pmtest
05-02-2009, 02:17 AM
i have a script for hydrocodone 10 from a pain clinic. i was drug tested and tested positive for oxy and opi, which i know that oxy is an opiate, but i havent taken any oxy so why would i have tested positive for oxy and not just the opiate?
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Executor
05-02-2009, 12:35 PM
Can you provide a little more information?
- What did your Doc say?
- Were you dismissed?
- What type of test did they employ?
Regards,
Ex
- What did your Doc say?
- Were you dismissed?
- What type of test did they employ?
Regards,
Ex
feelbad
05-02-2009, 01:18 PM
hey ex, i cannot remember the exact name of what hydro gets metabed down to, but i seem to recall something about hydro actually metabing to oxymorphone or something?? i am sure it was some form of oxy. this was in a thread a while back too where someone had this same experince? do you remember? marcia
pmtest
05-03-2009, 12:09 PM
Can you provide a little more information?
- What did your Doc say?
- Were you dismissed?
- What type of test did they employ?
Regards,
Ex
the doctor didnt say anything and gave me my presciption for one month, which normally he gives me 3 refills. he was talking about that they are going to stop giving refills and making patients come in monthly, but on one hand i think thats bull because i cant find anything stating "new rules or regulations" for a schedule III drug. the test was a 8 panel maybe, not sure/ thanks for any insight
- What did your Doc say?
- Were you dismissed?
- What type of test did they employ?
Regards,
Ex
the doctor didnt say anything and gave me my presciption for one month, which normally he gives me 3 refills. he was talking about that they are going to stop giving refills and making patients come in monthly, but on one hand i think thats bull because i cant find anything stating "new rules or regulations" for a schedule III drug. the test was a 8 panel maybe, not sure/ thanks for any insight
Executor
05-03-2009, 03:42 PM
This is a tough one because it comes down to what type of test they used and how sophisticated it was. Normally, in PM, they use fairly technical testing methods, which can break drugs down to their individual type, plus screen for other variables such as masking drugs, and normal levels of Creatinine and nitrates....Ensures the urine has the right properties.
In cheap tests, Hydrodcodone and Oxycodone would simply show up as an "opiate" or opiate positive. But again, PM tests should have enough panels to determine the difference between the two.
Additionally, there is a list a mile long of meds / drugs that can trigger a false positive...Everything from Nyquil to other prescription meds. I can give you this list if you want to PM me.
I would tend to agree that the Doc changing the refills would make me think that maybe he's suspicious of you. However, he didn't dismiss you and apparently didn't give you any type of lecture. Did he even question you, or did he just say what the result was? To me, how he told you and what he said exactly, would be how I would judge the situation. And, since he gave you the reason he did (everyone being monthly now), then he has gone out of his way to explain that the test result wasn't the reason the for the lack of refills.
I can also confirm that many, if not most, PM Docs are under a lot of pressure these days to tighten up their prescribing guidelines....Regular appointments, no refills on the phone, regular UAs and etc. So, it may have been pure coincidence. I think had your Doc really suspected you, he would have said something. I would also think that if he suspects you, you'll be tested more frequently (in the near future).
Hope this helps.
Regards,
Ex
In cheap tests, Hydrodcodone and Oxycodone would simply show up as an "opiate" or opiate positive. But again, PM tests should have enough panels to determine the difference between the two.
Additionally, there is a list a mile long of meds / drugs that can trigger a false positive...Everything from Nyquil to other prescription meds. I can give you this list if you want to PM me.
I would tend to agree that the Doc changing the refills would make me think that maybe he's suspicious of you. However, he didn't dismiss you and apparently didn't give you any type of lecture. Did he even question you, or did he just say what the result was? To me, how he told you and what he said exactly, would be how I would judge the situation. And, since he gave you the reason he did (everyone being monthly now), then he has gone out of his way to explain that the test result wasn't the reason the for the lack of refills.
I can also confirm that many, if not most, PM Docs are under a lot of pressure these days to tighten up their prescribing guidelines....Regular appointments, no refills on the phone, regular UAs and etc. So, it may have been pure coincidence. I think had your Doc really suspected you, he would have said something. I would also think that if he suspects you, you'll be tested more frequently (in the near future).
Hope this helps.
