The German lawmakers have imposed strict conditions for drug substitution therapy with the Prescription Regulations for Narcotics (BtMVV). It states
§ 5 Prescription for substitution
(2) The physician may prescribe a substitution substance for a patient under the conditions of Article 13 (1) of the Narcotics Act, if and as long as
4. The tests and findings by the physician did not lead to any conclusions that the patient
c) needs substances, whereby its consumption endangers the purpose of substitution with regard to scope and quantity or
d) that the substitution substance prescribed by him is used improperly,
Section 8 also states
Prescription in accordance with Clause 4 is not permissible, if the tests and findings by the physician lead to a conclusion that the patient
1. Consumes substances, which may endanger the intake of substitution substance,
2. Has not been set for a stable dosage taking tolerance limits into consideration or
3. Abuses the prescribed substances.
Due to these legal regulations, the physician providing substitution therapy is required to check his patients for possible abuse.
Conventional direct observation often leads to significant problems in clinical practice.
The Marker makes your life easier
The situation in clinical practice is vastly improved due to the lack of visual control:
- The organizational requirements are less, because testing does not require same-sex observation on the toilet.
- Discussions or disputes with the patients are prevented.
- Reliable and safe results take the stress away from doctor-patient relationship and offer a solid basis for safe therapy.
In Therapy and Detox
Urine tests are also regularly used in detoxification and therapeutic facilities. Such facilities are not required by the lawmakers to test for continued abuse; however urine tests offer important information about the course of therapy in this domain as well.
Various studies have scientifically explored the practical use of the Ruma Marker-System and its influence on users and patients and reached the following conclusions:
- The Ruma Marker-System improves therapy and thus leads to improved chances of success. Why should I manipulate when I will be caught anyway?
- The Ruma Marker-System improves doctor-patient relationship, because the relationship of trust is not impacted by degrading direct observation. This has a positive effect on intensity and honesty in therapeutic care.
- The Ruma Marker-System saves time - according to the study 'Urine Labelling Marker System for Drug Testing Improves Compliance' by Dr Simojoki und Prof. Alho, there is up to 50% improvement when compared to conventional direct observation. And, as the adage goes, time is money!
- Patient satisfaction and employee satisfaction improves significantly. Removing the potential for conflict that comes with direct observation relaxes the situation for all parties involved.
In Specialty Clinics and Psychiatric Hospitals
The Ruma Marker-System can be integrated comfortably into the existing processes in specialty clinics and psychiatric institutions and helps in making daily life more relaxed and safeer for patients and care givers. The fact that the results of a drug test don't have to be questioned – neither by the physician nor by the patient – creates space for trust and thus supports the therapy.
Also, the way that the marker substances pass the body allows patients to experience their own body functions in a a more normal and more natural form: Once taken, the marker remains in the urine unchanged until it is excreted. For the patients this means that they can go to the bathroom after the waiting period of 40 minutes at their own convenience - without pressure by strict time tables or waiting staff members. Just administer the marker in the evening and hand out a urine cup when the patient goes to his or her room. This way they are all set when they need to urinate during the night or in the morning.