Positive Drug Test TNPAP

[Bevel_Up, BSN, RN]

I have been in TNPAP for almost two years now. Today I received a positive result on my last UDS. It is positive for opiates / morphine.

I have no idea why it is positive. I've gone through every possibility in my head and I am coming up with nothing. I have been very careful about what I eat and drink.

Does anyone have any thoughts or advice? Has this happened to anyone else? I'm pretty much just freaking out right now. I am waiting for the MRO to call me and I will have them re-test it. I also self tested today.

Liz

[morte, LPN, LVN]

?mishandling/labelling?

[Bevel_Up, BSN, RN]

Not that I know of. But could be?

[rn1965, ADN]

I have heard of so many things causing false positives. One thing I did read said that Unisom (doxylamine, not the diphenhydramine) can cause false positive for opiates.

From what I know, get prescriptions for every thing you take, including OTC meds, supplements, vitamins, EVERYTHING.

For now, take a deep breath and wait for the MRO to call and re-test the sample. Good idea to go self-test today, as well.

Keep us posted!

[Bevel_Up, BSN, RN]

Thanks for your reply. I just got off the phone with the MRO. He said it is a VERY low level for morphine and there are only 4 things that come up positive for morphine.

1. Morphine

2. Codeine

3. Heroin

4. Poppy seeds.

Options 1-3 are completely off the table for me so it has to be poppy seeds. He said that's what it looks like to him too. So in his report he is writing that it is probable poppy seeds. This is so wild to me. Now im having to pay an extra 50 for the MRO review and another 60 to retest the same sample. And ANOTHER 60 for the self test I did today. For poppy seeds?! So frustrated. Thanks for everyone's support.

[catsmeow1972, BSN, RN]

This is the kind of stuff that freaks me out. My standard morning breakfast is a toasted bagel and 2 cups of coffee. I can't even choose an "everything" bagel?? I'm sorry, but controlling the flavor of my breakfast is just too **** much. That MRO is making a tidy sum to look at the thing and say "yep, looks like poppy seeds."

This is all such a crock. When it's over, I'm going have a poppy seed bagel with a big salad with red wine and vinegar dressing and something loaded with soy sauce.....just because.....

[SpankedInPittsburgh, DNP, RN]

Yeah the false positive. I like to say that I'm careful about what I eat or drink. I certainly wouldn't ingest anything that had ETOH or some other banned substance on the label. However, I have no idea what all the ingredients of the fast food and pizza delivery I eat at work are. I can't say for sure that I'm not consuming something that will cause a false positive. This situation stinks. I wish you luck!!!

[Bevel_Up, BSN, RN]

Ughhhh! I totally agree!! Ya know, I feel kind of like an a**. Cause it was like, I talked with my case manager and felt so guilty for something I didnt do. I talked to the MRO about something I probably did (eat poppy seeds accidentally) and felt freaking guilty that I wasnt careful enough. ALLLLLLL this guilt!! For a false positive/poppy seed situation. Its absolutely ridiculous. Increase the freaking cutoff already!! We have to do hair tests anyway so, if a UDS doesnt catch it, OBVIOUSLY the hair test WILL. All the frustration coming out right now..........thank you for being supportive.

[Bevel_Up, BSN, RN]

Right. I usually cook most of my food. But recently, I had the opportunity to go to Hawaii for a dialysis conference. So I obviously wasnt cooking any food. There was a lot of food served there that MAYBE could have had poppy seeds in it, unbeknownst to me. I never ate poppy seeds outright but.....u suppose they can be in things without knowing.

[catsmeow1972, BSN, RN]

Out of pure laziness, I utilize this grocery delivery service occasionally. I point and click online, someone picks up the order, shops it and brings it to me. They can either text me if they have questions or I can tell them to just use thier best judgement, which is what I usually do because I'm just not that picky, normally. That's how I came to have a package of the aforementioned everything bagels in my freezer. I'll probably take them to my dad. They won't go to waste. But that's not the point.

It circles back to what we all know...this trash is about money, power and control. There's more advocacy and support in my toenail clippings than in these programs.

[Persephone Paige, ADN]

Levofloaxin?spelling can cause false positive. Ask for a hair sample, best way to refute a false positive.

[Bevel_Up, BSN, RN]

Oh my god!!!!! It was an everything bagel!!! I ate it the night before and I honestly never even thought twice about it. When I read your comment I guess it jogged my memory. I feel so stupid.