Urine tests for Oxycodone-- HELP!

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JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/15/2009 10:52 AM (GMT -7)   
Hi everyone.. I really need your advice and input on a hard situation I'm in. 
(here it goes)
I've been seeing my pain doc for almost a year and a half now. Never been urine
tested or anything like that like I read most people have to do sometimes with
their pain docs. They only had me sign a pain contract about a couple months
ago and that was it.
Currently, I'm in chronic pain due to Crohn's disease, gastric ulcer disease,
Fibro etc... I have tons of malabsorption problems, severely underweight and
just basically sick and weak in every way. I have been on the same dose of meds
since day 1 of me seeing this doctor. I have had no increases/decreases because
my malabsorption issues are so severe that every time I take a pill, it effects
me differently every time. I'm suppose to be on 5mg of Oxycodone 6 times per
day.

Well to be honest, I do not take that much because I have a really low
tolerance and my system reacts differently all the time. I have never told my
pain doc that I'm OK with taking less than what he is prescribing....and I haven't incase I were to lose my
insurance or anything bad were to happen, I would have left-overs.
Well yesterday, he tells me at our monthly apt. that because of this whole
Michael Jackson bs, he has to have his office now testing all his patients a
couple times a year starting real soon. He said I have such a squeaky clean
record and he feels bad for doing this, but he just needs to have back-up for me
incase he would be investingated.. which I understand.
My problem and I'm worried because #1. I'm not taking the dosage I guess I
should be #2. My malabsorption issues might not show any drugs in me at all.
#3. A lot of the time I am vomiting due to GI reasons, and the drugs probably
come up as well, and might not show on the test. It's a little too late to tell him considering

I have been with him at the same levels for over a year now.
My questions are can anyone tell me if they have been urine tested and how long
from the time you take a drug will it show in your urine?
Also, Can you have small amounts of it and still be OK?  I dont take anywhere
close to what I'm suppose to be at, but I do take what is right for me.  The
reason I have not brought it up to him, is because I always save INCASE anything
were to happen to me.. I will have enough...  No, I'm not a drug-dealer.  I'm
good and honest..
Please help me because I'm so nervous and scared.
Can someone tell me about urine tests?  (by the way, i am severly underweight, don't have a lot of food in my system so I don't know if that takes into account as well )
Sorry this is so long.. thank you all in advance!


Jim1969
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Date Joined Jul 2009
Total Posts : 2042
   Posted 7/15/2009 11:31 AM (GMT -7)   
Generally speaking, oral meds usually start entering your system within 15-45 minutes of you taking them. Residual medications will start filtering through your body at that time and should start showing up within a couple of hours, if not sooner. How long the drugs will stay in your system at detectable levels I do not know. All I can tell you is that I used to have to take regular drug tests for a job I used to have and was always told to list all medications taken in the previous 30 days.

I wouldn't worry too much about this urine test. I assume you doctor knows about your gastric issues so if he is any kind of doctor at all will "filter" the results with that knowledge. My guess is that your doctor is more concerned about finding too much of the narcotic which could indicate someone taking more than prescribed.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/15/2009 11:45 AM (GMT -7)   
Well I just feel really nervous, like I'm doing something bad, when I know I'm not. I'm just being realistic. I never brought up not taking exactly 6 per day because I was always afraid of my insurance running out or any other reason, so I save them. I'm very VERY sensitive to meds and I don't want him to drop me or doubt me for any reason, yet I also don't want to get precribed a lesser amount. I think I'm at the lowest dosage possible, which is 30mgs oxycodone per day.. I take one-fourth of that. So I'm just really worried. I'm a good patient and I just don't know if I should say something and look obvious now that he brought up the urine test or just wait. Also, I take my first dosage at 8am, so what time should I schedule the appointment? I don't even know for sure if and when I'll be tested.. but I'm really scared. Would it really be OK in my system if I went in the afternoon for the appointment? Would a low LOW dosage even show up?
Thank you so much again, I'm just really sad right now.

LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 7/15/2009 11:52 AM (GMT -7)   
I test once a month. The test I am given is just to detect the drug not get a level. I'm also tested for all other drugs. I only show the medication he prescribes to me. It even tests for cocaine and PCP now why on earth I would need to be tested for them I have no clue. My heart would explode..lol

I hope you find your answers but I wouldn't stress about it. Just make sure you take a pill an hour before you go in.

Laurie
Kidney Diseases and Disorders
              Moderator
 
39 yr young female with,
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD

Also CHF (Congestive Heart Failure) and Sleep Apnea

Hopefully NO MORE........ I think I have it all


JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/15/2009 12:01 PM (GMT -7)   
are you URINE tested? Do you think I should even bring up to him that I'm taking less to be safe and save or do you think he'd cut me off and lower me for that... or should i just wait for the urine test and then say something? i'm just really worried. I would love to hear your personal experiences with urine tests for those of you who are taking less than they are prescribed. Do you think even the lowest dosage would show up? I do take it 2 times per day, but my vomitting issues don't help the matter either.

thank you again, everyone!! i hope i can feel less anxious soon and figure out what i'm going to do. I don't see him until next month and even then, i'm not sure if he'll start. i just need to be prepared and safe.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/15/2009 12:12 PM (GMT -7)   
Jennca,
I know you've posted before and with all your other health issues I don't think you could use anyone's guidelines to determine just how your urine screen would come out. As you describe, the issues affecting absorption for you are numerous.

I think the reason you feel nervous, and a bit guilty, is that you aren't being totally honest with your doctor and you need to be - especially now that he's instituting stronger testing procedures. If you want to be trusted, you have to be trustworthy, and that means telling him how you take your meds, how much, etc. I know you want to have some extra in case you lose your insurance, and I just lose mine so I truly know that fear. Some doctors won't mind that if it's a small number, and if the medication is prescribed "as needed". If for some reason he wants you to take the full dose, then you need to follow his instruction.

If I were you I would have a serious discussion about my concerns with my doctor. You have many valid reasons why your levels might vary, and if it's already documented clearly, then you won't have this anxiety every time you have an appointment. I would also tell him you don't need to take the full dose every day and ask if that's ok. Most doctors don't mind you taking less, but you can't be playing around with this. Not being completely up front with your doctor could land you without any pain management. Being completley honest, with your numerous health issues, should help you be covered should your urine screen come back showing too much or not enough meds. Many doctors check for both, because not having enough meds may make them suspect diversion. And you don't know if your doctor is the only one making the policies about who will be expelled from the practice.

Please, have a discussion with him. He may even be able to give you an idea of when to take them medicaiton to increase the likelihood that your urine screen will come back clean. But all your GI issues complicate this, and that's not under your control. You just don't want to be agonizing over this each time you visit the doctor.

PaLady

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 7/15/2009 12:34 PM (GMT -7)   
Im pretty sure they wont test you for the levels in your system, He doesnt think your taking MORE then you should so odds are he wont spring for that test version since its more expensive.

By The Way I have Crohns Disease and if you happen to take Prednisone, that will actually KEEP the medications in your system MUCH longer, Ive actually failed a test when first starting going to a NEW dr, because the old dr.s medications were still showing up, I didnt know this at all until I went to my psychiatrist and told him and he had a book with all medications and their interations and reactions and different antagonists of it and all and it showed that predniosone affected what is called the 'half-life' of a medication.

Different medications work or have a half-life of different times. Just like Vicodin and Percocet are said to last 4-6 hours, and Oxycontin is said to last 12 hours, Methoadone 18, Opana 24 and so on. But thats half-life. The residual traces are usually all in your for about 3 days, just like all of them.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/15/2009 12:38 PM (GMT -7)   
Great point, CrohnsPatient.

