pain contract Urine test

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Regular Member

Date Joined Mar 2006
Total Posts : 61
   Posted 11/30/2007 2:09 PM (GMT -6)   
Hello everyone I hope all are as pain free as possible
I need some knowledge help or advise on a incident that occured with my pain Doctor appointment today
Firstly I like most have signed a pain contract, and have a urine test with every appointment
I have been having these drug urine tests for over 2 years with no problem or questions about the results from the Doctor
Today he was looking at the results of sever urine tests and he asked me if I was taking my meds which just floored me I answered yes as perscribed and that was it nothing more was said
This has be really bugging me as to why he said this the urine test must show I have been taking my meds as he renewed my perscription
I take three 40mg Oxycontin per day with up to 3 oxycocette per day for any breakthrough pain
Do these urine screen/tests not only show the type of perscription drug taken but dose it also show the amount of the pain medicine in your body
My appt was in the early morning so I did not take my morning Oxycontin because I do not want to drive on it
My appt are ussually in the early AM and I waite till I get home to take my morning dose of Oxycontin because I do not want to take it and drive
I do and always have taken my medication as perscribed never ever take more than perscribed or anything and have been taking these urine tests for over a year with no questions until today
My main question is DO or CAN these urine tests show the amount of medication in your body and are they accurate
Also can different people metabolize medications at a different rate and expell them from the body
Please ANY information or answer s to these questions would be very much appreciated as this is really bothering me I do exactly what my Doctor says with these med s as I need them and would not ever do anything to jeprodise them
Thank you very much

New Member

Date Joined Jul 2007
Total Posts : 14
   Posted 11/30/2007 5:36 PM (GMT -6)   

I don't have to take a monthly urine test, and would not want my ins. to have to pay that bill and sure can't pay that myself.

For what! to have them call you a lair or that you have the mj in your blood to. Something that helps many people along with there meds.

Fentanyl 100 every 48 hrs
Megnacet 10/400  4 to 6 a day
300 mg Lyrica a day

Forum Moderator

Date Joined Jan 2005
Total Posts : 9249
   Posted 11/30/2007 5:42 PM (GMT -6)   
Hi Bob,

Interesting I did some searching online. I found a good article about urine test in reference to pain management. Sounds like they have to choose what chemicals to test for at test time. Here's the link...hope it helps answer your question...

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)

Veteran Member

Date Joined Mar 2005
Total Posts : 4305
   Posted 12/2/2007 1:10 AM (GMT -6)   
This is what my Pain Doctor told me I asked because I wanted to know this my own self.She told me that they check for any and all Narcotics leagle or illeagle and if soemthing shows up that they have not script for you is an automatic dismiseal.I hope that this help and the web site that Chutz gave you is a good one and I hope that you check it out.

Veteran Member

Date Joined May 2005
Total Posts : 4219
   Posted 12/2/2007 10:02 PM (GMT -6)   
Hi Bob- I post on crohns but saw your post and wanted to chime in because I worked as a corrections officer. We would periodically drug test kids and if they tested negative for something they were prescribed we knew they were cheeking their meds and giving them to another inmate. So I know sometimes a negative drug test can be "bad" because it means the drug wasn't in the system. I also worked as a tracker and when clients had positive drug tests I would get a number as to how much of that drug was in the persons system. That worked really well to determine whether they continued using. With a simple positive/negative we wouldn't know if it was from that same incident or a new one. But if a client came up possible w/ a 300 level of cannabis and 3 days later had a 400 level I would know she used again. I am not sure what kind of test your doctor uses but it is possible to measure levels. Their concern with whether or not you are taking your meds would be to make sure you weren't diverting them. However, if you take them daily and just hadn't taken your morning dose that one day you should still have sufficiently high levels. You may want to let your doctor know that you don't take it and drive. Actually, I am surprised that was not one of your doctors requirements. I hope it all works out for you.

By the way, any of the test I administered measured for classes of drugs, not individual drugs.  For example, Benzodiazipines was one class but I wouldn't know which particular benzo the person had taken.  The only specific drugs tested were marijuana, cocaine, ecstasy, and LSD I believe. 

26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!

Forum Moderator

Date Joined Feb 2003
Total Posts : 16776
   Posted 12/5/2007 3:37 AM (GMT -6)   
Per my pain dr yes they can tell on the urine test if you are taking your meds or not. Say a patient was scripted oxy but it did not show up in their urine, you are dismissed from care because thats an indication its being sold, its all a numbers thing on the urine tests. Susie

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