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Tested Positive for a Pain Med Im not suppose to be taking. Will my Doc cut me off?

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Joined: Nov 11 2009
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Hello,

I have MS and I have A LOT of pain in my back and upper neck. I have tried everything and the only thing that helps is Oxycodone. My Doc gives me 60 Oxycodone 5mg a month. 2 a day. It works great. Ive been taking them for about 4 months now. I have random urine test. I had one today and my doctor said it came up positive for Oxycodone and Methadone. I have never taking Methadone. She asked me if anyone had giving me a weird pill and I told her no. She said she is sending it to a lab to confirm. As I was in the store, I remember having a migraine about a week ago and asked someone at work if they had anything for migraines. They gave me what they said they took for theirs so I took it. I didnt ask what it was, figured it was migraine medicine. The migraine didnt go away completely. Of course this person does not work at my job anymore to ask them. She got fired a couple days ago. My boss cant give me her number. Anyways I called my doctor when I thought it may have been that but she wasnt able to talk and I was suppose to hear back from her or her nurse but no one called back. Now Im scared that she will cut my meds off. And Im scared since I didnt remember taking that migraine pill at her office she wont believe me. Do you think I should call her, and if the lab results come back positive for methadone will she cut me off???

 

Joined: Apr 7 2009
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If I were you, I'd let

If I were you, I'd let matters lie just as they are. She asked, you answered . . . 'nuff said on that subject. As for your lack of brains, taking an unknown pill from an unknown co-worker says all I need to hear. If you are sincere about having MS and all, your Dr. will probably let you slide this one time as long as you quit trying to convince her of your stupidity with that rather thin excuse. Just shut up and don't ever do something that dumb again. I have to say that from my side of the screen, if I was your PMD and I heard any more about that "unknown, untraceable, and unemployed coworker" I'd cut off your pain meds muy pronto, Senor Tonto. Better luck next time . . . Q

Joined: Jun 13 2009
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Yes

there is a strong possibiity you will be cut off.  And as for your story, taking Methadone is not something most people would forget; unless of course, one was tolerant to it before.  You might want to practice up on that story........I don't buy it...but then again, that's just me 

Joined: Oct 11 2009
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jbradley326

Hmmm... how old are you? If you don't mind me asking.....

Joined: Nov 11 2009
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Funny because Iam being

Funny because Iam being honest.  I thought it was a migraine pill and it could of been. My doctor said that another lady tested positve for methadone and when the lab results came back they were negative. So it may not even be methadone. I was not familiar with Methadone til she brought it up today. Im new to all this. I thought she meant Meth like crystal meth at first. Im nervous because it took alot of doctors to take my pain seriously and it helps me work my 2 jobs. I only take 2 a day sometimes not even that many. It depends on how bad im hurting.  I signed that waiver and thats why im nervous that pill may have been that. And she did get fired so please if your not going to try to help please dont post. I have no reason not to be honest no one knows me. And sorry i have a short term memory problem due to my MS. I literally didnt think of it til I was walking in Walmart. Thanks for thinking you know it all Wink

Joined: Nov 11 2009
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Im 28 and Im being honest.

Im 28 and Im being honest. Ive never taking Methadone before. So if you guys dont believe me dont post. Like I said No one knows me i have no reason to lie.  I thought this was a site you could be honest in.

Joined: Nov 5 2009
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Hey JBradley. I think you

Hey JBradley. I think you double-posted... anyway, I wrote a response in the other thread, so here it is just in case it wasn't seen:

"Ooh.

Well, I don't know 100% what will happen, but he may very well do something about it. If another opiate was detected in your system, he has every reason to believe that you might be abusing drugs. A lot of people mess around with that stuff, and even if it was an innocent mistake on your part, doctors can't afford to let things slide.

When I was young and, admittedly, VERY foolish, I did stuff like that as well. I pinched a nerve in my neck and it hurt so bad I could barely move. The doctor gave me T-2s, but they didn't do anything for me, and I actually had the gall to go buy Vicodin and start self-medicating. Really, I just did it because I was fed up with the ridiculous pain that wasn't letting me sleep or move properly, but that doesn't matter- I went to a DEALER and bought a NARCOTIC, ILLEGALLY. It is what it is, regardless of your intentions.

