Buprenorphine

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Dr Jeff

Buprenorphine

Post by Dr Jeff » Mon May 20, 2019 1:16 pm

Donor confirmed positive for morphine (2,300 ng/mL). During questioning, she reported ingesting poppy seed bagels pretty regularly... But also informed me that she began Suboxone 24 hrs prior to the test. Based on her self admission, I reported out as a Neg w/ safety concerns. Subsequent Bup. testing came back negative. The Union is filing a grievance. As I recall, it's the MRO's responsibility to report any safety concerns that may be disclosed during the interview process...even with the negative result? Just want to confirm this...



Robert Swotinsky MD
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Re: Buprenorphine

Post by Robert Swotinsky MD » Mon May 20, 2019 7:21 pm

Yes. The reporting of likely safety concerns is based on information ancillary to the drug test result, but which is identified during review of the test result.

deniwar

Re: Buprenorphine

Post by deniwar » Fri May 24, 2019 11:24 am

I would have thought this would be called positive for opiates. The morphine level is over 2000 and food products can not be used to validate a result. Could someone explain this to me??

Robert Swotinsky MD
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Re: Buprenorphine

Post by Robert Swotinsky MD » Sun May 26, 2019 2:42 pm

2,000 ng/mL is the federal confirmation cutoff for morphine and codeine.

The federal procedures direct MROs that morphine and codeine concentrations of 15,000 ng/mL or above are not explainable by poppy seed ingestion.

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