February 8, 2008 - 8:49am
I have a question. I have been prescribed oxycotin. I received my prescription and it is the generic oxycodone HLC ER. My question is, are these the same drugs?
If I urine tested and had taken say a 512 oxycodone would the doctor be able to tell the difference or would it show the same? Also, when the doctors say test levels, can they actually see "levels" or do they see that the drug is just in your system?
curious as I have never been on an opied agreement and do not want to void it.
February 8, 2008 - 10:42am
#2
you bring up an excellent
you bring up an excellent question regarding "will oxycontin show up the same as oxycodone on a drug test".
the simple answer to the question is "yes", they will both show up as oxycodone. However, i work for a hospital and the University next door to my hospital does all of the drug testing for the employees as well as the patients. Somehow (dont ask me how b/c i have no idea) they are able to differintiate between oxycodone and oxycodone SR (oxycontin). perhaps it is something in the inactive ingredients... i am not sure. I can say after reviewing drug tests for years that sometimes specimens are positive for oxycodone, sometimes for oxycontin, and sometimes it simple shows for opioids.
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
February 11, 2008 - 3:37pm
#3
your opinion
I really do appreciate your opinion on this matter. Thank you so much.
In your opinion, if I have signed an opioid agreement and they test me, with your experience, would it be a "simple" drug test or would it be deeper than that? As you said above. I am also curious, you said above that sometimes specimens are positive for oxycodone and sometimes for oxycontin, what does that mean? Does the drug metabolically change in certain people?
One more question. How long does it take for oxycodone or hydrocodone to be out of your system?
February 11, 2008 - 3:39pm
#4
appreciate
I appreciate that. I really need to know these things. I am in new teritory here.
February 11, 2008 - 4:58pm
#5
as far as "how long will oc
as far as "how long will oc or hc stay in ones systems"... the general answer for that is approximately 72 hours (depending on several factors such as; how much, how long someone has been on it, their weight, et cetera).
if i were to guess what type of drug test your doctor is using, i would guess that it probably would not detect the differences between oxycontin and oxycodone. most drug tests dont differentiate the two. most labs dont differentiate the two and many labs will simply test for opioids.
the only reason that the hospital that i work does it is b/c the school right next to us (whom we partner with) has a pharmacology school as well as a medical school, as well as a huge chem/bio program.
i really think that you will be fine. just be honest with your doctor and follow hers/his advice.
take care and best wishes!
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
February 12, 2008 - 9:43am
#6
REALLY GREAT
It has been really great speaking with you. Thanks for all of the information and your time.
February 12, 2008 - 3:55pm
#7
It is amazing how some of
It is amazing how some of the newer tests can determine the amount of narcotics such as it is with the Oxycontin/Oxycodone. When I was a social worker they had a new test for marijuana where (I think) they take the root of head hair and somehow are able to go back many more months than the standard urine or blood test
February 13, 2008 - 7:53am
#8
In case anyone's interested...
Here's what is listed on my pain clinic's typical urine screen. Oxycodone is listed twice, so I/'m not sure if that differentiates between oxycodone and oxycontin, or if it is merely two different methods of testing. Someone on here probably knows more about that than I do (phisher?) Anyway, perhaps this will be helpful to someone at sometime (or maybe not).
Amphetamines
Barbituates
Benzodiazepines
Methadone FPIA Class
Methadone by GCMS
EDDP by GCMS
Methadone Metabolite (EDDP)
Propoxyphene
Propoxyphene by GCMS
Norpropoxyphene by GCMS
Opiates FPIA Class
Codeine by GCMS
Morphine by GCMS
Hydrocodone by GCMS
Hydromorphone by GCMS
Oxycodone by GCMS
Oxymorphone by GCMS
Oxycodone by EIA
Cocaine
Phencyclidine
Cannabinoids
Fentanyl
Fentanyl by GCMS
Norfentanyl by GCMS
Other
Creatinine - Urine
PH - Urine
Specific Gravity - Urine
February 13, 2008 - 8:04am
#9
Thanks for posting that! I
Thanks for posting that! I have never actually seen any clinics list what they test for (of course some clinics may vary). It appears that your clinic has a pretty comprehensive test.