Never take prescription meds that aren't yours. Even if you aren't a druggie, you'll have to suffer the consequences. And it's stuff like this that makes it harder for people who need those drugs to get them. Know what I mean?

I'm sorry if this is long and rambly. I'm going on zero sleep and far too much studying, ugh."

 

As for being honest on this site- you *should* be honest. There is nothing wrong with that. Yes, you made a mistake, but as long as you learn from it, you aren't a bad person. Don't let the snotty comments deter you; some people have nothing better to do, it would seem.

Joined: May 28 2009
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so medications metabalize slightly

I take morphine sulfate, for like the 1st 3 to 4 hours after i comsume it, it may show up as dilaudid, because the way the liver converts it.

although You showed to test positive for methadone, I would do as Quincy says just keep your mouth shut, the taking of any medications from anyone other than Your PM Dr. is grounds for being terminated from the Dr.,   I would ask to be tested again if the Dr. questions it again.

Woodstock

Joined: Nov 11 2009
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Thank you. I posted it on the

Thank you. I posted it on the other site because no one believed me. I appreciate your kind words. And i will continue to be honest. I just am scared to call my doctor and tell her that I remembered later cause she will may think like those other people that posted. So confused. Yell

Joined: Nov 5 2009
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Nah, don't be scared. Just

Nah, don't be scared. Just come clean about it. Be prepared to get a lecture- as well you should, the doc will not be happy about you taking a random pill from someone, but again, learning from your mistakes is what life is all about. Call your doctor and tell her exactly what happened.

Joined: Nov 11 2009
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Ok thanks. But I didnt even

Ok thanks. But I didnt even no it was a script. She took it out of her purse and gave it to me. It still may not be. Im waiting on the lab results. My doctor still gave me my script today though. So im sure if she didnt believe me she wouldnt give me my script on the day I !#*?%? with possible Meth. And she did not make a big deal about it at all.

Joined: Jun 27 2008
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It is hard for someone to say

It is hard for someone to say for sure.  If you did take Methdone and it does show up, that could be grounds for discharge.  You may not be discharged because you have MS.  In the future do not take anything that you do not know what it is whether OTC or script.  I would not take a script unless it is prescribed to you by your current pm.  I always have motrin and other OTC meds that I might need with me(in the car).  I have a plastic container that has pepto, tums,sudafed etc to avoid getting a tums from someone and it being a script med.  The stakes are higher for those who are subject to random drug tests. Take care, htmom

Joined: Nov 11 2009
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Trust me Ive learned my

Trust me Ive learned my lesson. But my doc honestly didnt seem concerned. She wrote my script and asked me how everything was. It was a very short conversation on the Meth. I dont think she would of written me another script if it was that big of a concern.

Joined: Nov 5 2009
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It's okay JBradley. &*&?

It's okay JBradley. &*&? happens... just keep in mind that some people won't think twice about handing a prescription med to someone, and then you're the one who gets nailed for it. Better to be on the safe side and not take pills of any kind from anyone, unless you can SEE that it's, say, a bottle of Tylenol or what have you. People are ridiculous for handing things out... a friend of mine offered me Adderall one day just because I mentioned that I was a little sleepy! Other people don't always think... so you have to be the one who does. :)

Joined: Jun 13 2009
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Starting Over

at this site, we hear everything.  Because of that, many of us have lost our sense of humor when it comes to "stories".  It is difficult enough for CP's to receive adequate care.  We stand in line behind a whole lot of people who abuse the very drugs we need to remain functional.  We are not beleived when it comes to the amount of pain we live with, and pain which never sleeps takes a heavy toll on our psyche.  This is an honest site, you can say whatever you want, but do not expect anyone here to sugar coat their answers. 

