Opioid Dependence Blood Test

What is Opioid Dependence?

Opioid dependence is a chronic medical condition characterized by physical and psychological reliance on opioid medications or illicit opioid drugs. It is caused by repeated exposure to opioids such as morphine, codeine, oxycodone, hydrocodone, and hydromorphone, which alter brain chemistry and create tolerance and withdrawal symptoms. The Opiate Confirmation Serum Test is the most important test for detecting opioid dependence because it measures multiple opioid drug levels in the bloodstream.

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What causes opioid dependence?

Opioid dependence is caused by repeated use of opioid drugs that change how your brain functions and responds to pain and pleasure. When you take opioids like morphine, oxycodone, hydrocodone, codeine, or hydromorphone regularly, your brain adapts to their presence and begins to rely on them to feel normal. Over time, your body develops tolerance, meaning you need higher doses to get the same effect, and you experience withdrawal symptoms like sweating, anxiety, muscle aches, and nausea when you stop taking them. This cycle of tolerance and withdrawal creates both physical and psychological dependence that makes it extremely difficult to quit without medical help.

What is the best test for opioid dependence?

The Opiate Confirmation Serum Test is the most important test for opioid dependence because it detects and measures specific opioid levels in your blood, including codeine, hydrocodone, hydromorphone, morphine, and oxycodone. This blood test provides objective evidence of recent opioid use and can show elevated drug concentrations that indicate chronic use and potential physical dependence. Unlike screening tests that simply show positive or negative results, this confirmation test measures exact drug levels, which helps healthcare providers assess the severity of dependence, monitor treatment progress, and make informed decisions about medication-assisted treatment and other therapeutic interventions.

When should I get tested for opioid dependence?

You should get tested if you have been taking prescription opioid pain medications for more than a few weeks and notice you need higher doses to control pain, if you experience withdrawal symptoms like sweating, anxiety, or muscle aches when you miss a dose, or if you find yourself thinking about your medication constantly or taking it for reasons other than pain relief. Testing is also important if you are starting a treatment program for opioid dependence, as baseline measurements help track your progress. Additionally, if family members or friends have expressed concern about your medication use, or if you have a history of substance use issues, getting tested can provide clarity and help you access appropriate treatment before dependence becomes more severe.

What are the symptoms of opioid dependence?
Opioid dependence symptoms include physical signs like needing higher doses to feel the same effects, experiencing withdrawal symptoms such as sweating, chills, nausea, vomiting, diarrhea, muscle aches, and anxiety when you miss a dose or try to cut back. You might also notice behavioral changes like spending excessive time obtaining, using, or recovering from opioids, neglecting work or family responsibilities, continuing to use opioids despite negative consequences, and feeling unable to control or reduce your use. Psychological symptoms include intense cravings for opioids, using them to cope with emotions rather than just for pain, and feeling anxious or irritable when you cannot access your medication.
Who is at risk for opioid dependence?
Anyone taking opioid medications is at some risk, but certain factors increase vulnerability. People with chronic pain who take opioids long-term, those with a personal or family history of substance use disorders, individuals with mental health conditions like depression or anxiety, and younger adults are at higher risk. Taking high doses of opioids, using them for extended periods beyond what was prescribed, having easy access to opioids through prescriptions or family members, and experiencing social isolation or high stress levels also increase risk. Additionally, people who have experienced trauma, those with a history of tobacco or alcohol use, and individuals who start using opioids recreationally rather than for medical purposes face elevated risk of developing dependence.
What happens if opioid dependence is left untreated?
Untreated opioid dependence can lead to serious and potentially fatal complications. The risk of accidental overdose increases significantly as tolerance builds and people take higher doses, which can cause respiratory depression, coma, and death. Chronic opioid use damages relationships, careers, and financial stability, and often leads to risky behaviors like sharing needles if someone transitions to injectable drugs, increasing the risk of infections like HIV and hepatitis C. Physical health deteriorates with complications including severe constipation, hormonal imbalances, weakened immune system, and increased sensitivity to pain. Mental health worsens with higher rates of depression, anxiety, and suicide. Without treatment, the cycle of dependence typically intensifies, making recovery more difficult and increasing the likelihood of switching to more dangerous opioids like heroin or fentanyl.
Can opioid dependence be diagnosed with a blood test?
Blood tests cannot diagnose opioid dependence by themselves, but they play a crucial supporting role in confirming opioid use and assessing severity. The diagnosis of opioid dependence is primarily clinical, based on behavioral patterns like inability to control use, continued use despite harm, withdrawal symptoms, and tolerance. However, the Opiate Confirmation Serum Test provides objective evidence by detecting and measuring specific opioid levels in your bloodstream, which helps healthcare providers verify suspected dependence, monitor treatment compliance, and track progress during recovery. Blood test results showing elevated or persistent opioid levels, combined with clinical symptoms and behavioral assessment, give doctors a complete picture to make an accurate diagnosis and create an effective treatment plan.
How is opioid dependence treated?
Opioid dependence is treated with a combination of medication-assisted treatment and behavioral therapies for the best outcomes. Medications like buprenorphine, methadone, or naltrexone help reduce cravings and withdrawal symptoms, allowing you to focus on recovery without the physical discomfort that often leads to relapse. These medications work by either partially activating opioid receptors to ease withdrawal, blocking opioid effects, or stabilizing brain chemistry. Alongside medication, counseling and behavioral therapies like cognitive-behavioral therapy help you develop coping skills, identify triggers, and address underlying issues contributing to dependence. Treatment programs may be outpatient or inpatient depending on severity, and many people benefit from support groups, peer recovery programs, and ongoing medical monitoring including blood tests to track progress and ensure medication levels are therapeutic.
How can I prevent opioid dependence?
Prevention starts with using opioid medications exactly as prescribed and only for as long as medically necessary. Always discuss pain management alternatives with your doctor, such as physical therapy, non-opioid pain medications like acetaminophen or ibuprofen, or other treatments appropriate for your condition. Keep track of how much medication you are taking and never increase your dose without consulting your healthcare provider. Store opioids securely to prevent access by others and dispose of unused medications properly through pharmacy take-back programs. Be aware of warning signs like needing higher doses, taking medication for reasons other than pain, or experiencing withdrawal symptoms between doses, and communicate these concerns to your doctor immediately. If you have risk factors like a history of substance use or mental health conditions, work closely with your healthcare team to develop a comprehensive pain management plan that minimizes opioid use.
What natural remedies help with opioid withdrawal?
While natural remedies cannot replace medical treatment for opioid dependence, several approaches can support the withdrawal process under medical supervision. Staying well-hydrated and eating nutritious meals helps your body recover from the physical stress of withdrawal. Gentle exercise like walking or yoga can reduce anxiety, improve mood, and help regulate sleep patterns that are often disrupted during withdrawal. Some people find relief from muscle aches and restlessness through warm baths with Epsom salts, which contain magnesium that may help relax muscles. Herbal teas like chamomile or peppermint can soothe digestive upset and promote relaxation. However, it is critical to understand that opioid withdrawal can be dangerous without medical supervision, and these natural approaches should only supplement, never replace, professional medical treatment including medication-assisted therapy and counseling that significantly improve success rates and safety.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
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  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at support@privatemdlabs.com. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com.
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com.

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
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Opiate, Confirmation, Serum
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What's included
Fast & easy, results by email & SMS
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
No extra fees paid at the lab

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