Urgent Question about Urine Drug Test - page 2

by jaimealmostRN 33,167 Views | 18 Comments

Does anyone know if Imodium (OTC) shows up in a urine drug screen? I know that lotomil is a narc, but imodium lists it's s/e as drowsiness,etc (never expirenced these though). Someone please help! :uhoh21:... Read More


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    Quote from jaimealmostRN
    May I ask where you found this info? I cannot stop taking this med, and although I can get a letter from my specialist if necessary (he doesn't like me taking it but understands why b/c nothing else works), I need to know the facts. NPtoBe where did you get your info? All of my nursing texts say that its not addictive, no abuse potential, etc, but that it's a demerol-like derivitive. I'm freaking out now....... :uhoh21:

    Its a verifiable fact. Don't freak out. I know a lot about chemistry, pharmacology, and furthermore I worked at a rehab. Its an interesting drug, immodium, it has a basic morphine-like, not demerol like structure, but that does not matter, because it has hydrocarbon group on the end that deactivated it in humans, except in the gut. Opiates, as you may know slow down peristalisis, when they bind in the gut, this drug binds know where else in the body at any signidicant level. Anyways, it is metabolized a bit differently then any opiates that would show up on a UDS and therefore won't show up.
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    Quote from NP2BE
    Its a verifiable fact. Don't freak out. I know a lot about chemistry, pharmacology, and furthermore I worked at a rehab. Its an interesting drug, immodium, it has a basic morphine-like, not demerol like structure, but that does not matter, because it has hydrocarbon group on the end that deactivated it in humans, except in the gut. Opiates, as you may know slow down peristalisis, when they bind in the gut, this drug binds know where else in the body at any signidicant level. Anyways, it is metabolized a bit differently then any opiates that would show up on a UDS and therefore won't show up.
    Thanks. I did some more investigating, called McNeill who manufacturs it and it seems you are right (lets hope :chuckle ). Even the Olympic drug screeners state that Imodium is an acceptable drug for athletes to take. I appreciate all the responses.
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    I don't know about Immodium. The inmates at the state pen swore that taking Motrin would cause them to have a positive urine drug test.
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    Quote from jaimealmostRN
    May I ask where you found this info? I cannot stop taking this med, and although I can get a letter from my specialist if necessary (he doesn't like me taking it but understands why b/c nothing else works), I need to know the facts. NPtoBe where did you get your info? All of my nursing texts say that its not addictive, no abuse potential, etc, but that it's a demerol-like derivitive. I'm freaking out now....... :uhoh21:
    I've been dealing with drug screens for 11 years now for the hospital I work for and I can tell you Immodium doen not show up as a positive substance on a urine drug screen.
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    Ok everyone, I think I need to be committed or something! I was so worried (I CANNOT lose this job) that I went to one of those free-standing (crediable) laboratories and had a urine drug screen this AM. I just spoke with the woman and she said that it was NEGATIVE!!! I also had taken motrin yesterday so I guess that disproves that rumor too hahah . Thank you all (big group "I told you so") for letting me get my delusions out in public.
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    Quote from jaimealmostRN
    Ok everyone, I think I need to be committed or something! I was so worried (I CANNOT lose this job) that I went to one of those free-standing (crediable) laboratories and had a urine drug screen this AM. I just spoke with the woman and she said that it was NEGATIVE!!! I also had taken motrin yesterday so I guess that disproves that rumor too hahah . Thank you all (big group "I told you so") for letting me get my delusions out in public.
    :chuckle That's great news!. Gosh it's hard to believe that my inmates would look me in the eye and lie to me about their positive drug screens.
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    First of all according to Micromedex Lomotil is a Class V scheduled substance, so it in fact does have a small abuse potential.

    The other is re drug testing- which I just had as I start a travel positon in a couple weeks. One can not have a positive drug test with out you yourself finding out first. All LEGAL drug screens have to be reviewed by a medical review officer- ie a doctor who specializes in this field. He makes the decision if a positive is truely a positive. FOr example you had surgery last week, you screen is going to show positive probalby for narcs and bezodiazapines. But since you have easily verifiable reason for those substances you would be reported to the whom requested the test a negative result. I also believe that the medical review officer cant be employed but the company/people who requested said test.

    Also they did not ask in advance what meds I had been taking.

    As a side note: It still totally amazes me though that people applying for jobs test positive for THC knowing full well they are going to be tested and still smoke weed.

    Rj
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    The thing to be concerned with is a change in your urines concentration, if a change in your urines dilution occurs, they will think you are trying to dilute your urine, Imodium is not a narcotic, however it is a antidirrheal, which may cause a change in your unrines sedimentation,be sure and declare all meds you are taking on the UDS. All of the UDS I've taken also test for dilution.
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    I know this is 5 years old or more but imodium absolutely will cause a false positive for opiates on crappy, cheap drug tests. It is an opiate agonist that binds mu receptors in the large intestine just like morphine. It isn't fat soluble and doesn't cross blood brain barrier so has no analgesia or euphoria and is not an abuse drug. Diphenoxylate on the other hand if taken in large quantities will cause euphoria but the atropine will probably make one sick. It likewise will show a positive for opiates


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