Aa
help???
I was referred to pain management from my neuro and my new pmd is sending me for a urine drug screen. Reading from my paper, I'm being screened for Amphetamines, Barbiturates, Benzodiazepines, Cannabinoid, Cocaine, Opiates and Phencyclidine. That's it. And they are not using a gas chromotography to test for opoids. For those of you in pain management, is this just a baseline type screening, or are they digging with those? I haven't heard of the majority of what is being tested for so I'm curious as to what shows up. Is an opiate only morphine and heroin? Or would other things such as Oxycodone show up? On the website of the lab I use, it states only those two - that's why I'm asking! I've never been to pain management before, I just didn't know if this was a standard test or if they are searching out specific drugs etc. Does Quest Diagnostics automatically test for things such as Oxycodone, for example? Meaning do they automatically test for the "expanded opiates" even though they weren't ordered by my doc? If it is not specified under the gas chromotography? (I DO have a valid script for Oxycodone, but I took it a few days early/before having my drug screen done because the pain is so severe and I do not drive/have to depend on others to take me to my appointments aka getting UA!!) The problem is, I'm NOT supposed to have the Oxycodone in my system at the time of my drug test. She gave it to me, but expected me not to use it until after, but I couldn't wait. Today is 7/13, I can go take my UA the 16th or 17th. Will Oxycodone show up on the test? And how do I find out what "panel" test is being administered? Everyone seems to know about panels, I sure don't LOL. I Thanks for your help!
Narcotics will reduce any type of pain by a small amount just because they target the area of the brain to make someone not care as much about that pain...But it doesn't go after specific types of pain.
And Fibromyalgia, is mostly due to overactive nerves. So nerve pain is a very effective treatment for someone. I was diagnosed with this back in mid 90's.
Also though, Fibro can cause muscle soreness and this is where a muscle relaxer is good to have around to take once in awhile.
Again...if there is actual diagnosis by a Dr. for pain...the closer they can get to knowing what "type" of pain someone is having and the cause...the better it can be treated...
Opiates are just used to "numb" it a little..
Specifically for Fibro....there are so many other non narcotic as well as non medicinal ways to treat it to help as well...
And Fibromyalgia, is mostly due to overactive nerves. So nerve pain is a very effective treatment for someone. I was diagnosed with this back in mid 90's.
Also though, Fibro can cause muscle soreness and this is where a muscle relaxer is good to have around to take once in awhile.
Again...if there is actual diagnosis by a Dr. for pain...the closer they can get to knowing what "type" of pain someone is having and the cause...the better it can be treated...
Opiates are just used to "numb" it a little..
Specifically for Fibro....there are so many other non narcotic as well as non medicinal ways to treat it to help as well...
Thanks so much for all your information. I assume by nerve pain that you are including fibromyalgia judging from the nerve pain meds.
I have taken opiates and other narcotics for my severe migraines which have never helped my fibromyalgia. But I see plenty of postings on medical websites like this one, of people with fibromyalgia who are very upset not to get the narcotics. It seems like those people must get some pain relief from them? Makes me wonder.
Sara
I have taken opiates and other narcotics for my severe migraines which have never helped my fibromyalgia. But I see plenty of postings on medical websites like this one, of people with fibromyalgia who are very upset not to get the narcotics. It seems like those people must get some pain relief from them? Makes me wonder.
Sara
Most all laws/regulations both state and with the DEA are in regards to Schedule 2 narcotics...
Nerve pain medications are not heavily regulated because they really do not have abuse potential.
These meds are Lyrica, Cymbalta, and Neurontin..
Patients who have chronic pain usually have different types of pain. There is muscular...burning/nerve pain....bone pain...etc.
Opiates are meant to be an overall pain medication that just dulls the pain. It produces artificial endorphins and just makes us not care as much about that pain.
Muscle relaxers are for just that....relaxing muscles and are extremely effective for this where opiates are not. Example of muscle relaxers are Flexeril, Robaxin, Skelaxin...
Same thing with nerve pain...Muscle relaxers and opiates do not really help this type of pain.
As well as all the non medicinal things I mentioned to help with pain.
That is why any good Pain Mgmt. Dr. is going to work with their patient and find the absolute best combination of medicine/non medicinal treatments that can be done daily/weekly/monthly to help bring down pain to about a 5 or so. That is really the goal for chronic pain...
Nerve pain medications are not heavily regulated because they really do not have abuse potential.
These meds are Lyrica, Cymbalta, and Neurontin..
