I went to a pain management doc yesterday and they gave me a drug test. The doctor refilled both of my prescriptions before I left. Can I assume that they did the test in the office and it came back "okay" or could results from an off site lab still be pending? Mary Jane is my only concern... a little now and then.
18 Jan 2010
doctors are starting to give drug tests and make patients sign forms now that take narcotics. the forms basically say that you take your meds. as prescribed and you do not sell them or share them .they also are supposed to have their patients taking narcotics get a yearly blood test as well. i think this law came about 2 yrs. ago b/c i had to sign forms and get blood work 2 yrs. ago as did all patients in my doctors office taking narcotics.i know longer take the meds. i use to take so i haven't had to sign any forms but i think another blood test should be due soon some time this yr.i don't think doctors really care about mary jane to much i don't think they are really looking for it. they just want to make sure your taking your meds. and that all your blood work is normal like your potassium etc.
14 Jan 2010
i agree with all of you i have a drug test every time i go to my pain management appointment first of all they check the temperature to make sure its your pee, then they send it to a lab for results they are looking for all kinds of things. i went ahead and told my dr. that when i visited a certain friends they helped me out with my pain level through smoke all he said was did it help, and he couldn't prescribe it and nothing else was said. he also has the most rude PA i've ever come in contact. 6 months ago i told her that she indimidated me what a big mistake so the next 3 months appt. i got her again, she didn't listen to my pain level rewrote my rx's and out the door i went and for the past 4 months i've been in bed missed xmas etc.
last tuesday i saw my dr., he saw how much pain i was in, changed my med's, did a drug test, some trigger injections,we bonded again and for the past 1 1/2 days i have felt like a new woman.thanks for letting me ramble . hope this has helped someone or everyone in pain support
14 Jan 2010
Most pain clinics and pain doctors require a patient to sign an opioid contract before getting an opioid prescription. Part of that contract requires that patients submit to random drug tests during clinic visits.
Yes, it is annoying and a little invasive. Yes, if you are on the up and up and don't abuse your meds or illegal drugs, it seems a little insulting. But there are people that do use pain meds recreationally or combine them with street drugs, and that can lead to problems. I once mentioned to my normal gp that I wasn't fond of the drug tests at the pain clinic; I would much rather be the kind of person that doesn't have to take any drugs. She agreed that for the average patient, drug tests can be an onus, but in some cases they save a patients life. She also told me that she had lost one of her very first pain patients because he had decided to combine his methadone with heroine. After hearing that, I felt less intruded upon by the drug tests. They are a necessary discomfort.
As far as your mary jane issue goes, I cannot give a definitive answer. I think it really depends on the state in which you live (because of differing cannabis laws from state to state) and your clinic's drug policy. I can however say that living in Seattle, I have many friends that smoke pot. None of them have ever had a problem discussing their drug usage with their doctors. At the most sever, I have known people who's doctors help get them into a rehabilitation program if they are addicted to a certain drug. (Though this hasn't happened to any of the cannabis users I know.) I think at the very worst, they could say you are no longer able to receive opioid prescriptions and they would only give you enough to ween off after that. But I doubt that would happen.
If it is an issue at your next appointment, just be honest. Assuming you are a chronic pain patient, it is understandable that you might seek relief in cannabis from time to time. If you are asked, just be honest and tell your doctor how often you smoke and what the driving factors for your drug use are. (ie. pain relief or recreational use.) Honesty is always the best policy when it comes to doctors. They need to get a full picture of who you are physically and mentally in order to help you.
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