Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

Prescribed Oxycodone but Hydrocodone found in Urine

Brink2468BBrink2468 Posts: 1
edited 01/07/2016 - 10:02 PM in Pain Medications
Hi Everyone!
A very, very odd thing happened to my mother and I'm unsure of what to do as I'm waiting to hear back from her pain management doctor. She has been on oxycodone for quite a while now. 10mg, 4-5 times per day. She was randomly given a urine test at the pain clinic, which obviously we had no problem with, however, her test came back with hydrocodone in her system! How is that even possible? I've been researching and researching and have seen that there is a allowable trace amount that can be found in other pills being produced at the same facility but this is crazy to me! I organize her pills for her as she has severe rheumatoid arthritis and is unable to handle small pills without dropping them. I have noticed the past couple of refills the pharmacy has given her a couple of different "brands" of the drug (different manufacturer). Could that have anything to do with it? I'm so scared they are going to release her and no longer treat her. She has had 3 back surgeries, degenerative disk disease, and as previously mentioned, severed rheumatoid arthritis. She is unable to take anti-inflammatories due to kidney issues and has only found relief with opiates. She does not abuse them (she calls me for permission to take tylenol for a headache!) and I keep them in a safe location. Her pain is so bad she truly cannot function without them. Will the doctor perform a second test to confirm results? Is that something I can request? Will this prevent her from being treated by other doctors? I'm just at a total loss at the moment. She is a longstanding patient in great standing. She's never had a single issue like this in the past. Thank you for any feedback you can provide.


  • LizLiz Posts: 7,832
    Please take the time to read this post and refer to it when you have questions

    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and growing.
    Here are just some of the highlights that are available as tabs on the main Spine-Health menu bar

    Spine-Health Main Menu Tabs

    Conditions Detailed medical libraries of articles and videos that address almost every spinal condition.
    Treatment List of treatments to the conditions identified by Spine-Health.
    Wellness Section contains articles, tips and videos to help patients after surgery and also to help people avoid surgery.
    Medical Articles
    Pain Forums These are the forums you will be using
    Find A Doctor This provides with a method to search for doctors in various locations.
    Videos Index to all Spine-Health Videos

    As a bonus, Spine-Health provides these patient forums. Here you can meet thousands of people who understand and can relate to your situation. You will soon become part of the Spiney family[/u] who provide comfort and the advantages of a support system. You are now part of this family that is approximately 27,00 international members and growing daily.


    - It is very important to understand the Forum Rules to make sure all of your posts[u] do not violate any of the rules.[/u]

    - All new members must read our FAQ in order to understand the layout of the forums, how to navigate through the forums, helpful terms, how to make effective threads and posts, plus a link index to many of the important medical forums and key medical articles on Spine-Health Forum FAQ

    I am positive any member, new or old will find this Chroinc Pain - Step by Step thread very valuable.

    Here are some links that all new members need to review to create effective threads and more

    Read before you post
    More Info Tips for Newcomers
    Understanding the rules

    All of this will help make your threads better and improve the times and quality of responses you will receive.

    You can also find Spine-Health on these Social Networks

    Facebook www.facebook.com/spinehealth
    Pinterest http://pinterest.com/spinehealth/boards/
    Twitter https://twitter.com/SpineHealth

    If you have any questions or need assistance, you can use the private message facility to[u] contact any one of the Spine-Health Moderators




    Liz -Spine-health Moderator

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Hi Brink.

    This is very odd. I think I would take a couple of her oxycodone pills to her pain management and have them look at it. Explain to them what you've explained to us. I know strange things can happen.

    On another post, I told how I was on Norco 10/325 6x/day and valium 5mg as needed and took one almost every day. I had to change doctors and they had me take a urine test before they started titrating me off all meds. The urine test showed nothing. No opiate, no valium, nothing. I have no idea how that can happen, but it makes me know for sure that strange things can happen with a urine test.

    Good luck and please post again to let us know how it goes.
  • SavageSavage United StatesPosts: 5,476
    I, too, have had a strange urine result.
    I'm prescribed hydrocodone for break through pain and my urine test showed hydromorphone.

    He didn't dismiss me and following urines have been okay.
    But it is weird and was such a helpless feeling for me...to think I could be dismissed, without meds due to some kind of mistake.

    I asked my pharmacist about it and they were saying it chemical breakdown of fentnyl patch.
    But my pain management doctor said, no way.

    The only other thing I did was give my PM a written list of all my medications just for him to have easy access..if he wanted to review for any drug interactions.
    Spine-Health Moderator
    Please read my medical history at: Medical History

  • An in office screen, a "compliance" test, and others that check actual levels of metabolites of medications.
    In office "screening" tests simply look at a positive or negative for a particular medication/substance. Different manufacturer's have different "thresholds", or cut off levels which will shoe a positive or negative result.
    Typically, if an in office screen is done, it is also sent out to a lab for either confirmatory testing or actual level testing for particular meds.
    Gas chromotography/mass spectrometry is usually used as the testing method and seldom results in false positives or negatives since it looks specifically at the metabolites of the substance, as they are broken down by the body.
    Immunoassay testing is also being done by many pm doctors and labs. It gives results similar to gc/ms testing.
    Levels of the actual meds taken can also be gotten from both tests.
    Is it possible that anyone else could have switched her meds or she has another bottle of vicoden/Norco around and she mistakenly took it?

  • JAM661JJAM661 Posts: 121
    edited 01/08/2016 - 5:21 PM
    When your well being is so dependent on what a urine test shows it so important that you make sure your name is on the sample. Normally they give you a sticker to put on the little plastic bottle they give you to seal it before you hand it in or the label is already on the bottle. ALWAYS, ALWAYS and ALWAYS check to make sure it is your name one that bottle or sticker. NEVER just hand the sample to the nurse and walk away if your name is not on that bottle. In one case about 8 years ago when I gave a urine sample the nurse gave me a bottle with someone else name one it. If I had not caught it I would probably still be looking for a doctor to prescribe my medications. Today you can have clean test for years and if there is just a problem once the doctor will drop you before you even open your mouth to say "what". If that is not bad enough they will do nothing to help to deal with your continue pain or the withdrawal you will get to go though. These clinics can be very busy and the staff can make mistakes, but they will never admit it. Therefore, no matter how crappy you feel or how much pain you are in when you hand over that urine sample you better feel well enough to make sure no mistakes happen to you.
  • AMFreeAAMFree North MSPosts: 23
    I had the opposite thing happen to me. Had been taking hydrocodone ONLY and both hydro and oxy showed up. They didnt say anything, so it must be common?
    •ACDF C6-7 (5/12/15) resulted in a non-union of the 2 vertebrae. I am using a BSG & Forteo injections every night, PT for e-stim, US, MFR, dry needling, acupuncture & another private MT for MFR. My tone is improving, however the bone pain continues.
Sign In or Register to comment.