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Pain clinics and Urine Drug Tests, whats the deal?

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copium7777

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Apr 26, 2020
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I have been self medicating for spinal pain with various pain meds, everything from kratom to oxy, to bupe, for awhile, but I've settled on bupe. I have an upcoming visit with a pain clinic, my first ever, and I wonder if they will require a urine drug test. is this something they do in the first appointment, or is this only after they initiate treatment, and is there any way to find out? and would they test for buprenorphine?

I would sort of assume not, since buprenorphine is the treatment for opioid use disorder, and so its considered less of an abusable drug than oxycodone and other opioids, but I really have no idea. I have such bad spinal pain its hard to go days without bupe, but i could switch to kratom for a bit I guess.

I dont have a history of substance use disorder or being to rehab or anything. I guess i can always refuse a urine drug test but that could look sus and mean I can't get pain treatment from that place... even if they did find bupe, what would they do? I suppose if they thought I was an addict that had pain they might just put me on bupe anyway, so it doesnt seem to make sense for them to test for that.
 
If they do drug test you (and there's a very good chance they will) than buprenorphine has now become a part of the standard opioid-testing panel and will more likely than not be included on the test. I'm sorry, I know this isn't what you wanted to hear, but it's the truth! I'm not saying it's 100% guaranteed that they will either test you or that the test will include buprenorphine (though on that latter point I'd say it's far more likely than not, on the first it's down to the individual clinic). If I were you, just to make sure you get the pain relief you need, I would switch to Kratom before the appointment. What you definitely should not do is refuse the urine test. That will be a GIANT red flag. You may as well test positive for heroin, since that is what they will assume if you refuse the test!

I have a couple of suggestions. Firstly, like I said, switch to Kratom ASAP since bupe has a really long half-life and can be detected for far longer than most other opioids (anywhere from a week to two weeks depending on your metabolism). Secondly, have you thought of loitering outside the clinic (maybe smoke if you're a smoker to look natural, otherwise pretend to be taking a phone call or something) and then striking up a conversation with the people leaving? Once you've established they're patients, you could ask them about the clinic procedures and get an idea of how they operate so you can be prepared in advance. Finally, failing everything else, being on buprenorphine instead of say heroin/fentanyl/oxy looks a lot better from the perspective of the clinic than if you told them you were on street opiates, so if all esle fails (and only if, I wouldn't advise doing this otherwise) you could admit to buying a bupe script beforehand so that they don't think you're trying to deceive them?

Just some ideas. Good luck!
 
debored13 said:
Id really love answers on how common this is.
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How common urin screening is at a treatment facility? Shoot, it depends on circumstances, but what i have experienced is monthly or bi monthly... that is once (if) a clinic accepts you as a pain patient, and you sign all your rights (life) away. Then it is my understanding that the Dr. "can request" a sample from you at any point during your treatment under their care; in which you have 3 days to show up and provide the golden juice. On the other side, I have had tests come back hellA wrong. Of course that causes it's own issues. Personally I am brutally honest, will not sign the contract till they understand I consume THC. You may have to try several clinics till you find a Dr that understands.(do not doc shop) I am trying to say it may take time (month's/ years) of hit and miss before you find YOUR Dr. Even pre COVID-19, the medical field has been a wreck, sadly even more so for chronic pain / disabled patients. Hope you all have a smooth weekend!
 
Depends on what state you live in and how strict your doctor decides to be. Here where I am, every doctor you go to makes you sign a paper that says you could be asked for a urine sample at any time. And anyone who receives any kind of controlled substance goes into a database that is accessible by doctors and pharmacists.
 
How about if you need to HAVE the bupe in your system but haven't gotten on it yet, due to precipitated withdrawal problems. But i don't want my script cancelled so how can i get my urine screen to HAVE it in there?
 
sugarzade19 said:
How about if you need to HAVE the bupe in your system but haven't gotten on it yet, due to precipitated withdrawal problems. But i don't want my script cancelled so how can i get my urine screen to HAVE it in there?
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i'm really sorry but this sounds a bit like you're trying to cheat on a drug test. we don't answer those questions here. the entire thread was just on the cusp of 'within the rules.'

if i am wrong please clarify your question and we'll see if we can help.
 
Oh I am sorry. I am a struggling addict who doesn't want to lose her mainline into normal civilization because I am trying to get onto my medication but continue to have precipitated withdrawal. I was unaware that bluelight has become a mainstream holier than thou I am better than you not a POS addict criminal outcast misfit of society. I'll see myself out of your prestigeous society as I am tainting the very color of the waters clearly. *eye roll* *sigh* *flips the bird*
 
sugarzade19 said:
Oh I am sorry. I am a struggling addict who doesn't want to lose her mainline into normal civilization because I am trying to get onto my medication but continue to have precipitated withdrawal. I was unaware that bluelight has become a mainstream holier than thou I am better than you not a POS addict criminal outcast misfit of society. I'll see myself out of your prestigeous society as I am tainting the very color of the waters clearly. *eye roll* *sigh* *flips the bird*
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Nobody is trying to say they are better than you. The reason these questions aren’t answered is because everybody metabolises drugs differently. We can’t give you a proper answer and if you took someone’s advice and it didn’t work out it’d fuck things up for you.
 
i am not taking a holier than thou attitude. honestly i'm sorry if it came across that way. i was a 'POS criminal outcast misfit of society' for a long time so certainly have nothing against people who have addiction problems.

in rule one of the BLUA, which you signed to make an account, it states that you are not allowed to discuss how to cheat drug tests. it specifies for employment but i have seen it enforced for all questions of that nature. it is my responsibility as the moderator of H&R to ensure that the rules are enforced.

we can't advise you how to cheat a drug test, no matter how valid a reason you think you have for doing so. had you asked how to induct properly onto bupe you would have got a more helpful reply.
 