Although about the testing - it sounds like the doctor's practice is changing an overall procedure that may have nothing to do with an individual patient. In other words, either everyone is going to get tested periodically, or there will be random tests. One thing I don't think they can do is discriminate regarding who they test - unless there's a documented reason.

PaLady

JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/15/2009 12:54 PM (GMT -7)   
PaLady- You have given me such great advice in the past and I thank you so much for your response. Thank you!! and everyone else. But to answer some questions...No, I do not take steroids. I'm allergic to them. And yes, the overall practice is doing this for everyone.. not just me. Thats why he forewarned me yesterday at our visit and said once he started "in the next handful of months" i would be screened 3 times per year at most. He said he has bad patients that need screening monthly but he's not worried about me and he mentioned i have such a "squeeky clean" record he just needs to be safe incase the FDA were to question him.
Also, my med is prescribed "as needed" so he's never said YOU MUST TAKE THE FULL DOSAGE. How would i just bring this up to him? Do you think my chances of being screened will be at my next visit? At what time of day would you say is best to go in? Like I said before, I take it at 8am and again at 6pm. I figured I'd just take more the day of to be safe.. but its still way less.

How many pills are OK to save, would you say? if I'm getting 180 per month, thats 6 a day.. what would I tell him. I'm still taking far less than that. Thank you again PaLady... I really look up to your advice.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/15/2009 1:04 PM (GMT -7)   
Jen,
Thanks for your appreciation, but remember I'm not a doctor and not giving you medical advice. If your doctor knows you're taking them "prn" I wouldn't worry so much about when you go for you appointment. Just tell them when you took your last pill. You can also tell them if you DIDN'T need a pill that afternoon, in case your levels are low. But best thing would be to bring this up to your doctor. To say you don't always need the full dose and what does he recommend re: the testing procedure. If he wants you to take one before you come in for you appointments, let him tell you, and ask him to document it. If for some reason you should vomit or have other GI problems, just be sure to tell them. If he doesn't raise you having some extra at the end of the month, I wouldn't worry too much about it. As long as you're taking them as prescribed. At some point he may ask you to bring in your meds to be counted, and again just be honest. That may be a procedure that goes along with urine screens, and so it won't be just for you. But they should tell you in advance like he did with the urine screens.

I have no idea what you chances of being screened at the next visit are, but if you're following his instructions I wouldn't worry about it. Just be sure to tell them what's happened for the past 48 hours or so (in other words, I'd go in with a list of what meds, including OTC, you've taken, if you've had GI problems, etc.) and then it's already documented.

BTW, there's another thread by merrygirl dealing with this issue. I'd really suggest reading it and looking at the article BionicWoman referenced. It's kind of technical, but will show just how complicated these issues can be.

Try to relax!

PaLady

JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/15/2009 1:08 PM (GMT -7)   
Awesome PaLady.. I'll check it out. And yes, i understand you are NOT a doctor. I'm just looking for personal experiences with this and advice for those in chronic pain that truly need the help. I will look for that thread as well. Do you know if most docs make you take the urine test right when you get there or after the visit? i would like to talk to him about this before the test comes out i guess. One more thing- do you even know if even the lowest amounts of oxy will show up? i always have it in my system, but again.. its nowhere near the amounts PRN. anyways, thanks again. And i guess i'd be more safe re-scheduling my apt. for a morning since its well in my system then i would think.

JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/15/2009 1:12 PM (GMT -7)   
p.s.
i can't find the thread from messygirl .do you have a link?

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2280
   Posted 7/15/2009 1:54 PM (GMT -7)   
Jenn,
I recently switched from getting 30-day supplies to 90-day supplies of my narcotic pain meds. There were a number of issues with my insurance & as a result, I learned a lot about state laws & possession of legally prescribed drugs. I don't know about your state, but in Illinois, possession of more than 90-days worth of a prescribed CII narcotic is a felony offense. I'm not sure how exactly anyone would find out that you are "stockpiling" your medication, but I did want to put that out there for you to consider that in some states possessing over a certain quantity is against the law.

