I recently underwent a lumbar epidural block. Being in EMS for over 8 years, I naturally wanted to know what medications would be given prior to the procedure and in what quantity. I was informed that I would be receiving 2mg of Versed, and 50mcg of Fentanyl; both IVP.
I have never taken anything stronger than tramadol for pain, so I expected to get significant relief from the fentanyl during the procedure.
Not only did I get NO relief, I never felt any effect of the medication (drowsiness, ect.). I experienced a brief period of dizziness after the Versed, but retain total memory of the entire procedure. It was especially painful.
As I thought about it afterwards, I decided to discuss my concerns with my wife who is an emergency department RN w/ over 9 years experience.
We agreed that with Fentanyl being widely abused, it would be appropriate to get a urine drug screen.
Approximately 9 hours after the medication was allegedly administered, I tested negative for opiates.
According to the FDA, the half-life of fentanyl is approximately 218 minutes. How many half-lifes would it take before the substance would no longer be detectable in urine?
Who would I report this possible issue to? Thanks.