Drug Test, Opiates, Tylenol 4 With Codeine

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Hello, I have recently found myself in a situation. I am working extremely hard to prove my pain management office differently. Please any help will be greatly appreciated. I currently take Tylenol 4 with Codeine, Tizanidine and a blood pressure medication for high blood pressure and a cholesterol medication for high cholesterol. The issue that I'm having is in my urine drug test, the quick dip comes back positive for "Opiates". Ok, fine, but when the facility does a more in depth test on the "Opiates", it comes back positive for "Morphine, Codeine, Hydrocodone, Norhydrocodone, and Hydromorphone". Does Tylenol 4 with Codeine cause a positive result for those Opioids on a urine drug screen? Any information or help to find the answers I'm looking for are greatly appreciated. Thank you.

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Ree,

Yes it is. In fact It has been clinically observed that unanticipated conversions between opioids going beyond common metabolic pathways may occur, and these can be detected by high-quality assays [Haddox 2005]. For example, patients prescribed only codeine might test positive for codeine and morphine, and also hydrocodone and hydromorphone. Patients taking only morphine might also test positive for hydrocodone and/or hydromorphone. While mechanism behind this metabolic phenomenon are not understood, such findings could falsely suggest that patients are taking unauthorized opioids. I hope that assists you in clearing your name with your pain management practitioner.

Regards,
Kenie.

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So here's the deal. I took norco and percocet as well as my klonopin. I only have two scripts and I ran out of the tylenol 4s which I had a script for and that was almost a month ago. So that being said, I also have a script for klonopin. I don't however have a script for the half of a percocet pill I took. I have chronic pain and I am new to this. I've been fighting my pain forever. I also took 3 norco one or two weeks ago and the recast last month in the beginning of the month. So I had a random 12 panel urinalysis I did yesterday. With that said, I will say this - it was for cps. So will I pass? I haven't taking anything since a little over two weeks ago. Please help.

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Thank you. I just wanted to post an update. After Pain management discontinued my pain meds. I continued to fight, research and do multiple drug test through other doctors to figure out what was going on. Long story short, with absolutely no pain meds of any kind in my system. They found out that my liver enzymes produce "Opiates" and I will always come back with a positive Opiate test result.! My Dr says I'm special in this way! Lol!! Thank you so much for your insight and the help to keep me on the path to figure it out.

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