Lucky, Or Unlucky #7

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Im in pain managment. I get the 15 mg oxys. The thing is, I took more than I was supposed to , now i am short. Ok, I most likely will have to take a UA, I do have (7) of them left to take. This is the deal, I need to have them show up in my urine screening, so I have been hearing so much about the "level" that they check for , to make sure your doing right by your scripts. I am to take (2) 15's a day, should I just take them over a 3 day period before my doctors apt, or how should I take them to raise my level to make it look like I have been taking them like I should have? I think they check the urine test right there at the clinic, unless you fail they send them off to the lab. What are my best options, even worst case scenerio and they would just send the urine to the lab to be further tested. I really thought, that If i were to just have taken my meds over at a 3 day time period, that including the day I go to the doctor, that I would be ok. What do you guys think, please give me your input on this, it would be much apprecated!!

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1

im not going to go into the pharmacokintics with you,I have a background in chemistry, and healthcare. I probably shouldn't be telling you this, but you dont have too much to worry about. The half-life of oxycodone is about 3.4 hours.My advice to you is to take 2 about 5-6 hrs, before your appt., and then 1 tab. 2 hours befor your appt. and you'll be fine. But the times i have given you you must adhear to, even if you need to set an alarm clock to do so. BUT THE BEST ADVISE I CAN GIVE YOU IS TO TAKE YOUR MEDS AS PRESCRIBED. IF THEY DON'T KEEP YOUR PAIN LEVEL AT A TOLERABLE LEVEL TALK TO YOUR M.D.(HONESTY GOES A LONG WAY WITH MOST DOCTORS) AND IF IT DOESN'T --- FIND A NEW ONE . Dr. Jay

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2

Yes, some doctors do check the levels of the medication, rather than just looking for the presence of it, because if it's been prescribed for you to take a certain dosage, at certain intervals, it should fall within a certain range and anything outside that range could denote a problem.

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As has already been said, if your current dosage isn't controlling your pain, then you should be honest with your doctor and let them know that.

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I hope you are not our local Dr. Jay. First part of your advise does not lead toward the second part being heeded - the part about honesty and finding a doctor who will listen to and work with you (or find a new one), which was great!! Too many patients are manipulating their dosages/care, leaving healthcare professionals hesitant to believe the patients' needs require higher dosages or other meds. Sadly, especially in the case of ER and Trauma Center nurses/physicians, healthcare professionals are also becoming so jaded that even when someone with legitimate needs seek help, they are often branded as "drug seekers" and/or not even thoroughly examined or treated. Patients who do abuse make it hard on those who do not. And physicians who cave to the trend of overuse of prescribed pain/anxiety/anti-depressant meds, etc, are certainly not "doing no harm".

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4

I hope you are not our local Dr. Jay. First part of your advice does not lead toward the second part being heeded - the part about honesty and finding a doctor who will listen to and work with you (or find a new one), which was great!! Too many patients are manipulating their dosages/care, leaving healthcare professionals hesitant to believe the patients' needs require higher dosages or other meds. Sadly, especially in the case of ER and Trauma Center nurses/physicians, healthcare professionals are also becoming so jaded that even when someone with legitimate needs seek help, they are often branded as "drug seekers" and/or not even thoroughly examined or treated. Patients who do abuse make it hard on those who do not. And physicians who cave to the trend of overuse of prescribed pain/anxiety/anti-depressant meds, etc, are certainly not "doing no harm".

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