False Negative Results For Pain Meds On Swab Vs Urine Testing

Updated

I have been on methadone maintenance for 24 years at 50 mg per day. Several years ago I was severely injured and have chronic often debilitating pain for which there is no solution other than spinal inj's. and pain medicine. I take Opana ER 40 mg every 12 hours and have 4 mg of Dilaudid for breakthrough pain a maximum of two tablets per day. What has me baffled is that at the methadone program they do oral swab tests and for the last 9 months the only drug that comes up positive is the methadone and I get a negative result for my pain meds. However when I am given a urine test all three drugs come back positive. How is this even possible? Does removing the swab from my mouth as soon as I see the blue start to show up in the indicator window have an impact on this? The indicator window is about 1 inch long. The test is sent to the lab for results. Prior to these nine months I had intermittent results sometimes positive for all three and sometimes just the methadone. The only other thing I wonder about is the fact that I always have some type of mint for sucking candy in my mouth because it is so dry that if I do not do something to lubricate my mouth there would be no outcome. But none of this makes sense to me being that the methadone always comes back positive. Interesting is the fact that all three substances always come back positive in a urine test. I find this very upsetting as I have been accused at the program of not taking my medication which is absolutely untrue. I am also on several other medications for different health reasons thyroid disease bipolar disorder cholesterol and HIV meds as well as Albuterol and several different types of nose sprays. I just can't figure out how this could happen. Can anyone explain this to me?

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