Help! Drug Screen for My Prescribed meds!

Posted

Hi everyone. I need help. A Valium was discovered 1 pill short during our narcotic count. I am prescribed Xanax and Klonopin. During the outside lab urine drug test, I tried give the lab my prescription. They nonchalantly said, "If it comes back positive than the lab will call you and ask for a prescription number. This makes me nervous. Has this sort of thing happened to you? I hope they do call me as I do have the prescription number. I am also trying to decrease my amount and I do not want my place of employment knowing how much I take. It's none of their business. Please advise.

t&g0913

t&g0913

60 Posts

Yes, the will call you and no, your employee will not know what prescriptions you take. Once the medical review officer calls you and verifies your prescription, it will be reported as a "pass" to your employer.

skittlebear

skittlebear

408 Posts

Thank you so much! I haven't had much experience wiith drug tests. This is a breath of fresh air though.

Jules A

Jules A, MSN

Specializes in Family Nurse Practitioner. 8,863 Posts

If someone giving you both Xanax and Klonopin I'd suggest seeking a second opinion.

skittlebear

skittlebear

408 Posts

Jules A... I know this! It was my primary care doctor and I am tapering off on my own with my doctors knowledge. I have stopped seeing that primary care doctor and am now seeing a psychiatrist. My anxiety is debilitating.

Jules A

Jules A, MSN

Specializes in Family Nurse Practitioner. 8,863 Posts

Jules A... I know this! It was my primary care doctor and I am tapering off on my own with my doctors knowledge. I have stopped seeing that primary care doctor and am now seeing a psychiatrist. My anxiety is debilitating.

Hang in there and hopefully your psychiatrist can help you with a comfortable taper and long term solution.

There are safe, responsible, conservative benzodiazepine regimens for people with no addictions history and true anxiety in conjunction with therapy. Xanax can be a horrible med to taper down and it makes me furious that PCPs continue to step out of their lane and prescribe stupid, harmful psych medication regimens. I have elderly people who have been on combinations like this for years and are getting delirious, falling, withdrawal seizures because they are so delirious they then forget to take the medications it is disgraceful. :(

Whispera, MSN, RN

Specializes in psych, addictions, hospice, education. 3,458 Posts

I second what Jules wrote. I believe general practitioners think taking xanax is like popping a TicTac. I've had oodles of patients come to me, who have been on it for years and have been taking it many times a day, at very high doses each time. Sometimes I (internally) shake my head and say to myself, "how is this dose/schedule even possible?" and "how do they make it through the night?"

The patients become truly frantic they might run out of their medication. When they do run out, it's terrible for them. Little old ladies who have been taking it for years...I want to go slap someone!

The info. you were given, OP, about the testing facility contacting you, as needed, is what will happen. No worries...

GreatDaneAPRN

GreatDaneAPRN

Specializes in Med-Surg, Hospice. Has 5 years experience. 9 Posts

Prior to being a RN, I was a lab tech. I have years of experience collecting drug screens and performing drug screens. Generally, the "collector" only collects the specimen. Most specimens are sent to a reference laboratory. There the specimen is tested and can actually determine what specific

medication(s) have been taken. Then the medical review officer (MRO) will call you to see if you have a valid prescription. If so, all is well. The test will be reported as negative or "verified by prescription".

NurseQT

Has 10+ years experience. 344 Posts

I had to do a drug screen a few years ago after 30 lortabs went missing. I don't take lortab but I do take adderall. I was up front with my DON and my NHA before I even went over to the clinic to pee in a cup. Low and behold my 10 panel came back positive and I was placed on paid leave until the sample could any analyzed. Took about 3 days before I got a call from the medical review doc. He asked me for my RX #, the pharmacy where it's filled, my last refill date, and my prescribing doctor's name. I got a call from my DON later that day giving me the all clear to return to work. At first I was ticked that I was suspended after I disclosed the fact that I was taking adderall and that my 10 panel was positive for amphetamines and not opioids, but I realized that my employer didn't know WHAT I'd tested positive for only that I had tested positive.