i was taking it everyday less than what was prescribed but how can this happen now i am afraid my dr. will think i am not the same thing with the opana is this really posible?
This question has also been asked and answered here: How long does Methadone stay in your system?
26 Mar 2011
I had the same problem about a month ago and ended up changing doctors because of it. I was going to a family practice clinic with residents treating the patients. Every 3 years you get a new doc when the old one graduates. Well, the new one I got decided that I didn't need to be on my meds any longer even though I was put on my regimen by my pain management specialist and was referred back to my primary care doc for routine refills. Any changes in doses was supposed to go through pain management. Well, I tried explaining that to my new doc and he immediately started acting as though I were an addict or some kind of criminal. He proceeded to ask me for a urine screen which I willingly and proudly provided. He then went on to insist on testing my husband and my daughter because they were with me at the time.
They complied as well even though he had no reason to even ask them for their urine. A week later I was called into the office and told that my test came back negative for any pain meds. I take 40 mg of methadone 3 times a day for a total of 120 mg per day. Needless to say I was shocked and quite upset. They asked me to give a repeat sample and I was so insulted that I walked out. I switched to a new doc and explained everything that happened. He said that since he didn't know me from the man in the moon, that he had no way of knowing if I was telling the truth or not, but he was very kind about it. He asked me if I would object to a urine test with him that day and any time in the future randomly. I told him I had no problem with that. He told me that if they did the standard 5 panel tox screen, methadone would not be detected. He informed me that most of the tests ordered for employment and basic screenings were the simple 5 panel tests because they are the cheapest. Those cheap tests do not look for methadone and some of the other synthetics such as opana, dilaudid and many others do not show up either. He did look up my pharmacy history and it showed that I have been on the same dosage for a couple of years and there has been nothing to indicate illegal or abusive behavior. I never tried to pick up my meds early. I never brought in scripts from other doctors and I did not have anything suspicious at all on in my history. So, he pretty much believed me and refilled my pain meds and is now the primary care doctor for my entire family. The best thing to do is to ask your doctor if they did the minimum 5 panel test and if so, could they do the next one as a 12 panel or at least specifically check for methadone. It is really surprising to me that methadone isn't one of the first 5 they look for. Especially with how popular it is among pain management docs. I hope this helps you out in the future if you should ever have another drug test that comes up negative when it shouldn't!
6 Jan 2011
I read somewhere that some one had the same problem (methadone not showing when tested). According to what this person & the physician determined that her 3 times a week visits to a sauna was skewing the results. I don't know if that's accurate. However, methadone is stored in your tissues so if you sweat a lot, it could have an effect. When I opted to come off the methadone, I went to a sauna hoping it would speed up the process of expelling it from my body. There is something causing it not to show up so you may need to think of things you do or take tat most of us do not. Everyone's body is different. If you figure out why it's not showing up, let us know. Also I read that a special test has to be performed to show methadone. Could the lab have not ran that test? Just throwing some things out there.
26 Aug 2010
All I can say is... very strange. I'd just be as honest, let him know that you've been taking a lower dosage than what was prescribed (if he raised your methadone intake, and you then followed the exact orders, your body may not be ready for it, cause it needs to go up in amounts very slowly to avoid major problem, depending on the does, major problem could mean death). If you're taking an extremely low dose of methadone, the test could be set up so it only detects meds at a certain level. Just be honest with your doctor, and maybe even bring in your bottles so that the doc can see that you're selling the stuff or anything of the sort that they worry about.
13 Dec 2011
i am on methadone everyday as a treatment for addiction... i take 80 mg a day and am observed taking it and often times will come up negative for it... the dr has explained to me that many things can effect this..for one u arent really clean its just that ur levels are so low that it reads negetive and can be further tested for the actual levels if there is concern..another thing is how active u are..a person who drinks alot of coffee does alot of moving around and walking and is not overweight has a higher metabolism and burns through their dose quicker then a less active slower metabolism... also if someone is heavier it can read negetive indicating the body isnt getting a significant amount compared to their weight... i hope this helps somebody and if ur dr is educated(one would think) he would know that a negetive test should be further tested for levels... it wouldnt hurt to request it as it can be suggested that if ur not observed taking it and not coming up positive for it that maybe its being sold..
26 Aug 2010
Hi buddy. It is a little odd. If you bring in the medication to your doc like jk13 suggested, you can prove to your doc you take less than prescribed. The only thing that may happen is you get prescribed less medication. It's always best to take less but you need to account for the pills. Try not to worry too much. Maybe if you request a different drug screen, it may show up there. Good luck to you!
27 Aug 2010
I don't know the answer as to why your test came up clean for your medications, but I was wondering why all these docs are still using urine tests? In my office (where I work), the 2 Drs that deal with pain management specifically (the others specialize in other neurological issues) use an oral swab. This detects the medications through your saliva- and not just what you are on at that time or day, it indicates what your levels are for some period of time (I don't know too much about it, as i do other work in my own office in the back , not dealing directly with patients). The patients must keep the swab in their mouth for several minutes, until something on the swab turns blue. Then it is sent to a lab, and compared to what meds you are perscribed, so the reading will let the doctor know you are compliant- or if you are not taking rx'd medication, or if meds that you are not rx'd/illicit drugs are in your system.
They are tamper resistant (some patients will "accidentally" break the swab or sneak a drink of water it their mouth- but the swab will only turn blue when it is used correctly, assuring that it is accurate). In about a week, all levels will come back, and I think it can even show if the patient is breaking or chewing their meds, instead of swallowing them whole. I think this test provides more accuracy, and is nicer than having to give a sample of your urine.
29 Apr 2011
Let me make something clear... If its related to a drug test it all depends on whether its a 5-panel or 7-panel test. Most people go with the cheap 5-panel test and Methadone will not show up. It will on the others and Methadone will stay in your system for a long time after the last time you took it. Of course it depends on how much of it you were taking, how often, etc. But I've seen people fail drug tests 5 days after there last dose of Methadone so it will absolutely not be out of your system in 36 hours for whoever said that. Some people can feel the effects of Methadone for up to 48 hours if there not on a bunch of drugs or take drugs all the time. It has a very long half-life and it all depends on your metabolism. Could range anywhere from 3-5 days to more than 2 weeks up to a month, and I know this for sure. Whatever test you took probably didn't test for it because I've past the 5-panel tests on it several times.
Your doctor will though and just like the methadone clinics they can check the levels in your bloodstream and roughly know how much your taking, if any, or too much.
29 Apr 2011
Yes methadone does stay in your system for almost 3 days..this so interresting.maybe thats what they ment that u had hardly anything in there.damn if u do damn if u dont.those test r wacked@ tigerrr is that so?i wish my dr would do the swab test and stop saying i got thc in my system.they should know by the levels if its second hand or not.they will even go by the remnants of drugs & say that u r using..smh.but to say that u dont have any methadone in your system is just crazy.hes using physcology they dont want u selling your bottles.
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