I think that this list should be useful for many posters as it may very well detail what they may be tested for at their pain clinic.
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
February 13, 2008 - 6:05pm
#10
EIA is an immuno-assay. GC
EIA is an immuno-assay. GC is gas chromatography. MS is mass spectrometry. FPIA is probably an immuno-assay as well. Most likely, they run an immuno-assay for benzodiazapine, amphetamine, opiates, methadone, propoxyphen, phenicylidate, cannabinoids, fentanyl and cocaine. If you are positive for lets say opiates on the immuno-assay, they do a gas chromotography or mass spectrometry to determine which opiate. Because fentanyl is highly fat soluble, it may not show up on an immuno-assay, and the more sensitive GC or MS may be used to determine if you are taking fentanyl.
February 14, 2008 - 7:41am
#11
No problem...
No problem. Mi informacion es su informacion. I thought it may be helpful to share. By the way--on that test, I did test positive for methadone, propoxyphene, hydrocodone and hyrdromorphone (which is consistent with hydrocodone as ones body metabolizes it into hyrdromorphone--I'm told, anyway).
October 18, 2008 - 5:40pm
#12
A lil late
oxycotin dos not show up as oxycodone i know first had i had a script to oxycodone and i took a oc and the nex day a work i got a randome drug test and thought i was good a week later i got a call and i faild the test for oxycotin i had the script for the perks but the doc was like there is oxymorifone so OC is not the same as a perk wen it comes to a drug test
October 18, 2008 - 5:57pm
#13
phisher
posted this ......
"Somehow (dont ask me how b/c i have no idea) they are able to differintiate between oxycodone and oxycodone SR (oxycontin)."
maybe you missed it?
I am not a Dr. I just play one on tv.
October 18, 2008 - 6:44pm
#14
umm....oxycodone is the same
umm....oxycodone is the same oxycodone in percocet and oxycontin so they come up exactly the same thing. Oxymorphone is opana so are you sure the "OC" you took was actually an oxycontin and not opana?
October 20, 2008 - 3:42pm
#15
most def it was a oc. red
most def it was a oc. red pill oc on one side 60 on the other i was just telling what the doc told me i thought the same thing i had a skript for perks didnt have any on me wen i was at work so i took the oc thinking i was good get hit witha radom. that how i found out
October 20, 2008 - 4:53pm
#16
Both Percocet and
Both Percocet and Oxycontin will show up as the same things on a drug screen, whether it be instant or a more detailed version. However if they go into a more detailed exam of the results the Oxycontin 60mg will show higher concentration levels of certain metabolites versus the few percocets a day you are suppose to be taking. Most likely you have a script for a few percocet 5's a day and when you were tested your metabolite levels were through the roof compared to where they should be. Also both will show some levels of Oxymorphone because that is one of Oxycodones metabolites along with Nor-oxycodone and straight Oxycodone. If I were you I would dispute the results and make them understand that you have a legit script for percocet, which is Oxycodone the same drug that is in OxyContin.
December 14, 2008 - 11:05pm
#17
oxicodone level
I I Have a question If a doctor is testing for a level of oxicodone and I have been on this medication for a long time why is he testing for a level? Also show does this level thing work. example.. If I dont take it for a few days and then go for the test or if i take to much then go for the test either way? curious either way?????me and my husban both have the same dr. my husband goes tomorrow for the test and i go to the dr. so we are both curious as to this situation. this dr is very weird and he is very mean to my husband but not to me!!! Thanks to anyone with any information
December 15, 2008 - 12:07am
#18
Is that a complete list? I'd
Is that a complete list? I'd be suprised they don't test for benzos, MDMA, heroin. Just out of curiousity.
August 27, 2009 - 8:39pm
#19
I have a simmiluar situation Percocet vs OxyContin in drug tests
First hello all I Just felt like turning my computer on tonight to look this question up and found your forum and I am very impressed with the wealth of information here ,I hope I can help out later on .