Regards,
Ex
pmtest
05-04-2009, 01:22 AM
ex...thanks for all the insight...he didnt even discuss the results with me, i just looked at them when i got home, so no there was no lecture or anything, which i feel that if he was worried then he wouldnt have gave me my script and also he would have said somthing, maybe im just putting to much thought into it...this pm is out of network, which when i started i was using another insurance (job changed carries) so my visits arent covered right now until i meet my deductible, which that drug test is 540 alone which sucks because im going to have to pay that out of pocket but after that i will be covered there, i think...i didnt want to change pm because i had been going to him for a while and i didnt want to have to start over elsewhere...if i were to switch pm thats covered, would the new pm contact this pm, i just dont want to throw up any red flags as to me doctor shopping...thanks for you help
Executor
05-04-2009, 01:35 AM
he didnt even discuss the results with me, i just looked at them when i got home, so no there was no lecture or anything, which i feel that if he was worried then he wouldnt have gave me my script
What exactly did the results say? Did he hand you a copy at your appointment?
Regards,
Ex
What exactly did the results say? Did he hand you a copy at your appointment?
Regards,
Ex
slipperyslope
05-04-2009, 06:45 PM
Believe me, if there was oxy in your urine and your not prescribed it, your DR would have talked to you about this or dismissed you. I do beleive you are reading the results incorrectly because pain management DR'S that do UA'S are looking for just that. your UA was normal or your DR would have said something to you. I think your being a bit paranoid and you need to just drop this because it was obviously normal, OR your DR missed seeing it on the drug test, which is highly unlikely. I mean think about it. why would a DR bother doing a UA on you and than not mention something that you were not prescribed has shown up in your urine, it just doesn't make any sense to me.
you can call the company that took the drug test and inquire about it but that might be dangerous if you did take something that you were not prescribed but if your 100 % comfortable with things why don't you call the drug tester or your PM DR and ask so you can put your mind at ease. it sounds like its really bothering you. what company did your drug test. My PM used AIT. which is very sophisticated and expensive. It is sent off to a lab using the GS/MC system. they don't miss anything in those high end drug test.
SS
you can call the company that took the drug test and inquire about it but that might be dangerous if you did take something that you were not prescribed but if your 100 % comfortable with things why don't you call the drug tester or your PM DR and ask so you can put your mind at ease. it sounds like its really bothering you. what company did your drug test. My PM used AIT. which is very sophisticated and expensive. It is sent off to a lab using the GS/MC system. they don't miss anything in those high end drug test.
SS
pmtest
05-04-2009, 08:34 PM
What exactly did the results say? Did he hand you a copy at your appointment?
Regards,
Ex
the box next to "oxy" and "opi" was checked for a positive result. the test was done at the office and yes he gave the copy to me with my "check out" paper...
Regards,
Ex
the box next to "oxy" and "opi" was checked for a positive result. the test was done at the office and yes he gave the copy to me with my "check out" paper...
pmtest
05-04-2009, 08:50 PM
Believe me, if there was oxy in your urine and your not prescribed it, your DR would have talked to you about this or dismissed you. I do beleive you are reading the results incorrectly because pain management DR'S that do UA'S are looking for just that. your UA was normal or your DR would have said something to you. I think your being a bit paranoid and you need to just drop this because it was obviously normal, OR your DR missed seeing it on the drug test, which is highly unlikely. I mean think about it. why would a DR bother doing a UA on you and than not mention something that you were not prescribed has shown up in your urine, it just doesn't make any sense to me.
you can call the company that took the drug test and inquire about it but that might be dangerous if you did take something that you were not prescribed but if your 100 % comfortable with things why don't you call the drug tester or your PM DR and ask so you can put your mind at ease. it sounds like its really bothering you. what company did your drug test. My PM used AIT. which is very sophisticated and expensive. It is sent off to a lab using the GS/MC system. they don't miss anything in those high end drug test.
SS
i am 100% positive that i didnt take "oxy" anything. i know mistakes happen but they are so hard to prove that the test was wrong. i guess what i am saying is that i am scared to call them because it might bring attention to it, he was a pa and not the dr, so maybe he was just in a hurry and didnt even look at the test results...i just dont know what to think...on the drug test, the box next to opi and oxy was checked for positive...thanks for your feedback
you can call the company that took the drug test and inquire about it but that might be dangerous if you did take something that you were not prescribed but if your 100 % comfortable with things why don't you call the drug tester or your PM DR and ask so you can put your mind at ease. it sounds like its really bothering you. what company did your drug test. My PM used AIT. which is very sophisticated and expensive. It is sent off to a lab using the GS/MC system. they don't miss anything in those high end drug test.
