Now getting drug tested by my PM doc. : (

[alumni]

Depending on the number of panels on the test, it is very easy to distinguish levels between codeine and hydrocodone metabolites.
Codeine is a "naturally occuring" opiate like morphine and hydrocodone (and oxycodone) is a semi-synthetic opioid compound.
Fully synthetic opioids like methadone and fentanyl usually require more comprehensive urine screens to detect their metabolites.
All depends on the individual test parameters.

[gazbg]

I guess I am lucky. My PM doctor has not tested my urine. In fact, nothing I signed included any "certification" of not using illegal drugs or my being subjected to random testing. I do MJ, but would quit if I thought it would risk my pain management relationship. Also, I wondered what they can see in these tests specifically: How MUCH/MANY opiates you have had? And when? I remember once being asked in the hospital about "benzos and opiates" in my system. I had been prescribed both, but wondered if they knew how much I had been taking (at the time, I was taking too much... depression from loss of job). Does anyone in the medical field know how specific the results can be?

to know how much you have had i think they need to do mass spectomotry which only big labs can do and costs alot more.

[chell55]

You might find it irritating but anyone who goes public discussing their addiction really is an expert about their personal experience I believe.
Possibly (I hope) the more everyone is aware of the potential downside of prescription drug abuse, the more careful they might be before something dangerous occurs.
Including some doctors unfortunately.

What you say is true but your experience is not everyone's experience. I don't mind them telling about it or warning others but when you try to make it impossible for others to receive medication because of your experience I think its wrong. Believe me I know addiction is a problem if you read my post about pain management you will see I am an advocate for self help. But I don't proclaim to know it all and what works for me may not for you.
Seems we go all one way or all the other never finding the middle.

[betsky]

I guess I am lucky. My PM doctor has not tested my urine. . Does anyone in the medical field know how specific the results can be?

@mistressC
I am not quoting due to any medical field, I have never worked in a lab. I have had numerous amounts of u/a's with varying differences in both what is detectable and what they cost()
My php would do what I called an in house u/a. this was a cup with 10 possible legal and illegal substances and cost $13 per month. It once came back pos. he said "you've got dirty urine", well dummy me said I knew I was dehydrated but as the visit wasn't planned... he said"I mean your urine tested positive for mj.. I haven't done mj in many years so he sent it out to a lab. The cost for this screen was $868 but worth it because it proved a false positive
I was tested in a hospital setting aftter a seizure and they thought I was overdosing. $1468. I asked for the results, there was every metabilite known to man on it,including food,drugs,pepsi(not cola but pepsi specific!).
my p.m clinic refered all u/a's out to an independant lab. costs varied.
So, In personal experience
, it depends on what is ordered as to what is detected. If you have insurance, it is possible that they control to some degree the type of testing done, as insurances control much of the medical care we recieve.

[alprazo]

@Oxidize

WOW, really well said oxidize, I agree with everything you just wrote. I agree it is a sad state of affairs we are all living in today both for patients and doctors. And yes, if people can't get the relief they need through pain medication, then they can easily turn to heroin (dangerous) which is cheap and in disturbingly large abundance throughout the US. It is indeed, a disgrace. I loath the DEA for this reason and others.

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@Lynx4
Well I thought I would add a little extra tidbit to the story which I probably should have explained from the start. I am located in AZ, which has passed medical marijuana. My pain doctor has said he is willing to write me a recommendation for it so I can get my certification/ card, not because he cares about me testing positive for thc, but because he thinks it is a smart thing to do from a legal standpoint (to protect me not him he seemed to emphasize?). He definately is not a confrontational guy so I hope what you said is not true that he would ever just drop me out of the blue, he has said he has given people many warnings for Dr. Shopping and the like in the past before he dropped them from the practice for not heeding his warning after he found out about it the first time, so I can only hope that he was not blowing smoke up my ass when he expressed that coming up positive for thc was not something he is concerned about. But in any regard, he is helping me to facilitate getting my medical marijuana card, so after that I suppose it truly wont matter at all being as all is legal and documented in this sense. Funny thing is, marijuana is the only drug that stays in your system so long that it is hard to make preparations to pass a UA test due to how long it lingers in your body. People could easily be taking coke, meth, other opiates, you name it and as long as they stop a few days prior to their appointment they are golden. Drug testing is a crock of $hit in this sense.

