MS contin ER showing up on drug screen as Dilaudid
This is very important for those of you taking morphine sulfate extended release.
My dad suffers from chronic pain due to a spinal cord injury. A few months ago, his doctor told him that he would no longer prescribe his meds (morphine sulfate er, and ms ir for bt meds), and sent him to a pain doctor that also specializes in addiction. My dad went in for his first monthly appointment and was given a drug test. Now, my dad is paralyzed from the waist down, and cannot get out of bed by himself. He lives in a very small town and only gets up for a few hours per week. He would have no way of getting street drugs. It just wouldn't be possible. The doctor called him about a week after the drug test and told him that he tested positive for Dilaudid, and would be immediately placed in detox. My dad has a lot of serious health conditions and would have to probably do detox in the intensive care unit of the local hospital. Detox would be an incredible stress on his health. The doctor that did the drug test grilled my dad's wife, and accused her of giving my dad dilaudid to keep him sedated. He told my dad that he (my dad) was a drug addict. My dad was very distraught and incredibly worried that his pain would go untreated. My dad asked that the original urine sample be retested. The doctor told him he would, but that nothing mattered to him expect the piece of paper he had in front of him that said my dad tested positive for dilaudid. He said no amount of retesting would ever convince him otherwise.
About a week after the original confrontation, the doctor called back and said he had spoken with the lab and they determined that morphine sulfate extended release can sometimes show up as dilaudid (hydromorphone?) in a drug screen, and apologized. How could a pain doctor and addiction specialist not know this?! This has made me very worried, because I also take morphine sulfate ER. If you take this medication and have to submit to a drug test, make sure you talk with your doctor about this. I don't know if this has ever happened to anyone else, but it just speaks to how even pain doctors can be uninformed about these things.