DEA requests ENDO Pharmaceuticals to pull OPANA from market.

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Caseyland
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Holy Poop!

I cannot believe I saw this on cable news.
It is being reported that this is happening because of a huge surge in HIV, HEP C, & other diseases.

I for 1, am a PM patient of the past 14 years. I still work FUll Time.

I've been in titration To Lower my quantity & mg of pain meds which I asked to do myself over the past 3 years.

I was taking a high dose of fentanyl & norco & just couldn't function @ work.

I've ended comfortably @ two 30mg opana Er /daily & four 15 mg oxycodone as needed daily.

I started titration on higher doses of opana Er & oxycodone.

I've watched, listened, & "HEARD" many patients I see each month get all their meds cut & really suffer.

I discussed with my DR. The cuts going on around me & she has told me on several occasions that opana ER was not a pain Med that was under such scrutiny because it has proven to not be "manipulated" for abuse.

If any1 out there is wondering what it's like, it literally feels like a plastic pill. It definitely is the BEST pain med I've ever taken.
Complete extended relief for 12+ hours & more. MUCH MORE!!!

So, I was literally flabbergasted to see the DEA's actions on Saturday evenings news!
I cannot even fathom how it can be broken down for abusable techniques.

This news is so aggravating. I literally became a walking zombie on fentanyl & really struggled titrating to the level I am at.

I work in a very busy, high volume restaurant inside the Disney parks. Ive had several very embarrassing side effects in front of guests, mgt, & co -cast members while titration.

So, I'm so AGGRAVATED it has come to this. I know we all have read over & over about how addicts make it a disaster for true PM patients. I TRULY FEEL THAT WAY NOW!
I guess it touches us all eventually!!
I just saw my PM DR Wednesday & nothing was said about the DEA assault on Opana ER.

I also had my first pee test that was questioned. Doc asked me "when did I run out of opana ER?
I was like: "never,"
as my appt is a week in advance to when I go to pharmacy to get it filled & I literally have a full week of both pain meds I take for emergency purposes.
The doc & nurse said "why do you have morphine in your urine?".
I was like "I have no clue".
I recommended perhaps the opana & oxycodone break down into morphine?
They are the dr's/nurse's NOT ME!

They sent out for a more advanced test. They gave me my usual meds to refill until then. It just really concerns me!!

Any1 know much about urine testing & opana /oxycodone giving a false positive for morphine?

This happened 3 years ago at different dr & why I'm at the dr I'm at now.

During that time I was RX'd opana & norco & tested positive for oxycodone, which now I know opana Er tests positive for oxycodone, but I was so tired of dealing with that dr & transferred to where I'm at now. I hope I do not have trouble with this second time of urine testing. I asked the manager to spare no costs to get accurate results!!

The dr continued to ignore all info I supplied to them that opana Er routinely tests positive for oxycodone!

Anyway, I just wanted to share this info about DEA/Opana Er announcement.
Get input on urine testing positive for morphine but not taking morphine...
Perhaps opana Er & oxycodone produce false positives for morphine?!?!???

Thanks for reading & replying if you have any input/help!!

gtrplayer
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I do not want to attempt to

I do not want to attempt to answer your question regarding false positives without further first having more information.

Was the first test that you took, and told you tested positive for morphine, a dipstick test? I am asking for a specific reason, not because of the false-positive potential.

Also, do you know the name of the drug testing company that was used for the first test, as well as the "more thorough" second test? You can send me a private message if you do not wish to openly state the company name. Please do not give the Dr name here.

Like most questions I ask that seem to be trivial; I ask this for a reason, and with the intent of giving you a better answer as opposed to "yeah, this or that can happen." 

There are quantitative, and qualitative methods used for urine drug screens all based around the presence of specific metabolites of the ingested drug. While a dipstick test will show +opiates, further testing is needed to confirm which opiate was taken. There are false positive situations that can, and do, occur. However, there are also a lot of really bad stories that seem to get passed off as proof. 

Rocker Dan
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THE WAR ON DRUGS

Yes there is a war on drugs,and we the pain people are the civilians stuck smack dab in the middle of it! My doctor who I adore and respect has cut me back around the 30% called for by the surgen generals letter.Now I  am hearing that I do not need the smaller ammount i am persribed.I went for allmost two years without a tox screen then in December of last year up March of this year I went through 4 screens back to back.All of them came out right on the money yet the fact that I feel as if my doctor is trying to find a way to get rid of me. Now the good doctor is telling me that i should wean down(not off) and i do not take this lightly.We all are in a war even if we do not want to be,and our only hope to stay in the pain programs is to arm ourselves with knowlage so sharing your story is extreamly importent as our being a pain patient is not enogh we have to be part lawyer as well!!! Stay strong,  RD

Caseyland
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Unfortunately,

I have not a clue which test I was given. It had a lot of graph style bars with codes as the headers on the actual side of the cup.
It's my 4th test in 2+ years. The dr & the manager said if I haven't done anything wrong, to not worry about testing. I explained my former test results at my previous dr. They said they are aware of this false positives & this test will be sent out to detect the controlled substances by name.

I go back around 7/5/17 & will know then. I definitely will find out what type of urine test is given. Idk, if they were bluffing in me having morphine in my system, or not. If they could see morphine, it's definitely a bad pee kit. He's relatively new there as a dr. & it's only my second month with him.
I'll check back here & list any updates.
If you want to private me about any testing advice, gtlrplayer, that would help me!!
Thanks again!!

