Regular drug tests are typically part of treatment when recovering from drug addiction. These tests help track drug use, so healthcare providers can measure how successful treatment is in helping you maintain sobriety. You may also need to undergo drug testing to gain employment. If you are being treated for an addiction to opioid drugs, such as morphine, oxycodone, or heroin, you may be receiving Suboxone as part of your treatment.
Suboxone is an FDA-approved medication used to treat people with opioid use disorders. Taking their prescribed daily dose of Suboxone helps minimize opioid withdrawal symptoms and reduce their cravings for opioids during recovery.
Suboxone, a combination medication containing Buprenorphine and Naloxone, is one of the main medications used for medication-assisted therapy (MAT) for opiate addiction. Suboxone works by tightly binding to the same receptors in the brain as other opiates, such as heroin, morphine, and oxycodone. MATs have been shown to lower the risk of fatal overdoses by approximately 50%.
Buprenorphine is an opioid partial agonist-antagonist, meaning it mimics some of the effects of opioid drugs. When a person is recovering from opiate or prescription opioid abuse, Buprenorphine helps stop withdrawal symptoms from emerging. Buprenorphine is effective in re-establishing normal brain function and preventing relapse. While Naloxone is an opioid antagonist, It will counteract the depressing effects of opioids on the lungs and central nervous system so that one can maintain normal breathing. Adding Naloxone to Buprenorphine helps to prevent misuse or diversion of the Buprenorphine.
Most opioid panels test for two specific metabolites: morphine, and 6-acetylmorphine, the latter unique to heroin. However, some substances are not as easy to detect, such as the case with Buprenorphine, the opioid ingredient in Suboxone, which will not appear in an opioid drug test. Buprenorphine is a synthetic opioid, not an opiate, and does not metabolize as morphine, so it will not appear on a general opiate or opioid panel.
Although Buprenorphine is similar to opioids, it is sufficiently distinct in structure to morphine that it essentially shows no reactivity in commonly marketed morphine-specific immunoassays. Detection of Buprenorphine requires entirely separate immunoassays specific for this compound, or another sort of testing, such as liquid chromatography-tandem mass spectrometry, which is expensive.
Most pre-employment and probation tests are the "Five-panel" variety that tests for opiates, amphetamines, methamphetamines, marijuana, and cocaine. Suboxone will NOT show up on these tests. It will only be detected in a 12-panel urine test or if specifically tested for.
Side effects of Suboxone:
Because one of the main ingredients in Suboxone (Buprenorphine) is an opioid, it can produce side effects such as euphoria. Even though the maximum impacts of Buprenorphine are less than those of full agonists like heroin and methadone, drug abusers have learned to get high on Suboxone. Some of the reported physical, psychological, and behavioral symptoms of Suboxone abuse include:
• Impaired coordination
• Slurred speech
• Inability to think clearly
• Lying to doctors to get Suboxone
• Doctor shopping to get extra Suboxone
Suboxone abuse causes withdrawal symptoms when a person stops abusing this drug or significantly reduces their regular intake level. Withdrawal symptoms include cravings for Suboxone (or other opioids or opiates), diarrhea, flu-like symptoms, shaking, and muscle pain.
How reliable are home drug tests for Suboxone?
The opioid ingredient in Suboxone, Buprenorphine, will not appear in an opioid drug test unless you take a multi-panel test that specifically tests for Buprenorphine. However, if you are being recommended Suboxone, you shouldn't have to worry about a positive test buprenorphine test.
Some first-check home drug test products are more than 99 percent accurate in detecting specific drugs according to the designated cut-off levels. However, if a more sensitive test is managed, there is a chance of testing positive if drugs are present in the urine.
While Suboxone acts as some of the effects of opioid drugs, Suboxone does not show up on panels as other opioids. It will only show up if the panel tests for Buprenorphine (one of the components of Suboxone) and its metabolites.
Halux DIAGNOSTIC offers CLIA-Waived Products such as 12-Panel Drug Tests Buprenorphine. If you are consistently drug testing, we recommend using the integrated cups because they are more convenient than the dip cards. However, if low cost is the greatest concern, we recommend using dip cards.
FDA-cleared urine drug test allows you to test for 12 drugs and includes Buprenorphine or Suboxone, Methadone, and Oxycodone. Extremely accurate results.
For additional information about drug testing products, drug tests, and any other concerns, don't hesitate to get in touch with us: