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Are You Testing for the Right Substances? Opiates vs Opioids in Rehab & AOD Drug Screening

· Ashley

Creatinine Urine Test Strip demonstration

Are You Testing for the Drugs Your Clients Are Actually Using?

In rehabilitation and AOD (alcohol and other drug) support programs, drug testing plays a vital role in monitoring substance use, supporting accountability, and ensuring safe environments. But there’s a gap in many onsite drug test panels that often goes unnoticed:

Most standard onsite drug test kits are designed for workplace testing and detect opiates, not opioids.

This distinction can have a serious impact on how effectively a program monitors and manages opioid use or medication compliance.


What’s the Difference Between Opiates and Opioids?

CategoryDefinitionExamples
OpiatesNaturally derived from the opium poppyMorphine, Codeine, Heroin
OpioidsA broader group that includes synthetic and semi-synthetic substancesOxycodone, Methadone, Buprenorphine, Fentanyl

The Australian Standards for workplace and professional drug screening — AS/NZS 4308:2023 (urine) and AS/NZS 4760:2019 (oral fluid) — only require testing for opiates as part of the core panel.


Why This Matters for Rehab and AOD Programs

Many individuals entering treatment are:

  • Being prescribed methadone or buprenorphine (Suboxone®/Subutex®) for opioid dependence
  • Misusing prescription opioids like oxycodone (OxyContin®, Endone®)
  • Potentially exposed to high-risk synthetic opioids like fentanyl

Standard test kits without extended panels may not detect these substances — meaning:

  • Relapse may go unnoticed
  • Non-prescribed use could be missed
  • Diversion risks aren’t addressed
  • Medication adherence can’t be confidently confirmed

What to Look for in an Effective Rehab Drug Test Kit

SubstanceDetected by standard “OPI” line?Requires dedicated test line?
Morphine✅ YesNo
Codeine✅ YesNo
Heroin✅ Yes (via morphine metabolite)No
Oxycodone❌ No✅ OXY
Methadone❌ No✅ MTD
Buprenorphine❌ No✅ BUP
Fentanyl❌ No✅ FEN

At Royal Medical, we supply onsite test kits designed specifically for use in:

  • Rehabilitation centres
  • AOD support programs
  • Withdrawal units
  • Outreach and community health settings

Each kit is:

  • Configured for expanded opioid panels
  • Built with adulterant detection and temperature strips
  • Designed for onsite, forensic, or program-based screening
  • Supplied in bulk with flexible pricing options

Supporting Safer Recovery Through Smarter Testing

Reliable onsite drug testing supports better decision-making in treatment environments. Whether you’re monitoring medication compliance, assessing relapse risk, or protecting staff and participants, the right test panel is essential.

Our Maxi Clear and DrugCheck urine test cups and oral fluid devices are used by professional services nationwide — chosen for their:

  • AS/NZS compliance
  • Extended detection capabilities
  • Fast results
  • Ease of use in real-world rehab settings

Let’s Help You Find the Right Kit

Whether you’re reviewing your current testing protocols or setting up a new program, we can help configure the right solution for your needs.

Royal Medical Supplies
Australia’s trusted supplier of professional drug & alcohol screening kits for workplace, rehabilitation, and support programs.

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📧 Email: Sales@royalmedical.com.au

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