Drug Tests Not Showing Adavan Or Methodone In Your System When You Ve Taken It (Top voted first)

I'm on oxycontin 80's and I've been on them for 8 yrs. I am required to take a test every 6 mos. I've never had any problems until october. That was the first time I had to do a test with the oxy op's instead of the oxy oc's. My test came back back saying that methodone (that i've been on for 19 yrs.) and adavan (for 5 yrs.) was not showing up in my system! I lost my Dr. and my meds. It took 4 month to get another dr. and when she did the test it still didn't show up. I lost my meds again. This resulted in my ending up in the hospital with a heart attack, confulsions, my lungs shutting down and I had to be resisitated. I can't help but wonder if this is not the result of the oxycontins being reformulated. I never had an issue before that. Nothing else in my life or meds is different. This has cost me and is still costing me dearly. Has anyone else had this problem? I've always taken my med the way they were prescribed and I have never skipped, missed or misused any thing. I hope someone out there has a simular experience that they will share with me.I will anxiously await your responce. thanks in advance.

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How much are you taking and when before you take these urine tests?
Ativans - usually - are gone the next day - if your body is fine otherwise, meaning your liver is filtering properly, no Hep C, etc etc - Then The Ativan is usually out between 7-20 hours, meaning you will test neg. pretty quickly. You'd need to FOR sure take the Ativan 4 hours before your testing - giving it time to hit your body metabolise a bit and then be in your urine.

But the Oxys, I'm assuming they were a few times every day. What else are you taking?
anything else - antibiotics, thyroid meds - anything.
aspirin right before peeing - ANYTHING?

If I were you... I would go to the doctors office, sit and wait all day if tyou have to - you must have one or two Ativan and Oxys yes?

Have the nurse look at your pills - the bottle - say this is the second time ive had this prob. Take in in front of her with short sleeves - have all the nurses see the pills and the pill still in the bottles. THEN Pee Test for them. Demand your problem be taken seriously.

Now.. IF - I know we gotta do what we gotta do - and perhaps this isnt your real question - thats ok - no one cares - but if this is REALLY the True Issue youre dealing with - THAT'S what I'd do - and then have the nurse bring the resultds to the dotors hand.. then wait to see him.

Now if you want to know something else like when to pop Negative or anything els e - its ok to ask that - no ones tracing your answer - b/c knowledge is indeed power - without it we die and cost the state a lot of money with illnesses.

good luck - peace be with you.

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As a physician in recovery from opiate addiction as well as a methadone patient I'm not going to sugar coat this but what I've just read is BS. Not possible, and physician who would write for a patient to be on this amount of controlled substances, ALL OF WHICH COULD RESULT IN DEATH from respiratory depression would lose their license to practice medicine!
First, drug screens do NOT test for the drug itself. They test for the metabolite, the substance which the liver, kidneys etc break down the drug you've taken into. This is why you can have people who drink things as innocent as Valerian root tea and come up positive for benzodiazepines. The DM in Robitussin DM will often come-up positive for PCP! You can get a positive for methamphetamine from a Ventolin inhaler for asthma. Ibuprofen can come-up positive for methadone. There are so many different drugs which can come-up as false positives in a drug urine screen a blood tox screen is what is ordered next to be specific as to what is in this persons system. I have a hard time believing Ativan would NOT be detected in a uring drug screen. It is a popular drug of abuse today and is something screens are geared to catch. It is theorized the false negatives are higher than false positives but when you get into people saying they had this test done multiple times and it didn't show up once then I would begin to question why. I would not jump to the conclusion the patient did not take the drug when they told me they had. Then I would not stop with a simple urine screen when there are other more sensitive tests which would not miss it and at that point I would begin to have a problem believing the patient even though to be fair I would still want a full liver work-up along with a kidney work-up including creatinine clearance & a thyroid screen. Urine C&S, Chem-24, electrolytes, CBC diff etc., etc., . Methadone does NOT come-up on a urine screen without being specially requested by the physician doing the test & will be checked for the methadone metabolite so someone can not just add some methadone to their urine sample and say, there, that proves it, see I take methadone. That's exactly how to prove you don't take it!
You do NOT mix methadone with sedatives of any kind. Barbituates, benzodiazepines, and a host of psychiatric medications. It is of no matter if the patient was prescribed the medications or not. Most physicians who prescribe methadone are aware of this. Also, any patient with a seizure or a coronary condition or drugs to treat the possibility or prevent the possibility should not be prescribed methadone or Ativan due to the increased association with prolonged QT Interval & Torsades De Pointes ( a condition resembling Ventricular Tachycardia but being shown to be much more related to medications patients are taking and some of the worst offenders on the list are Methadone and Anti-Anxiety, Anti-Depressive etc., drugs commonly used to treat psychiatric conditions.). Now this patient would have us also believe she is taking 80mg Oxy's on top of all of this & I forget some of the others however, the tests the patient is saying they had done to determine the drugs she was taking are not definitive and no mention of definitive tests being done were mentioned. If she lost her doctor and had been on these drugs for such a long period of time there would be a LONG and well documented chart as to what she had been prescribed and when. The pharmacy and her insurance company would also have records as would the DEA who keeps a close watch on doctors who prescribe this kind of heavy duty medication for a patient for years and years. She should have had peak/trow tests, and other lab tests to verify she was not having any problems with liver function (I believe this is mandatory with Oxycontin today) I've also read there have been instances of labs having problems identifying some of the newer formulations of Oxycontin and reporting them as Percocet and if a patient were taking that amount of Percocet then the doctor would be committing malpractice.
Much of my knowledge of Methadone and what is and is not taken with it has come from personal experience. I've been on Methadone for 15 yrs now & am not ashamed to be in recovery because when it comes to narcotics addiction the number of patients who get to recover for this long WITHOUT methadone is under 4% (as reported by NA, Narcotics Anon whom I do not support because of the way they treat Methadone patients, we need to break ANY stigma which surrounds ANY legally and scientifically proven method of recovery from drugs. The alternative is just too awful to allow. I know of doctors, lawyers and nurses who go in and out the back door (by permission of the director) so they are not seen by any of their patients who might be passing by and who would certainly hold a lower opinion of them,F

