Has anyone else been told that Butrans is not showing up on their urine drug screen despite constant use? Today during my monthly visit my PM nurse practitioner told me that in 4 of my urine drug screens over the past year my Butrans has not shown up.
I am on the 20mcg patch weekly and always wear it and change it as prescribed. I have some problems with the patch coming loose during the week because of heavy night sweats due to menopause. I always reapply the patch and use tape to keep it on. I also spray my skin with benzoin spray prior to applying patch and place them on my upper arms as my trunk sweats more heavily. In short, I have done everything possible to use the patches exactly as prescribed. I have reported the adhesive problems to my PM nurse prac, as well as to my pharmacy. I have always felt as if the patch's pain relief wears of after 5-6 days but I never change it early.
I also use Norco for breakthrough pain, meloxicam and amitriptyline daily and baclofen as needed for muscle spasm. I have had cervical spine fused at C4-5-6 and low back discectomy (no fusion) to L5-S1. I have several other bulging discs in neck and low back, as well as facet arthritis and bone spurs. I have neuropathy in both arms and right leg due to pinched nerves. I have had radiofrequency ablation of c spine as well as several rounds of lidocaine/steroid injections to cervical and lumbar spine.
Since starting pain management at this clinic 2.5 years ago my pain has been much better managed than ever before and I am able to be more active than I had for the previous 10 years. Before today no one at my PM clinic had said anything about the Butrans not appearing in my urine. I showed my NP the patch on my right arm (obviously filthy from the past week of wear) and also the tan line on my left arm where I had worn the previous patch.
Even after this, she stated she could no longer prescribe me Norco. She did give me a few to taper off of the medicine. She refilled all of my other meds, including my Butrans patch. She said the supervising physician will NOT under any circumstance allow me to be prescribed Norco at any time in the future. I am anxious and afraid that my pain will be out of control again. I was almost ready to file for disability due to pain two years ago and I was completely miserable. I was crying when I left the office today due to frustration and fear.
Now I am wondering why they are continuing to give me the medicine they claim I'm not using and not giving me the Norco, when hydrocodone has always shown up on my screens. Has anyone else had issues with the buprenorphine (butrans) not showing in their urine, and if so what is the explanation for it? I appreciate any answers/advice you may have. Thanks, Marilyn