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Will injected dilaudid show up in my pain management drug screen differently than oxycodone will?


I have been in pain management for 4 months now and have not had one problem until this month, and go figure, this is the month that I have to see my dr before he will give me anymore refills. I had kidney stones and my oxycontin and percocets weren't touching the pain, so I went to the ER and got injected dilaudid for the pain. Will this show up differently than the pain meds i've already been prescribed by my Dr?

Most of the time the pain management clinics make you see your Dr just to put on the record that you are still being managed by him and not by the PA's that you normally see and so that the Dr can check your progress for himself and possibly to see if there is anything else that they can do to help with the problem or if you need a change in your treatment. It is very rare that you have to do the drug test unless you are acting strangely - like insisting you need the refill NOW!, yelling at the staff, complaining loudly that the prescription is not for the right day but getting very verbal and loud about it - in other words, acting like a junkie who needs his fix. If you do have to do the drug test you will want to let them know that you had an ER visit. You don't have to tell them unless you are sent to drug testing though. As it was an emergency situation you should not be penalized for this and as long as you have all the paperwork regarding this visit you are covered. No where in your contract does it state that you cannot receive emergency medications or emergency care for something other than what they are treating you for. You don't have to disclose to them as it is a HIPPA situation and none of their business unless they drug test you. This medication may show up differently but depending on how long in between the shot and the test is it probably will not show at all. If you have had at least 72 hours and you always keep well hydrated then it should not show up. Best of luck to you and I do hope your meeting with your Dr goes well.

First of all the last person has absolutely no idea what they are talking about. You are going to a pain clinic and correct me if I am wrong on your first visit to the pain clinic you signed a contract stating that you would not take ANY other pain medicine. And if you had an emergency situation like you did then you are to first contact the pain clinic and let them know that you are having a serious problem. and also that on every visit that you go to the pain clinic you are subject to a random drug test for no reason whatsoever. And if you are found to have any controlled substance in your system or they find out that you went to an emergency room without contacting them you will no longer be able to be seen at the pain clinic

They are different classes, made from different stuff. It will show up, and you need to be honest and tell your doctor what happened. The report is on file with the hospital.

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