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Discussion

Drug Screen

I take clonazepam prn (.5mg) and have one bottle of oxycodone that I take prn. The latter was prescribed in March 2009. It had 20 pills in it and I still have 3 left, but I did take one last week. I will take the bottles if/when I am schedule for a drug test. My question is can the employer refuse to hire me?

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not if you share the prescriptions at the drug testing clinic and the rx isnt expired. if it is expired, Id go ask the Md for a refill

At least in my experience when hiring new staff, RX for narcs were renewed every 6 months. Personally I wouldnt tell them what meds you are on unless it shows up or they ask. You may prepare ahead and ask your MD to write a quick note that you are on such and such medications and that at the dose and frequency would not IMPAIR you in the performance of your duties. Honestly if you are in a right to work state they are not obligated to hire you. It's none of thier business what your medical conditions are only if you can perform your job safely. If as you state was your last dose then it may not show up depending on the half life. I have had administrators not allow me to hire people even though they had valid RX's. I would do my best not to take any if possible till you have had your screen unless you absolutely must. Believe me I understand I have chronic pain and am prescribed only tylenol #3 TID prn. It's not enough to impair me but even though valid I avoid taking and deal with the pain best I can until after. I dont think we should be obligated to divulge our medical conditions to employers unless it will directly affect our duties. Just my 2cents.

I think it all depends on the employer but I knew a girl that took a drug test and they said it came back positive. She told them at that point that she was on prescription meds. They acted like she was a criminal till she took the order up there and showed them. Then everything was good. I would wait till you know you need to show them to devge anything. They may ask you ahead of time if you are on prescription meds. If that is the case be honest with them and have your paperwork with you.

I used to take codeine and muscle relaxers for back pain and I brought in my prescription bottles (which they photocopied) and my drug screen came back "negative" despite the positive blood levels because of the Rx

which means the employer wouldnt know what meds you are on...just the results of the test (revealing Rxs, unless you waived it, would be a HIPAA violation)

It should say somewhere on the bottle when the med expires

Sounds like a good plan per your last post. Dont stress yourself out over it as anxiety is the worst. Just go in and fill out your info. My last ones they didnt ask what I was on. Although my coworkers was positive then they asked her to give documentation from her MD for confirmation of the RX and if they would be risk of impairment. It was simple. She obtained letter and that was the end of it. She got the job, although as I said previously some employers dont have to hire you and give some other excuse saying "need more experience, already made a decision on another applicant, etc. Cross that bridge when you get to it. As I indicated previously it may have cleared your system. Drink lots of water between now and then but not on the morning of the test or it will be dilute (they check specific gravities and temp now). You will come out smelling like roses I'll bet on it. :) Tylenol#3 clears in 3-5 days, Valium stays alittle longer due to stores in the fat cells so slow metabolism. Exercise can also help with clearance as it's expresses in the sweat. So I always spend a little time more at the gym and a couple of bottles of smart water through out the day. Even though my scripts are legit and for documented service connected military injuries I dont think it's thier business to know what and why I take them. Now if I showed impairment when working then test test test. I agree with that aspect of test because then it does become thier business. Actually doing these activities is not only healthy but releases the stress of worrying about it. I'm always clean on them then resume my regular prescribed meds as ordered. I dont want my employer to be aware I have chronic pain in an interview as I know it can deter my getting that job. Many dont like to give accomadations and can legally get around it.

Per Bettysue62's question about credit, many companies, not just hospitals, but corporations are now using credit checks as part of the hiring process because they consider it helpful as a predictor of the longevity of an employee. The theory is something along the lines of: the more stable the credit, the more stable the employee.

Generally, they will often ask you to fill out a form which asks what meds you are currently taking. It is a good idea to disclose what you are taking and why, if asked! You are entitled to be healthy!

I have had drug screens at two different facilities. I disclosed all medications both times. The first one came back positive for Restoril and I have NEVER EVER taken Restoril before. I had recently taken a one time dose of Valium due to a terrible muscle spasm that prevented me from moving my neck for a couple of days before the doctor saw me. However,he prescribed to me after seeing how bad my neck was and I took the bottle to show them. They still didn't hire me because of it. I think there was just an error in the drug screen because Valium and Restoril are only different by one oxygen molecule. They wouldn't even consider that a mistake could have been made and I decided that I wouldn't want to work for a hospital that wouldn't consider a possible mistake and look into the matter further. At the next hospital I went to, I again disclosed all medications and explained what had happened with my previous drug screen because I was due to have an MRI that week and they were going to give me Valium again. The hospital worked with me and allowed me to come in right away for a drug screen before my MRI "just in case" so there wouldn't be a possible mistake like before. I did end up getting that job. I would advise being honest and any place worth working for will be flexible and understanding of your situation.

  • Experts

The bottle will say when the prescription expires...but it may not use the word "expires". Instead, it may say "Discard after x/x/xx" or "Do not use after x/x/xx". A good rule of thumb is 1 year from the day of filling--that's how long my Schedule III and IV meds prescriptions are good for. However, your state may vary.

If the prescription is expired...then yes, you could have some trouble on your hands--call your care provider ASAP to get a new script. Also, as it's been said before, if you are in a right-to-work state, they don't have to hire you regardless of your drug test results.

Good luck.

I just a a screen for a new position two weeks ago and the tech told me they were basically looking for illegal drugs. They did not want a list of any meds. and if anything turned up positive as long as it was prescribed there would be no problem. Good luck!

I knew someone with a valid rx for a narc and she forgot to divulge..had a positive drug screen, attempted to provide proof of the valid rx and HR didn't care.

  • Experts
I knew someone with a valid rx for a narc and she forgot to divulge..had a positive drug screen, attempted to provide proof of the valid rx and HR didn't care.

Another good argument for being upfront about your meds before the drug screen, than to test positive and try to straighten it out later. As much as they may say they'd be understanding, you'd be surprised how people's attitudes change once they see the words "tested positive."

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