PLEASE DOES ANYONE KNOW THE ANSWER!!

[Meatballsgma]

I have been taking ms contin and oxymorphone (opana) for break through for YEARS.  Frankly I'm concerned with the dosage of ma contin my pm doc has me on.  I am not getting the pain relief I used to and even ibuprophen works better at times.  I have been curious about Dilaudid or hydromorphone because my mother takes it but am too afraid to ask my doc.  Ww recently had to move my mother to a home and I got the task of physically moving her because her hip was broken and my beother wouldnt pay for non-emergency transport.  I have multiple problems from ruptured discs, dislocated hip, lupus, and leaking veins which cause my legs to swell horribly and turn purple. I didn't have my medication with me so my mom told me to try her Dilaudid which i did. Needless to say a couple days later i went to the pm doctor and for some reason he had me do a urine test. I gobto a very strict doctor who does urine tests every 3 months, counts your pills, and will do random pill counts and urine tests at times if some idiot patient pissed him off and made him suspicious of everyone! I know oxymorphone will show up on a urine test as multiple other meds but not sure if hydromorphone is one of them.  I HAVE NEVER FAILED A TEST OR PILL COUNT and the one time i did anything "wrong" I hope I dont get in trouble and kicked out.  I will lose my job if I cannot work from withdraws! I take the prescribed amount and do not go through shots and the 5 hour wait every month at his office for fun...i do it to be able to function as normal as possible and work to support myself. Please ANYONE HELP?

[MareRN]

Hey there... Well first I'm sorry i didn't see this earlier. I feel for you; chronic pain is no joke but neither is oxymorphone friend. It's about 13x stronger than morphine per mg. Dilaudid (hydromorphone) approx 8x...needless to say it's heavy duty.  As a veteran trauma nurse I have seen the need for strong pain meds and I've also seen the otherside having taken opiates long term as well.  The issue here is that people ARE afraid to talk to their doctors because of the enormous addiction pandemic and docs are paranoid now because they're ethics are going out the window in many cases when handing out narcotics to people who do JUST need a simple Vicodin or hey like you said , ibuprofen.  It's so hard to broach the subject for fear of being cut off! So I'm so sorry for your anxiety but be open with your doc; honest.  Make sure they trust that you aren't naive (which I know you aren't ) your chronic pain issues warrant the Cadillac of pain management !  MS Contin is an issue for a high number of people so you're not alone -- your doc knows you're not seeking medication and if you are handling the medicine without any problems then you should be open and honest.  He may be angry.  This is serious medication and he is ultimately responsible for making sure you take it correctly and safely.  If he's an honest specialist I have no doubt he will listen but be your own advocate; GET HIS ATTENTION.  Make him look up and hear you and your concerns.  Make DAMN sure he knows you didn't take both opana with hydromorphone .... You may even want to call his service and be proactive ; pain docs aren't messing around anymore. Good luck

[Crohnsareus]

Your best bet would have been to acknowledge taking the dilaudid at the time you had the urine test. Now you are worrying about the issue when you could have explained it that day and have it behind you. Honesty is really the best way to approach something like this. Honestly, I have been on a serious amount of pain medication for many years. I do have drug test but I know I would not put up with a doctor with the attitude you are describing. Remind yourself, you are paying this person to provide a service. You sound like you have a good history with this doctor, he should be understanding. DO NOT be afraid to address the issue of the pain you are feeling. The longer you are on a pain medication the less effective it will be. It sounds like it's time to have that talk with your doctor.

[Dee1956]

Hi I see that you posted two days ago, while I'm not an expert I did look it up.  Dilaudid will show up as hydromorphone on a urine test.
I also wanted to mention that with the guidelines from the CDC that recently came out, doctors are cracking down on opoid use, reducing doses, etc.
Take Care