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I am very sorry about what has happened to you, but I really don't know the answer to your question. WE have had many people posting complaints about the new Oxycontin formulation, but they are in reference to the fact that it doesn't seem to work as well and that it seems to cause odd side effects, in comparison to the original formulation.

I've seen no mention of any problems similar to yours. You can read one of our most active threads on the subject here:

https:/­/­rxchat.com/­Discuss/­Call-Purdue-Pharma-about-new-OXYCONTIN-80MG-OP-208876.htm

I haven't read every single post, so there may be something I missed that relates to your situation.

Most of our questions, however, arise from people getting false positives, for substances they didn't take.

In your case, however, I have to wonder what the problem is, if there were tests where they didn't show up.

Did you doctor have any ideas?

https:/­/­rxchat.com/­wiki/­OxyContin/­

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I'm sorry to hear what you're going through and if I were you I would take the advice of the person who mentioned taking the drugs in front of the nurse or doc and then do the test. I think that's the only way to prove it. However I found your questioning the oxy's (new formula) interesting because I also take 4-80's plus 2 roxicodone 30mg for break through pain and have been for about 7 years. I have experienced some odd things myself. I had taken a few methadone tablets more than 3 weeks ago after I ran out of my meds for a day and a half (long story) but when I got drug tested the meth showed up in my urine along with my usual meds? I was rather shocked it could be in my system so long considering I didn't take much at all and over 3 weeks prior? Also, I went into renal failure for the second time now (no history of any problems w/liver or kidneys). Thank God my kidneys started functioning again on their own but that was after being on a ventilator and in ICU for several days. So now, doc says he definitely wants me off of all oxycodone period! Plus he's nervous as to what he can give me so he referred my to a specialist in pain management and I'm trying MS Contin which is Morphine and has nothing to do with Oxycodone or Roxicodone what so ever! This all happened while taking the new formula of Oxycontin and I didn't feel as though they worked as well either. Could be just my opinion but I've heard many others with the same complaint. If anyone else has experienced something different or odd since the change over I think it's worth mentioning here and will be beneficial to all of us in the long run. They can't fix it if they don't know it's broken!

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I was going to an md for 8 yrs signed a pain contract etc...... the hospital where I live bought all the md practices! While my md was put of the country a secretary threw me out of the practice!!! one cutting me off cold turkey from 80HALLMARK mg of oxy a day plus 180lots vicoden 10s! 2 my last drug screen showed no oxy the office new I was robbed and reported to police I did have enough to take one per day it also showed a drug called mysoline wich I have never heard of! it showed sm type if muscle relaxant as well! My md was not concerned about it filled my scripts! I went to a new md who does not write narcotics no problem I will go to a pain specialist! Here I am having gone through withdrawal hell my drug screen was sent go TO 3to of the pain clinics I had spoken with who refused to take me because of the one out of 50I drug s teens I supposedly flunked!! I did not want to go to rehab I just found out friday I got into a pain clinic long story I did resort to methadone two days! thurs and friday I have a seizure disorder have had several seizures vomited lost 20it pounds I truly thought I was going to die!! I need this pain special ialist I see on the 28th! do they usually drug screen I on the first visit??? I def do not want to mess up this opportunity! I really thought I was taking a nausea med! my friend truly thought she was helping me! I have 3to herniated discs a ruptured one and my hip is out of place!!! if anyone has gone to a pain clinic and could answer my question I would be axle to sleep much easier! Also how do I stop my previous md office from talking yo my current md and sending out this drug screen!!!! I was a pt there for 15 hrs my pre ips md says he cannot help me he is just an employee we cried at my last appt! in there oath it says do no harm to say that harm has been done to me is a mild statement! any experience u can share would be greatly appreciated!