Rocker Dan
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Morphine in system

Most all pain medicnes turn into Morphine in your system .Some tox sceens now can seperate the kinds of certian drugs such as Oxycodone from Hyrocodone and Diaezapam from Alaprozam and the such.The tests I have receaved show Morphine(as I take 60mgs every 8 hours)And they show not only my Oxycodone but how much(within a average leval)and also theese tests can show everything else such as Diphenhydramine(Benadyrl) and Caffine amounts!!! So even if you take Hydrocodone(Vicodin or Norco)It will turn into Morphine.I knew a few pain patients who were on Oxycodone but showed higher ammounts of Morphine.In other words a avaerage tox screen will not only show the specific drug but also the waste by product.As the newer tox screens or urine tests are made available the misstakes are becoming more common showing false/positives.My clinic will allways do the test twice if i failed the first time.And a rapid test is not for anything but showing a broad range of weather or not any opiods are present.I sure hope this helps!!! Good luck,RD

gtrplayer
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I would not worry about the

I would not worry about the initial test showing morphine, so long as they are sending it out to a lab for a qualitative interpretation of the metabolites present. My pain dr does not use the dipstick test only because interpreting the results can be difficult without proper equipment. There are drug-specific panels that are available for in-office use, but they tend to be very pricey. 

Here is a Link To Opioid Metabolism

Here is Link to a pdf file that has a convoluded explanation, via picture, as to how drug testing differs from Immunoassay, and GC/MS testing. I am not posting the picture here because I do not own the image, and have no authority to upload them to this site.

I very highly encourage you to read those links, not because you did anything wrong or have a reason to worry, but because bad information does exist on the internet, usually in the form of anecdotal "evidence." 

 

 

Caseyland
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Pm urine test false positive

Thanks for everyone who has commented & especially the article & the results of testing details.

I'm pretty confident & now I definitely understand how I ended up where I am.
Long story short, I am at the pain management facility after leaving my previous PM dr. Because of testing. I was taking opana Er there as well, & the dr. Would not believe me that opana Er can test positive for oxycodone. I tried to explain over & over it was often a false positive for oxycodone & to no avail she would not listen. I was not RX'd oxycodone @ the time & that was the problem.

SO, with another false positive at the pm dr. I go to now, I am very concerned the same will happen. I hope not. I take what is prescribed only. Opana Er 30 mg 2x's daily, & 15 mg oxycodone as needed up to 4 daily. I only take 2 oxycodone consistiently & on occasion 3 or 4.
I take 2 opana in a 36 hour period. Ive done that because of the problem with my pharmacy having to order it almost every month. By stretching it out, I've been able to build up a back up of each Med. In case there are ordering problems!
once it was 4 days for the opana!I'm sure they'll be able to see that in this more advanced test.
It is being done by expertus labs in Winter Springs, FL.
My insurance was billed 2k for the procedure!
That's expensive!
Funny, my current dr. Does not take my insurance, but they do for this advanced test!
They offered for me to pay $100 cash directly to the dr. Had I known it would be 2k on my insurance I would have opted for the $100 cash. I have to pay a 10% to my insurance, so that's $200.
This gets more crazy every time I research it.
I go to dr. On 7/5/17 (next Wednesday)
My nerves are a bit wrecked at the moment!

Caseyland
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Testing results

The advanced test by expertus labs, Winter Springs, FL exonerated me. The exact words the doc used. " you have been exonerated-I bet that's a big relief!
I bit my tongue HARD, & to no avail the fighter in me unloaded. I basically just vented, but let him know on a straight 10 panel urine test, most pain meds will show up as morphine. He stopped me & said , I never doubted you. We just needed a record to show you are following your contract guidelines.
It was just aggravating to go through.
Thanks to all who commented!
I'm lucky to have the pain mgt center I have. Not to many good ones left & ive got 5-6 more years of ft work before I can have surgery & retire early!!!

Rocker Dan
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good going

that news stations and newspapers as I was a reporter and can see that the reporting that is being done is the way to nd needs objective reporting which can only be one by "hearing" the other side of this skirmish.I am glad what I said, most pain medicines show up as morphine, the same sort of thing happened to me.i am glad your outcome was what it was...And on to the next.The media is really hammering away at pain clinics and pain doctors, so  I have started sending letters to several news organizations to efect the outcome by giving a voice to the other side of this war on pain patients rights.Letters and phone calls and E-mails to bombard the newsagents with the normal way of presenting a decent story, by hearing the other side of the story.We the pain patients have no one telling the media that there are real people in pain that go by the law and need our medications.

gtrplayer
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Actually, most pain medicines

Actually, most pain medicines do not show up as morphine. They do show up, generically, as opioids with most in-house urine drug screens. 

The type of urine drug screen given at a dr's office is usually just a drug screening- as in, "what type of drugs are in this person's system?" Compliance drug testing will break down "opioids" into "what exact opioid" via gas chromatography/mass spectrometry. The GCMS are usually very accurate because they are looking for metabolites of the medication. 

 

Rocker Dan
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Yeah I do understand

gtrPlayer,yes I do know that a doctor's office tests can show what opioid is present in a person's urine.i was just stating that most opioids break down to morphine.And of course, the laboratory's  can and do further break down the substances to their basic forms. I have all my tests and can see this.Thanks for clarifying, RD