| Re: oxy and hyrdo
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
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