Opioid treatment and reversal

Does a drug test detect Norbuprenorphine?

Yes. Norbuprenorphine is one of the 76 compounds in the LabX LC-MS/MS confirmation panel, reported as detected at or above 10 ng/mL. It is a breakdown product of buprenorphine. Norbuprenorphine is not one of the 12 lines on the LabX 12-panel screen. It is identified by adding laboratory confirmation, which tests for all 76 compounds on the panel.

10 ng/mLLaboratory cut-off
10–2,500 ng/mLReportable range
0.5 to 1 dayApprox. window (varies)
LC-MS/MSConfirmation method

What is Norbuprenorphine?

Norbuprenorphine is the main metabolite of buprenorphine, formed in the liver. It is not prescribed on its own.

Medical use

Norbuprenorphine has no separate medical use; it reflects buprenorphine that has been metabolized.

Because Norbuprenorphine comes from Buprenorphine, the two are reported side by side and read together.

How LabX tests for Norbuprenorphine

Norbuprenorphine is measured by liquid chromatography with tandem mass spectrometry (LC-MS/MS), which separates the compounds in a sample and identifies each one by its mass. That is different from a rapid screen, which reacts to a family of drugs and can occasionally react to a related substance. The laboratory reports Norbuprenorphine as detected when its concentration is at or above the cut-off of 10 ng/mL, within a reportable range of 10–2,500 ng/mL. It is one of 5 compounds in the opioid treatment and reversal family on the 76-drug confirmation panel.

Detection window

The laboratory's confirmation report lists an approximate detection window of 0.5 to 1 day for Norbuprenorphine. Treat that as a rough guide only: how long any compound stays measurable varies with the amount taken, how often it is used, body composition, metabolism, kidney and liver function, and hydration. A laboratory result cannot be used to work out when a substance was taken.

Screen versus confirmation

Norbuprenorphine is not one of the 12 lines on the LabX 12-panel screen. It is identified by adding laboratory confirmation, which tests for all 76 compounds on the panel.

Worth knowing

Buprenorphine present without norbuprenorphine is a pattern treatment programs pay attention to, because it can suggest the medicine did not pass through the body. Only a licensed physician should interpret that in context.

About this drug family

Medicines used to treat opioid and alcohol use disorder or to reverse an overdose, with their metabolites, as monitored in treatment programs.

Common questions

Does a drug test detect Norbuprenorphine?

Yes. Norbuprenorphine is one of the 76 compounds in the LabX LC-MS/MS confirmation panel, reported as detected at or above 10 ng/mL. It is a breakdown product of buprenorphine. Norbuprenorphine is not one of the 12 lines on the LabX 12-panel screen. It is identified by adding laboratory confirmation, which tests for all 76 compounds on the panel.

What is the laboratory cut-off for Norbuprenorphine?

LabX reports Norbuprenorphine as detected at or above 10 ng/mL, and the method's reportable range is 10–2,500 ng/mL. A result below the cut-off is reported as not detected; it does not prove none was present.

How long can Norbuprenorphine be detected?

The laboratory lists an approximate window of 0.5 to 1 day, but it varies with dose, frequency of use, metabolism and hydration, and cannot be used to tell when something was taken.

Can a 12-panel drug screen detect Norbuprenorphine?

Norbuprenorphine is not one of the 12 lines on the LabX 12-panel screen. It is identified by adding laboratory confirmation, which tests for all 76 compounds on the panel.

Is Norbuprenorphine a prescription medicine?

Norbuprenorphine has no separate medical use; it reflects buprenorphine that has been metabolized.

What drug does Norbuprenorphine come from?

Norbuprenorphine is a breakdown product of buprenorphine. Laboratories measure it because it shows the parent drug was actually processed by the body.

Related compounds

Terms on this page: metabolite Β· cut-off Β· detection window Β· presumptive result Β· confirmation test. More questions: LabX answers.

Test for Norbuprenorphine and 75 other compounds

12-panel urine $89 or fingerstick blood $99, plus the 76-drug LC-MS/MS confirmation for +$89.

At-home drug tests and test kits are not currently available to addresses in New York, New Jersey, Rhode Island or California. Results are not a diagnosis β€” review them with a licensed physician.

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Talk to a licensed physician. LabX Diagnostics and Vantage provide laboratory testing only. The information on this page is educational and is not medical advice, diagnosis or treatment. Always consult a licensed physician or other qualified healthcare provider about test results, symptoms or medicines, and before making any health decision. If you think you may have a medical emergency, call 911. Read our medical disclaimer.

Medical disclaimer. LabX Diagnostics and Vantage provide laboratory testing only. Test results and information on this site are for informational purposes and are not medical advice, diagnosis or treatment. Always consult a licensed physician or other qualified healthcare provider about your results and before making any health decision. If you think you may have a medical emergency, call 911. Read the full disclaimer.

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