[db...] Posted December 9, 2019 Share Posted December 9, 2019 I forgot to mention that my Dr. did a blood test (since I was recently tapers of Norco) and now he is thinking I am saving clonazepam just for the hell of it. This is not a first for me as I am proven genetically to be a fast metabolizer. I took a tablet of actavis about 1/2 an hour before my EVERYTHING IN URINE TEST. He could now refuse to prescribe benzos to me taper or not. I nearly physically attacked him (the thoughts were there) as I am so tired of his poor ways and bad attitude. He had already changed my records from just being tapered from Dr. prescribed drugs to that I am a hydrocodone ADDICT and a clonazepam Addict. IMO, that is different since I was prescribed both (norco for over 15 years and clonazepam since early 90's), with no early refill or increases until he started my taper (they have passed me off to 4 different DRs, so I am a mess just trying to balance in any way. None of those DRs know anything about benzos in fact he offere to start me on valium but NO slow chang-over AND only precribing same mgs of valium as I take of clonazepam. I told him clonazepam is 20 times stronger than valium and he dispute and arrogantly said they were bio-equivalent. If I follow this idiots misinformation I wouldv di after doing the first change from 4 mgs clonazepam to 4 mgs valium. He is the reason I had to up grade from 2bmgs to 4. He is one that says there is NO difference between generics. I begged him to help with an insurance exemption that needs to be done to change to Bio-equivalant amount of Valium with slow crossover so there needs to be a time when 2 benzos are prescribed. He laughed at me. Tmw, I hope my NEW pharmacy does get the new Tevas but have been promised this only to face sun, accord and many others with actavis. He even has my dear son agreeing with him and this is causing much pain in both of us. Benzos in all forms suk. Perhaps now if I can get enough of the new tevas (paharmacy is hgoing to order 500 so I have a few months worth. If I can stabilise, I will start taper again. Link to comment Share on other sites More sharing options...
[Li...] Posted December 9, 2019 Share Posted December 9, 2019 Per the following, immunoassays typically used for benzodiazepine urine drug screening are prone to false-negative results, especially in the case of clonazepam. Negative Urine Drug Screen in a Patient with Chronic Benzodiazepine Use (2006) https://www.proceedings.med.ucla.edu/wp-content/uploads/2016/11/A160818NG-WH-edited.pdf Urine Drug Screening: Minimizing False-Positives and False-Negatives to Optimize Patient Care (2016) https://www.uspharmacist.com/article/urine-drug-screening-minimizing-false-positives-and-false-negatives-to-optimize-patient-care Urine Drug Tests: Ordering and Interpreting Results (2019) https://www.ncbi.nlm.nih.gov/pubmed/30600984 Improved Clinical Sensitivity of a Reflexive Algorithm to Minimize False-Negative Test Results by a Urine Benzodiazepine Immunoassay Screen (2018) http://jalm.aaccjnls.org/content/jalm/2/4/555.full.pdf Link to comment Share on other sites More sharing options...
Guest [ba...] Posted December 10, 2019 Share Posted December 10, 2019 Per the following, immunoassays typically used for benzodiazepine urine drug screening are prone to false-negative results, especially in the case of clonazepam. Negative Urine Drug Screen in a Patient with Chronic Benzodiazepine Use (2006) https://www.proceedings.med.ucla.edu/wp-content/uploads/2016/11/A160818NG-WH-edited.pdf Urine Drug Screening: Minimizing False-Positives and False-Negatives to Optimize Patient Care (2016) https://www.uspharmacist.com/article/urine-drug-screening-minimizing-false-positives-and-false-negatives-to-optimize-patient-care Urine Drug Tests: Ordering and Interpreting Results (2019) https://www.ncbi.nlm.nih.gov/pubmed/30600984 Improved Clinical Sensitivity of a Reflexive Algorithm to Minimize False-Negative Test Results by a Urine Benzodiazepine Immunoassay Screen (2018) http://jalm.aaccjnls.org/content/jalm/2/4/555.full.pdf Lab reliability, equipment sensitivity, and technician expertise vary significantly. Link to comment Share on other sites More sharing options...
[Qu...] Posted December 10, 2019 Share Posted December 10, 2019 My old doctor told me it was the benzo least likely to show up on a drug test. Something about metabolites. This person was an idiot though, so, who knows. I also tested positive once for marijuana and probably hadn't seen a joint in 10 years. Labs are crazy. If it's in your power, and you get a false positive or negative you are unsatisfied with, the best thing is to demand an immediate retest. If nothing else it might demonstrate your sincerity to your doctor. Link to comment Share on other sites More sharing options...
[am...] Posted February 12, 2020 Share Posted February 12, 2020 Some employees have used large quantities of water, OJ, etc... to attempt masking drug use before a urine test. Some companies assume that a highly diluted result means you are a drug user. Employers can be very fanatical about drug tests and trying to fake out the test. To pass urine drug test successfully, read this article https://www.fvkasa.org/english/health/pass-urine-drug-test Link to comment Share on other sites More sharing options...
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