By Natan Schleider MD May 25th 2021 3 minute read
Physician Supervised NYC Home (or Work) Drug Testing or Work in 2021.
Home Urine Drug testing is available without prescription.
I find patients and the courts / legal system treat them like pregnancy tests. For example, you’re positive or negative and there is no room or understanding for anything in between.
During a recent court case, an attorney states: ‘This addict has too much marijuana in their urine.’
A standard urine drug screen may be information, but does NOT speak to the quantity of drug a patient is testing.
NYC Home Urine drug testing is an essential component of monitoring patients who are receiving controlled medicines–medicines monitored by the DEA.
Why is HOME testing so important? Because it allows the physician to have the patient perform a RANDOM drug test in the comfort of their home in minutes.
How does it work? Patients are mailed urine drug test containers. At a random time, the physician will contact them and ask them to produce a urine sample within 5 minutes on camera live. This virtually eliminates the chance for a patient to mess with the urine sample.
Both doctors and patients should be familiar with the characteristics and capabilities of screening and confirmatory drug tests.
Immunoassays are used for initial screening. In other words, hhey can give false-positive and false-negative results.
Therefore, all results are considered presumptive until confirmatory testing is performed.
False-positive results have significant implications for a patient’s pain treatment plan, and false-negative results can be a missed opportunity to detect misuse.
Urine drug testing is an essential component of monitoring of patients: who are receiving long-term opioid therapy, receiving long-term benzodiazepine, or stimulant therapy. This is especially true if the NYC doctor suspects misuse of medicine.
Standard urine drug screens (aka immunoassays) for opioids may not detect commonly prescribed semisynthetic and synthetic opioids. For example, methadone, fentanyl, and buprenorphine aka Suboxone mustbe tested for separately.
Similarly, home drug testing for benzodiazepines may not detect alprazolam (aka Xanax) or clonazepam (aka Klonopin)..
Basic urine drug tests can cross-react with other medications. This gives false-positive result. important implications for a patient’s pain treatment plan would result. False-negative results can cause missed opportunities to detect misuse.
Urine samples can be adulterated (diluted or tampered). Adding substances to mask positive results on urine drug testing is an example.
A toxicologist, a medical review officer (MRO), or lab pathologist are experts I turn to to help with home urine drug testing.
I provide my patients free urine drug test containers via mail (or in office). This way, I can practice medicine remotely and ensure compliance.
FOR MORE INFORMATION OF NYC HOME URINE DRUG TESTING PLEASE CALL 646-957-5444 OR SCHEDULE AN APPOINTMENT WITH ME VIA ZOCDOC.
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