negative result despite taking meds and patch was currently on

[mindysu3]

I was on oxycodone 5mg and a fentanyl patch 12 mcg per hour my doc had me give a urine sample which i could have refused but thought I had nothing to hide.  2 weeks later I went in and he told me that my results were negative for both meds and my anxiety med that I take 1-3 times daily he said he had to discharge me. i begged him to give me another test and showed him that I had my patch on. they let me give another urine sample which again was negative.  they said they could not prescribe me any more but did find a place that would take blood for a serum drug test.  what withdrawls symptoms will occur  and why would they not show up in my urine.  after 7 years I finally found the right meds that did not make me sick and now they are taken away.  I understand on their end why they can't but I don't understand the negative results. any ideas why this happened or any one who has experianced this would help.

[Mollyrae]

Hi Mindysu3:

I have some information in my Journals that light be of some help to you. Opiates can breakdown to Cocaine Metab's. I feel that the Doctor was looking for a reason to let you go. I don't know for what reason but he may have had one. Doctors can be very uncomfortable in prescribing pain meds. It's the DEA that has scared many of them right out of practicing pain therapy.
My advise to you is to find another Doctor altogether. Start fresh...they are out there if you look. It may take a while but be assertive. It's your comfort of life that you are dealing with.
Please take a look at my journals. It explains why you might have a false-negative or positive drug screen. The information is proven in may medical journals across the nation.
I hope that you can straighten things out. We are here for you......
Mollyrae

[mindysu3]

I recently got a copy of my drug screen results and in blood serum tests and the uad there is no positive result for cocain or amphetamines so I do not know where they saw this. my oxycodone did show up as <10.0 and normal is between 10.0-40.0 it also says elevated reporting due to nature of specimen (what does that mean?). My fentanyl showed up as<.5 and therapeutic range is 1-3 ng/ml. Would this be due to my low doses that I was on 12.5mcg/hr and 5mg oxycodone also the patch had been on since tuesday and needed to be changed the day the test had been done. Also in the uad result it shows negative for both and cutoff levels were 100ng/ml for oxycodone and 1ng/ml for fentanyl.  In the result explanation it does say that they were not detected but this could be due to individual metabolism or not taking it. The doc also had told me that if I had taking it at all in the last 30 days it would have showed up yet on the results explanation it says detection time approximately 2-3 days* for oxy and 1-3 for fentanyl.  Why did they lie about the cocaine metabolite and why didn't he pay attention to everything this report said. It did also show positve for carboxy thc, what does that mean? Also in his dictation they said they wanted to due the epideral steroid injection due to escalating amount of pain meds even though I had asked for a lesser amount of fentanyl because the 25mcg patch made me very sick and asked for the oxycodone insted of the oxycontin. It also says he prescibed me oxycodone 5-325 even though it was only oxycodone 5mg because when they are mixed with acetamenaphine I get sick. The other thing that doesn't make any sense is when they did and injection in my R hip for pain they wrote I had immediate relief but yet I remember hardly being able to walk out of the office because it initially made the pain worse And I asked them how long it would take for the shot to work.
Another thing they wrote was that I denied and weakness in my R arm and hand yet I did tell them that b/c this has been a problem for many years.  My new nuero doc would not treat me b/c of the carboxy thc and told me to go back to the pain doc and get a referral from him to somone else. I will not go back to the pain doc especially since I read all these notes and there were many things they said to me or put in the dictations that were not true.  There are not many docs that will prescibe pain meds around here for chronic pain especially the oxycodone w/o acetomenaphine.  Why is plain oxycodone so much worse than when it is mixed w/ acetamenaphine.  If the combo did not make me sick I would take it but it does so now the alternative is no pain relief at all.  The new nuero doc also said everyone has bulges in discs and it does not cause pain.  B/c of that they again have labeled me as having fibrmyalgia and say opiod pain meds do not help that kind of pain. They would prescribe vicodin or perocet yet those make me sick and will not listen that plain oxycodone does not make me sick. What do I do now???

[sandee1818]

ALWAYS be totally honest with your doctor. They wwil find out and then they will know you lied to them and that will be the end! I can not stress this enough, you have to be honest with the doctor do he can treat you properly and having a trustful relationship with your doctor is VERY important!

[mindysu3]

Thank you for all your help.  I did get in to a neuroscience center this wednesday.  Should I be upfront with them about what has happened or wait to see if they request documentation from the pain doc about my injections.  Even though the pain is unbearable most of the time I don't know if I want to go through all this again. I did print out some of the info you gave me and also found another spot on the internet

http://www.thatspoppycock.com/library/opiate_drug_testing.htm

Its always a little scary for me to see a new doc but this place has neurologists neurosurgeons, associate practitioners (I will be seeing one of these first), physical therapy and chiropractic care all in the same building. They also have a neurosurgeon who does medical-legal services (Independent Medical Evalutions/Liability/Record Review/Expert Opinion) What does that mean?

I also spoke with my psyciatrist today and he was going to check if my bupropion that I am on has anything to do with my test results.


Again thank you so much for everything

[sandee1818]

I was looking for the article about how some pain meds can metabolize as cocaine.
I will keep looking and post it for you.
This is a documented fact.
I had just posted in the post by me about false negitive results that most doctors are not sufficently educated on this subject, and on drug testing in general.
I would definatly find a new doctor if I was you. You need to have the proper treatment and he obviously can not provide it for you.
I am sorry your having to go thru this:)

[Tuckamore]

If I recall correctly some opiates will metabolize and break down as cocaine.

Sandee has more information on this subject than I do. She can respond better to your concerns than I. Sorry.

Tuck