SS
i am 100% positive that i didnt take "oxy" anything. i know mistakes happen but they are so hard to prove that the test was wrong. i guess what i am saying is that i am scared to call them because it might bring attention to it, he was a pa and not the dr, so maybe he was just in a hurry and didnt even look at the test results...i just dont know what to think...on the drug test, the box next to opi and oxy was checked for positive...thanks for your feedback
slipperyslope
05-04-2009, 09:02 PM
ok I didn't realize the box was checked for oxy. the PA did miss it than and that is bad of him, but good for you. How odd is that. I am glad he didn't notice it but the DR might so just go easy on your meds in case you need to taper and will be dismissed. that is what I would do. if you don't hear anything buy your next fill they obviously missed it. He probably assumed you take oxycontin and just missed it as its a common med they probably prescribe. But that is scary if you didn't take it and it showed up positive.
my PM DR does UA'S constantly and even though I am compliant every time he does them I go through TOTAL stress and anxiety and I am SO tired of it. Now that my GP prescribes my meds I won't have to worry about UA'S anymore. my Dr used the good one that goes to a lab, as there much more reliable than the dip stick type done in house. Its frightening to hear you didn't take percocet, oxycodone or oxycontin but yet you came up positive for it? that is horrible. I am sorry this happend to you.
SS
my PM DR does UA'S constantly and even though I am compliant every time he does them I go through TOTAL stress and anxiety and I am SO tired of it. Now that my GP prescribes my meds I won't have to worry about UA'S anymore. my Dr used the good one that goes to a lab, as there much more reliable than the dip stick type done in house. Its frightening to hear you didn't take percocet, oxycodone or oxycontin but yet you came up positive for it? that is horrible. I am sorry this happend to you.
SS
Executor
05-04-2009, 10:42 PM
When UA test results come back to the Doc's office, they are personally reviewed by the Docs...Sometimes "notes" or even check marks are put on them somewhere (usually at the top), and then filed in your chart. Thus, I doubt seriously that anyone "missed" it. That's too big of a mistake for a Doc's office to make....They can link the individual test to the patients meds without much effort and it's not a mistake they would make....It's like adding 2 + 2 incorrectly.
I think a more likely explanation is that the "opi" box was checked and it looks like Oxy or that the lab they use can't differentiate between Oxy and Hydro and therefore, the Doc's office doesn't care. A less expensive test, would explain this type of result. The absolute cheapest test is a "dip stick" test and it doesn't differentiate between the two....It's simply checking for opiates in general. Chances are that the Doc's office is looking for the more serious offenses.....Street, or illegal drugs and / or a lack of one's meds all together.
Regardless, I wouldn't worry about it. I think all will be fine.
Regards,
Ex
I think a more likely explanation is that the "opi" box was checked and it looks like Oxy or that the lab they use can't differentiate between Oxy and Hydro and therefore, the Doc's office doesn't care. A less expensive test, would explain this type of result. The absolute cheapest test is a "dip stick" test and it doesn't differentiate between the two....It's simply checking for opiates in general. Chances are that the Doc's office is looking for the more serious offenses.....Street, or illegal drugs and / or a lack of one's meds all together.
Regardless, I wouldn't worry about it. I think all will be fine.
Regards,
Ex
patti678
05-08-2009, 12:02 AM
hI:
I thought I would comment on your conversation. I take MS contin and the lab did the wrong test , so when I went to the Doctor he said that the lab said that I had no opiods at all in my blood or urine. I swear to my doctor that It must have been a lab error. He checked it out. It seems that the lab checked for cocaine, valium and of all things phenagren. THE ONLY THING THE FOUND WAS THE PHENEGREN. My DOCTOR knew at that point that I was taking my MS Contin as that is the only reason I would have needed the Phenagren for nausea. He changed labs and did a few more surprise tests and found my medications. It was a weird sensation having a doctor thinking that your not taking your pain meds !! ha ! ha! Like I would forget to take it since I have nerve pain in my face, sharp ice pick pain in left ear.(trigentimal neurogia).
Patti
I thought I would comment on your conversation. I take MS contin and the lab did the wrong test , so when I went to the Doctor he said that the lab said that I had no opiods at all in my blood or urine. I swear to my doctor that It must have been a lab error. He checked it out. It seems that the lab checked for cocaine, valium and of all things phenagren. THE ONLY THING THE FOUND WAS THE PHENEGREN. My DOCTOR knew at that point that I was taking my MS Contin as that is the only reason I would have needed the Phenagren for nausea. He changed labs and did a few more surprise tests and found my medications. It was a weird sensation having a doctor thinking that your not taking your pain meds !! ha ! ha! Like I would forget to take it since I have nerve pain in my face, sharp ice pick pain in left ear.(trigentimal neurogia).
Patti