April 5, 2019 at 10:19 pm #4629
When someone is under the care of a pain doctor these days a contract is required between the doctor and patient. This contract has many rules regarding opiates. One rule requires regular testing to make sure the prescribed medications are found in ones system.
If a patient runs out of their prescribed opiate early, Oxycodone 10/325 for example, and it doesn’t show up in the test the patient runs the risk of the doctor terminating said contract.
If that same patient has acquired three oxy 10/325 what is the best way to take them to make sure it shows up in the test? Take 1 every eight hours before the test or take all three at once the day before the test? How many hours are needed to guarantee the oxy will show up in the UA?
Thanks in advance for the advice.April 5, 2019 at 11:07 pm #4630
Testing has gotten so advanded. You might get away with it on the day of appt. However once the sample is sent off to lab, they measure the emount of creatine. It should be consistent with have taken as directed over the period of a month. Having said that i would spread it over the twenty four hours. That way at least you might not have such a high surge of creatine levels at time of testing. Good luck my friend!April 6, 2019 at 11:24 am #4631
As a former opioid addict myself who was always running out of pills, I totally understand how this can happen and do not judge you. I started out with street pills, but then I was put on a pain contract too when my doctor began prescribing 60 mg a day of oxycodone for post-surgical pain (that never goes away). I knew I was at risk every month–so what I did as some kind of insurance was to give about 12-15 pills to a non-using friend to hold for me when the prescription was first filled, and then administer them to me in the few days preceding the test. I also tried my darndest not to run short the rest of the month.
I never got caught for anything, but my anxiety level ran so high that I finally decided it wasn’t worth living with it. So I went off the pills, with my nurse practitioner helping me with a very generous taper.
I wish you good luck with this test–and just want to suggest that getting off the pills eventually, if you can stand it–would be the very best way to deal with this problem…April 6, 2019 at 1:55 pm #4632
Thanks to both responders. Much appreciated.
The patient is on extended release morphine, Percocet, and gabapentin to calm the effects of diabetic peripheral neuropathy. Unfortunately, there is no cure for the ailment and the pain in the feet and hand is debilitating. Said patient has quit all pain meds once before about 3 years ago and the burning shooting pain in the feet and hand caused the loss of the ability to walk or grasp anything in either hand. Discouraged by this he chose to go back on the medications. Even his pain doctor is discouraged as no other treatment has provided any relief. Tens, spinal implants, therapy, diet, and many more. I hope one day they find a way to help him and other diabetics with this unfortunate side effect of diabetes.
FYI. As long as the correct medication shows up this pain doctor doesn’t send to the lab and this is the first time in 8 years of treatment the medication has run out early. It’s just been a very painful month. I hope for everyone involved things soon return to normal.
Thanks again for the great advice and kind words.April 7, 2019 at 11:10 am #4633
This is super easy, take your pain meds exactly as prescribed.
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