I do agree with the others that you should tell your doctor what you are taking. He is taking care of you & needs to know. God forbid anything were to happen to you, the decision made about how much of different pain meds, anesthetic, saline, naloxone, etc. would be based on what your doctor THINKS you are taking. It would really be safer if you let your doc know what's going on. There are a lot of ways to get medications if you even lose your insurance. No, they are not a cakewalk, but they would allow you to be honest with your doctor & to avoid any possible possession charges that could result from squirreling away meds.

best wishes,
frances
Moderator -- Depression Forum


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13452
   Posted 7/15/2009 7:05 PM (GMT -7)   

Jenn I will share this with you as a FYI, yes the urine test can show the amount of medication, its always part of the testing, I have seen these reports before and whatever  drug is in your system the numbers are there for the dr tro see. This is done by PM drs to see if the patient is actually taking their medication or not. I know someone else posted its more expensive to do this testing, I am not sure thats true, the point of testing is not only to see if other drugs show up but in a patient accepting rx's from the dr and not taking the meds is a good indication the patient is doing something else with their medication. This came straight out of the mouth of my former PM drs nurse. In 4 yrs I had to 2 urine tests. I saw alot of people tested in the clinic and I also saw alot of bawling and squalling over failed urine tests. I was shocked when my nurse shared this with me, but then her and I talked about all sorts of stuff,lol. I said how can people afford to see a PM just to get meds to sell. She said you would be surprised what patients will do to go thru to get medication, I had never thought of that. So, yes the amount of medication shows up.

PaLady gave you very good info. Above all being honest with your dr is the only way to go. When you start being dishonest, then you are setting yourself up to be eventually caught and given the boot. Once booted by a PM dr, it goes in your medical records and that follows you around and then no other dr will want to take you on as a patient. I too have crohns disease and have absorption problems relating to surgery because of the crohns. I do hope you have shared this info on your crohns with your PM dr.

I think like PaLady you know you are not following drs orders by not taking your medication as prescribed according to the directions on your bottle. I think this is what has you so worried, among other things. Whats with your fear of losing your insurance, is this something that is coming up in your future? The only way to know the expiration date on medication is if you are given the original bottle of medication. You are in a tough spot no doubt. So, if you have been stock piling for a year there is a chance some of your medication is outdated. 

I would not say anything until it becomes an issue if it were me. If it comes up then you can try to explain again the absorption problem. But, I would not say it makes me throw up beecause no one is going to take medication over and over that makes them throw up.

Everyone metabolizes medication differently so there is no clear cut way to say how long this medication will stay in your system. I do know if your dr thinks you are stock piling your meds he most likely will either cut you off or put you on a mild pain medication with the thought your pain is not as bad as he thought it was.

Personally, I think your dr is over reacting with all the the publicity or he may just be using this as an excuse to incorporate drug testing in his practice if this is not something that was done before. The drug that has caught everyones attention on Michael Jackson at the moment is Diprivan which is a drug used for surgery patients given by IV only. This drug is to be used in a hospital setting only and now they want to know how he managed to get it and who gave it to him. 

Like you, when my former pain mgt dr stopped doing pain mgt last fall, he said to me if all of his patients had been like me to deal with, his life would have been much simpler. He went as far to tell me that  the new dr taking over my care was informed that I was an excellent patient. I took this as a compliment, but then I was there for 4 years as a legitimate pain mgt patient. I never had a problem with any of the rules his office practiced and I think most of us feel this way.

Try to calm down about this, you may be taking alot of it out proportion.


Straydog/Susie
Moderator Chronic Pain
 
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.


JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/15/2009 7:22 PM (GMT -7)   
STRAYDOG- In response to your post: First, thank you for writing all that.. that is helpful information because everyone i have talked to, with the exception of yourself.. says they DO NOT measure drug amounts, just seeing if it is in your system at all. Now I'm worried.
To let you know, my pain doc is MORE THAN fully aware of my malabsorption issues. Thats all we ever talk about when we are at our monthly meetings. Also, my meds read TAKE AS NEEDED, prn.. so its not like I MUST take 6 pills per day, so thats not what I'm worried about either. In regards to "stockpiling".. i never said I was intending to do that.. I just have left-overs and don't see why its bad in having extra. Stockpiling is for people that hoard their meds, i assume. My drugs don't go back far enough to even expire so thats not an issue.
And my meds do NOT make me throw up. They only would make me sick if I take too much. What makes me sick is my bodies reaction to food.. thats a whole other story and thats where my GI issues take over. And I have tried every med out there and this one is the only one that is working. I just don't need so much of it. I'm 78 pounds and very sensitive to all meds.
Well thanks for your response, but in all honesty I am scared again because the amounts showing is what is going to probably show up against me. Oh well... i know i'm not a bad patient.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13452
   Posted 7/15/2009 7:42 PM (GMT -7)   
Jenn with a "prn" then you should be ok. If you only weigh 78lbs then you need very little because of the low weight. I still would not worry. You & the dr know you are a good patient, that is obvious by him explaining the new office policy. He was kind enough to to let you know this info and he really did not have to share this with you. So, who is to say if you take a urine test and nothing shows up, with prn on your bottle, the explanation would be "I was not hurting bad enough at that time to take a pill". You would be covered with that explanation. I have a pump so I only have orals meds for Bt pain. My new pump dr for some reason does not have Contracts and she does not test her patients for drugs, but she only handles patients with pumps too.
 
With your crohns problems I understand the issues with it. I cannot tolerate steroids either. Its a delicate balance taking medications and having crohns. Its good your dr is in check with the crohns. I have been there many times when they wanted to give me different meds and couldn't because of cd.
 
I would have never known about the amount of meds showing up had my nurse not told me either. But after she explained why it was done I understood. Its another CYA for the drs. 
Straydog/Susie
Moderator Chronic Pain
 
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.


uniquelyme
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Date Joined Nov 2008
Total Posts : 1037
   Posted 7/15/2009 10:44 PM (GMT -7)   
 
 
JD, usually they want these tests to find out if you're taking anything that you shouldn't be or NOT taking what you should be taking.  Like selling your meds...If you are taking them on a regular basis, even if it's not all of the dose, you will be okay.  I can understand why you are scared to say anything, so don't worry.  I wouldn't say anything if I were you, one day you may need to take the dose you should and you might not have them....so don't worry.
 
Me.

 I hate Boats!!!!
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/15 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 20 units at bedtime with Solostar Pen                                                                   

 


JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/16/2009 9:05 AM (GMT -7)   
Hi Me..

Thank you.. your right about that. Everyone is encouraging me to be honest, yet not mention it.. so I'm kinda confused. I'm just going to take all your guys advice, take my personal dosages like i normally do, bring in my meds that day... or actually, every appointment now since i wont know when i'm getting tested.. and just be honest if it comes up.
thank you.. i just hope i don't get dropped from his practice for nothing and then i'm left in this painful world, withdrawling with no doctors care. thats my worst nightmare!

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13452
   Posted 7/16/2009 10:06 AM (GMT -7)   
Jenn you can be honest with your dr if you are questioned by him. By not saying anything until you are asked is not being dishonest in any way.

My former & current pain mgt dr always asked me if I needed refills on my medicatiion. If I need a refill I said yes, if I did not need a refill I said no. How does your dr handle refills on your pain meds, does he offer or do you have to ask?

I still think you will be fine and do not have anything t worry about. You have a good relationship with your dr and I think you are stressing for nothing, Not good to stress with cd.
Straydog/Susie
Moderator Chronic Pain
 
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.


JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/16/2009 10:09 AM (GMT -7)   
Hey Stray!! how are you today? Yes, thank you for clarifying that with me. I agree with you 100%. My doc just says, " we need to refill your oxycodone.." thats it. never once in the last year and a half has he asked me about dosages or anything of that nature. We usually talk about all my GI complications. The very first question he does ask EVERY single time I see him, is.. "Do we need to make any changes in your medications" and thats it. Anyway, how often do you see your pain doc and GI doc and other docs?

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/16/2009 10:33 AM (GMT -7)   
Jen,
I'd agree with straydog when it comes to the extra medication, as long as you are still taking them according to how they are prescribed. If your extras get too large, though, you may need to think about that. I'm not sure I'd bring the Rx bottle in with me unless it was part of the pain contract or the doctor asks you. Do read your pain contract (and if you don't have a copy, ask for one at your next visit, this way you know what your responsibilities are, especially since your doc seems to be changing some polcies).

But I would be upfront about GI problems that may be affecting medication absorption, and tell them when you took your last pill. You might even bring a note in with you and ask it be put in the chart - say if you've had some GI problems for a few days which may be affecting absorption. And of course any OTC meds or supplements your're taking.

BTW it's the thread by MERRYGIRL that's right on this first page that I think you ought to read, and Bionic Woman posted a link to an article which gives some idea how complicated all this can be.

PaLady

JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/16/2009 10:53 AM (GMT -7)   
Palady, dont mind me for asking a truly stupid question here.. but someone told me that if you were to put like a little piece of the drug into your urine sample, that would be the same as coming up positive for it as well. is that true to your knowledge? and NO, my doc has never ever once brought up the notion of bringing in my meds with me at our apts. he never even has asked me how many times per day or how many pills i am taking. we never have discussed any of these things, thats why i'm kinda in the outfield about this. thank you again for responding.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/16/2009 10:59 AM (GMT -7)   
Jen,
Why on earth would you even ask about such a thing? All I can tell you is DO NOT do it. Why are you so worried about this test that you would even considering manipulating it in such a way? That's the kind of thing an addict would think of. Sorry, I'm not saying you're an addict, but that's the kind of trick someone would pull.

PaLady

JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 7/16/2009 11:14 AM (GMT -7)   
No, no no no!! don't get me wrong... I said someone brought that up to me and I thought that was totally unrealistic. I never said I would EVER do that. I was just wondering if people are saying that, then they must be doing that. And the person that did write me, to be honest.. could be one of those addicts... at least, thats how i saw it after talking to them. They have the opposite problem that I do. He was explaining to me how he was taking too much! Anyways, that wasn't the issue...thought it was kind of a funny/stupid comment he made.
Are you currently working? Retired?

mrsm123
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Date Joined Dec 2007
Total Posts : 1228
   Posted 7/16/2009 2:13 PM (GMT -7)   
Hi PA Lady,
I am really always hesitant to answer questions about urine screens because it invariably leads to some questions about how to "beat" the test.  I am not saying that the original poster doesn't have malabsorption issues, but if that is the case, then I am sure that her PM doctor is well aware of them.
Holding onto medication because of fear of insurance  running  out would only make sense if there was some reason for there to be a concern. Most people don't loose their insurance without knowing that it is coming. Oxycodone is one of the cheaper meds out there, so even without insurance , it is not that expensive.
Urine screens can and do have a minimal level that they to detect before they will be positive . There are also urine screens that can be done that tell the physician exactly how much the patient is taking, how often and how it is absorbed by the body, and it is used to help make decisions on what medications might be better than others for a patient. It is also used to catch those who are taking too much or too little of their meds.
Be careful about answering posts like these, there are a lot of them showing up on different pain boards, asking in round about ways about how to beat the urine screens.
Sandi
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.
[url=http://dragcave.net/view/xdyP][img]http://dragcave.net/image/xdyP.gif[/img][/url]

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