How specific are pain mgmt urine tests?

[fish_bulb]

So my shrink gave me an rx for klonopin. I was wondering if I switched to another benzo (w/o rx), would they be able to tell? Or would it just show up as a benzo for which I have a valid scrip?

[billyboy1965]

So my shrink gave me an rx for klonopin. I was wondering if I switched to another benzo (w/o rx), would they be able to tell? Or would it just show up as a benzo for which I have a valid scrip?

You have a legal script for a quality benzo and you want to switch out to something else? Why?

Or are you really asking if you already have another non-scripted benzo in addition to the scripted one, would it show?

[Kittsoan1989]

@fish_bulb - if they do a standard dip-stick test the answer is NO - all benzos will show up the same. If they sent it off to a lab however, they could do more specific testing and find out exactly what benzos are in your system - so NO most likely (most places stick to standard dip-stick tests) - YES only if they did a moreexpensive lab test which is unlikely (and even then, they would have to be testing fro SPECIFIC benzos) - and that's VERY rare

[fish_bulb]

You have a legal script for a quality benzo and you want to switch out to something else? Why?

Or are you really asking if you already have another non-scripted benzo in addition to the scripted one, would it show?

My goal is not recreational, it is to reduce my social anxiety in a way that will allow me to hold down a job. Klonopin makes me too sleepy on its own, and along with percocet its debilitating. It barely reduces my anxiety symptoms anyway.

My insurance isn't that great, so I don't know if I will be able to afford enough appointments to allow my shrink to go through the trial and error process. I am not an assertive person, so I don't think I'd be able to convince the doc to let me try something else. I'd prefer to get benzos online and try them on my own one by one.

[fish_bulb]

@fish_bulb - if they do a standard dip-stick test the answer is NO - all benzos will show up the same. If they sent it off to a lab however, they could do more specific testing and find out exactly what benzos are in your system - so NO most likely (most places stick to standard dip-stick tests) - YES only if they did a moreexpensive lab test which is unlikely (and even then, they would have to be testing fro SPECIFIC benzos) - and that's VERY rare

\
The last test was sent out to a lab, the non-insurance rate was apparently billed around $800, so it seems like the more expensive one. Once I give them my prescription, maybe they will retest to ensure only the one I have the rx for is in my system? I have no history of substance abuse, I don't know if that matters for anything.

[jrobs]

I know that the dip sticks aren't accruate, but I would it test it with out the proper scripts! I have gone in there and pissed clean while having a script for benzo's and hydro's... and I also passed on the benzo test with the five panel test... I took them the night before and right before I went in there. Maybe the fact I took them an hour before the test is why they came back negative or the test was old. Either way I told them I was on them and well they said, it didnt show.

Now if I had no benzos and hydros i bet it would have shown.......

[Simpler13]

Now what do u do? I was just discharged for clean urine. I looked him in the eye and said I ran out of my mere 3 days ago, I'm responsible. How long dries oxycodone stay in ur system?
Dip stick test in office

[biancafiore]

So hydrocodone goes out of your system that quickly?
That is shocking!
I think hospitals and pain clinics use a more extensive test, I heard they can go back as far as 6 months with a blood test..

*This post was auto-merged. The following text was added 2 minutes after the last post:*

I also had a question, does anyone know how tramadol shows up in your system?
I have never abused drugs, and I have always used prescriptions responsibly, however, I believe all ERs will judge and mistreat any patient with controlled substances in their system..
Does anyone know how 'bad' tramadol is considered in comparison to vicodin or percocet?
-I know it is synthetic, does it show up in drug screens as the actual opiate?

[alumni]

It looks like no one has responded to you. @biancafiore
Hydrocodone has a serum half-life of less than 4 hours so it is not at all surprising that it would not be detected 3 days after using it.
And blood test tox screens cannot go back 6 months to identify substances ingested. Hair follicle screens can possibly, though.
In order to identify tramadol in a tox screen, it typically requires an individual, specific test. It is rarely searched for and will not show positive as an opiate.
I disagree with your assumption that all ER's will judge and mistreat a patient with "controlled substances" in their system. In my experience, that's just not true. It is important when being admitted to an ER for treatment to truthfully identify all drugs you are taking to avoid any mistaken interactions and incorrect diagnoses.

[GoingBananas]

My pain clinic send their tests to a place that charges a ew hundred too and I was told they are "more accurate than most people might think" whatever that meant. I am with you though. I got to the point where I could not afford it , all the dr visits to keep trying a different pil. I had a friend who had all the rxs and let me sample and I fond one that seemed to work best, I went in and siad in my past I had taken this and t worked best may I have it yes or no. He said no. So, I said alright I will take what you want. I did, then i kept calling int and complaining. Wthin a month he let me take what I requested. Most will not . They will just ask you to stop coming. SUpply and demand. They need you FAR less than you need THEM.

[JoeyButtafuoco]

My pain clinic send their tests to a place that charges a ew hundred too and I was told they are "more accurate than most people might think" whatever that meant. I am with you though. I got to the point where I could not afford it , all the dr visits to keep trying a different pil. I had a friend who had all the rxs and let me sample and I fond one that seemed to work best, I went in and siad in my past I had taken this and t worked best may I have it yes or no. He said no. So, I said alright I will take what you want. I did, then i kept calling int and complaining. Wthin a month he let me take what I requested. Most will not . They will just ask you to stop coming. SUpply and demand. They need you FAR less than you need THEM.

Was your doc using Ameritox where they have these magical algorithms that tell if you are abusing your meds? Ameritox was ruled against recently in a court of law for doing this. 400 dollars for the uninsured.

My doc uses a 13 panel test that he had custom made for his practice. He got to pic when chems were to be tested.

[GoingBananas]

Sounds about perfect actually. I just finally volunteered to have that 24/7 video installer put on my shoulder that could account for every second of my completely boring life but according to the pain institute the picture in one of the frames was a little grainy and they think I could have slipped in a liquid advil which is strictly against possible protocol according to someone from somewhere that might have reported it.

[Packrat]

My experience with a pain clinic was that they send the test out for screening to a gas chromatography lab to be sure it's accurate. That does not mean that the test will return the exact drug. A drug test (as opposed to a screen) is necessary for that.

As for Tramadol, while it's roots are from the Opiate family, it does not actually cross the blood-brain barrier and as such does not come up in a drug test. You can, however, become physically dependent as well as addicted to Tramadol so be careful.

[queentresa]

Pain clinic which I have been going to for 7 yrs straight they do a panel every 6 months. As far as which panel they do I have found all depends on your insurance. Mine which is for gov retiree will only pay for single panel screen that often. So if the insurance won't pay they do the least. So then they are testing to make sure your taking the prescribed meds and not selling them.
Through the years they have done the 10-14 panel and as long as I'm honest and up front with what may show up they have been cool about everything so I'm assuming it all depends on the clinic's rules.

[bob420]

I am not sure how truthful my Paid Doc was and I have not seen him for a few months on this but I was told he was able to go back 3 months with his test on some items. The PA made a big deal about a “new machine” they now have that was very accurate and could tell an approximate time of last use. They do in office testing in a back room. He was able to tell that I had not used xanex for at least a week when I last went to his office.
FYI he did not have a problem with THC in my system only cared about other medications.