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PostPosted: Wed Nov 08, 2017 10:16 pm 
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I just got back from my appointment and I was told that two previous urine tests were very diluted and showed no suboxone or it's metabolite in my urine. I asked if it had to do with me drinking a lot of water, which I tend to do ever since I replaced too much soda with watser, and they said that would explain the Suboxone not showing up but the metabolites should still be there. I usually take my dose in the early morning and my appointments are always on the last day of the previous script in the late afternoon. I take my dose every day and now they think I have been either hoarding or diverting which is neither. I am just so confused as to why the metabolite didn't show up since they said water intake doesn't affect that part of the medicine there for you must not be taking it. :(

Oh and the same thing happened to me last summer too where they said the metabolite must show up no matter how hydrated you are at the time of the collection.

Edit For more info: I started out at 2mg a day then up to 4mg since starting Suboxone in 2009 and now I'm finally at a dose that seems to be the most beneficial and over the last few years now I've been on 8mg a day. I take them daily and have been, no matter what mg I was prescribed, taking them every day for over seven years and yet some of my UA tests have been coming back with no Suboxone or it's metabolites present in them. One doctor said he didn't think drinking a lot of water would have any impact on the metabolites showing up or not and another doctor said "Maybe don't drink a ton of water before your appointment." It's like is that the reason for my tests lacking both the parent drug AND it's metabolites or not? I drink a lot of water because I'm always thirsty. Ever since I started to lose weight at a faster pace last year or so my need for liquids seems to have increased exponentially. And the last negative test was done after I'd just finished a three day course of a med for a bladder infection.

Now, for the next week I have to come in to the clinic every day for observed UAs, dosing and pill counts. But they are closed on Fridays and through the weekends so it will be Monday, Tuesday, Wednesday and Thursday. On every day but Tuesday I can come in at any time but I work on Tuesday from 8am til 6pm and won't be able to take my dose for the day until that evening after work when I get to the clinic. At least Friday thru Saturday I won't have to wait all day til after work since I will be allowed to take my doses alone. I'm not sure what's going to happen if the drug and especially the metabolites are still not showing up even with the "proof" of me taking them in front of them and counting my meds.

I wonder if I should have posted this as either a reply to my previous post about this when it happened last summer or if I should have created this post in a different section, but since it's been several months since it happened before I thought a new post would be appropriate.

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PostPosted: Thu Nov 09, 2017 9:53 am 
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Hey skyda!

I haven't ever had buprenorphine not show up in my screen but a couple months ago I was told that my urine was diluted. Now let me say this, I'm the most anti water drinker ever (I know I need to be more healthy about this) and I'm a diet Mountain Dew only person. I hadn't overly drank anything that morning I took my screen and I definitely didn't do anything any different than I always do before my screen and it's always been fine almost 6 years, did nothing different. So when I was told my urine was diluted and I was questioned about it......... I was upset!

I started questioning my doctor and he said my creatin (I know I'm misspelling this) was low or something like that..... it's been a couple months ago so I can't remember verbatim. I asked what else could cause that if someone hadn't done anything to purposely dilute their urine. I think he said something about urinary problems or even maybe liver problems, heck I don't remember. All I know is that I didn't dilute my urine and I was kind of offended even though I understand what showed up showed up. I'm VERY sensitive about being questioned about doing something wrong in my recovery and I'm sure that stems from being so worried about ppl not thinking I'm still using. After all these years I still worry my loved ones will doubt me and think I'm sneaking around and lying again. There's just so much disappointment when I think someone else is suspicious or concerned that I'm not telling the truth when I haven't done anything wrong at all and followed every rule to the T.

I'm sorry I got off on my issue skyda, ur post reminded me of what happened with my doctor a couple months ago. I couldn't imagine my doctor telling me that bupe didn't even show up in my screen! I hope someone can give u an answer for why this could have happened because this could be something that some of us may go through at some point. Hopefully Dr. Junig or docm2 will respond.

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