Laws aren't always black and white. If I find a way to pass a urine test by placing a bit into my pee or cheating a bit in some way I get to keep my perscription of the thing that is supposed to save my life. If i tell the truth they will take my script away starting my process back before zero. I used to get info on this website that helped me not only relate to other people but helped me when even doctors, other authority figures dont give a fck about me. But i get it. Now we cant even have access to accepting online forums. cool beans. bye
 
sugarzade19 said:
Oh I am sorry. I am a struggling addict who doesn't want to lose her mainline into normal civilization because I am trying to get onto my medication but continue to have precipitated withdrawal. I was unaware that bluelight has become a mainstream holier than thou I am better than you not a POS addict criminal outcast misfit of society. I'll see myself out of your prestigeous society as I am tainting the very color of the waters clearly. *eye roll* *sigh* *flips the bird*
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Dont act like that they were being very respectful towards you. Threads about drug testing arent even allowed and the fact that this remained open and you had some questions answered, well you should be grateful. Hope things work out for you i suffer with pain everyday myself, it sucks.
 
Grateful for what? This is starting to piss me off. I hate ppl like this, what I should be grateful you're all wasting time talking to peasant and derelict like myself. Oh gosh I can't believe your royal heinus is wasting time on scum like my law breaking self. Jesus H Christmas think very highly of yourselves. Maybe ill just go pop one in the old skull beats breaking the law eh?
Me oh my whats the point to even go on, having to fake a drug test, lock me away and throw the key to the sharks.
 
stop being so melodramatic.

it sounds like you're claiming to your drugs services that you've inducted onto bupe when you haven't. we really can't help you deceive your prescribers. i'm sure if you were honest with them they would understand.

if you have a question about recovery then please feel free to ask it. if you are going to keep making out like you're being persecuted when you're breaking the agreement YOU signed to make your account i will close this.

as you should know given you've been prescribed it, buprenorphine is not soluble in water, it will not dissolve in your piss. furthermore, the urine test looks for metabolites, not the drug itself. so don't try. own up to the drugs services, you won't be the first person who has failed to induct and maybe if you're honest with them they will help you.
 
Yea you got great advice, even people unnecessarily apologizing to you and your still acting this way.. You sound pleasant to be around lol.

This medicine that’s “supposed to help you” only works if you actually take it.

You want to find a way to lie to your providers, which honestly fucks things up for those of us who tell the truth. Instead I get treated like a liar cuz people like yourself try to play the system. I’ve got more than a few words for ya but I’ll refrain.

-GC
 
Well what do you know. An answer without reccomending I break the law. Nice, thanks. Word of advice, next time try without all the condescending needless back and forth pissing contest. You don't know me or what i have been through trying to get on this medicine. Hell trying to get a script alone! I have told the truth! Enough times to know I should try to lie. So spare me the ridicule and your unapologetic diss attempt. Keep being honest with all these doctors who you think are your friends. I didn't ask how to fake my test so i could steal the script and go make a buck. I have gone into PW five days off my last use. You don't know what I have been through and how many doctors i've asked for help. You know what help gets me... a red flag and a wave good bye. And if you haven't experienced that you must not be as hard core of an addict as I am. It's cool. You must just not be able to understand I get it,
 
I understand. You get clean, didn't really have as gnarly of an addiction as others, become a "moderator" and want to run things. I feel you. Congratulation guys. You've arrived as they say. Doesn't get better than this does it? Pulling authority over an addict online who's struggling, WINNING!!!
 
One I attend awhile back charged $500 for a three dollar stick test. I called them on it and that ;pain specialist found himself suffering from a loss of words.
 
We’re all struggling addicts, we just don’t have a shit attitude about it.. You act like your the only one to deal with this shit. Your not special.

I’m not about to sit here and lay out my addict credentials to you. On top of that fighting for my life with cancer.. Quite frankly your whiny piece of shit that probably is just a little bitch about Wd.

-GC
 
Haha figured i'd strike a cord attacking your pride about how hard you do it. I can tell because you threw in your cancer card. TRUMPED. Yep i'm a little bitch. Wahhh wahhh wahh. I thought i asked a question that i got an answer for but not until i was condemned by a condescending judgemental moderator and i had my own back. Say whatever you want about me but my side of the street is squeaky clean. I needed help, bluelight USED to be great for information and comradery now it seems all the people i relate to moved somewhere else, left all the squares and condescending jerks with sticks up their ars in their wake. XOXOXOXO love you all so much muah muah muah
 
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