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Family Physician
Family Physician, Board Certified MRO
Category: Drug Testing
Satisfied Customers: 12816
Experience:  Medical Review Officer - Physician Trained and certified in drug test interpretation
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I am a 60 year old male 186 lbs 6 1" i use Vicodin almost

Customer Question

hello i am a 60 year old male 186 lbs 6 1" i use Vicodin almost daily hydrocodone 7.5- 300 1 to 3 pills a day for 3 years depending on my activity level . i have back and neck pain and am on my feet almost 12 hours a day.
i also have some lung scaring from sarcoid lung in remission.i have been suffering from severe upper respiratory infection for 2 months which turned into pneumonia during that period i have taken numerous cough meds and Vicodin . i am slowly recovering my question is i need to take a dot 5 drug urine test next week . i took my last Vicodin 4 days ago how long will that be able to be detected i understand your answer not definite thanks john
Submitted: 11 months ago.
Category: Drug Testing
Expert:  Family Physician replied 11 months ago.

Thank you for your question:

The DOT drug tests do NOT identify Vidocon or hydrocodone. The opiate panel used by the DOT testing program identifies codeine (in some cough medicine), morphine and 6-acetyl morphine (found after use of heroin)

The synthetic opioids such as oxycodone or hydrocodone will NOT cause positive DOT drug tests.

Customer: replied 11 months ago.
that is how i interpreted the information i saw on internet cfr s but it does not make sense i know the government is useless i spent 31 on a class 1 railroad as engineer now retired why don t they test for the most abused drug in the country you are saying they don't see drug in Vicodin on dot urine test ?
Expert:  Family Physician replied 11 months ago.

While many may agree that it would be reasonable to test for these drugs, the DOT drug testing program was implemented back in the mid-80's under the Reagan administration as part of the "war on drugs".

The focus was really on illegal drugs - not on (the less frequent at the time) prescription drug abuse. Any changes to the DOT drug testing program/regulations require a complex and lengthy regulatory process including public comment period etc. I suspect at some point this may be added, but at the current time, it is not included.

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