Aa
Live in AZ had a dirty UA
I have seen the same pm doc for 5 years we do random drug tests I have never had a dirty UA in 5 years always took 30mg oxycodone and 80mg OxyContin recently I lost my insurance so I can only afford my 30mg oxycodone which yes caused me to use a roommate of mines morophine but I just did a UA and it came back positive for heroin this make no sense I explained to my doc something had to have gone wrong I mean this same lab lost my UA's two times I told her when this test came back I would test right away and over and over whenever she wants I can not go without my meds she refuses my. questions are, one can I fill my meds I have always got, from another doc ? if I find one to see me, that is, because the way she talked was if I find a doc she already told all the pharmacies to not fill for me! Can she do this, if so what do I do to stop it bc this is completely one huge nightmare I have never used heroin and two what in the hell could have happened and why wouldn't she let me prove it as a mistake! I can not live a productive life without my meds can someone please tell me what to do in this situation (nightmare) that I have found myself in
Your UA tested positive because you took morphine...You simply cannot use any other pain med when under contract with Pain Management.
....won't work or what I really hope that it works bc I can not go without my meds I just hope when finding a new doc I do not have problems filling what he prescribes bc of one mistake I know the test they had messed up it made no sense that at the appointment nothing showed up then send it off and it finds things I honestly didn't take or not on purpose if I did I talked to a pharmacist and my docs secretary called and told them I failed a UA and it's in my pharmacy files will this effect future doc rx ?
Thank you so much yes I have decided to find a new doc I can get insurance in nov so I just need one more month of my oxycodone 30mg alone then I plan to find a doc to lower them and up my OxyContin I have a paper rx for the 26th but now that she said she will not have me as a patient does this mean this rx w
This has nothing to do with pharmacies -- its with your doctor and now part of your medical record.
Any follow-up doc with access to those records will see a solid history of compliance with doctor's orders.
There is some error in urine drug testing and you can find documentation of it if you search -- even here on this forum.
However, your doctor is probably satisfied with the accuracy of her testing service, and you don't have much of a chance arguing for a lab anomaly in this case -- however, you can try.
I once made a mistake with my medications too. It was a long time ago, and I have told the story to each doctor I've asked to prescribe ever since. I believe in openness and honesty when talking to my pain doctors -- this is my life line and I do my very best to be compliant.
As I see it, you have three possible avenues to approach this -- send documentation of lab anomalies from the medical papers found on the internet to your doc. Ask her to give you the benefit of the doubt. I don't recommend this option as I believe in honesty. You did **** up. Instead, I'd ask for leniency, and to switch from the 30mg oxycodone to MS Contin or methadone. (By the way, Exalgo is a long acting formulation of hydromorphone, not morphine. Hydromorphone is the opioid found in Dilaudid.)
Or, ask your PCP to write. Tell him/her the story. Perhaps he/she will write untilt you can find a new pain doc.
Finally, find a new pain doctor -- be totally up front about your mistake and hope for the best.
Let me tell you that you are on a load of opioids -- those 30mg oxycodone pills are a setup for addiction, and 10 a day is way too much.
Most pain docs will not agree with your current opioid dose and regimen. They might believe that your perceived pain is magnified by the amount of narcotics you're taking -- a phenomenon called opioid induced hyperalgesia (OIH). With OIH, one becomes more sensitive to pain with high doses of narcotics.
Normally, a pain doc loads 50 - 80% of the total opiate dose in the a long acting opioid, and puts the other 20-50% in breakthrough medication.
Without insurance, long acting pain meds can be very expensive. The least expensive is methadone, and the next least expensive is MSContin generic. I am currently in a COBRA situation and had to pay $250 out of pocket this month for my meds.
Use online PBMS services, like GoodRx.com to find the best prices in your area for your medications.
It is unethical to leave you in the lurch without any medication -- opiate withdrawal can be dangerous and is hell on earth. However, there's nothing illegal about it. Yes, a doctor can just "cut you off" which is an absolutely frightening idea.
So, stop, think, and decide on your strategy to get your meds covered.
Best of luck.
Any follow-up doc with access to those records will see a solid history of compliance with doctor's orders.
There is some error in urine drug testing and you can find documentation of it if you search -- even here on this forum.
However, your doctor is probably satisfied with the accuracy of her testing service, and you don't have much of a chance arguing for a lab anomaly in this case -- however, you can try.
I once made a mistake with my medications too. It was a long time ago, and I have told the story to each doctor I've asked to prescribe ever since. I believe in openness and honesty when talking to my pain doctors -- this is my life line and I do my very best to be compliant.
As I see it, you have three possible avenues to approach this -- send documentation of lab anomalies from the medical papers found on the internet to your doc. Ask her to give you the benefit of the doubt. I don't recommend this option as I believe in honesty. You did **** up. Instead, I'd ask for leniency, and to switch from the 30mg oxycodone to MS Contin or methadone. (By the way, Exalgo is a long acting formulation of hydromorphone, not morphine. Hydromorphone is the opioid found in Dilaudid.)
Or, ask your PCP to write. Tell him/her the story. Perhaps he/she will write untilt you can find a new pain doc.
Finally, find a new pain doctor -- be totally up front about your mistake and hope for the best.
Let me tell you that you are on a load of opioids -- those 30mg oxycodone pills are a setup for addiction, and 10 a day is way too much.
Most pain docs will not agree with your current opioid dose and regimen. They might believe that your perceived pain is magnified by the amount of narcotics you're taking -- a phenomenon called opioid induced hyperalgesia (OIH). With OIH, one becomes more sensitive to pain with high doses of narcotics.
Normally, a pain doc loads 50 - 80% of the total opiate dose in the a long acting opioid, and puts the other 20-50% in breakthrough medication.
Without insurance, long acting pain meds can be very expensive. The least expensive is methadone, and the next least expensive is MSContin generic. I am currently in a COBRA situation and had to pay $250 out of pocket this month for my meds.
Use online PBMS services, like GoodRx.com to find the best prices in your area for your medications.
It is unethical to leave you in the lurch without any medication -- opiate withdrawal can be dangerous and is hell on earth. However, there's nothing illegal about it. Yes, a doctor can just "cut you off" which is an absolutely frightening idea.
So, stop, think, and decide on your strategy to get your meds covered.
Best of luck.
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