I answered your question honestly.  If you tested positive for unprescribed methadone, regardless of the reason, due to the waiver you signed with the Pain management doctor, you most likely will be dropped from care.  Now, your physician did the fair thing, she sent the specimen to a more exact lab as there are times a false positive can occur.  If it comes out that the initial screen was inaccurate, with no actual methadone in the sample, take this as a very valueable lesson - you cannot take unprescribed drugs, of any kind or from anyone.  As a fellow CP, you are now held to higher standards.  Welcome to our world.  Read the waiver you signed.  These doctors are serious...and for every patient who doesn't follow the rules, another of US is not believed.

    

Joined: Apr 7 2009
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You came to this site for

You came to this site for advice and that's what you are getting, JBradley. Advice always comes with a side dish of judgement, I have to judge a person first, that way I'll have some idea of how to advise them . . . does that make sense to you 'cause it sure does to me. I know that pain is frustrating and that it also causes people to have a short temper so in this 'judgement' I'll cut you some slack, but if you want to get help on this site you're gonna have to toughen up a bit and take it as it comes. Quit gritching, lighten up, and listen to what these folks are saying. Believe me, we get every type imaginable on this board.

Such as myself . . . Q

Joined: Nov 11 2009
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Well its pretty hard to

Well its pretty hard to listen to people who are saying im not being honest when I am. I am listening to those who do believe me. I could get a lot of scripts cause of my disease. I choose to take the least possible for a reason. My doctor has even asked me if i need my dose increased and I said no. I hate having to take all diff meds. I do cause I need em to be a good mother and keep my jobs. I seriously didnt know it was methadone and ive done my research and if i really wanted it it would be easy for me to get. along with alot stronger meds. I have never been happier because atleast the pain is alot less. That is why Im freaking out about being cut off. I dont want to go through what i went through for almost 2 years. And trust me I am tough. Just hate to be called a liar.

Joined: Nov 11 2009
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Well ive done research and

Well ive done research and its  possible that if was methadone she may just test me more.

Joined: Nov 8 2009
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Just let it go.  Do not bring

Just let it go.  Do not bring it up to her and she will forget it.

Joined: Apr 7 2009
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I sure hope that you don't

I sure hope that you don't think that I have called you a liar . . . dumb, yes but liar, no. Are we OK on that? I hope so 'cause this site has helped a lot of CPs and I'd be real happy if you stuck around and used it for help with your pain issues. I've got cancer and this site has helped me deal with that life changing, and ending, fact. Good luck and best wishes . . .

                                                                    Smile       Q       Smile

Joined: May 28 2009
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JBradley:

even while taking Your medication, there may come a time that your oxycodone might test negative, this has happened to my spouse with hydrocodone, an Me with Xanax, if ever this happens ask your Dr. to perform a observation test, where you consume the medication in front of her, she draws blood an tests the medication, if the medication tests negative You have receive ineffective medication an should contact the manufactor for a refund.

WOODSTOCK

Joined: Aug 18 2009
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just relax

do not make a big deal out of nothing you made a mistake alot of the people on here are judgemental and sometimes nosey,and very unthoughtful,just let it blow over and worry if you are discharged,most doctors will discharge after one warning anyway everyone makes mistakes and as woodstock said our bodies or liver do different stuff thats for sure. Richard

Joined: Nov 11 2009
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I will stay on this site. 

I will stay on this site.  and hopefully the lab results will come back negative. If not I hope for one warning. Im still confused on if i should tell her about the pill if it is positive. She really likes me and deals with many MS patients and she understands. Well Ill wish fo rthe best. If not there are other pain specialist around. But I really like her. Quincy I do understand I was dumb. But when I had that horrible Migraine I didnt think it was a script.  I am a very honest person and I can see how it sounded now. But its the truth take care talk to you soon.Kiss

Joined: May 3 2009
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question

HI I just wanted to clarify: You had tested positive for methadone on the first urinalysis.  When you went back and got your script, you had a second test? How much time had passed between the two?  If it was more than a few weeks, it may not even show up.  I know that methadone has a longer half life but you just took one pill.  And you did not tell your doctor about the accidental incident, right?  It would be kinda too late now.  I hope everything works out well for you.  I would hate to see her discharge you being that you have a good relationship and she trusts you.  It's not so easy to get in with a new pain doctor once you have a discharge on your record.  wishing you the best...Theresa  

Joined: Jun 21 2008
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Pain is no fun, and it looks

Pain is no fun, and it looks like you are able to control yours with a relatively low dose of medicine. Hopefully this situation will end up nothing more than a lesson learned, and a little worrying.

