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  • BDD Moderators: Keif’ Richards | negrogesic

I took a risk by being honest w/ my pain doc...

tryptakid said:
So it's a comprehensive drug screen and they've added on 6-monoacetylmorphine (heroin metabolite), ETG is ethyl glucuronide which is an alcohol metabolite, and NIC, UR which is nicotine metabolite in the urine.
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Well all I can say I is, thank God that they are testing for Demon Nicotine! The ultimate gateway drug.
 
It's true you get false positives all the time too. I had to sign a pain contract with my Dr when I was on hydrocodone for migraines and he told me I had to have a drug test. It came back positive for meth!! I've never even seen meth!!

Luckily the Dr believed me, but what about the patients who have a false positive and their doctors don't believe them?
 
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LucidSDreamr said:
you have to absolutely verify they don’t test for it…and also it’s an OTC cough medicine so people take it just for colds (but that wouldn’t necessarily mean they wouldn’t cut you off for testing positive for it). But DXM is a fantastic drug to increase the potency and analgesia of opioids. Take 100 mg one hour before your opioid dose and the opioid dose will feel like you took 25 mg instead of 15 mg.

You won’t waste pills going over your allotted dose then.

It’s not something u want to do daily just during those worst times. It’s easy to want to do it every dose to get the most out of your meds but DXM will be hard on your organs with daily use.

Also be warned DXM can have a”dirty” feel to it but as soon as the opioid dose kicks in and combined with it you’ll feel too damn good to notice the DXM feeling.

This can help conserve dosage.


Lastly, during good lain days it’s always best to conserve. Take less and always try to build a back up supply for the expected pharmacy fuckery and for days where you need more than your dose.

When I was on methadone I would some days take 4 pills and on good days only take 1 and it would balance out and I never came up short.. and if I ever do come up short I’ve got an emergency supply of Suboxone.

Cheat drugs tests if needed, dose when and how you need. These rules are not designed for how chronic pain manifests itself. There are flares and good days. There used to be a practice called “breakthrough meds” where you would get a handful of something really powerful like some opana to supplement an oxy script on the worst days…but the DEA put an end to that. Havnt heard of breakthrough meds in a decade being scripted.
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They do test for dextromethorphan. Boooo... I've used it for withdrawals before & it did help. I've never considered it as a potentiator. I can handle dirty. Uggghhhhh. That sounds so great. If I only take it occasionally, do you think I could I get away with saying it was for a cough?

It's always been so hard for me to conserve my pain meds. Unfortunately, I've been in constant pain for the past 5 years, so my body has always been like, "WE FUCKING NEED THOSE!"

How long ago do you think breakthrough meds stopped happening? I've heard of it while lurking on chronic pain forums, but they all seem to be older patients. Maybe we're too young?
 
kris66 said:
It's true you get false positives all the time too. I had to sign a pain contract with my Dr when I was on hydrocodone for migraines and he told me I had to have a drug test. It came back positive for meth!! I've never even seen meth!!

Luckily the Dr believed me, but what about the patients who have a false positive and their doctors don't believe them?
Click to expand...
Meth! Jeez!

I had an incident where my drug screen came back positive for Adderall, which I was not taking. I found a couple of studies that said bupropion and trazodone may cause false positives & I was Rx'd both. My psychiatrist had to fucking write a letter for the pain clinic (this fuckin guy again) verifying that was possible. Luckily, my psychiatrist had a couple of other patients that had the same thing happen.
 
516CAZ said:
Meth! Jeez!

I had an incident where my drug screen came back positive for Adderall, which I was not taking. I found a couple of studies that said bupropion and trazodone may cause false positives & I was Rx'd both. My psychiatrist had to fucking write a letter for the pain clinic (this fuckin guy again) verifying that was possible. Luckily, my psychiatrist had a couple of other patients that had the same thing happen.
Click to expand...

This is one reason why lcms confirmation is actually useful. No false positives where one drug masquerading as another drug. Only false positives from all the lab personnel having no idea how to read lcms data and relying on software
 
516CAZ said:
Meth! Jeez!

I had an incident where my drug screen came back positive for Adderall, which I was not taking. I found a couple of studies that said bupropion and trazodone may cause false positives & I was Rx'd both. My psychiatrist had to fucking write a letter for the pain clinic (this fuckin guy again) verifying that was possible. Luckily, my psychiatrist had a couple of other patients that had the same thing happen.
Click to expand...
I was on Midrin for my migraines at the time, and it contains isometheptene and dichlorphenazone, so maybe one of those ingredients triggered the false positive? That or the Zantac I was taking before they took it off the market. I still would like to know what triggered it.
 
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