Synthetic Urine. YAY!

[whopper]

Name says it all. Of course it's only for drinking purposes. Of course who wants to drink real urine when you can drink synthetic urine instead!?!?!

Best Synthetic Urine Kits: Top 5 Fake Pee Products To Pass A Drug Test

Discover the best synthetic urine products and fake pee kits available on the market. Learn how to pass a drug test with ease using these reliable methods.

theislandnow.com

synthetic urine - Google Shopping

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[littlefred]

Don't forget to get the whizzinator while you're at it!

Amazon product ASIN B084LZ5P1J

 

[wolfvgang22]

Name says it all. Of course it's only for drinking purposes. Of course who wants to drink real urine when you can drink synthetic urine instead!?!?!

Best Synthetic Urine Kits: Top 5 Fake Pee Products To Pass A Drug Test

Discover the best synthetic urine products and fake pee kits available on the market. Learn how to pass a drug test with ease using these reliable methods.

theislandnow.com

synthetic urine - Google Shopping

www.google.com

"

"1 out of 5 stars. I drank 2 litres of this Urine and not only did I fail my drug test, I still got COVID anyway. Earthy aroma and realistic asparagus flavor, though."

 

[SubzDoc]

Don't forget to get the whizzinator while you're at it!

Amazon product ASIN B084LZ5P1J

I had two OUD patients use a whizzinator. I would not have known any better, but they acted suspicious when it came time to drop urine. The exceptionally sharp nurse in the program told them they tested positive for cocaine (they did not). They admitted to using the whizzinator and surrogate urine.

 

[Alemo]

I’ve never understood the whole “catch me if you can” cat and mouse game of addiction. I wonder if they go into the psychodynamic aspect of these relationships in the fellowship.

If someone is using synthetic urine, they’re trying to hide having used a substance, right? (Are there urines that show you’ve been “taking” Adderall when in fact you’re selling them?) so my point is, won’t there be other major red flags of addiction? Like using the fake urine in order to keep getting Suboxone while you’re still shooting up isn’t just going to reach some steady state situation that can continue indefinitely. The wheels are going to fall off eventually.

Passing a drug test for work (no ongoing treatment or even anyone knowing about your use) I suppose is a different story.

 

[Taddy Mason]

I’ve never understood the whole “catch me if you can” cat and mouse game of addiction. I wonder if they go into the psychodynamic aspect of these relationships in the fellowship.

If someone is using synthetic urine, they’re trying to hide having used a substance, right? (Are there urines that show you’ve been “taking” Adderall when in fact you’re selling them?) so my point is, won’t there be other major red flags of addiction? Like using the fake urine in order to keep getting Suboxone while you’re still shooting up isn’t just going to reach some steady state situation that can continue indefinitely. The wheels are going to fall off eventually.

Passing a drug test for work (no ongoing treatment or even anyone knowing about your use) I suppose is a different story.

Toxicology and it’s use in monitoring isn’t that black and white and ultimately up to the physician in how he/she uses it. In terms of creating a “cat and mouse” dynamic that’s honestly probably more on the physician and how she/he choose to use toxicology than it is the patient. Unless you create a punitive environment, whizzinators and fake urine are more apt to show up when something greater is at stake (e.g., legal repercussions, physician health programs, etc.). If you’re worried about diversion you can always do truly random urines and/or confirmatory testing. And while it obviously warrants a discussion, idk that bup is necessarily the worst thing for patients to divert considering what it is most likely being used for….

 

[medhead1990]

Don't forget to get the whizzinator while you're at it!

Amazon product ASIN B084LZ5P1J

I worked at a drug rehab befor medical school and we had someone buy one of these. Unfortunately for them they were Caucasian and it was made for someone who is black! it came in the mail the day before so he had no choice but to use it (we actually had to generally observe them when they provided sample), occasionally raised some eyebrows and totally got busted! 🙂

 

[hallowmann]

Toxicology and it’s use in monitoring isn’t that black and ultimately up to the physician in how he/she uses it. In terms of creating a “cat and mouse” dynamic that’s honestly probably more on the physician and how she/he choose to use toxicology than it is the patient. Unless you create a punitive environment, whizzinators and fake urine are more apt to show up when something greater is at stake (e.g., legal repercussions, physician health programs, etc.). If you’re worried about diversion you can always do truly random urines and/or confirmatory testing. And while it obviously warrants a discussion, idk that bup is necessarily the worst thing for patients to divert considering what it is most likely being used for….

Exactly. The legal system, some docs and punitive OTPs that punish the patients with OUD by withholding methadone or Suboxone when they test positive for THC are the ones that create these dynamics. Like I really don't care if you are using weed or even meth beyond the potential adverse health and psychiatric impact on you. I'm not going to refuse you a medication that's protecting you from an unsafe supply of opioid roulette.

Now while I obviously don't love diversion, there certainly are worse things out there than buprenorphine diversion. Easily get 1-2 patients every couple months whose exposure to buprenorphine was on the street and they found they could actually live somewhat normal lives when on it, so they managed to come in.

 

[comp1]

Cat and mouse is the wrong concept. You aren't trying to "catch" the patient. You're trying to understand the patient. If your treatment is going great and there are no problems...why can't they step down to a lower level of care away from you? If it's not going so well, then you need to understand why and part of the why is often the tox screen. And if you're relying on the patient to tell you, then addictions might not be for you since deception (including to oneself most of all) is often a core feature of the disorder. But conceptualizing the patient as something you need to "catch" doing something is not the right idea.