I am under a physicians (neurologist ) care , and am being prescribed 30mg. oxycodone 4x daily . On many occasions , I will need an extra dose or two for the day , and then I run out of my medicine before I'm supposed to . My Dr. tells me that my ins. will not cover a longer lasting version of this med , or time released maybe , but that I need to take my medication as prescribed . I do agree , and this med does scare me , but I need it for the pain that I suffer . My question is : Some times I run out because , I need to take it more often , and I have a relative that is on morphine sulphate , and he will sometimes allow me some of his med. when I run out and I re-pay him when I get mine . Well recently my Dr. has begun random urine testing his patients (before,he would occasionally send me for blood work ) , I wanted to know if I have taken the morphine instead of my regular med. how will it show up in my test ? Does it just come up as "opiares" or are they each identified separately ? I have told him in the past that I have done this once or twice and of course he yelled at me , but I was in pain and needed help . I also have had chronic hives for many years (much longer than the chronic pain) , the cause has never been determined as I always have the hives , so testing is near impossible . Any way , over the years , nothing has ever worked for the hives that we have tried , so I pretty much rely on OC products when it gets bad . Well my same relative is on 10mg. valium , and every once in a while when my hives are very bad , I will take a half of one at bed time and it helps me and there is no "hung-over feeling in the morning or anything . I'm telling you this because I am also on muscle relaxers (for my neck & head pain ) , but I don't take them all of the time like prescribed because I don't like the way they make me feel . And when I occasionally take the valium , it really helps the neck as well . How will this show in my urine test as well as the other . I am really not trying to disobey my Dr.'s orders , but sometimes this helps me . I smoke cigarettes , but I definately DO NOT drink alcohol or take any street drugs of any kind . I have thought of trying marijuana to help with the head & neck , but it scares me . So I have never tried to do this . I did smoke it when I was young (I am a 52 year old woman ) , I think that most of us did back in the day , and I remember sometimes it would give me a headache , the very last thing I want is to make my headaches worse .
I just thought that maybe you could give me some advice here and let me know about how the urine tests actually work .
Thank-you very much for your time .
Will different opiates (pain meds) show individually in a urine test ? Will the results come up as?
Question posted by Boochie on 1 June 2011
Last updated on 22 February 2018
4 Answers
Hi Boochie, I know your ? was about meds; but more importantly I may be able to help you w/the head/neck pain and the hives.
There is a condition called Ehlers Danlos Syndrome- a problem with collagen being too "stretchy" to put it simply. Many EDS patients have neck pain from cervical instability- the cervical vertebrae will not stay in place which really hurts! The head pain may be coming from the brain coming down too far into the spinal column. This is called Chiari. There are several other possible problems in that area: platybasia, retroflexed odontoid to name several. EDS main characteristic is hypermobility in joints- being very flexible. Many Drs dont know about EDS/Chiari including neurosurgeons. Look at the site csfinfo then a period and then the abbreviation for organization.
For the hives: there is ssomething called mast cell activation disorder or MCAD. This may explain your problem w/ hives.
Now- as to why your pain meds dont work well?? Many ppl w/ EDS metabolize pain medication wrongly and it will not have any effect on the pain. Do you also need extra numbing medication at the dentist? Do you have frequent sprains, strains or dislocations? All signs of EDS.
I am a FB admin for several medical groups for EDS and
I Will gladly help anyone find this documented research about all of this. Feel free to contact me: seemural2 hotmail.
The only things I am on or have take are Zoloft, butalbital, & hydrocodone! But a recent urine test had me positive for everything under the sun!!! I don't get it! Dr's office just dismissed it & believes me but this really deals me out!!
Patti is right. If they catch you with drugs not prescribed to you the pain management Dr will drop you and will not see you or prescribe for you any longer. They call what you are doing polypharmacy and it is a dangerous practice. Valium can be detected in your urine up to 6-8 weeks. I took one Xanax pill once and had a urine test 6weeks later and it still showed in my urine. Morphines metabolites are different from oxycodone which is derived from thebaine. They can and will be able to tell you have been taking meds from outside sources and they will drop you as a patient. If they find illegal substances like marijuana in your system you could be in more trouble. Stick to taking YOUR medicines as prescribed. Dont take meds from others. Patti suggested a good idea in calling your insurance company and finding out for yourself if your insurance will cover long acting forms of medicine.
You would probably do better on a long acting form and they are usually deemed safer for chronic pain than taking short acting meds. Although all types of opioids can carry risk for abuse. If this Dr will not work with you, see if you can get a second opinion or try a different pain Dr until you find one willing to work with you a bit. Keep in mind that many pain practices will test your urine on the first visit and in some states they can pull up your pharmacy records of all the opioid and scheduled drugs you have filled since this program began so they will know what you have been prescribed and what should be in your urine.
Valium and Xanax are 2 different medications. They are both Benzos but Valium is Diazepam and Xanax is Alprazolam.
marijuana also? really? Third world horse sh.
Boochie, yes, they will come up differently and the valium will show as a benzo. It is true both meds you are taking can both be classified as opiates, but usually any dr who is giving random us test is looking to catch people who may be doing the same thing you are doing, whether you are innocently doing it or not. Have you tried asking the insurance company if they pay for any longer acting meds? That seems odd to me that the dr told you that, usually the pharmacy is the one to figure that out. Regardless, the OxyContin and morphine will test differently and the valium will also show up as benzo. If you are under a pain management contract, this will likely violate that and he could discharge you, so be careful.
Related topics
oxycontin, pain, morphine, oxycodone, opiate, urine test, urine
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