Try not to take offense to anything, I didnt see anything but constructive criticism and suggestions as to what could happen, exactly what you asked for. Some people cant handle it though, so many would rather have their hands held and told all is well and will be ok. Thats not always the case, and personally I would rather have some honest feedback then to have the wool over my eyes.

To some of you guys, come on now! We are not baby sitters or pre school teachers. Someone who says whats on their mind so that they can get and give the best possible information is not nosey, and it sure is not inconsiderate. You think that the doctors, nurses, PAs, staff etc etc etc are going to want to baby a pain patient who tests dirty? (no offense to the OP) No, they are going to be firm, and there is a good chance of an unfavorable outcome, thats just the way it is, even with well established patient relationships. I dont know if I am just grouchy tonight, but enough with the baby coddling! Its NOT constructive and its NOT helpful.

 

Joined: Jun 27 2008
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I would not say anything

I would not say anything about the pill without knowing the test results. You can judge whether or not to tell what happened. I think my dr would discharge me and would have never given me a script with a dirty screen. This is an opinion that I have formed by being treated by my pm for 2.5 years. So maybe you will get a warning! Take care, htmom

Joined: Nov 11 2009
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No T. Calderone. This was my

No T. Calderone. This was my 3rd urine test. Ive never had anything but Oxy in my system before. Yesterday my urine came up positive for the Methadone. She still gave me my script. It may be nothing because I dont believe the pill i took was Methadone. Im waiting on the lab results. I dont think the girl would give me Meth for a migraine but I dunno. I didnt tell my doc cause I didnt remember at the time. I just thought it was a Over the counter pill. When I remembered I thought I should tell her but Im scared she will not believe me.  She really just kinda brushed it off though like it wasnt a concern. She didnt say I would be cut off if the results showed up as Methadone. She asked me if I took it and I told her no. Then she just said well I sent it to the lab. Then she explained to me what it was. I had no Idea. That was it. She asked me if my dose was still working and I said yes. Then she said she will see me next month. It was the same as every visit. Im just worried. Hopefully Ill get a warning If it does show up as that. Should I tell her next visit if it does show up about the pill? Or just leave it alone?

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chefndakeys17 You said

chefndakeys17 You said doctors will discharge after one warning? So im fine this time maybe?

 

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Some doctors

will discharge for a violation like that with NO warning.  Very unpleasant.  I would just play it by ear and see what happens..Ray

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Cool

I hated using that word, JB, but I really wanted to get your attention. Well, mission accomplished and I'll go back to my more polite style of verbiage . . . Q

Joined: Nov 11 2009
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Ok, well I wonder if she will

Ok, well I wonder if she will call me when the results come back or wait for my next appointment. No hurt feelings. I am upset cause I really didnt even know what methadone was and I did not take it on purpose.But thank you all for being honest.Laughing

Joined: Aug 18 2009
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usually one warning/

the doctors i have delt with,give one warning on a perscription drug, now illegal stuff like weed or coke you are discharged right away.

Joined: Aug 18 2009
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no

leave it alone for sure,the less said the better,my pain contract actually says will not use other peoples meds,so let it go and say nothing

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I would not say the migraine

I would not say the migraine pill story even if it was completely true. Just about every story you can think of has been told to a PM doc somewhere...true or not...usually not. One time I opened my bottle of pills and 3 or 4 popped out and fell into the sink and all but one went down the drain. I decided not to mention it and just take one less for a few days.

This isn't the first case I've heard of where someone taking oxy tests positive for methadone but swears they didn't take any.  see the following thread for someone else in your shoes http://www.pharmer.org/forum/chronic-pain-and-pain-management/need-advice-asap-discharged-pain-management 

 

If I had to guess I would say you're going to be alright...just relax and exercise more caution.

