Due to 3 spinal cages in my lower back I have a scrip for 2 x Oxycontin OP 80 mg. My doctor changed my status to non-compliant yesterday saying my urine tested positive for oxycodone. I am so confused. I never take any medication other than what is prescribed to me and I thought oxycodone and oxycontin were the same anyway. The only thing I can think of is that I took half of an Oxy OP the other day to see if I could make it on 40 mg instead of 80 mg. I though the new OP's could no longer be abused and that breaking one in half would just mean a lower dose versus and rapid release of 40 mg. In addition, the 40 mg drastically increased my pain level so I know I did not get a rush of 40 mg. Can anyone please explain this to me? They are now making me come in every week instead of once a month and this is quadrupling my out of pocket co-pays. Plus they treated me like a criminal!!! The only change in my other meds is my GI Doc started me on Relistor for opiod induced constipation.
4 Jan 2012
I'm as confused by this as you are. I can understand how you must have been so shocked by the doc's accusation that you didn't ask any questions. But that's exactly what you have to do. And since he now wants to see you once a week, I think you best write them down so he can't intimidate you again. As far as I know OxyContin certainly is Oxycodone. I'd stake my life on that, so you have a right to an explanation. OxyContin is Oxycodone in a time released formula. To double check this type OxyContin OP in the box above where it says to look up a drug. I think the software is sophisticated enough to also look something up by the name of the pill. You can also use the pill identifier tool in the blue bar above, to look up the pill you have and read what's in it. Since I'm certain it is Oxycodone, I'm going to take a guess here.
I think the urine test these doc's use also measures the amount of the drug in your urine. I think this, but I'm not sure. Assuming it does, perhaps the level of Oxycodone was higher than usual, for you, and maybe it's because you took 1 pill by breaking it up. I'm saying this, but I'm also doubting it.
I have one other idea. A long time ago I took a course in alcoholism. This was 22 years ago and I think they may have been wrong. But we were told that when an alcohol level test is done on a woman, that her level will read as 33% higher than it should have read, if she is in that time of the month. They weren't specific about exactly which days it will read as higher. So I'm going to guess that if alcohol will read as higher, other drugs will too. Even if it wasn't that time for you, if the doc tells you he failed you because the Oxycodone level was too high, then you have to look for other reasons that would cause the reading to go up when it shouldn't have.
My last comment is have you noticed how many questions we keep getting about false positive urine tests? We get many of them. I think at least 2 or 3 a week. This leads to the conclusion these UA tests are highly inaccurate. When the doc's put so much importance on these tests, even 1 false reading in 1 million, is too much. I think you should insist he test you every week, until he convinces himself you aren't cheating.
And when you find out what happened, please come back and tell us. It will help us help others.
4 Jan 2012
I'm not sure why your test came back this way, but it shouldn't have or I guess the answer is it should have being oxycontin is just oxycodone in a time release form. You should NEVER break a time rellease med in half . Doing this would release or can release too much of the med at one time. I would insist on another test or print out this or look them both up & print out the data from Drugs A to Z. Obviously your doc dosen't know what he's talking about...
5 Jan 2012
I'm confused too. I know for certain that OxyContin is oxycodone and therefore that and the oxycodone metabolites will be in your urine. The only thing I can think of is that he noticed the quantity didnt match what it should have so it wasnt the presence of the drug it was the amount that was off. Even with the tamper resistant forms, you NEVER want to break them or crush them. It can still release too much medication as it defeats the time release component. You cannot be sure that a half pill contains 40mg. All the drug could be in one half or the other-it may not be distributed evenly throughout the whole pill and this may be why you tested with too much drug in your system or even not enough. Truly, by breaking the pill in half, a Dr can constitute that as inappropriate behavior. In all rights, you are lucky that he didnt just drop you as a patient. You, unfortunately, will just have to go along with coming in more often until you can prove that you are compliant. Hopefully once he sees that you are he will go back to monthly visits.
9 Feb 2012
i had something similar happen and I demanded a blood test as the urine tests are inaccurate. it did prove that i was rightand tested positive or they would have taken any future scripts away! Drs. really dont know how we suffer and we are always scrutinized. i now have a wonderful new dr but he's 80 yrs old but he's understading and treats me like the adult I am at 51 and not some teenager looking to get high or something. I really don't know what to do if or should I say when he retires
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