... also has severe COPD. He carries a rescuer inhaler (ProAir-HFA, albuterol sulfate) 3 puffs every 3 hours, takes Sprirvia (18 mcg tiotropium bromide inhalation powder capsule) once a day and he uses a nebulizer (3 times a day) which he puts a vile (0.5mg) of ipratropium bromide and a vile (2.5mg) of albuterol sulfate together and inhales until mixture is gone. With these medications being inhaled, should he be drug tested (swabbing of his mouth) will his test show up as positive? A "positive" result is automatic termination
My husbands' company drug tests once a month by swabbing the inside of the individuals mouth, he?
- 13 Feb 2011 by popdrop53
- chronic obstructive pulmonary disease, albuterol, tiotropium, drug test
Added 23 Feb 2011:
I would like to thank all those who were kind enough to reply to my question. All the answers were helpful & informational. I asked more questions of what they were testing for. Hubby says he thinks that they are testing for drugs such as weed, meth & other such drugs. But I find it very unusual cause according to the companys' "Hand Book" , they don't want the workers coming to work "under the influence" of anything or take something while at work. With the breathing medications my husbands takes, I wonder if his test would show "postive"? I myself an looking for a job & have been applying at medical institutions. I received an email from one of them that they just implimented a new "Nicotine" test. They pretty much said that if I smoke or come to work & I get randomly tested for nicotine, I will be fired. So in other words they are controlling what I do on my own time???
13 Feb 2011
Try not to worry too much. Have your husband get a note from his doctor listing the medications he needs. I'm not sure what he would test positive for if anything. IF something comes back positive, your husband will get a phone call from the MRO (medical review officer) asking what medications he's taken in the past 30 days. He/she should then be able to determine a false positive for any substance that may come up. But it's very doubtful that he would test positive for any illicit drug. But please get a letter from his doctor about these medications he's prescribed. MRO's are pro's at determining what combination of legally prescribed drugs may cause false positives. You can also request a hair follicle test that would be more definitive.
13 Feb 2011
This policy makes me nervous. What does the release state they are looking for? It seems very intrusive. What I am afraid of is not a false positive, but misuse of the swab. I do not know for sure, but I think there is supposed to be a wall between the insurer of the employees and the company. The company has an interest in (however sh@tty) in getting rid of expensive/less healthy employees that cause the company's insurance costs go up. It is probably just for illegal drugs, and,if it were me, I would wait until something comes up... maybe just asking hr about legal meds causing a false positive - what then is the Company's proceedure in that case. Your husband is on a lot of awfully expensive meds. I know that, because I take a lot of them.
13 Feb 2011
Most pre-employment screens are looking for illegal substances but Chris is right that some, depending on the job, are looking for anything that impairs judgement or reaction time, etc. Your husband should be okay as long as he is prescribed these meds. On occasion, you can get an employer who doesnt allow even prescription meds (like opioid analgesics) to be in the system at all (which your husband isnt taking unless it is something you have not listed) The meds you have listed are specifically for helping him breathe. I, personally, think this is a great violation of our rights! They make such a big deal of HIPPA laws to where I'm unable to pick up a written record of my husbands prescriptions at the pharmacy, for tax purposes, without his written consent, but employers want to ask you to disclose all the meds you take?? What a crock!!! I dont disclose anything unless it shows on a screen and I have to prove I have an Rx for it.
Otherwise, I might disclose I'm taking something and maybe they didnt even test for it, or it doesnt show up, but because I disclosed it, they can refuse to give me a job!! It just doesnt make sense, on one hand they make such a big deal out of privacy, then turn around and violate their own laws. Dont even get me started! Having a positive screen depends on what they are looking for and that is usually illegal or controlled substances. None of the meds you listed are controlled. He absolutely NEEDS these medications to live and I dont think they can discriminate against him for taking them. It is a good idea to know your laws. You can find almost anything you need right here on the web these days. Check into the Americans with Disabilities Acts (and others like that) and be familiar with your rights just in case, although I really dont think he has anything to worry about in any case, but it never hurts to be prepared. That is also a very unusual way to obtain a drug screen. Most use a urine screen.
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
COPD is exhausting in and of itself, yet in order for me to receive Xopenex I have to find a sponsor and pay a huge co-pay for a drug that works when ...
1 answer • 4 Sep 2009
He has COPD and is oxygen dependent. Lately he has been needing to take extra Albuterol-Ipratropium because he gets extremely winded just going to ...
4 answers • 6 Feb 2011
Chronic Obstructive Pulmonary Disease, Maintenance - Has anyone tried using Quercetin (500mg 3xd) as
... a natural treatment for COPD? I'm into the holistic approach as much as possible. I just started Daliresp, but I'm wary of the extreme ...
5 answers • 8 Oct 2012
I am allergic to albuterol sulfate, it causes numbing of my mouth/nose if I use the HFA inhalers more than 3-4 times in a week. I have tried ...
1 answer • 24 Jun 2013
I always rinse my mouth thoroughly with warm water, as directed, after using the Symbicort, but I still have a BIG problem with dry mouth. My mouth ...
4 answers • 1 Sep 2013