When taking a urine drug test, does oxycontin and oxycodone come up as the same drug? I took a 40mg oxycontin on a monday and was drug tested on thurs. I am tested once a month from my pain mangement dr. to make sure my oxycodone's are in my system. So will the 2 drugs show up as one or is there a differance in them with the drug test?
Hi Spyz! Your doc is lying to you! You are not even close to being "maxed out" by any means. I take four 60 mg. Oxycontin per day plus up to eight 8 mg. Dilaudid (another opioid). (Oxycontin actually comes in an 80 mg. strength also so not sure how you could be maxed out on 2 - 40 mg. Oxys!) I used to take six 40 mg. Oxycontin (which is extended or gradual release oxycodone) per day plus eight 10 mg. oxycodone (immediate release). The only reason my doc switched me to 60's rather than 40's is because my insurance decided it would only pay for 4 Oxycontin PILLS per day. That could be four 10 mg. Oxys or four 80 mg. Oxys so even though I'm on the same total amount per day (240 mg), I'm forced to take more or fewer mg. per dose than with the 40's simply because it's cheaper for the insurance company this way. Insurance companies care about cost; they don't give a hoot about good medicine or what works best for the patient. What you describe is a typical problem for chronic pain patients--if they say their pain medication dose needs to be higher because it isn't working at the dose prescribed, they're immediately labeled as "drug seekers." Doctors forget that low doses work for some people while even much higher doses may not work for others. My daughter has had to take pain medication on various occasions (broken bones, etc.) and didn't even fill the prescription for Vicodin prescribed in the emergency room because that particular pain med doesn't work for her. When she told them Percocet did work for her, she was told that they "didn't prescribe that" in the ER. She had to wait until she saw an orthopedic specialist a week later who was furious that the ER hadn't given her adequate pain meds (she'd been trying to get by on Ibuprofen) because it kept her from doing the movements necessary to help healing. Once she had the pain medication that worked for HER, healing went much faster and smoother. Six years ago, I was taking a lower dose of Oxycontin which wasn't enough; I was still in significant pain most of the time. I was used to my terrible doctor in Massachusetts who accused me of drug seeking when I told her I hadn't slept more than 2-3 hours our of 24 for the previous 4 months and was falling apart due to lack of sleep (lack of sleep significantly increases my pain) and BEGGED her for help. In spite of bringing my husband to appointments with me as a "witness", she never did anything to help me--which is now considered malpractice in most, if not all, states. My present doctor (in Michigan) didn't respond that way when I told him I was still in significant pain. His response? "It sounds like you need more pain medication." I nearly fell over! He upped my pain meds and worked very hard with me to find a medication set-up that would make sure I'd sleep. I've been with this doc for nearly 6 years now and, for the most part, I sleep quite well and my pain level is tolerable. What's more, since we found what the WORKING doses of pain medication and sleep medication were FOR ME, I haven't needed an increase in the strength or amount of these meds for almost 5 years. Your doc's attitude that it's better for you to suffer than to (God forbid!) need an increase in your dosage at some point is bad medicine. Again, failing to adequately treat a patient's pain and leaving them suffering is a malpractice issue in many. if not all, states. Check it out! :-) No one should be condemned to a life of pain just because their doctor is cowardly and misinformed.
Those urine test sometimes will produce a false positive reading they need to wait 10 minutes for the results not 2 minutes had it happen to me. Also if ya really belive he didn't use cocaine go to your primary dr & get retested or draw blood & see if the result is different ?
Cynthia, wisegirl Is at the rite site its just that it was not a recent post. Also, i have a new pain doc who said he was scared to take me because im on 2 20mg oxycontin plus 4 30mg oxycodone per day. He said im maxed out and he wont know what to do in the future. He said he is worried about my compliance since i told him up front that 6 work better for me. I have neve taken 4 per day and yes, it is possible to get 0 pain but not at the levels they prescribe. I can take 10 a day and no, its not to get high but to be more active. My body metabolizes it quick like lightening and ive never even had the luxury of 'getting high' i simp,y have high tolerance to everything. I u derstand that they are afraid of DEA BUT they need to understand that we are afraid of not having a life. Why should we get dismissed? Cant we agree to disagree with each others methods? Does a diabetic get dismissed if he eats a candy bar and needs an extra shot of insulin?
Wise Girl - Are you at the wrong site? Your post appears to be a response to another post that isn't on this site. :-)
63wise girl Says:
Mba, I hate too say but the truth is absolutely correct!!! There is no way someone would waste cocaine putting it in your husbands soda! If it was detected in djs drug test its because he him self used it or as the truth said sells it, but again it would have to be an excessive amount of hands-on on a daily basis....
