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PostPosted: Sun Dec 11, 2016 12:44 pm 
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In other words, does the drug screen (saliva test) merely register the presence...or absence....of buprenorphine, or does it also indicate blood level so that my doctor will be able to determine how much
I'm taking?

I know it's dishonest, but I'm working to stockpile a month's supply just to protect myself if something happens to leave me short...traveling, a misunderstanding between doctor and I...whatever.

I suppose this is old addict behavior, but I've read so many horror stories of malevolent pharmacists
and less than sympathetic physicians, and stupid clinic rules that however well intended can leave a person
high and dry.

Any help sincerely appreciated.

Godfrey


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PostPosted: Sun Dec 11, 2016 1:19 pm 
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Good morning, I can do either from a saliva test. I have the POC (point of care) test that detects presence of a compound. My panel tests for 11 compounds including Buprenorphine. It is + or -, similar to a drug store pregnancy test. This can be done with both saliva or urine.
I'll do the saliva test when someone can't give a sample of urine, for example, just went, or bashful bladder. The saliva test takes longer and since I process my own samples it is quicker and less hassle to do the urine tests.
I have the option of sending the sample to a lab which can give me quantitative results, a # for Buprenorphine, Norbuprenorphine and Naloxone along with any other substance I choose.
A quantitative test does not correlate to dose. I have had people taking 4 mg a day have higher levels of all 3 compounds than someone taking 16 mg a day.
I have sent tests (not very often) to a lab when I am concerned about results obtained from a UA screen.
Just to be clear, there is no correlation currently between levels that are found in saliva or urine that correlate to dosage that is being taken. I really don't think peak and trough levels of blood would be all that useful either.
I know it's dishonest, but I'm working to stockpile a month's supply just to protect myself if something happens to leave me short...traveling, a misunderstanding between doctor and I...whatever
Depends on the providers view whether it is dishonest. I encourage folks to try and have an emergency supply, for delayed prior authorizations, weather catastrophes, emergency travel, (theirs or mine) or any other contingency you can think may happen. I shoot for a weeks worth of extra by the time we have completed 4 months of treatment. This wasn't even on my radar until I started coming here, one of the mods talked about it, but I don't recall if it was RULE or RAZOR. I had been at a clinic that rigidly controlled counts and was really upset when someone was discharged for having 3 extra films. Among other reasons I left shortly after. I notified that person and others I was leaving, we are still together 2 1/2 years later. TMI way beyond the question posed. Sorry about that.


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PostPosted: Sun Dec 11, 2016 2:03 pm 
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Quote:
A quantitative test does not correlate to dose. I have had people taking 4 mg a day have higher levels of all 3 compounds than someone taking 16 mg a day.


Thanks doc, You've been very helpful to me these past 3 weeks, as have so many others. I find the above reassuring, also your apparent agreement that it's reasonable to lay in a reasonable supply for any possible rainy day.

Many thanks again,
A.


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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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