I have the same problem sorta, I get 2, 20mg of OxyContin and 90 % of the time I run out before my next appt. I cannot get the doctor to raise my meds or give me anything for breakthrough pain just the two OC's and that just doesn’t do it for me ,I have been dealing with chronic pain since 2005 ,I was hit by a truck on my motorcycle and had a open fracture of my femur and crushed my knee ,breaking my arm, back and neck,(I almost bit the dust)as I severed my femoral artery ,but back to my meds problem .I am in a little trouble my last 3 visits I have been tested and he said there was no OxyContin in my system and I told him I ran out because I am not getting any relief ,and I have been asking for over 4 months now for a dose increase ,so this has happened twice now ,and last visit he gave me 2 weeks’ worth and told me come back in and if I didn’t have it in me I was canned , well I tried my hardest I even put back 6 of them to save for the end of the last week, well I forgot where I hid them and as usual i ran out ,but thank god I just happened to have to have some dental work done this week and I got some Percocet 10/650 so i have been taking them .And I was wondering if it would show different that the 20 mg of OxyContin I am supposed to have in my system. If not I am probably kicked out!
I have been going there for 4 years now, in the beginning he had me on methadone and it just made my tolerance higher and messed up my surgery’s but it worked(with a large dose!) ,I have had a total of 9 surgery’s and I have the tolerance of a elephant ,so I got him to switch me to OxyContin thinking that it would help me in my future surgery’s ,because after every sugary I would wake up in bad shape and they almost could not get me any relief ,while IN THE HOSPITAL ! ,so I had the big idea to switch me thinking for sure he would at least give me 40mg and something for breakthrough pain. But he didn’t and the 20 mg of OxyContin it is nowhere near helpful as the methadone was,
I thought I would be getting my life back together and healed up and done with all these problems by now and I could start weaning down at the end of this year, and try to get off of the OxyContin and move on ,but now I was told last week that my knee pain is from a %?#$$ that was put in my knee to hold it together (as well as 3 others scattered around) but I also have a large plate(my second one the first one broke in half ,that is another story!) on the side of my leg holding my femur from my hip to my knee with 10 or 11 screws and it scrubs the side of my knee causing pain as well so ,I’m just screwed literally !!
But if anyone can tell me if I will pass that test or not I would greatly appreciate it and sleep allot better until this Monday!
August 27, 2009 - 10:10pm
#20
If you continue to take 4 of
If you continue to take 4 of the 10mg percocets everyday until Monday you should be fine. Just make sure that you are taking the exact same number of mg...
Also, I know its hard to stop from taking that extra pill somedays but just think about how hard it is not to have any relief the last few days of the month, especially if they're going to test you. It looks REALLY bad if you have none in your system since he probably thinks you are selling them.
One last thing, if you have a pain management contract and you got percocet from a dentist you could be in trouble unless you cleared it with the PM doc...just a thought
be careful
August 27, 2009 - 10:52pm
#21
I would start a search for
I would start a search for another pm. You need one that will listen. I think your history speaks for its self when it comes down to if you have pain or not!!! I think that everyone on an ER needs an IR for b/t pain. But I'm not a dr. I'm really shocked your dr didn't discharge you after your first clean ua. No matter how under medicated you are, you must take your meds how your dr wants you to. Oneir also bought up a good point about getting meds from your dentist. I wish you good luck, htmom
August 27, 2009 - 10:53pm
#22
Thanks , They didn’t even
Thanks , They didn’t even have a form to sign when I started going there ,I saw someone filling one out last time I was there but they have never asked me to???##$#,I did call my PM doctor this week to tell them I was having the work done with my teeth, but as usual the Doc is out of the country and I had to leave a message with the nurse, This has happened to me every time I have had to have surgery I call to tell him or either tell him in advance he just nods his head and says ,my name and how sorry he is that this has happened to me ,He seems very genuine and like he cares but he just treats me like a friend more than a patient, then he wants me to look at his computer system to see if I can enhance it ,he doesn’t act like he cares about anything except for the $75.00 I pay each visit ... I am fed up with him for the reasons above, he is always going to DUBI and he wants free computer/networking fixes performed after I see him, and with all 9 surgery’s he has never said anything about him taking over my meds while in the hospital, so I just take what they give me there and then go back to him and tell him what happened, so he knows that I get different meds when I’m in the hospital ,but it’s like he doesn’t care. I was in the middle of a contract when I was hurt so I had no insurance when I was hurt ,therefore I found this doctor, and my first epidural he bent me over a chair hooked an IV up gave me some sorta sedative and did it right there ,to top it off he handed me the kit with the bloody needle in it and showed me how far he put it in my back and sent me home with it!!,never the less he hasn’t touched me with a needle again I’m just waiting for my 2 years to be up for my Medicare, so I can get into a more professional pain clinic.
