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Buprenorphine

Interpretation

  • The elimination half-lives have ranged from 1.2 to 7.2 hours after intravenous injection; elimination half-lives after sublingual or transdermal use are longer and may range from 20 to 36 hours or more.
  • Buprenorphine is metabolized through N-dealkylation to the pharmacologically active metabolite N-dealkylbuprenorphine (norbuprenorphine) through cytochrome P450 3A4 and by conjugation to glucuronide metabolites.
  • The presence of buprenorphine or norbuprenorphine >LOQ indicates exposure to buprenorphine within 7 days.

Approximate Detection Times

Buprenorphine LOQ (ng/mL) Detection Time* up to
     Buprenorphine
0.5
7 days
     Norbuprenorphine
0.5
7 days
*These are approximate detection times for the drug or metabolites in urine. The actual detection time depends on dose, frequency of use, and individual metabolism.


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