I am prescribed oxycodine 5mg four times daily. I have two herniated discs?
I went to my doctor and they gave me a drug test (urine). The test came back neg- it said there was absalutly no drugs in my system, but i take them four times a day and even two the same day i gave my urine sample. Three days later the same exact thing happend to my friend. I now have to find a new doctor, cause they said I broke the narcotic agreement, because the oxycodine didnt show in my test. Can anyone explain why this could have happend the drug should have been in my urine. thanks MJ
Why would oxycodone not show up in a urine drug test if I have taken it?
Question posted by manderz_27 on 30 June 2010
Last updated on 14 February 2024
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18 Answers Page 2
Glad to hear I am not the only one with this problem. Except that my doctor did not drop me. I take the same dose and last month my drug test showed no drugs in my system. I've been taking the med's for years and never had this problem. I did notice that my med did not seem to work too well this past month thought maybe the Lupus was getting worse or maybe tolerance or something else. Now I am wondering if my meds are not what they are suppose to be. I remember hearing on some news report that some suppliers had messed up the medication itself. How would I find out if the pills do have the med in them??? I had taken a dose that morning and one in the afternoon just hours before the drug test and nothing showed up.
I am planning on taking a at home drug test or something and then if nothing shows up i was thinking about asking the doc or pharmacist why.. Any other suggestions??? I thought the FDA and DEA was supposed to make sure our med's are what they are suppose to be.
My urine test also showed negative with this new doctor Never had that happen before. Doctor accused me of giving mu bipolar son the pain med. This same doctor had so chased my son off his property when my son who had an appointment with my doctor but tossed his pen back at the desk apparently the intimidating rude office girl was accidentally hit. The office is full of some judgemental hateful vengeful people. I went back to get pain meds filled. I have a severe messed up painful back and hadn't found another doctor yet. I also had sent him a letter stating the medical marijuana place would not renew my license because it was sent in too late. I hadn't sent it in earlier because my license hadn't expired yet. The office help said there was no letter. I need that information the state sent me to prove I did not get my license and why. I think someone in that office got the letter and maybe threw it away.
They also accused my son of seeing one of the nurse practitioners and he asked for pain pills as far as I know he never kept an appointment with my former doctor that retired to do something else. I have to find a new doctors office. I could sue for the gun and 2 false accusations
Hello MJ, Some tests will give a false reading and your doctor should know that. See if your doctor who ordered the drug screening will send you to someone else for another test or run a blood test instead of a urine sometimes they are more acurate. If your doctor says he won't give you a second chance than he isn't a very good one and you should check else where. Some doctors got their licenses out of a cracker jack box I think. Good luck my dear. marjorie zych
I agree with Marjorie. I would demand a re do with a new batch of tests. I would also insist on having blood drawn at the hospital and that you are even willing to pay for the test! I would also ask for a copy of the results (they are your records anyway) and see what Lab did the testing. If it's Ameritox, demand it be tested in the hospital lab or a different facility. If you have been med compliant, don't give up! Be demanding and insist on retaking this test with a new batch and a different testing facility! How long has this doc been in business? Does he know how to read lab results? There is much more then "consistent" "negative" or "inconsistent". As an example, I had taken a tylenol # 3 and mentioned it to the nurse taking the urine sample. So when the results came back "inconsistent" for codeine, it simply meant I said I took one but it didn't show.
Demand a copy of the results, demand a re-test, and ask your doc how many times do labs mess up on results. He can't say never, because they do. If he says not too often, then tell him THAT'S the catorogory I fall in to!
Good luck toy you.
Chris
Statistical Information About Drug Testing and Passing Drug Tests
Provided by HealthTech Inc.
According to R. Brookler, "Industry Standards in Workplace Drug Testing," Personnel Journal, (April 1992). Laboratories admit that urine tests are not always accurate. The manufacturers of all drug testing equipment acknowledge that all positive results should be confirmed with a more sophisticated test. The only acceptable drug confirmation test is the costly gas chromatography/mass spectrometer. Without confirmation by an alternative testing method, urine drug tests are not sufficiently reliable to hold up in court.
"Only 85 of the estimated 1,200 laboratories in the United States currently testing urine for drugs meet federal standards for accuracy, qualified lab personnel, and proper documentation and record-keeping procedures. Because private companies are not required to use certified drug testing labs, workers are being asked to put their job security in the hands of a drug test that has insufficient quality controls."
Even in labs that do meet the minimum standards, there is plenty of room for error. Your urine sample will change hands many times before its actual drug analysis, which increases the risk of mix-ups and errors. Also, the chemical reagents used in drug testing have a limited shelf life, which can cause "false positives". (A false positive is a sample showing a positive for drug metabolites when there are no metabolites in the person's system.)
Most states do not regulate the operations of urine drug test labs; in fact, some labs have fewer quality control regulations than restaurants. Your typical private employer may use any lab she/he chooses, which would most likely be the least expensive. Findings from the Center for Disease Control in Atlanta stated: "... the labs somehow detected cocaine in as many as 6 percent, and amphetamines in up to 37 percent of urine specimens that were 'blank" (those containing no drugs at all)."
False positive results during drug testing run high and no laboratory process is completely free from error. False positives also occur at high rates reported from 4 percent to over 50 percent. The high prevalence of false positives insures that people who are accused by the drug test are not necessarily drug users. False positives can occur for a number of reasons including: improper laboratory procedures, samples getting mixed up, paperwork being incorrect or lost, passive inhalation (second-hand smoke), and cross-reaction with prescription drugs and over-the-counter medications.
