This is a highly unusual question for me. I have had to take dilaudid at varying levels over the years due to pain; I have, however, been able to reduce it substantially and went from daily use to prn. My question revolves around an incident where I experienced a bad episode and took 4- 6 2 mg pills of dilaudid for about 3 days but then the pain broke and I have only had to take 1 0r 2 2mg pills since then. My clinic does testing for opiates and I am concerned about the concentration issue. When I go to the clinic it will be 4 days since I have taken the increased amount of dilaudid and I want to know how the concentration of dilaudid shows up in the immunoassay. I realize the drug is present, but whjat about the concentration? If I took a concentrated amount 4 days ago is it sill in my system for the testing which is comprehensive? I need to have a conversation with my doctor about this and possibly increasing the dose again and I also want to know how the test works with respect to concentration.
Depends on the type of testing done. If the test is gas chromatograph/mass spectrometer, that one will tell if you've eaten chocolate last week. If it is the standard test, urine dip stick kind of thing, it will only show the presence of the drug, at least that has been my experience in ten years of chronic pain and testing. As to whether you need to talk to the doc about increasing your dosage, only you know what your pain levels are. So if you are having more pain, I think that is a reasonable option.
Pain is a very personal experience. What would put me on the floor rolling around crying might just be a 5 for you. Everyone is different and you know you the best, not your doc. You just have to deal with him/her.
Best of luck to you and let's all vote for painfree days.
Laura, the sweet hippie
- Dilaudid Information for Consumers
- Dilaudid Information for Healthcare Professionals (includes dosage details)
- Side Effects of Dilaudid (detailed)
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