I do know what you mean about trying to think about not taking that extra pill ,that’s why I put 6 up just to make sure ,I have been experimenting with separating them for each day and putting others up ,Its not like I’m trying to get high I just would like to have some quality of life ,I have a six yr old daughter that has never seen me walk without crutches or a cane ,and my 65 yr old Dad has to play in the yard with her because I’m not able to, but hopefully this next surgery will do the trick ,I’m just trying to hang on until I can get insurance where I can either find a Pain Center that’s centered about my pain and not me working on there computer system!!Or this sugery will do the trick and i can start weening off my pain meds,but by then athrites will be all in my knee and ill be back where i am now but im just going to pray and think positive.
Thanks for the advice though,Like I said there is allot more to my story than pain meds !
August 28, 2009 - 12:15am
#23
Wow....the doctor is asking
Wow....the doctor is asking you to hook up his computer system? That is crazy...
Finding a more professional clinic is definitely crucial, but I can see there are extenuating circumstances.
Separating out your pills for the day in the morning and keeping the others somewhere that is somewhat difficult for you to get to might help. Even if it just takes a minute to get into them it will provide some kind of barrier and at least give you a chance to reconsider going back for more. I admit that I use the system I just described. Each night I separate what I need for the next day and then put the rest in a container, in a box, in the back of my closet. Sometimes when I'm too tired I won't even think about opening it up for an extra tablet...
For a few months I was on 20mg oxycontin with no b/t med and it was pretty tough to stay at 2 per day...gotta find a way to make it happen though.
Best to you
August 28, 2009 - 4:10am
#24
Npain, I would look into
Npain, I would look into changing pain doctors if I were you. Looks like you got a Dr. who is being totally rediculous IMO. A person with your history, and he Rx's you 20mg BID, and nothing for breakthrough pain? What a joke! He won't even consider raising ur pain med frequency or dosage either? These kinda things make me so mad. Get a new Dr.!! It is this kinda poor treatment that pushes patients to seek pain management elsewhere for supplementing, like the streets and illicit drugs! Peeves me off.
August 28, 2009 - 9:14am
#25
Thanks lung Dr
I have the same feelings about this doctor ,I didn’t want to stereotype him with the "good" Doctors out there but he is a joke and like I said the only reason I go is because I’m waiting for my Medicare to kick in at the beginning of next year. But I can say I haven’t gone to the streets yet, even though I feel like I already am with this guy I fix his computers ,he writes me a script and sends me on my way !He will sometimes tell me to stand up or bend over and that is it ,I always bring a copy of any new X-ray or MRI, Catscan that I have done ,I should have known when he sent me home with the lumbar epidural needle kit ,I am not kidding it was a lumbar needle with the black bars marking the centimeters a beta dine scrub brush and it was all in a plastic mold and he held up the Beda dine brush and said jokingly "you can use this to clean your racecar wheels" I was floored !! He knows my story and how everything started in 1997 when I crashed my Drag car at the track fracturing L1, L2 and L3 in my back ,but that’s old news I’ve had 4 or 5 more accidents with cars and motorcycles up until 2005 ,when I gave up drag racing, anything car or motorcycle so now I have to go this Thursday to get my ACL repaired and a %?#$$ taken out and my knee cleaned up, I just pray that %?#$$ isn’t what is keeping my knee together ,I guess I’ll find out ,I have no choice .I cannot get relief with meds so I’m going to have to have the sugary! But thank you for all your comments.