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The new oxys(OP,s) are not good at all and work nothin like the old ones(OC,s)because they are double coated to keep people from snorting them....As long as you get roxys(oxycodone 30mg) it wont bother your liver....Its the percocet with acet that messes your liver up....your drs gettin scared to give you the goodstuff sounds like....you wont at all like the morphine/ms contin....trust me on that one

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I have been taking 0.25 mg of zanax each nite before bed. I get drug screened at my clinic once a month. I have no zanax showing in my test. Now they ran a Pharmacy check to see all Rx's fine. I have this script only take 1/2 at nite. This is not showing up, I may have a problem at my program. I firmly believe zanax absorbs by 11 to 12 hours gone from system. I take it at 8pm generally and get tested around 8am once a month. This is so frustrating obviously they must think I sell them. I can not find any post yet that I can prove time in system. this does absorb differently for each person.

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I am on 100mg of Nucynta Extended Relief two times a day. I used to be on 8 50mg Nucynta a day. ( instead of 100mg because sometimes I felt I didn't need the full 100mg, basically written to take 2 4x a day as needed.) I prefered that because I could take them as needed, and not be forced to take extra unnecessary medicine to lower my resistance. Anyhow, I was on Hydrocodone, Loritabs, Oxicodone, and something that I forget the name. (at different times obviously) I didn't like how any of them made me feel. After about 7 years of these medications messing with me the doctor told me about this then new medication, nucynta. It worked great & didn't make me feel crummy.... but my medicaid health insurance will not pay for pain management doctors & my car insurance stopped paying for me to see the doctors as if suddenly a miracle, I'm healed! Not at all. Anyhow so my primary wrote me the scripts but my health insurance wouldn't cover regular nucynta but they will cover the extended release so I had to change to that. Anyhow recently my doctor was told that he needs to be running drug tests on patients. I take all of my medications on a schedule basis. I set a weekly pill container. I have taken 3 tests, 2 different labs, all of which came back negative. I was concerned my doctor wouldn't believe me, but he said that this has happened with multiple patients so he is taking more tests. One if the tests he gave me to take at Quest. I had plenty of prior knowledge. I said to him I'm not stupid enough to go to a prior knowledge drug test and not take my medication. Anyhow, I am demanding a blood test. I am often dehydrated so I am constantly drinking water and unsweetened iced tea. Mt urine looks like pure water. I am hoping my doctor will do this. I am also concerned because I do not want this to reflect poorly for him with all of the crazy government rules. I have never abused my medication. I have only taken what I am supposed to. So therefore I am at a loss. I have a 14 year old boy with mental issues, my ex-husband decided to stop being a father. If I get cut off the medications I will be unable to care for him. I am so scared.

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Re: Aylagh MD (# 7)

Sir, you bring up a good point of the complexities around pain medicines and metabolism and other sedative drugs. I am an RN critical care for many years and disabled now because of an injury. I did not need opiates for the injury however while on disability I was prescribed an anti cancer drug for psoriasis that flared, and it gave me severe peripheral neuropathy. (See people doctors and Nurses are human and as vulnerable as you do disease) but I'm sure you know that. The point I want to make is that laboratory tests are not as 100% accurate and fool proof as we have been educated to believe. Much of it depends on many variables different between labs. Also the meds we get are not necessarily 100% pure. India drug manufactures have been cited many times for poor sanitary and clean conditions and mixing of drug components. I was educated to believe the patient when they said they have pain. Who am I or any one else to play detective or second guess someone when they have pain? I've worked in ICU/CCU CVICU PICU and NICU and have given gallons of morphine and other pain meds to patients s in pain over the years. Not once did I stop and worry about addiction. Nothing else worked for pain and it was the best we could do. One thing I learned from a nursing instructor is that you don't dilly dally or debate or worry about anything when a patient is in pain other than their comfort and safety. The addiction hysteria is a menice to all good people. It's been blown out of proportion and has targeted the wrong populations of people that are given no better alternatives to relieve or reduce pain. The OD epidemic is not from people with chronic pain conditions. It's from people that steal these meds or get them on the street or use heroin and because Chronic pain patients are the easiest captive target they get manipulated the most by the system. I've straight out refused urine testing and pain contracts because it's against most hospitals right of privacy and the constitution of the United States Right to Privacy. Luckily I have an understanding younger pain med doc that supports me when I explain my position. False positives and false negatives are rampant with urine tests and each one causes loss of the patients credibility. It's a shame but a real world issue. I've had to fire 2 different primary MD's because of their fear based practice. It's dog eat dog and everyone cover their asses out there because of the many risks both patients and health care providers are put under. Just know if you get an unusual result on a lab test or have odd effects from a medication that there can be many variables that both you and your MD are not taking into consideration ie contamination and lab errors. Fight for your right to privacy and fight to be treated with respect and dignity. I told my new MD that he must believe what I tell him or I will not trust him and cannot keep him as my MD. Once that trust is broken, and it always is when you are forced to give up all your rights and sign an opiate agreement, you cannot trust your MD again. These Docs that drop patients on pain meds for 10+ years are an abomination to the profession and should get out of health care because they lack ethics and empathy to do this to a patient. All I can say is I treated my patients the way I expect to be treated and I will not stand for anything less.

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