Oxycodone.. builds up??

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partlys
New Member


Date Joined Jul 2008
Total Posts : 1
   Posted 7/28/2008 12:55 PM (GMT -7)   
So my hubby has not been taking as much medication as he is supposed to and is worried that his pain management appointment tomorrow that they will detect this is his blood test, my question is this does it build up in your system for instance for the last week he has been taking it as he should but will they be able to tell that he hadnt for the time before that?? He takes 15mg Instant release Oxycodone
 
 
Any help would be appriciated :)

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 7/28/2008 4:15 PM (GMT -7)   
No I don't think that they can. I believe that it is only the levels for that day or maybe two tops. Of course I have not had to do a UA for my doc since I started with them in 2004. But I would imagine that it would only show up the amount that he has taken in the past 24 hours or so.
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/28/2008 5:58 PM (GMT -7)   
Dear Partlys,
Welcome to the forum. I guess my first question would be why is he afraid to tell the doctor that he has been taking less of the medication? If less is covering his pain, then maybe that's all that's needed. On the other hand, if he has some days that are worse than others - like most of us - the medication might be prescribed on a "prn" basis. I'm not sure why your husband wouldn't just tell the doc. Usually the problem comes when someone is taking more than they should.

PaLady

Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 7/28/2008 8:34 PM (GMT -7)   
Hi!

And welcome!! I had the same question as PaLady...taking less is not a problem unless he is worried about not getting as many next month, etc. I do hope he's not sharing any of his meds with anyone. I'm not accusing you or him of anything, so please don't get me wrong, but for anyone else who reads this that's a dangerous thing to do.

Tell him to relax. He's been honest about taking his meds. He has nothing to worry about.

Hugs,
Chutzie
Co-Mod Fibromyalgia & Chronic Pain Forums
~~~
Fibromyalgia, Ulcerative Colitis, Insulin dependent diabetic, collapsed disk, dermatitis herpetiformus, osteo arthritis in spine and other locations.
***************

The only difference between genius and stupidity is that genius has it's limits. Albert Einstein: (1879-1955)


tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 7/29/2008 1:55 PM (GMT -7)   
Hello and welcome: I suggest taking the unused pain medication with You. This way the Doctor knows that you are not selling or giving away Your meds.
Tom Lasko


Morgoth
Regular Member


Date Joined May 2008
Total Posts : 177
   Posted 7/30/2008 3:52 PM (GMT -7)   
There is no point in taking more medication than you need, the doctor should understand (they usually do). Do as Tom suggest and take the remainder with you to show your doctor you got nothing to hide.

Answering your question, yes it is possible to detect what you took, when and how much over what period of time although this involves extensive testing. Here in Belgium, for example, a laboratory is able to get an accurate picture of what medication and what kind of general food/drink you had over the past six months. When we're talking about long-term medication, a detailed graph can be obtained covering several years, though this usually involves not only extensive blood testing, but also tissue sample analysis.

Such tests (up to six months) are performed in cases of illegal substance abuse (or the suspicion thereof) or in case of long-term illness (my case).
To stand and be still at the Birkenhead Drill is a mighty bullet to shew.


CRANKY 1
Veteran Member


Date Joined Aug 2005
Total Posts : 616
   Posted 7/30/2008 11:58 PM (GMT -7)   

Blood tests are usually run to detect medication levels in the blood, and are often used to see if the level registering for each drug are in the "theraputic range".  Pain meds are a little different, in that the patient has to tell the doctor how well the pain meds are working, so the doctor can compare that information with the level of the medication showing in the test results.  Blood tests also show if other substances, i.e., drugs not prescribed to the patient, illegal substances, are present, which could seriously affect the doctor's future treatment plans.  Doctors basically want to verify that a patient is receiving the appropriate levels of medication and is sticking to the rules.  If there is a serious concern about the patient's drug intake, the doctor would most likely take a hair sample for analysis.

As for fluctuating the amount of pain meds taken, doctors don't have a problem if a patient takes less medication, but are much more concerned if they are clearly taking considerably more than prescribed.  A few pills here or there isn't a huge deal, but if said patient is going through the meds twice as fast as prescribed, and hasn't notified the doctor that there is an "increase" in pain level, then there's going to be a problem. 

Honesty is always the best policy, and unfortunately, the boom has swung to the side of paranoia in the medical community.  Nobody wants to stick their necks out anymore, and doctors that do still prescribe narcotics/opioid pain medications are, for the most part, much more hesitant to do so than in the past, and are far less trusting than they used to be.  People have abused the system to the point that life is far more difficult for people like us who have to deal with all the new hoops they want us to jump through.  It's not fair, but we have to be our own advocates these days.  No one is going to do it for us.

Leigh Ann 


Basic info:
  • On Disability for: Chronic Migraines, serious Back and Knee problems (will need surgery eventually), moderate Depression, Anxiety/Panic disorder, TMJ, stomach problems 
  • Divorced, 43, spawn-free 
  • Surgeries: Gastric Bypass, Gallbladder Removed (followed by a week in the hospital for a Blood Clot), Impacted Kidney Stone Removed, Broken Ankle, Major Dental work(ten molars pulled, multiple cavities, root canals) 
  • Current Meds: Prozac, Klonopin, Atenelol, Stadol Nasal Spray, Lortab/Percocet, Trazadone, Buspar, Protonix, Tramadol, Visteryl, Carafate Suspension, Co-Q10, B2(Riboflavin), Remifemin(Black Cohosh)
  • PROHIBITED FROM ALL NSAIDS
  • Current Problem: Mysterious Internal GI Bleeding, possible ulcer in location of Gastric Bypass
 
"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett
 
 

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