August 28, 2009 - 10:50am
#26
when i took a lab test this
when i took a lab test this month thye can determine right on the test whether if its OC or oxycodone, they are two totally different things. swear on life
August 28, 2009 - 12:08pm
#27
Huh?What do you think is in
Huh?
What do you think is in oxycontin?
If the lab tests for 'oxycodone' it doesn't matter which company makes it. Whether someone is prescribed percocet, roxicodone or oxycontin the lab test is exactly the same...
August 28, 2009 - 6:38pm
#28
I have looked over my results
I have looked over my results on the only UA I have had. All it says is a list of medications and the mg per ml in your blood, it cannot detect brands, listen to Oneir, no need to panic on that one.
August 28, 2009 - 11:34pm
#29
Whoa
Ok my heart just dropped for a second there !!
August 29, 2009 - 4:43pm
#30
THEY
PRINT to the side the possible medications it could be Woodstock
October 18, 2009 - 2:40am
#31
curious
I just started going to pain management a month ago. I have severe pain in my lower back. The MRI read effusion of L3-L4 L4-L5, well I had a script for tramadol that was prescribed to me months prior. I hadn't taken any in weeks. Well, I was totally honest and told them what I was taking, and even told them I was prescribed tramadol and it did no good. Well, when I went back in they said there was a problem with my drug test and I said what is the problem and the PA said that I came up positive for tramadol and a lot of it. I looked at her and told her when I started it had been weeks since I took that medication. She said well it showed up and I mean a ton of it. I just sat there with a confused look on my face and she said so we are going to have to retest you....problem!
I was prescribed 3 tabs of 5/325 to take a day. Nothing basically, because it was found out that I also have something going on with my S1, well I ran out of my script, so a friend of mine gave me some OC's and hydromorphone to take to tide me over, well I took the hydromorphone first. I really couldn't tell I had taken that. But the last time I had taken it was 3 days before my next visit to my PM doctor. The OC's I was given were 20mg and I was told just to quarter them, so I did, well I didn't know that they did the GCMS test or I wouldn't of taken the hydromorphone or the OC's. I didn't find out until this past Thursday when my appointment was. That is when I found out when the PA said my urine test had come back positive for tramadol, which it shouldn't have. I am still confused about that.
So, my question is how long will it take for a 4mg hydromorphone tablet to get out of my system and can the OC's I took be told a part from the oxycodone I was prescribed. I was only 4 days short on my meds due to an ovarian cyst that would not go away and a migraine, which they knew I had both of those but told me that I would have to be referred to them for those conditions. So if by chance the hydromorphone doesn't show up, then I am hoping I should be OK. She told me they didn't test on every visit just when the test doesn't come back like it should.
I have read that it could be 2 days so I thought I was OK, but then I saw on another site that it could be 3-5 days and if that is the case then there will be traces of it in my system. I honestly don't know how I would explain the hydromorphone. I would be digging my self even deeper to tell them a friend gave it to me. Also I read on here that OC can show up differently than oxycodone and if that is the case then I am really screwed! I won't know until I go back. Hopefully, all will be well. I got them to up my dosage to 4 5/325 a day. which I thought it was the fact that I was only taking 3 tabs a day, but it seems that's not the problem it's the fact that I am on a dose that is too low. So if all is well, then I am going to attempt to see if they will go up on my meds to 7.5mg 4 x's a day. If that is not enough then the next month I will attempt to see if they will go up to 10mg 4 x's a day, until I can find the right dosage. The only step beyond that is roxicodone 15mg and then roxicodone 30mg. I don't want to be put on OC's, even though if taken right and given IR meds it would probably work great for me. I just don't want to become addicted to this mess.
Thanks for any help. I don't want to spend the next month wondering because I also have panic attacks and anxiety problems. I am on xanax for that.
They test as low as nanograms, and yes, generic oxycontin is also oxycontin
PaWl WaLl