Shebee, I answered this the other day, but apparently it didn’t post. My apologies.
I would avoid using the Xanax if possible. The clonodine typically helps quite a bit in managing most of any withdrawal symptoms. There are a few over the counter meds that seem to help- hylands Restless Legs for muscle spasms, anti diarreheals to manage any stomach/digestive upset, and Gatorade to replenish electrolytes.
Most withdrawal symptoms start to ease off quite a bit day 3, and improve from then on out.
I personally would avoid suboxone, that becomes an issue when it is not used for short periods of time (under 2wks or less) to get someone off opiates completely, and then immediately off suboxone. Too often, in my experience, drs like to keep people on it far too long, at stronger doses than necessary for someone with chronic pain, who wants or needs to stop opiates. Suboxone is geared toward managing long term addiction, not so much for chronic pain patients who want off opiates. In most of our situations, if it used at all, it should be minuscule doses, for just a couple days, then stopped.
Unfortunately, it is very likely there will be a failed test result. And the gs/ms metabolites testing will also show no metabolites .
The in office screenings typically show positive/negative. The urine is then sent out for confirmatory and actual level testing using either go/ms or immunoassay testing. These tests show exactly how much of the drug you are taking/have been taking over time. They reveal if the patient is taking too much or too little.
Since you told the doctor you took half your dosage on Monday but ran out days earlier, odds are not favorable for even trace metabolites to be present. Telling the doctor you took half a dose on Monday, then having negatives results is going to set off many alarms I’m afraid. Trying to create a cover story/explanation NOW is only going to make a bad situation worse.
You had to have been taking more than prescribed more often than you may want to admit, but running out of meds is a no no in pain management, period. Your running out 5+ days early is a huge red flag.
Maybe this is a time to reassess your ongoing need for pain medication honestly, and find other means of managing pain aside from relying solely on opiates.
Not trying to be harsh, but being honest with the situation you are in, and your non compliance can open the door to addiction, and I hope you don’t go down that road.