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PostPosted: Mon Oct 01, 2012 11:43 pm 
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Hello all,
I am seeking help and asking for any thoughts on how this is possible………..

I have been on Suboxone for 4 years and never had any issues with my u/a's my doctor was giving me. I take my meds daily! I started breaking out with hives and after a year of my doctor trying to narrow out the problem, he figured out I was allergic to Naloxone in the suboxone. In the beginning of June 2012, my doc switched me from suboxone to subutex. I immediately notice the difference and all around feel 100% better!

The issue I am now having all of the sudden are my u/a's say that my "numbers" have flipped. My doctor says the only way for this to happen is if I'm loading my meds. I guess loading means I'm only taking my medicine a day or two before I am due in to make it look like Im taking my meds. This happened 2 times in a row, so my doctor insisted that I take my meds under supervision. For 2 weeks I came into the office daily and did supervised dosages. In the mean time my test came in and my numbers were fine again. This was the results from the test I took the day he decided to put me on a supervised dosages. I was happy that my numbers went back to normal and let things go. Then today I went in for my normal visit for a script. My u/a from last time came back funky again like I was loading. This is results from during the time I was getting supervised doses. My doctor looked at me perplexed and made me feel like I am doing something wrong. He said he would look into it further but the results weren't possible.

I don't know what to do. I TAKE MY MEDS EVERYDAY! Why are my u/a levels all wacky. What could be causing this to happen? I don't want my doctor to take me off subtext bc I will just end up back on the streets using again. That scares me to death.

I can tell you that its not because of any supplements I was taking because I stopped all as soon as I got my first u/a being weird. Please help me. Where can I get answer for this problem? What can I do to make sure my levels never show up like I'm loading again……..

Any Advise?


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PostPosted: Tue Oct 02, 2012 1:12 am 
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HI missyjane

WOW..........Ive never heard of such a thing!!!!!
and thats SO WIERD that they came back like you were 'loading' when you were doing the SUPERVISED doses??
So wouldnt that PROVE to the doctor you weren't doing anything wrong???

Im really drawing a blank about what would cause this problem!!! and I dont like it!!!! LOL

Im sorry I dont have any answers for you...........
maybe somebody knows something and they'll post!!!!!!!!!!!!!!!!!

I would just really keep doing what your doing, watch everything you take, maybe you'll 'catch' whatever it is???

geeezzzz
that must be SOOOO incredibly frustrating.

Hope you get this figured out sooner rather than later. REALLY hope your doctor just realizes you weren't doing anything wrong!!!!!!!!!!

good job in your four years of recovery , ,,,,, by the way!!!!
thats nothing to sneeze at :wink:

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PostPosted: Tue Oct 02, 2012 6:21 am 
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It sure wouldn't be the first time a doctor read a drug test/UA wrong...so that could be it. I'm curious, do you pay for these UA's? If he's checking into your sub levels THAT deeply, I would think that would be one expensive test and you'd know it, because you'd be getting massive bills. This is why I think that the doctor could be misreading the results. Like I said, it sure wouldn't be the first time on of them couldn't read their own damn reports.

If it were me, I'd ask to see those UA results myself and if necessary I'd be calling the lab and letting them explain the numbers to me. But that's just me and it's how I am.

My money is on the possibility that your doc is misunderstanding the results. Let us know what happens. And try not to worry about it in the meantime.

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PostPosted: Tue Oct 02, 2012 8:14 am 
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hatmaker510 wrote:
It sure wouldn't be the first time a doctor read a drug test/UA wrong...so that could be it. I'm curious, do you pay for these UA's? If he's checking into your sub levels THAT deeply, I would think that would be one expensive test and you'd know it, because you'd be getting massive bills. This is why I think that the doctor could be misreading the results. Like I said, it sure wouldn't be the first time on of them couldn't read their own damn reports.

If it were me, I'd ask to see those UA results myself and if necessary I'd be calling the lab and letting them explain the numbers to me. But that's just me and it's how I am.

My money is on the possibility that your doc is misunderstanding the results. Let us know what happens. And try not to worry about it in the meantime.


I have had the same sub doctor since the beginning of my recovery. He was my doctor prior to being on suboxone and he is the one that put my into the program. I was on private insurance when I first started on the program. I used to get copies of bills from my u/a's and I can't remember exactly how much the testing cost my insurance, I know it was over a hundred bucks. After the first year, I got onto my state insurance. In the state of VT, our medicaid program is outstanding and I have never seen a copy of the billing or anything. It is just paid for. In all actuality, my doc mainly has suboxone patients. He has so many the there is a state paid employee that watches all of medicaid patients pee into a cup. I believe that the state pays for this because my doctor has so many patients on the program. My doctor is the only one willing to take on patients like me in this area and he is also one of the few docs in this area willing to still RX narcotics. I do respect my doctor for the stance he has taken in this area and hasn't stop RXing because the state has put a little heat on him.

So anyway, I think my doctor deals with more suboxone patients than most doctors. He makes all of his suboxone patients come in for new scripts and depending how you are doing, he will have you in weekly, bi-weekly or monthly. in effect, I believe my doc sees a lot of u/a's. He also deals with a lot of people trying play games and get these scripts because on the street in this area, one tab is worth 50-70 bucks a piece. I know,IT IS CRAZY!

The way he explained it to me is that when someone is taking meds properly, numbers would look something like this (these numbers aren't proper numbers but just an example) 1000/500 but when someone is loading, it will look like 500/1000. I did see the good numbers vs bad numbers on my tests but it was just a quick peek. I felt like he really didn't want to show me the results but he did, just apprehensively. I asked him for a copy of the results but he didn't want to do that. I am not sure why.

I would think that he does know how to read these tests because of how many he deals with in a day and I also find my doctor to be quite bright…… I think that is what is so perplexing is that all the sudden after so many yrs, once I'm on subutex, my numbers are flipping and looks like I am loading……… Could this be on behalf of the lab? Like is there a test for suboxone and a different test for subutex? Could they be giving the suboxone test instead of the subutex test? I know that seems farfetched, because its all bupe. I am just trying to understand.

I think the next time I go in, I will insist to get a copy of my lab results. I will ask for one with good readings and ones with bad readings. Any other suggestions for me to do? Is there a way to contact a reputable lab and ask for advise? Is there any website I could possibly get a specialist in bupe take a look at my lab results?

I think I have been fortunate that this happened after years of being on the program. That way my doc does realize how well I have done on this medicine and he knows that I am a honest person. I don't think that if this happened in the beginning of treatment that my doctor would be giving a little benefit of the doubt. What if this is happening to other patients and their doctor just shuts them off? I need to figure this out for myself and others…….. I will keep all posted on anything new I may find out.
Thank you so much!
MissyJane


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