A USA TODAY report indicated that 15 percent of all urine drug tests yield a false positive due to cross-reacting substances. In a UCLA study of 161 legally prescribed and over-the-counter drugs, 65 gave false positive results. A National Institute of Drug Abuse study of 50 labs revealed that all 50 labs responded with some false positive results for drug tests.
False positives also can be caused by glitches in the drug testing technology. In a notorious 1984 incident, 60,000 Army personnel were informed that their drug tests had been wrong. To add insult to injury, federal drug testing costs taxpayers $500 million a year for urinalysis drug testing of government workers.
Acording to B. Luberoff, cited in W. Holstein, "The Other Side of Drug Testing," Chemtech, (September 1992). "Today, the most conservative estimates of the number of false positives per year run into the thousands. In fact, the highest estimate of accuracy reported to date shows one false positive in every 700 samples." Considering the number of times workers are tested, as many as 1 in every 15 workers can expect to have a false positive drug test at some point in his or her career.
An article by Phil Smith in the March, 1990 issue of SCIENTIFIC AMERICAN suggested that workers who tested positive for marijuana only: 1) cost less in health insurance benefits; 2) had a higher-than-average rate of promotion; 3) exhibited less absenteeism; and 4) were fired for cause less often than workers who did not test positive. Since marijuana is the most common illicit drug used by adults, and the one detected in up to 90 percent of all positive drug tests (half of which are false), this fact has radical implications for current public and employer policies.
At a seminar in Houston on September, 1994, communications guru Tom Peters, author of the best-selling book IN SEARCH OF EXCELLENCE, was asked his reaction to widespread use of drug testing as a condition of employment, and random drug testing as a condition of continued employment. His thought-provoking answer included the following:
"I think it's absolute rubbish! Am I for drug-or-booze-impaired employees disrupting others and creating safety hazards in the workplace? Of course not! But that puts the cart before the horse. Put aside productivity and safety issues. Let's talk about what makes any business tick--super folks who trust one another and are committed to working hard together to create great outcomes for each other and their customers. Trust. Respect. Commitment. Mutual support. Each is wholly at odds with intrusive, impersonal assessment measures. That is, drug tests.."
He goes on to describe himself as "a Bill of Rights freak and a privacy freak. It's how I feel as a person and, by extension, as a business owner/leader. I run a company that has about 25 employees. They're wonderful people; that's why I hired them. I would no more consider asking them to submit to a drug test as a condition of employment than I would try to fly to the moon without a rocket. I am disgusted by the very idea at my place--or yours."
"No, I'm not going to take a drug test. And nobody who works for me is going to be forced to do so either. And if there were a law that required me to ask them to do it, I'd close my place down before I'd comply. If you want an environment that will breed trust, care and compassion for customers--then stay the hell out of people's personal space!"
In the JOURNAL OF GENERAL INTERNAL MEDICINE, David C. Parish of the Mercer University School of Medicine in Georgia reported on a study of 180 hospital employees, 22 of whom had tested positive after being hired. Parish examined supervisor evaluations and other indexes and found "no difference between drug-positive and drug-negative employees" at the end of one year. He noted, however, that 11 of the negatives had been fired during that period but none of the positives had been terminated.
In the May 1987 edition of Laboratory Medicine, Dr. T.P. Moyer of the Mayo Clinic concluded in testing for marijuana on the EMIT test, 15% of the positives would be false.
The November 1992 Issue of the Archives of Internal Medicine, printed this surprising result. In a survey of 272 Michigan doctors 38 percent said they didn't believe drug tests were accurate.
In the April 26, 1985 edition of the Journal of the American Medical Association, Dr. Hugh Hansen reported shocking results from blind tests conducted for the Center for Disease Control and the National Institute on Drug Abuse. By sending in blind samples spiked with drugs the following results were obtained from samples sent to thirteen labs. The range of false positive error rates were as follows:
* Barbiturates 0% - 6%
* Amphetamines 0% - 37%
* Cocaine 0% - 6%
* Morphine 0% - 10%
Urine testing is less accurate than the lie detector tests that have been banned from the work place. Employers who rush into urine testing, wouldn't dream of giving every worker a lie detector test. Dr. David Greenblatt, Chief of clinical pharmacology at Tufts medical center called the most widely used tests "essentially worthless."
I demanded a repeat when oxycodone didn't show up in my urine, and the jerk said, "No! Once you fail a test you cannot take another. That is in the bylaws of this clinic". I've been demanding to see a copy of the bylaws, and nothing has been provided. Needless to say, I didn't go back to that @%$^@!!!
LIGHTSHARER
No they said I had to pay out pocket for it she said there's nothing she could do
The only thing I can think of is the path lab who did the test messed up or the test itself was faulty. I would go back to your doctor and stand your ground because if this has happend it will without doubt happen to someone else under the same doctor. How are you going to explain to another doctor why you had to change. Tell the doctor that you are willing to take the medication in front of him. Did the meds work?, the pharmacy may have messed up too. I hope you can sort this out. AK
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Further information
- Oxycodone uses and safety info
- Oxycodone prescribing info & package insert (for Health Professionals)
- Side effects of Oxycodone (detailed)
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