Marjorie. I have the same problem with medicine but unfortunately my doctors are not as understanding as yours. Did you ever find out what causes your body to do that with meds?
I'm asking the same thing because all meds was stolen except my hubby's cotin 60 mg but I take roxycodone 15 mg will it show up different in urine test I've tried doing without but withdraws are to bad but don't want to lose my dr I did report but still want me to pay again to get some more which I can't function without my meds we turned the 2 people in that broke in my house
I am 21 years old and was rear ended in a relatively severe car accident when I was 17. For the first few years of my treatment for low back pain, doctors would just scoff and me and write off everything I was saying - assuming because I was young, I was just seeking pain medication to abuse it. I finally hired and attorney to help me with my case, both for treatment and suing the piece of s*** who ruined my life. He got me in with the BEST doctor I have EVER seen. I started seeing him about a year and a half ago, only to find out I have 2 herniated discs, a bulging disc, and a partially ruptured disc in my L3, L4, L5, and S1. I have been on 10mg oxycodone partnered with multiple treatments - rhizotimy and facet injections - and my pain is much easier to manage now. I obviously still have my good and bad days, the frigid weather we experience in the north east is no help on the bad days :p It has been such a bumpy ride for me, and my age and appearance (piercings and tattoos) has made it way harder than it should have been for me to find adequate treatment. I have relocated to another state for work but continue to see the same doctor where I lived before. It is so hard to find a doctor that doesn't profile you and doesn't immediately assume you are "one of the addicts".
I m on pain mgmt and get 90 oxycodone 5 mg hcl. I jave spinal stenosis crisjed carpel tunnels( both hands ) and a torn rotator cuff. The torn rotator cuff and carpel tunmals result from police brutality. The rotator cuff injury jas become more apparent in the past five weeks and i have had to take more of my meds to relieve the pain. I go to my pain mgmt Dron Jan 27. I took a u.a. last visit and think my levels will be down as not only do they do a five panel they send it to a lab (why) and suggestions. Willy levels be down and since i have run short ( i have three left for the 26 Jan will my levels be ok?
So true, "peetsy"! The government likes to pretend they're doing something about the drug abuse problem but the end result of much of what they do is to, first, hurt and mistreat true chronic pain patients who must take narcotic pain relievers in order to relieve their agonizing pain and have some sort of life and, secondly, criminalize the doctors who are responsibly trying to help their patients. Meanwhile, the abusers and addicts always find a way to get around the barriers continually being created by agencies such as the DEA and go on abusing and misusing these same medications, apparently without missing a beat, while patients with severe, disabling pain are often treated like criminals and receive less effective pain relief due to changes in formulations intended to foil drug addicts; additionally, the pain patients' doctors often end up throwing in the towel (like your doc) because they are sick of constantly worrying that they'll be harassed by law enforcement simply for doing the right thing for their suffering patients. Of course, the situation isn't helped by some doctors who also assume that a chronic pain patient on narcotics just "likes their high", as I heard one physician say in a lecture. Such ignorant assumptions infuriate me; I've had chronic severe pain for 20 years and been on narcotics for 13, and have NEVER been even remotely close to being "high". I'm sure many true chronic pain patients who use narcotics can attest to the fact that all the opioids do is give them a chance at a life with less pain where they can function at least moderately well--and being "high" is not part of that life.
Every body processes medications differently. I have poor absorption (malabsorption) and I vomit quite frequently due to my severe GERD that leads to bad coughing spells that end up with me vomiting. So my levels are never the same. The Government treats all pain patients as criminals, but ont he other hand they also treat the Dr's as criminals. My PC is ending all pain mngt patients and we have to find someone else. After 30 years of not abusing my medications, why does the government still make me go through all these hoops.
If someone is getting perk tens ninty a month what should the level number
Red Man: Many doctors HATE it when what they prescribed doesn't work--not because they care that you're still in pain but because that proves they're not God. If a doctor has prescribed a pain medication and you're still in significant pain--find another doctor. I can tell you that not all doctors are like that. Mine always felt terrible when what we tried didn't work because he actually cared that I was still suffering. We tried different meds for breakthrough pain and raised the strength of my primary pain medication until we found a combination that gave me a life. The mandate for all doctors is "to first do no harm." In my book, when a doctor's ego allows a patient to remain in serious pain when relief may be available (possibly making it difficult to impossible for them to "have a life"), that's doing plenty of harm.
54Red Man Says:
Id like to know if anyone could give me some advice go to a pain doc he ask me how the medicine is helping i told him i was still hurting it wasn't working well then he acts like he isn't going to see me no more he told me he would give me time to think about it its like if i dont tell him what he wants to hear he will not see me any more and that's bs i just told him the truth.
