will show up. Perhaps he's explaining it wrong or weird or he doesn't understand or ....? How long has he been your doctor?

And I also agree with Breezy - I'd keep the words "online forum" out of the conversation. Many doctors HATE that.
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tunafish
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Post by tunafish » Wed Dec 21, 2011 7:19 am

Thanks for all the responses. I've been with my doctor for years but I was fairly certain he was mistaken when he brought this up with me. I must say I am curious about any other patients he has on suboxone. I'm going to call the lab(s) to be doubly sure. I told him I would be calling him sometime right before or after the holiday(on an unrelated matter) and I'll certainly mention it to him. There simply has to be other patients of his that are testing positive to reinforce his belief that he is correct in thinking that he is seeing the results correctly. I cringe to think what would happen if the DEA audited his records and discovered such an error. Should make for an interesting visit next time I see him.

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Post by johnscarbrough » Thu Jan 26, 2012 4:47 am

You make me think about this.

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