Urine analysys

[IWonder1]

I've been on pain meds for over 3 years. I take about 250 mg of OXY a day. I recently moved so I'm looking for a new Dr. I found one and took his initial drug test. The results so he claims are NOT what they should be. He accused me of diverting some of my pain meds. Even though I tested positive he said that the results showed that the levels of drugs did not coincide with what I am prescribed/ taking. Is this possible? Do they have the ability to detect the actual amounts consumed in urine? Aren't their a lot of variables involved that can influence this? For Ex. When I know I have to drive to the Dr.'s I do NOT take my meds that day until after I get home. Could this be why my levels were down? I always take my meds EXACTLY as prescribed, and believe me I need them. I would NEVER give them or sell them to someone else. Please help?
Thanks
IWONDER

[sandee1818]

To get a definite correct level on the meds in your system you need blood test done. The Dr I used to see in ALA said there are too many variables to add or delete in urine level test so to get a accurate test of level you need blood work done.
Ask for a blood work drug level test to get the accurate results.

[Toomanyadvil]

Okay did some research.

  There are two tests that are commonly used. One is called Immunoassay done either in a lab or by rapid drug testing and the other is called Gas/Chromotography-mass spectrometry. When you fail the Immunoassay or it is thought to come up wrong in some way, it's supposed to be tested again by the GCMS.

Also, codein comes up as a Morphine Metabolite in a UA and Hydrocodone comes up as Hydromorphone metabolites
So if the DR doesnt have knowlege of certain Opioid metabolites it could be seen as indicating abuse.(I dont think that peratins to either of you though)

There was talk of false/positives which is why a secondary test is supposed to be done before the DR confronts a patient regarding UA results.
But if someone tests below the cut off level(the minimum consentration of the drug or metaboloites) the lab cannot report that as a poitive test. By this statement alone I gather that it is possible for a level to be done because they have a "cut off" amount/

Thats all it said, and am not sure how much is true or what is certain because it is info from the internet. Looks relaible though.

Some I know doesnt peratin to you. Thought it might be useful anyhow as you will eventually get another UA if you stay on opioid management.

Hope this helps at least a bit

TMA

[IWonder1]

Thanks for the post.
My Old Dr. is only about an hour from my new home. I still go to see him it just really ***** having to sit in car that long without my meds. Then another 1-2 hours at the Dr's and another hour home before I can take anything. THANK GOD my old DR. Still sees me. This problem I had was from a new Dr. I saw closer to my home. I think he just did not want to take me as a patient so he came up with this bulls@#t excuse! My old Dr. warned my that I could have a hard time finding a new Dr. because of the high doses I take. He was right. As far as the time frame and levels go I'm still clueless. I wish that I could get some definite answers. I would love to teach this Dr a thing or to. Some of these guys are so arrogant they think that they are GOD and we are all just stupid little idiots because we take these drugs. I am college educated and have a degree in mechanical engineering. I not some dumb junkie. Well maybe I'm a junkie I have been on these pills for over 3 years. I was forced to take a n early retirement so now i don't work. My injury was job related so their is a workers comp thing involved as well. This could also cause many problems finding a Dr. I have already experienced that in the past. Many Dr.s don't want to deal with WC.

[Toomanyadvil]

Hi Wonder


There are levels the lab can do. When the medicine is metabolozed it releases metaboloites unique to the medication into your urine. Depending on how much your taking that amount of matabolites will be present in your urine(someone correct me if I'm wrong) so a level can be done.

It takes time for the drug to metabolize out of your body and into your urine so whether you take your medication early or late in the day probably wouldnt effect that or the DR would have to ask what time your taking it. But because oxycontin is a timed release medication it is a continus cycle and builds up. To lower your level you would have to not take your medication for a few days(maybe even 24 hours, I'm not sure)

I'm not sure if something could effect the level, but the meds did come up. Maybe the test wasnt in depth enough so got the level wrong. It would be anyones guess.
Maybe repeat the test at a lab or request one from your DR. I dont know what this DR said to you about what this means for your trearment, if anything. But you can alwats request one from your primary care physician.

I hope it all works out. Good luck!

TMA