Sun Mar 16, 2014 6:17 am
I am prescribed 4mg daily of Suboxone sublingual films. I have a test tomorrow at 4pm EST. I took too much this month because I'm dumb. I got into some legal trouble, I'm having issues at work (not related), my new insurance wants to talk to my doctor and the letter I received sure does sound like they aren't going to cover Suboxone any more and my doctor is tapering me down against my wishes. In short, I'm having a rough month and my addict brain told me to self medicate to compensate. Stupid, I know.
Anyway , I haven't taken Suboxone in about 2 weeks. Been using Immodium to keep withdrawals away. I have one 8mg strip left. My question is, if I take it today at around 7:30am EST will my urine show up positive for Suboxone when I pee for my doc tomorrow at 4pm EST. I need to test positive to get another script. I'm fully aware I screwed up bad. To remedy the situation I plan on having my wife hold my Suboxone from now on. My doctor isn't the type of guy I can be honest with either.
So, in summary... No subs for about 2 weeks, 4mg daily prior to that for about 2 years. Will an 8mg dose taken this morning show in a urine test taken tomorrow afternoon? I'm 6'2, 260 lbs. I don't exercise and I probably don't consume as much water as I should.
Thanks in advance. I'm new to the site and I did search before posting but I couldn't find an answer to my specific predicament.
Sun Mar 16, 2014 11:31 am
for me it was 14 days I was taking 4mg a day
Mon Mar 17, 2014 9:32 pm
It depends on the test. I've argued that in most cases, 'quantitative testing' is a waste of resources, and docs should just 'dip' urines using point-of-care tests. If your doc uses a test that gives an immediate answer-- within a few minutes-- than there will be no way to distinguish between taking the med one time, vs. taking it every day.
But quantitative testing gives levels of buprenorphine, plus buprenorphine breakdown products (like norbuprenorphine). You may read forums where people say their levels have 'flipped'-- they are saying that their buprenorphine level is higher than their norbuprenorphine level, which suggests that they took it only recently, and have not taken it long-term. That is what your urine would show, if the doc did quantitative testing.
BUT.... the testing has many reasons for being abnormal besides taking the drug incorrectly. Some meds-- Prozac for one-- interfere with the production of norbuprenorphine, causing levels to be 'flipped'. So it depends on the test... and it depends on how well your doc understands the chemistry.
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