On a UDS using the GC/MS or LC/MS Opiates UDS the metabolites of Morphine, may show Hydromorphone if on high dose or chronic Morphine .
I found another site that stated, "A new study confirm that hydromorphone is a minor metabolite of morphine and appears on urine drug testing (UDT)." This was an older article but still was discussing the results of a Gas chromatography-mass spectroscopy GCMS, UDS.
Since this is in the Oxymorphone category, is it the same or stronger than MS Contin. I take 40mg of MSContin (long lasting) every 12 hours but it does nothing for my pain - never has even after a Hysterectomy with a Morohine pump in 2001.
I'd like to ask my Dr. about this, but if it's the same thing......no need to I guess. Message me if you'd like.
Do you know which test was preformed? Was this a quick urine test done in her office (immunoassay) or was it a GC-MS? (Gas chromatography-mass spectrometry [GC-MS])
The less effective drug screen, immunoassay is often performed first. It's actually more of a screening method and has a higher rate of inaccuracy. The GC-MS is considered absolutely accurate - though there are factors that can change results.
hydromorphone, however (dilaudid) is fairly short-acting and i would not consider it a substitute for methadone, which has a significantly longer half-life...you may want to consider switching to something like MS Contin or OxyContin (two long acting meds) and continue with your roxicodone for breakthrough...but again, all of these are risky if you combine them with a muscle relaxer/anti-anxiety like Xanax....only you and your doctor can determine if you can safely combine them.
Opana worked well for me... But I have never had a med that works as long as it is supposed to! Have you ever tried Exalgo? It is hydromorphone instead of oxymorphone. I've done both but I'm on MS Contin for my extended release right now, it works well. Low dose ER meds only help to take the edge off so that the instant release works a little better. Maybe you should try a new IR like Roxie's, nucynta, or dilaudid.
I have been taking ms contin and oxymorphone (opana) for break through for YEARS. Frankly I'm concerned with the dosage of ma contin my pm doc has me on. I am not getting the pain relief I used to and even ibuprophen works better at times. I have been curious about Dilaudid or hydromorphone because my mother takes it but am too afraid to ask my doc.
Importantly, 6-MAM is known to have a short half-life and is thought to be detectable by specified EIA or GC-MS only up to 12 hours after ingestion.
In situations in which a patient is taking a prescribed opiate as well as an illicit opiate, physicians must be especially careful when interpreting test results. Opiate abuse by opiate-treated chronic pain patients is common and can complicate interpretation of opiate testing.
The only way to do that is screen all the compounds within our breath or blood using GC-MS. We’d have to screen our breath samples and compare it to non-patm people. Unfortunately, none of us have access to those instruments.
Therefore, in the long run there’s no other solution but compel our kids to pursue an academic career in medicine or science. Precisely a career in medicine or biochemistry. They themselves would grow up and do the work for us.
Have they cultured the skin lesions recently to confirm it is still GC? GC is getting very resistant to antibiotics so if you were on one and it didn't get better and they have confirmed it is still GC then they will probably switch antibiotics. I agree a molecular test which requires a urine or swab for the genital area and a swab into the lesions will be the best test.
These UDTs are called Gas Chromatography/Mass Spectroscopy (GC/MS) or sometimes they use a High Performance Liquid Chromatography (HPLC). Either is used for the identification of a specific drug and/or its metabolites. It's important to know which UTD was used by your PMP.
Some drugs metabolites can appear similar to another drug. Sometimes an opiate will "look" like another in a UTD - due to how it metabolites in the body. PMPs must be very educated to be able to differentiate.
UDS have become much more accurate in years past - the one factor science cannot control - the human factor, human errors. The actual test, such as the GC-MS has an accuracy rate of 98-99% when performed perfectly - however this does not take into account that one uncontrollable factor - human error. It happens. What method is your physician using for UDS? Is it the simply, immediate and less costly screen (immunoassay) - or is it being sent out for the more accurate GC-MS?
if you feel withdrawals go ahead and start it, Ive waited as little as 8 hours after taking ms contin and felt fine, and the suboxone had a lifeaving effect. Youve defintely waited enough time.
Could anyone please tell me what a GC and CT test for urine is testing for? Is this gonorrhea and chlamydia?
I was actually dehydrated and could not pee for my UDtest so they took blood and it came back positive for oxymorphone, noroxycodone, and noroxymorphone at low levels but on a zero tolerance test any amount is a positive. Are these items that could be from just taking the oxycodone and my body coverts it to this or is the test flawed.
I’ve been taking 5mg oxymorphone extended release pills for 8 years. I recently had to switch primary care doctors because mine moved away. The first urine drug test I was asked to do was last Friday and they called today and said the drug didn’t show up in my system, and dropped me as a patient. I should start withdrawals tomorrow & I’m scared out of my mind. I’ve never failed a drug test, asked for an early refill, nothing like that.
I have built up a tolerance to oxycodone IR that I have had to take 3 times my dose just to get my pain to get down to a moderate level. The research I have done is that oxymorphone is stronger and less mg. I have several questions. Are taking less mg easier on the body? How do I ask my doctor to switch, I don't want to seem like just another patient trying to get high.
I've just been switched from Fentanyl 25mcg every 48 hrs to Oxymorphone 10mg every 12hrs. I feel way worse (pain) & was wondering if anyone knows what the equivalence is between the 2. I have a feeling I've just been decreased in pain relief. My dr & the pharmacist told me to wait a few days to "feel it's working" & in the meantime I'm in excruciating pain. Can anyone help with what I can do here? Btw...
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