Drug Testing and Buprenorphine: Are Motives Tainted?

First Posted 11/23/2013As fear of buprenorphine diversion sweeps the nation, some states have passed legislation adding more rules for practices that treat addiction using buprenorphine.    Never mind that buprenorphine is linked to about 400 deaths over ten years, one tenth of the number of deaths from acetaminophen during that same Read more…

Who Pays For Health Care? (Hint: We ALL Do)

First Published 4/20/2013 I realize that practice patterns differ between practices, even those treating the same condition (opioid dependence) with the same medication (buprenorphine).  Differing patient characteristics result in different regional standards of care, for example.  And some areas have access to services (e.g. group treatments or laboratory testing) that Read more…

Urine Drug Testing on Suboxone

First Posted 2/15/2013 A recent exchange with a reader decribes some problems from urine drug testing on Suboxone: I have been on buprenorphine for 5 yrs.  Recently my doctor stated that my u/a t looked like I have been ‘loading my meds.’  He said my levels where ‘backwards’ and that Read more…