my daughter is an addict She needed to have her wisdom teeth pulled. The day after she had them out, she went for drug testing. They found a small amount of opiates in her system that were not there the day before surgery. They said it was the novocain. Can this be true?
14 Sep 2011
Novacaine will show up as traces of cocaine sometimes but that is not an opiate. It might be considered a narcotic depending on who you talk to. Some use the word narcotic to refer to any mind altering substance and some use it to mean the same as opiates but opiates are derivatives of the poppy plant which would be morphine, codeine, and other pain meds. Is it possible they gave her something for pain afterward? Or did they use the word narcotics rather than opiates?
14 Sep 2011
Fisherwoman... Novacaine is in no way an opiate. It is strictly a local anesthetic. Local anesthetics are of two classes... the esters and the amides. Novacaine and cocaine are of the ester type. Lidocaine which is another well known local anesthetic which is from the amide family. There are many others... more from the amide family than from the ester family but novacaine and lidocaine are the two most popular. Dentists routinely use epinephrine with the novacaine to make it last longer and to decrease bleeding. Epinephrine is a strong stimulant of the sympathetic nervous system which increases heart rate, blood pressure, cardiac output, along with many other effects. This might be why a drug test might show minute ants of cocaine after having epi mixed in with the novacaine.
Cocaine also causes rises in BP, HR, although clearly not the class of drug as epi and not nearly as strong nor does it have the euphoria that cocaine has. Cocaine is also a local anesthetic, not a narcotic, of the ester type as is novacaine, hence another reason why it might show up in a lab test when novacaine is used... both of the ester family.
Dzoobaby is right re that some people call cocaine an opiate... even knowledgeable people who should better... so this lab may classify cocaine as a narcotic because it is mind altering... but... I really don't think so... but who knows... this lab may define it as that.
Hope this helps u to understand a few things about local anesthetics and why your daughter's test may have revealed the results that it did.
I personally would contact the lab, tell them what your daughter had, novacaine... and I am 99.9% sure epinephrine was used if it was wisdom teeth removal because novacaine without epinephrine only last 30 minutes... with epinephrine it lasts almost 11/2-2 hrs. Tell the lab all of what your daughter had combined w/ the info u learned in these answers which are 100% accurate... the chief of the lab should then be able to tell u why she showed up with opiates n her bloodstream. I don't mean to be nosey or disrespectful but do you thing your daughter could have used opiates with her friends, etc... please don't be offended but I felt like it was something that I should also interject.
Take care and good luck. Please let us know what you found out...
May God Bless you and your family...
- Novocain Information for Healthcare Professionals (includes dosage details)
- Side Effects of Novocain (detailed)
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