To Jdhoss: You surely have my sympathy. I sometimes think that if one more person says to me, "Well, you LOOK good" (the implication being that looking good means I can't possibly be hurting that badly), I'll SCREAM! People with migraines don't have any obvious injuries either but does that mean their head doesn't hurt? What are people with severe body-wide pain SUPPOSED to look like? Just because someone in pain made the tremendous effort to take a shower, do their hair, put on some makeup and wear decent clothes (all of which took about 3 hours with frequent rest breaks and a significant amount of pain medication to accomplish), that's supposed to mean they feel fine? I'm often tempted to go to church or some other event without a shower, with my hair a tangled mess, no makeup, wearing grubby clothes, no jewelry--whatever it takes to look as bad as I feel. Would that make others take my pain seriously? It sounds like you're a guy so the no makeup thing probably wouldn't make a difference.:-) But you could try going to your next doctor's appointment doing your best to look as bad as you feel and see if your doc get's the message! I have a friend who is dealing with her 3rd bout of cancer and this time. She looks great, has a nice figure (reconstructed breasts), good color, her hair has grown back and she's always dressed in cute clothes with her makeup done. Does this mean she's not sick and in pain? Actually, she needs to take daily pain medication and she's terminal--has maybe 5 years to live. You'd better believe no one, including her doctors, is telling her that she can't be that sick because she "looks good." "Looking good" is not an accurate measure of how one feels. When will doctors and people in general get that through their heads? I don't know but it's frustrating and unfair and, what's more, it leaves people with invisible disabilities and invisible pain suffering unnecessarily. My heart goes out to you.
So true I was hit by a truck at 45+ mph I severed knee. broke 18 bones m,my back,three skull fractures and massive brain damage... I was a high end collage athlete at the time..my doc would barly give me 4/ 10 mg norco because of all the a**holes that abuse oc..after two years in a hospital bed I am back on my feet after 9 surgery s I look still look very fit but can barley walk..because I look so healthy even the doc says you look amazing you can't be in that much pain...it's so wrong to assume someone is not in pain just cuz they don't look hurt!! Even my best friend think that all cuz I look healthier then them but truth be told I can't even walk my dogs around the block without having to spend the whole next in bed on ice.. Sorry for the bad grammar as I said I have a bad head injury
51Red Man Says:
The best post on here that's exactly how it is.
To ATC: What the heck is "fibromyalsia"? Do you mean fibromyalgia? I think I've managed to get past the mess of your spelling and finally figured out what you're trying to say, although I can't figure out to whom you're responding. While I know it's frustrating to a genuine pain patient to have the abusers making it difficult for us to get the pain relief we truly need, you've also done what many people do in judging the pain level of someone you don't even know and in assuming that you know what medications and how much of them another suffering person needs. Your statement that someone on 30 "mil" of Oxycontin has been abusing for a long time is completely off-base. (Oxycontin doesn't come in "mil" (milliliters) since it's not a liquid; it comes in "mg"--milligrams.) I've been a fibromyalgia patient with severe pain for 20 years; the first 8, I had NO pain control (and Motrin or any OTC med didn't do a thing!) My doctor at the time then started me on Oxycontin which finally gave me relief, though I was furious to realize that I'd suffered so badly all that time when such relief was available. I continued to titrate up until I found the level that allows me to live normally--not pain-free but at least with my pain controlled reasonably well. For that to happen, my current doctor raised my dose until I was at the level I take now--240 mg per day (four 60 mg pills per day.) I have been at this dose for many years now with no increase needed, no euphoria, no highs, no living in "la-la" land, etc. I just feel normal. Don't assume you know what someone else's pain level is, don't assume you know what will alleviate their pain and certainly don't assume that everyone on a high dose of legal narcotics is an abuser. I have always used Oxycontin and any other meds for breakthrough pain "by the book" and they have given me my life back. Again, I know it's frustrating to watch the laws regarding narcotics cater to abusers rather than genuine pain patients but I also get frustrated by people, especially amateurs, who think they're more knowledgeable than they are.
Hey, Ryan, no problem! You're right about spell check--you really can't ever trust it! Who can keep all those "...codone's" straight anyway?! All the best to you!
For some nasty back pain???? How about motrin and put up with the back. I have 7 herniated disks degen of disk and joint Osteoporosis fibromialsia etc and never abise my meds if you take 30 mil of oxycontin you have been abusing for a long time . You relize you guys make it extremley hard for those of us wnho are mangled and falling apart slowly. If you need meds get them prescibbed dont kill yourself on accident because you have no idea how mefs work. Because it tightens rules on thpse of us who have to live thi s every day
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