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pain meds and urinalysis tests
i am 31 yrs old and have interstitial cystitis which ive had for about 10 yrs. ive been on pain meds the last 2 years. about 3 months ago my dr sent off my urine which she didnt tell me about. she said she didnt know the last time i had taken my pain meds and if i could account for them. i have very bad pain and i take my meds everyday so i was very offended by this. my urologist also gives me ultram to take at night for my bladder pain. my pcp said the ultram affects the lortab from showing up in the urinalysis. is this true? i have read that urine screenings are not very accurate and mistakes can be made. i would really appreciate any help with this. she also told me that if the lortab does not show up in a way she likes then she will no longer give me anything for pain ever. that scares me because i dont know how my body will react to not having the pain meds if that happens since the pain can be so severe at times its hard to get out of bed. again i would appreciate any answers about this since my next appt with her is monday, march 1, thank you


This discussion is related to Proper pain medication.
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198154 tn?1337790865
There are different types of UA tests...
The one I take for my PM Dr. shows up everything I take down to the mg in my system at the time (or so he says).
The UA I take at the "doc in a box" for my employer shows NOTHING,  Negitive for opiates.  I take a relatively high dose ( Oxycodone & Hydrocodone) and have been taking it for 5 years, never missing a dose.
If it were me I would ask my PM Dr. to do a blood test instead of a UA.  They tend to be much more accurate.  But also cost much more

Good Luck!
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547368 tn?1440545385
A drug screen is a very complex. The higher tuned or more sensitive it is the more complex it becomes. Several factors can produce urine false-negative results.

Some of those factors include the cut off levels of the test and which test is utilized by the clinic. Validity of testing depends on the type of test done. Also a factor is how well the urine sample is handled and labeled. Yet another factor is the competency of the lab and individual technician is in "reading" the results.

According to a forensics and medical diagnostics site, 98% of the time a test error, either falsely negative or falsely positive is the result of user error. Amendment V states,".....nor be deprived of life, liberty, or property, without due process of law;"...... Aren't the drug tests breaking our 5th Amendment rights?

In my opinion you are judged, convicted and sentenced without due process. You have little if any recourse when the drug screen does not reveal what the physician/clinic or DEA determines they should conclude. Never is human error considered...and aren't we all human? Don't we all make errors? Sorry I am getting side tracked here.  

I recently read a study conducted by a well known facility that stated 60-80% of urine drug screens are inaccurate. That percentage is far to high and not acceptable in today's world. One false negative or false positive can cost you dearly, ruin a life or a career. There has to be a better answer.

No I have never had an inaccurate drug screen. However I see posts often and hear the horror stories of those that have failed a drug screen on this forum.

My suggestion has always been to immediately get a blood draw for drug testing after you have submitted to a urine drug test. Go to another facility and pay if you must for the blood drug screen or better yet demand one from the facility that has required the urine drug screen. We have rights too.

I sincerely hope that your concern is for not. If it does return inaccurately you will be forced to find another physician. So be prepared to start your search immediately. I wish you the very best. Please keep in touch with us and let us know how you are doing. I will look forward to hearing from you.

Peace,
~Tuck~  

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535089 tn?1400677119
From the sounds of things, I feel that your Pain provider has a real issue whether or not you're taking your meds. Ultram does not cancel out lortab. They will each show up on your drug screen if taken. I'm not sure why your pcp told you that. If you look up the fach, you will learn that one doesn't cancel out the other.

Ultram will usually NOT show up on the screen because they are looking for opiates with an opiate sensitive test and Ultram is not an opiate.

You might want to have a back up plan in place for pain control. Google "Pain Management" in your area.

My best,
Mollyrae
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535089 tn?1400677119
Correction....Theyt will not both show up on the drug screen if the Doctor is looking for opiates. If the test is a general test looking for any drug in the system, it will show up then...
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