Do you guys know which test PM uses for UA's? I have a few oxycodones left from an old prescription that I forgot to mention to my PM. I'm going for my second visit soon and I'm not sure if I will be tested or not. They didn't say whether they do it each time you come in or if it was random. I'm prescribed Norco but wanted to know if they do a simple test that will just tell them if you have opiates in your system or if they do one that can tell which opiate is in your system. I'm just worried because I was cut from 6 norco a day (my primary had me on that many) to 3 a day. Some days were worse than others so I took more. This was before I really knew that they could tell what you've been taking. So I've taken some oxy's to help.
I also want to know if I should tell my PM that 3 is not enough. If I test negative for Norco and tell her the reason is because I ran out from taking more than 3 a day, I don't want to get kicked out. I heard that some doctors are really strict and others will give you a second chance. But most of the time if you test negative they think you're selling them. I'm just nervous and read too many bad stories online which is not good for my nervousness.
I think but I am not sure but I think the tests shows WHAT and HOW much you have in your system, I think they test all of them and they even test for like pot and street drugs. And they can tell how much is in your system to see if your taking more then you should or less. If it has been awhile since you have takin the Norco it might not show up and the oxy's will and then you can run into trouble. I am not trying to scare you but that is how it works. I know when I was reading my contract it said that if I say my meds aren't working anymore then they might quit giving them to me all together and try something else. I know some people on here tell their drs that they are still in pain and the drs increase their doses but I guess it just depends on the dr.
Best of luck,
Oh my gosh!! First when is your appointment? This is not good that you did this!! All of the tests that I've heard of tell them WHAT you have taken. Otherwise, it wouldn't do them any good.
I hope that you won't take this the wrong way, but when you posted before we tried to tell you how important it was, especially for you, because of your young age (26, I think) for you to follow your PM Dr's instructions to the letter. There's a good chance that the younger you are the more they will test you. I'm very concerned and worried for you.
You never should have "left out" the fact that you had Oxy's "left over" from an old prescription. You should never have taken them. You should have toughed it out with the 3 a day until you went back and talked to her at that time or you should have called their office and asked if you could up the dosage. Gee, I'm keeping my fingers crossed that you won't be tested. that's why it's important for you to tell us when is your appointment and when was the last time you took an oxy. Then we might be able to give you more info.
I'm sorry to sound so negaative but I'm concerned about your appointment. With your age so young I don't know if she will trust you if you don't pass the test. Plesse give us the additional info and maybe we will have a better idea....Sherry
Well my appointment is not until the 15th. So they should not be in my system if I don't take anymore. Which I don't plan on doing. I'm more concerned with coming up negative for Norco. I know I was stupid. But pain will always win. If I have the option of taking the pain away I will do that 100% of the time. I guess I'm just going to be upfront with her and whatever happens happens. I did this to myself so if something bad happens than I'll live with it.
I know that the first test was sent to a lab. So I'm sure they do lab tests every time. I'm just not sure if they test me every time I go in. This is my second visit and if my first test was clean than I don't think they will test me again but I'm not positive.
My memory is horrible and I honestly forgot I had them. I have more than 10 pill bottles in my medicine cabinet and they were hiding out in the back. Honest mistake on my part.
It depends on the place but some places they test you when they think you are taking more then you should or it is like a lottery system and your picked and some places do test you at every visit.
Whatever you do please don't take anymore. I'm noping that they won't test you again. The thing that concerns me is that my Dr. has never tested me ye, he was going to but I had gone when I went in to his office as his office staff told me it was alright. This was just last month (May) and I've been going since January. Since you were tested the first time that you went that's why I'm concerned about you. If they test you , you will need to be up front with her BUT if you stop taking the Oxy's now then DON'T tell her about the Oxy's or you will really be in trouble for taking something that was not prescribed!!
You need to go thru all of those bottles and throw out any pain meds that your PM Dr. didn't prescribe to you. Just flush them immediately. That way you won't be tempted to take them and wind up losing your PM Dr.
You need to let her know that the 3 a day are not enough to control your pain. However, if she will not give you more than that you need to realize that you have to follow her instructions to a "T". I know, we all know, what it is like having to fight this pain but if you want a PM Dr. that can help you you must follow her instructions.
Please know that we are trying to help you and we really want you to be able to have the pain relief that you need, but you must follow the rules just lik we need to. I'm so sorry that you are having to go thru this!!
I'm keeping my fingers that she won't test you because if you test negative there is a good chance that you will be released.
What exactly does your Pain Contract state as to the rules of your Clinic when it comes to failing a UA test. Every clinic is different so they really can't be compared with each other.
I'm really hoping that you won't get tested again.....Sherry
I never got a chance to read my contract. She had me sign it at the end of my appointment and left the room right after I signed it. Then someone else came in with the cup to test me. She explained the contract but never said anything about testing you to make sure you're taking your medicine. She just said that I would have to take a drug test in order to get Norco. The whole appointment was kind of rushed and she would not stop talking long enough to let me get a word in. Which is the case with every doctor I've seen.
Oh well I'm a live and learn type of person. It wont ruin my life if I get thrown out. I will still be alive and that's the most important thing.
Thanks for the advice. I know you're not trying to be mean or anything. I appreciate your knowledge on the subject :)
Keeping a positive outlook on this when you have your next appt. ask for a copy of your contract to keep so that you will know exactly what is required of you. It's really helpful to be able to look things up when you have a question as every Pain Dr. is different. :)
I go to a very strict pain management clinic down to where they do pill counts at my appointments. We are to bring all our medications in with us at each appointment for a possible pill count. We are told we would get random ua's and that we need to be prepared each and every time we go in to our appoinments. I've been there for almost a year and I've only had the inital ua testing. I've had several pill counts though. It's a small price to pay to have good service.
I had to take a written test when I finished reading my contract. They wanted to make sure I was clear reading and understanding what was expected of me.
I have to go to another clinic to do the ua testing and then they send it off to a lab. I'm assuming it's quite the in depth test. I don't know if you will be tested at your next apt. Most likely not, but you never know. I have heard of some people being tested twice in a row. I guess it depends on if the doctor is trusting you or not. Make sure you don't take the oxy. If the Norco is not strong enough to help your pain, you need to tell the doctors that your pain is not being managed. Good luck and I hope you appointment goes well.
yes the tests they use are very sensitive to all types of opiates and other drugs. yes they could test you again right away, they may want to weed out "troublemakers' from the get go- the place Ive gone to is very strict and just mentioned they are now stepping up tests to several times a year (previously state law manadated 2x a year). They also may call you at any time to do a pill count. you also have to take your last month's RX bottle with you so they can see the refill date. If you dont bring it with you, they likely wont give you another RX. good luck to you
If they are sending the labs out then it is an extensive test that not only test for your prescibed drugs but others as well as illegal drugs too. The test they use in the office varies but will show which opiate your taking. They show the level as well in your system. If your on a daily prescibed medication the level will be consistent with that and if your not taking it as prescibed they will know this too.
The only way to handle this is to be completely honest and explain that you would have called but you were concerned about that would be perceived being this was your first visit with them. Tell them you have no problem following the rules you were just in alot of pain and you mishandled the situation. I hope it works out for you, do not lie to them at all though as they will know or find out and then all trust is broken. Also if they bring up you broke the contract tell them you had no chance to even look at it but would like to have a copy so you can follow the rules to the letter. Tell them you did make a mistake but that you are more and than willing to make sure that it never happens again. Tell them you will gladly come in for random test and pill counts.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.