I just lost my
but my doc who whe greatest guy! he never treated me like i was lying, or made me beg for increases when appropriate. anyway DEA came in and said it didnt matter have to follow laws

[dingleberry]

I curently hold 2 doctors recomendations for (GRASS) and this still doesnt protect you!
it just hapened to me!
I just lost my doc , when his office worker staff of years ratted on him for having people with dirty piss tests,
and he cleaned house !
even if you have a :legal: card he still cant/wont help you with pain meds anymore! DEA said so either they smoke or take pain meds not both!
well that really fudddkks me cuz i have to eat it for nausea and vommiting, not pain !
but my doc who was the greatest guy! he never treated me like i was lying, or made me beg for increases when appropriate. anyway DEA came in and said it didnt matter someone snitched so they had to do there job and he could no longer prescribe pain meds to anyone with a dirty UA!

well they said they would give me a warning so at that point I would stop if they needed it to I dont understand why they needed to drop you entirely they should have just told you htey can no longer rx meds if you come up poisitve for thc

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Oh and I went back in and got another script after they already had my "dirty" test so for the meanwhile they are not going to drop me for it , they said it was okay, and I would hope if policies change than they would warn me and allow me to produce a clean test. You post totallly scared me bro. Sorry for what happened to you.

[alprazo]

well they said they would give me a warning so at that point i would stop if they needed it to i dont understand why they needed to drop you entirely they should have just told you htey can no longer rx meds if you come up poisitve for thc

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oh and i went back in and got another script after they already had my "dirty" test so for the meanwhile they are not going to drop me for it , they said it was okay, and i would hope if policies change than they would warn me and allow me to produce a clean test. You post totallly scared me bro. Sorry for what happened to you.

nothing trumps federal law! no reason to be scared, I had to find a new doc because i live in a different state and after the dea was in thier office he is not seing paitents so far away

[dingleberry]

nothing trumps federal law!

Well my pain management doctor doesnt seem to care much about federal law because he is writing medical marijuana recommendations as a side business. I would think federal law would also state he shouldnt as a dr. be reccomending marijauna, For the time being im okay but Im worried about my dr. getting in trouble not so much me being dropped.

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@alprazo
well did he at least allow you the opportunity to stop using marijuana? that would make sense to me, policy change, now patients must pass clean even if they have a mmj card.
of course that would not be an ideal scenario for you but still I am curious.

[alprazo]

[quote=dingleberry;234394]Well my pain management d




and NO Arizona is not the state im referring to!

[dingleberry]

It depends 100% on what states we are taking about! the doc Iam talking about is very caring about the DEA right bnow they can take everything he owns over this he was recomending MJ last year also he quit that fast!
some states have very srict laws right now!
heck california is the most relaxed and they just busted oaksterdam U last week the biggest "legal"producer and seller in the USA! AND THEY ARE COMPLETELY LEGAL AND NON PROFIT I MEAN BY THE BOOK

ARIZONA is the state

Also did the doctor give you the option to stop using grass or not?

[alprazo]

ARIZONA is the state

Also did the doctor give you the option to stop using grass or not?

no az isnt the state!
and I allready aswered your other question. yes four months


But yes I did just move to az if ya need to know!

[alprazo]

ARIZONA is the state

Also did the doctor give you the option to stop using grass or not?

ive answered you, you ask questions like law enforcement


just heard on the news today in az 4 more conditions were added anxiety,depression,ptsd andi forgot the 4th

[stlrfn]

I worked for pain management Dr's and the only reason they give drug tests in their office is to make sure you actually take the drugs they prescribe. Otherwise they think you sell them, once you come up negative for a drug test they fire yo ass...

[alprazo]

Well my pain management doctor doesnt seem to care much about federal law because he is writing medical marijuana recommendations as a side business. I would think federal law would also state he shouldnt as a dr. be reccomending marijauna, For the time being im okay but Im worried about my dr. getting in trouble not so much me being dropped.

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@alprazo
well did he at least allow you the opportunity to stop using marijuana? that would make sense to me, policy change, now patients must pass clean even if they have a mmj card.
of course that would not be an ideal scenario for you but still I am curious.

didnt have any choice! well you do but its one way or the other!
and yes I quit for over 4 months

[dingleberry]

@alprazo ok good at least he was "kind" enough to give you another chance to piss clean.

[hatettopay]

For the very brief time I was on a (rubbish) subutex program on the UK, the thing we had to piss in didn't even test for weed - I guess basically it was assumed you were on it

Weirdly, it kept testing me +ve for benzos - but only if I had taken diphenydramine the night before to help me sleep. I have found other anecdotal reports of this on the internet, but no one would believe me.

After not very long, I said sod it. They don't seem to be really designed for people who have jobs... missing an afternoon a week was annoying, but having to take a drug in front of a chemist EVERY DAY was just ludicrous. And at least I'm self employed and by that point was working from home, and had a great chemist so could be flexible time wise. Had I still been working at my office, would have been a total non starter.

And what tard puts you on 16mg of bupe for (roughtly) 1g of DHC a day, anyway?

[BuckeyeFan]

Here we go...it's all a conspiracy. Lay off the meth dude.

[Gladheart]

@alprazo
Please run to the nearest hospital ER and tell them you would like to be put on a 5150 hold! They will help you buddy.

[BuckeyeFan]

I...AM AN FBI AGENT! Johnny Utah baby!

[Gladheart]

@alprazo
Let's figure this all out tonight. Just calm down and breath alprazo everything is going to be alright.