Urine testing

Routine Labwork is a Part of All Buprenorphine Practices

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Description: 
The following is a list of currently waived analytes that are used in laboratory test systems. The list provides the analyte name as well as a link to the waived test system.
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Food and Drug Administration (FDA)
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Description: 
Comprehensive document detailing the HIPAA Privacy Rule and its implications for alcohol and substance abuse programs.
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Department of Health and Human Services (DHHS)
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Describes CPT codes for urine drug testing as of March 2013
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Physicians Office Resource
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Description: 
The following is a list of currently waived analytes that are used in laboratory test systems. The list provides the analyte name as well as a link to the waived test system.
Source: 
Food and Drug Administration (FDA)
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Urine Testing in Buprenorphine Treatment

Description: 
Information on the logistics of urine testing, including the timing of testing, frequency, location, and test type.

Being able to accurately gauge the current drug use by patients enrolled in a substance abuse program is essential; self-reports, family member reports, observation of attitude alteration, and behavior changes are generally insufficient. Therefore, urine testing is an integral part of the office-based buprenorphine treatment program and should be explained as such to patients during the initial discussion of the treatment rules and expectations. Patients must understand that this, too, is an ongoing part of their treatment.

Considerations

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Urine Testing

Description: 
Basic information on urine testing in potential opioid-dependent patients.

This table provides basic information on urine testing in potential opioid-dependent patients.

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Description: 
This chapter from TIP 43: Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs discusses the use of drug testing as a means of monitoring patient progress and treatment efficacy. This chapter details several methods for implementing drug testing, their effectiveness, and their pros and cons.
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Center for Substance Abuse Treatment (CSAT)
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Description: 
Provides patients with an in-depth look at what to expect from buprenorphine treatment including preparing for treatment, urine testing, counseling, and effects on sleep and relationships.
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The National Alliance of Advocates for Buprenorphine Treatment (NAABT)
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