Oh and btw you might not want to refer to methadone as meth...it could really mislead the reader...

Joined: Nov 11 2009
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My doctor called me back

My doctor called me back because I left a message for her to call me because I was freaking and wanted to tell her about the migraine pill. They said she would call or a nurse would yesterday. My doctor left me a message today saying I got your message to call you back about your urine test. I never said that to the receptionist in the first place. I just asked to speak to her about my visit. So I called back and had to leave another message with the receptionist because doc was with a patient. I just told the receptionist I misplaced the script paper my doctor had giving me but I found it and if the doctor still needed to speak to me to call back. She didnt call. So I took everyones advise and said nothing about the pill. I just hope she bought the misplacing of the script paper since she had thought it was about my urine. I just didnt know what to do before I got on here I really just wanted to tell the truth. So I called before I talked to everyone. Crossing my fingers. Oh and i didnt mention that my Primary care doctor is my pain specialist so Im not in a clinic. I didnt know if that makes a difference or not.

Joined: Jun 21 2008
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Take a big deep breath! It

Take a big deep breath! It looks like this will all blow over, thank God. You seem very nice, and its apparent you want to do the right thing. I hope all the feedback helped you through your situation, not one of my most caring family members other than my wife understands the true insanity we call pain management. Thats what I love about this site, we are kind of like a family and know what each other is going through. I hope you stick around J!

Joined: Feb 22 2009
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I think everyone is

I think everyone is right....don't say anything, especially since you're not even sure it was Methadone. I mean, why put the doubt there when you're not even sure? You may end up in a mess over something that wasn't even Methadone! It's totally not unheard of for people to test positive for things that they didn't take. One time I tested positive for Cocaine when I was in the ER in a urine test and the doctor said it in front of my husband and started to treat me like cr*p! I swore up and down I didn't do any cocaine (fortunately my husband never doubted me for a second). The doctor kept telling me that the test was accurate. I asked him if my other meds could have caused a false positive, he said no, the test was accurate. Fortunately his shift was ending and another doctor was coming on and I convinced him to test me again because the other doctor suggested discharging me once my blood sugars were down since I was "just having a bad reaction to cocaine." The new doctor tested me again and only found the things in my urine that were supposed to be there. To this day I don't know why the 1st test showed otherwise. The doctor said it was definitely my urine in the first test because of the blood sugars, ketones, etc. that also showed up. He theorized that it had something to do with the fact that I was in DKA (diabetic ketoacidosis) and was on opiates. He said that diabetes is one of the things that can cause false positive for all sorts of things. Fortunately, I haven't had that poblem since. Anyway, point of the story is that you may have just had a false positive on your test. There's no need to incriminate yourself if you're not even sure you did anything wrong. Even if it was Methadone you didn't intentionally take it and I'm sure you won't ever take anything unidentified again. Unfortunately doctors hear the "I didn't know what it was I was taking" or "they said it was something else" story all the time from people who are lying. If your doctor finds it weird that you called just stick to your story about misplacing the script. If the lab tests come back positive for Methadone I'd still play dumb and act like you can't imagine how it got in your system, then maybe say something like, "The only thing I can think of is a week ago (or however long ago it was) I had a migraine and I asked a coworker for some Ibuprofen, Aspirin, or something and she handed me a pill. I assumed it was Ibuprofen or Aspirin since that's what I asked for. It was just a plain white pill, so it looked like Ibuprofen. I can ask her to verify what she gave me, but I really don't think she'd give me something like Methadone without telling me what it was." That way it shows that it was an innocent mistake like it was. Then ask your doctor if the lab results showed how much of it was in your system and ask if it is consistent with just 1 pill if she wants to take it further.

Joined: Nov 11 2009
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Thank you

I really appreciate the feedback. My nerves are better. I just never had this happen to me. This site is really nice. Im glad I joined. Kelly that is some really good advice and i will do that.