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PostPosted: Sat Dec 01, 2012 1:31 am 
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They are getting better and better at detecting if you've been taking the exact amount you're presribed and if you are taking it consitently, daily and how your presribed.

The test I take is $700, which my insurance covers and they can also add other substances to the test nowadays like propoxyphene, tramadol, nicotine and hallucinogen properties.

I have access to mine for educational purpose, this the actual/usual test performed, though they can of course add other substances if they choose:

Cannabinoids (Cannabinoids) NEG
Cocaine (Cocaine) NEG
Benzodiazepn (Benzodiazepines) NEG
Barbiturate (Barbiturate) NEG
Amphetamines (Amphetamines) NEG
Propoxyphene (Propoxyphene) NEG
Methadone (Methadone) NEG
Opiate (Opiate) NEG
OxycodoneGrp (OxycodoneGrp) NEG
Ethanol (Ethanol) NEG
Creat-Ur (Creat-Ur) 21.0 mg/dL

It gets even more hardcore when they do the test for Suboxone, showing the actual breakdowns of the metabolite groups. This is an actualy copy:

Buprenor Grp (Buprenorphine Group) POS
Norbuprenorp (Norbuprenorphine) 959 ng/mL
Buprenorphin (Buprenorphine) 154 ng/mL

Those above are shown in actual bargraphs too see how consistent the levels stay over the appointment dates. Of course, my levels will vary each visit, depending on when I took it last prior to the test but if the line on the graph is too sporadic that could mean something to my doc.

I hear some doctors just have the usual bup, yes or no positive test.

Just some knowledge.


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 Post subject: bad graph
PostPosted: Sat Dec 01, 2012 11:27 pm 
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I agree with you that one's bar graph should be fairly consistent.

I think each persons meatbolism is different and this could cause a difference in the rabge of the bar graph, like how much fluid intake, etc...

Most doctors may only test yes or no, unless they suspect something.

I think that a person could go a week in a month a take 0 sub for 1 week and take 8 mg a day for a week 2 and 3 andon week 4, or even 5-6 days prior to the appointment take the prescribed dose and the test could not tell whether that person skipped a week and loaded up prior to the next visit?

The reason I ask, is that some labs claim they can determine compliance over time, I just don't think they can do that. I know the sub builds up in fat cells, but not enough for them to tell if a person has loaded up or not?

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BUPRENORPHINE



Synonyms:

UM-952;Lepetan;rx6029m;Subutex;Temgesi;Buprenex;NIH-8805;Temgesic;CL-112302;Buprenorfin


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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

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