Patients who have chronic pain usually have different types of pain. There is muscular...burning/nerve pain....bone pain...etc.
Opiates are meant to be an overall pain medication that just dulls the pain. It produces artificial endorphins and just makes us not care as much about that pain.
Muscle relaxers are for just that....relaxing muscles and are extremely effective for this where opiates are not. Example of muscle relaxers are Flexeril, Robaxin, Skelaxin...
Same thing with nerve pain...Muscle relaxers and opiates do not really help this type of pain.
As well as all the non medicinal things I mentioned to help with pain.
That is why any good Pain Mgmt. Dr. is going to work with their patient and find the absolute best combination of medicine/non medicinal treatments that can be done daily/weekly/monthly to help bring down pain to about a 5 or so. That is really the goal for chronic pain...
Just curious. What are nerve pain medications that are not narcotics which would fall into the new legislation?
This is one of the things about starting pain management that you really need to learn. You absolutely cannot just decide what to do on your own over what a Dr. has prescribed or tells you.
Our bodies are actually much stronger than we know and if you have lasted this long with the pain...then another few days is something you can do.
So did the Dr. expect you to wait to even fill the prescription? Or did she tell you to fill it but not take it.
If you don't take any more Oxycodone....it may be out of your system in the few days...but no one can know for sure.
If it were me....I would be absolutely honest and not lie when you take the test if they ask you have you taken any medication...
If they know you have already filled the prescription...they may ask you to bring the bottle in to count the pills so that is another way you will be found out this way before the test.
Because if it shows up...and you are caught lying. They will not accept you as a patient as well as you will have a permanent mark in your medical file for this and it will make it difficult to get any type of opiate pain management from any Dr.
This is why it's so crucial to do what the Dr. says. The Drs. are under great scrutiny by their State regulations as well as DEA regulations. They have to write down everything.
The key always with pain management is if you are such pain..a 10 on the scale that requires Emergency Room monitoring then you call your Dr. and tell them you are going to the ER. But again..it needs to be actual emergent symptoms.
Otherwise....there are many other ways to manage pain besides the medication. If/when you get into Pain Mgmt. you will see that an opiate prescription is just one small way to help with our pain.
There is exercise, yoga/stretching, aqua therapy, PT, acupuncture, massage, TENS unit, injections, a muscle relaxer, a nerve pain medication, an antidepressant, sleep medicine, eating healthy, not smoking, maintaining a healthy weight, counseling/therapy.
These are not meant to be done once....they are all part of a comprehensive program to bring our pain down to a 5 or so. That is with everything used daily/weekly/monthly.
My pain is a 5-7 each day....
Again...not trying to be mean here...just giving it to you straight of what may happen as well as what is expected with being in PM...
I do wish you luck...keep us posted..
Our bodies are actually much stronger than we know and if you have lasted this long with the pain...then another few days is something you can do.
So did the Dr. expect you to wait to even fill the prescription? Or did she tell you to fill it but not take it.
If you don't take any more Oxycodone....it may be out of your system in the few days...but no one can know for sure.
If it were me....I would be absolutely honest and not lie when you take the test if they ask you have you taken any medication...
If they know you have already filled the prescription...they may ask you to bring the bottle in to count the pills so that is another way you will be found out this way before the test.
Because if it shows up...and you are caught lying. They will not accept you as a patient as well as you will have a permanent mark in your medical file for this and it will make it difficult to get any type of opiate pain management from any Dr.
This is why it's so crucial to do what the Dr. says. The Drs. are under great scrutiny by their State regulations as well as DEA regulations. They have to write down everything.
The key always with pain management is if you are such pain..a 10 on the scale that requires Emergency Room monitoring then you call your Dr. and tell them you are going to the ER. But again..it needs to be actual emergent symptoms.
Otherwise....there are many other ways to manage pain besides the medication. If/when you get into Pain Mgmt. you will see that an opiate prescription is just one small way to help with our pain.
There is exercise, yoga/stretching, aqua therapy, PT, acupuncture, massage, TENS unit, injections, a muscle relaxer, a nerve pain medication, an antidepressant, sleep medicine, eating healthy, not smoking, maintaining a healthy weight, counseling/therapy.
These are not meant to be done once....they are all part of a comprehensive program to bring our pain down to a 5 or so. That is with everything used daily/weekly/monthly.
My pain is a 5-7 each day....
Again...not trying to be mean here...just giving it to you straight of what may happen as well as what is expected with being in PM...
I do wish you luck...keep us posted..
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