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Dr. D. Love
Dr. D. Love, Doctor
Category: Drug Testing
Satisfied Customers: 17808
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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I took a drug screen at my doctors office where i a,

Customer Question

I took a drug screen at my doctors office where i a, precribed fsrious meds as well as narco and fentsnyl. I sm 50 and he hes wstched me become basicslly bedridden and wheelchsir bound due to the severity of inflammation and seelling that occurs with anytime up. I was at a monthly visit a had been severly dehyrated sn non complisnt with nutrition and fluid intske. I had also been lax in my self adm of meds and wss concerned my narco wouldntbeven shoe. I took an st home med screen and wad relieved when i saw it did. But wuickly bevsme horrified when i saw a poositve methsmphetamine result. I am a retired nurse and quickly researchef thr causes and found that robitussin dm and nadal spray can csuse this which i have alwsys used but i thought maybe my with the dehyration it could have dausef this result,i even thought maybe gtabbing the wronng med dispenser mistaking s family membets aderall for my ptotonix since dome of our othet meds are the samr.i vannot afford to lose my doctor snd have been with him for years. Would sccidentslly taking aderall do this or cough med? Do you think he would just test me again? Im just too ill to lose my doctor.
Submitted: 1 year ago.
Category: Drug Testing
Customer: replied 1 year ago.
sorry for the terrible typos!
Expert:  Dr. D. Love replied 1 year ago.

Hello from JustAnswer.

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mso-bidi-theme-font:minor-bidi;}Do you know whether your doctor only ordered a urine drug screen?

Or does he routinely order a confirmatory test for any positive result?
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Expert:  Dr. D. Love replied 1 year ago.

I am sorry, but the system has entered formatting information.

I will try again.

Do you know whether your doctor only ordered a urine drug screen?

Or does he routinely order a confirmatory test for any positive result?

Customer: replied 1 year ago.
He ordered a urine drug svreen. I. Have no idea if ordered a confirmatory on positives.
Expert:  Dr. D. Love replied 1 year ago.

Well, that will be critical in differentiating certain medicines.

All decongestants are chemically similar to amphetamines, so any medicines that contain decongestants can cause a false positive urine drug screen for amphetamines or methamphetamine. That would include certain cough syrups, cold and allergy medicines, and certain nose sprays. However, if the doctor orders a confirmatory test for a positive drug screen, the confirmatory tests will readily identify that there are no amphetamine or methamphetamine in the system.

You are also correct that urine that is less dilute because of dehydration will cause higher drug concentrations of any drug, including decongestants, and would be more likely to cause a false positive urine drug screen, but the confirmatory test will still clarify that no amphetamines or methamphetamine are present.

The Adderall is a different issue. Since Adderall actually contains amphetamines it will not only cause a positive urine drug screen, it will also cause a positive confirmatory test.

Most doctors will typically order a confirmatory test whenever there is a positive urine drug screen, but if you are contacted by the doctor or his office about a positive result, the first question that you should ask is whether a confirmatory test has been done, and if not you should request that one be done because you know that you are taking medicines that can cause false positive results on a urine drug screen.

If a confirmatory drug test is done and is still positive, then that can occur from accidentally taking Adderall, and you would need to explain your situation to your doctor. But the odds are far more likely that this is a false positive from a decongestant, and getting a confirmatory test done will clarify that no amphetamines or methamphetamine are present, and there will be no further issue.

If I can provide any additional information, please let me know.

Expert:  Dr. D. Love replied 1 year ago.

Please let me know if I can provide any additional assistance.

If I can assist you with any future questions, I can be reached through my profile at www.justanswer.com/medical/expert-DrDLove/