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Inconsistent results on a pain management drug screen

I have been taking oxycodone for a few years. In the past 6 months my pain has been worse and worse, so on my really bad days, I have to take 1 or 2 extra pills, therefore I had to be sick and go without for 1-2days. My Dr tested me and then dropped me as a patient, because my meds did not show on my test. But throughout the test it says inconsistent results, I don't understand this, and am scared to death of having to try to live without my pain meds, as I am not able to function due to my pain. How will I ever find another Dr?  
What does all this inconsistent results mean? and does it make a difference that there was an insufficient sample submitted?
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1235186 tn?1656987798
after taking them for so many years your body has built up a tolerance to them, that is why you need to take more for them to work. there is also a condition called hyperalgesia. read about it:

Opioid Induced Hyperalgesia, or OIH, occurs when the use of opioids reduces the pain threshold and can manifest as opioid tolerance. Pain can in fact become worse despite an increase in dose or escalation of use. The physiology behind this condition is not clearly understood and many medical personnel were initially skeptical of its origin. . It’s often hard for people to wrap their heads around the idea that medication prescribed to relieve pain is having the opposite effect. .

Chronic pain conditions are very common and provide quite a challenge for the medical community. Opioids such as hydrocodone, oxycodone and morphine are often the drugs of choice for doctors and specialists treating severe acute and chronic pain resulting from a number of conditions. The use of these narcotic pain relievers can produce hyperalgesia, or opioid-induced pain sensitivity. Use can also lead to opioid tolerance, where the body becomes accustomed to the drug and no longer responds to its intended effects. Traditionally, it had been thought that a decrease of analgesic effectiveness was caused by the development of a tolerance or the progression of a disease or condition. Doctors are now coming to understand that increased pain can be caused by this opioid-induced pain sensitivity. In the case of OIH, it might make sense to increase the dosage to combat the pain, but the opposite is thought to be true. Tapering the dose may actually work to reduce pain.


Treating Opioid-Induced Hyperalgesia
Pain from OIH can be debilitating. Increasing the dose of opioid medication can be dangerous, leading to overdose and death. Once OIH is diagnosed, treatment options can include a reduction in the dose of opiates, a rotating schedule for use or the introduction of adjunct medications. This does not always work. Opioid Induced Hyperalgesia can be eliminated with a rapid detox procedure performed while patients are lightly sedated. Heightened pain sensitivity during opioid therapy is a real condition that can be treated.

Patients with persisting pain due to various conditions can then explore non-narcotic pain therapies or alternative pain management practices.

Helpful - 1
Avatar universal
That guy don't know what he is talking about a few more Percocet is not going to kill you! Because  I was on 100 mg of methadone a day it didn't kill me! I was on over 25 year!Now there going around telling the doctors what they can and can't prescribe to there patients and their cutting them down on the dosages because the drug enforcement agency and the CDC giving out the wrong information from people that they paying people to lie and  saying that people are dying from narcotics!But there really dying from the fentanyl!it's the fentanyl that's killing them! Not the regular legal and illegal drugs That's a lie that's a bunch of garbage thats called fake news don;t believe in no fake news! Cuz that's  nothing but a lie!   Cuz all my friends use drugs not one of them is died! So that's a lot of bull there saying on the news now! That's fake news to just sell the news and just sell papers! Don't believe in that crap it's a bunch of garbage! And now Trump is going around getting  people off of pain  management! He's no doctor!  lt looks like they going to have to go out on the street and get it what does he expect them to do live in pain? I am Telling you right now! I was  going to  pain manager doctor! He cut me  off in September! So it looks September I'am going to be heading back on the street again  I don't want to do this! But the government is giving us no choice!
Helpful - 0
Avatar universal
My orthopedic gave me a urine test and sent me a certified letter saying that he could no longer give me my medicine because of my urine test is inconsistent what does that mean
Helpful - 0
Avatar universal
Thanks for this information, you can bet I will be looking into this,
Helpful - 0
Avatar universal
Thanks and good luck to you too. It's a terrible situation to be in.
Helpful - 0
Avatar universal
How did your new doctor turn out to be today? Were you able to get your meds?
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Avatar universal
  This is great information. Thanks for posting it. I would like to see this as fixed info on here like the Thomas recipe etc.
Helpful - 0
1235186 tn?1656987798
I AM SORRY / THIS SENTENCE SHOULDNT BE HERE .Opioid Induced Hyperalgesia can be eliminated with a rapid detox procedure performed while patients are lightly sedated.

I DONT CONDONE THIS RAPID DETOX. THIS SHOULD BE DELETED. WE DONT HAVE A DELETE BUTTON.
SORRY ABOUT THIS
Helpful - 0
Avatar universal
  It`s a problem everywhere. I`m a real pain patient also and have had to look for a new doctor too. It took me 2 1/2 months. I was smart enough to have saved up just for a time like this. I would have had to go CT if I hadn`t. There are good pain management doctors out there. You just have to keep looking. They aren`t cheap either. The new one I went to today hit me up for $400. But he agreed to help me. I only had 2 pills left too. I have a deep hate for doctors because of the drug problem THEY created and continue to feed all for the money. Take a deep breath and start looking. Ask around. The pharmacist told me about a couple to check into. They aren`t supposed to do that so check with one you use regularly. They MIGHT give you a couple leads to GOOD pain doctors. Good luck.
Helpful - 0
Avatar universal
No I am not addicted to them, I do need the help of pain killers to move my body everyday. The pain I am in on a daily basis, is not a good time. I just know it's not easy to find pain management Dr's in my area, due to so many people that use the system. That number seems to grow in the news daily.
Helpful - 0
Avatar universal

       Are you addicted to pain killers sounds like you might be if the Doc told you what happened and you dont agree you may need to see another Doc but if you are addicted to the hydro. then you may have a problem.  You may need to see a psychiatrist.
Helpful - 0
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