Can doctor block me from getting my prescription before I fill it due to bad drug test?

[Needhelp371]

I have been going to pain management for a little over a year.I have never been asked to take a urine test until this past week. Unfortunately, I know I will not pass. I had run out of my meds a few days earlier and had smoked some pot to get me through till my next script. The test was on Monday, and the nurse said that they send the urine to California (I'm in North Carolina) to be analyzed. My question is, if they get the results back before I fill my script on Saturday, can or will they be able to block me from getting it somehow? I don't have insurance and I'm not sure if they have my pharmacy on file. I'm just really worried that I won't be able to get my meds. I am also worried about the future of my relationship with my pain management doctor, but I don't see him for another three months, so I have a bit longer to deal with that. Please help, I am so worried that I can barely concentrate on school.

[Needhelp371]

Thank you all for your comments. To troubleinohio- I do have real pain, however, I have been on the meds so long that I'm sure I am at least physically addicted to them. To RunningMom- I have tried in the past to follow my plan just as directed, but it is extremely difficult. I have really bad knee problems (can't stand for more than 3 minutes at a time, can't walk for more than 5 minutes) and the doctors can't seem to figure out exactly what is wrong with them. For the last six months I have been trying to explain to the doctors that I need to either up my dosage or add another med that can help the Norco ( I am prescribed 1 and 1/2 tabs of Norco 10/325 4 times daily as needed). They don't want to up the dosage due to my age (I'm 25). The problem is that after about 3 to 4 hours the pain comes back, so I take another dose. That usually means that by the end of the month, I am short on my script by a few days. I know that it isn't a good for me physically to take more than recommended, but I really just can't stand the pain. It's very frustrating. To geminigirl1963- I've been thinking about contacting the office Monday to see if I can talk to my Dr. and let him know the truth. When they took the urine, they didn't ask me anything about my meds or using other drugs. However, 30 mins after I left the office the nurse who took the urine called me to ask when the last time I took my meds was. I started to explain to her what had happened when the line cut off. I tried to call back the office for the rest of the day, but couldn't get anyone. I thought about leaving a message but I was freaked out and...*sigh*. I don't know. The worst part of all of this is that I let my Dr. down.

[geminigirl1963]

If your doctor's office gets the results of your urine test before you fill your prescription they may call you and ask you to bring the prescription back to them in the office.  (of course, presuming that you have the hard-copy script and not just a "refill" available at the pharmacy).  If you do have the hard copy script and have already filled it by the time your doctor's office contacts you, obviously there's not much they can do, other than there's a good chance they will release you from their care.  Like someone else said, not only will your urine test come up showing your marijuana use, but it will also come up as showing that you have not been taking the medication that they had prescribed.  Either of these issues is sufficient enough for them to dismiss you from their office.  It's nothing against you personally, it's simply a safety and legal issue.

Keep in mind also, that no matter what "mode" of the filling of your script you have (hard copy or refill on file at pharmacy) -- if you try to fill it early, the pharmacy themselves may contact your doctor's office and let them know you're attempting to fill a script early and ask them if it's approved to do that and find out the reasoning (i.e., a change in dose).  Depending on what the doctor's office tells the pharmacy, they then have the right to refuse to fill the script for you - at least until the date that it would actually be due, if at all.

When your doctor requested the urine sample for testing, did you tell them a) that you had run out of your pain medication a few days earlier and b) that you had smoke the marijuana?  If not, please seriously consider doing this in the future - it could avoid the possible problems with them getting "positive" results on the testing.  At least if they know the situation, you have a better chance of them not immediately releasing you from care.  They also need to know if you're having to take more of your medication for pain control than you used to so they can make the appropriate adjustments to it.

Best of luck!

[RunningMom]

I really don't know.  I've always followed pain management rules to a T and I've never run out of meds.  My pain is unmanaged as the pain medicine does not provide enough pain relief, but yet, I don't take more then I'm allowed.  It's very tough to live like this, but I have no choice.  I can't imagine running out of meds and not having any relief at all.  I don't drink or use any other substance unless I'm prescribed.  I would imagine you will be able to fill your script.  I've heard that it's sometimes very hard to find pain management once you broken the rules, especially in "doctor shopping", which this isn't the case.  

I do wish you the best, but if you do find another pain management doctor who is willing to treat you, follow their rules.  The pain management clinic your at will most likely kick you out of their program.  They are very strict and they stick with their rules.  Good luck.

[troubleinohio]

you probably can fill that last script if you use a different pharmacy than the one you have in your file at the dr. office... do you have true pain or just addicted? If you do have true pain issues, you'd better start looking for a new pain doctor right now because its very likely you will be kicked out of there. Not only will you test Pos for pot, you will be negative for your pain med...they might think youre selling your pills

[scaredmom330]

If you have the script in hand I don't think they can stop you from filling it. I think they won't give you any more if your urine test was dirty. at your next appt you might have some explaining to do. good luck