Drug Testing

Have drug testing questions? Get answers from Experts

Ask a Doctor,
Get an Answer ASAP!

My company gives random UA's cause we have Class A licenses…

Customer Question
My company gives random UA's...
My company gives random UA's cause we have Class A licenses to drive a CMV. I recently had to take one and tested positive for a prescribed amphetamine. Got a call from a MRO and was asked what prescription medication was I taking and by slip of tongue I told the MRO I was also taking a prescription for Hydrocodone. I was told that there was not a positive for that. But for mentioning it, the MRO now is stating that I have to give a doctor's note to explain about the Hydrocodone use to my company because they disclosed that information to them. And for the note to say it won't affect my abilities to drive a CMV. By reading the language in FMCSA link you posted, it states that a MRO can not report a positive on a drug that was not found to be positive in their findings. Just only what came out positive. Is a MRO allowed to disclose this information to the company with no positive result? My doc that prescribed the amphetamine gave me note that says it's ok to drive, but I having problem w/ my back doctor give me due to "liability issues".
Submitted: 2 years ago.Category: Drug Testing
Show More
Show Less
Ask Your Own Drug Testing Question
Customer reply replied 2 years ago
Few notes.....I've been driving for this parcel service in their package box trucks for 8 yrs and now as a CMV truck driver for 2 yrs. The random was due to having a CDL, but always had to reapply for my DOT Physical every two years and never had an issue. I'm not worried about the amphetamine cause of the doc's note, it's about the Hydrocodone. I've been taking Hydro for over 6 yrs and never had an issue w/ driving. No accidents. I know having to release this information about taking prescribed Hydrocodone to the doctor performing my DOT Physical, he'll most likely disqualify me. I know I'm taking my chance, but if the drug test preformed doesn't show a positive for that type of opiate, It's a chance I'll have to take. My main concern is if that MRO on the phone is allowed to tell my company about what I disclosed about the prescription or are they just to report the result of the test only?
Answered in 1 hour by:
1/27/2016
Drug Testing Expert: Family Physician, Board Certified MRO replied 2 years ago
Family Physician
Family Physician, Board Certified MRO
Category: Drug Testing
Satisfied Customers: 12,816
Experience: Medical Review Officer - Physician Trained and certified in drug test interpretation
Verified

Thank you for your question:

The DOT rules reference reporting a test as NEGATIVE WITH SAFETY CONCERN if medical information provided during the interview reveals some medical condition (in your case use of an opioid medication that MIGHT influence your ability to safely drive a truck) as a "safety concern" even though the test is negative. This is NOT the same as a positive test - but you do need to address this issue with your physician to get documentation that the medication does not impact your ability to drive.

https://www.transportation.gov/odapc/part40/40_135

Ask Your Own Drug Testing Question
Customer reply replied 2 years ago
I believe the "Negative with a Safety Concern" was a result for the Amphetamine that tested positive. They ask my information for my pharmacy to validate the prescription which I believe by the rules as the outcome of that to be "Negative but with a Safety Concern". On the Hydrocodone, they told be I didn't test positive for it. With it not being tested positive, even though I mentioned that I took it, are they allowed to release that information to the company? Where I'm confused is, with a positive test for a prescribed amphetamine plus conformation that it's prescribed, from the pharmacy, does that result always come back as "Negative with a Safety Concern"?
My main concern is if that isn't the case, did the MRO put "Negative with Safety Concern" for the Hydrocodone just cause I mentioned taking it even though there was a no positive result? Where I'm also confused is that I gave them a wrong number to the pharmacy to confirm my prescription for Hydrocodone and in calling them back, they told me that they didn't have to call the pharmacy because the result for the Hydrocodone came out negative. They were only going to call for the amphetamine cause that's the only thing that came out positive. Do they have a right to inform my employer of anything that doesn't come out positive just cause I slipped up and mentioned it? By looking at the FMCSA language and their example given, I reads as they're not supposed to??
Drug Testing Expert: Family Physician, Board Certified MRO replied 2 years ago

ANY information that is provided during a MRO interview may lead to reporting a "safety concern". For example: Under current DOT rules, someone taking insulin for diabetes can legally drive. If during a MRO interview, the driver mentions that he/she is taking insulin - this needs to be reported. Another example would be methadone. If the driver mentions methadone (not included in the DOT test panel), it would need to be reported as a "safety concern"

Hydrocodone is not actually included in the DOT testing protocol. It is an opioid medication ("opiate like") but not included in the DOT opiate panel. The only drugs that are tested under opiate are morphine, codeine and 6-AM (a metabolite seen after taking heroin). The other semi-synthetic opioids like hydrocodone, oxycodone etc are not tested. The can theoretically cause safety concerns.

Ask Your Own Drug Testing Question
Was this answer helpful?
Ask Family Physician Your Own Question
Family Physician
Family Physician
Family Physician, Board Certified MRO
Category: Drug Testing
Satisfied Customers: 12,816
12,816 Satisfied Customers
Experience: Medical Review Officer - Physician Trained and certified in drug test interpretation

Family Physician is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Board Certified MRO

12,816 satisfied customers

Medical Review Officer - Physician Trained and certified in drug test interpretation

Michael Salama

Michael Salama

44 satisfied customers

Medical director at San Miguel Medical Clinic

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,750 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,793 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

< Previous | Next >

Related Drug Testing Questions
I'm an Occasional Marijuana Smoker, will it show on the hair test?
Hi. I'm an occasional smoker of marijuana. I smoke 2-3 times per month a few puffs each time. I am a female with long hair, relatively healthy, exercise 4-5 times per week and lead a healthy lifestyle… read more
Dr. Natasha
Dr. Natasha
7,913 satisfied customers
I recently had a urine drug screen with a positive cocaine
I recently had a urine drug screen with a positive cocaine result. I have never used cocaine in my life!! I learned this weeks after my PCP received the results & "dismissed" me from her practice when… read more
Family Physician
Family Physician
Board Certified MRO
12,816 satisfied customers
How long does cocaine stay in your system?
How long does cocaine stay in your system?… read more
Family Physician
Family Physician
Board Certified MRO
12,816 satisfied customers
One 5 mg of valium, will it show up on a drug screen test???
One 5 mg of valium, will it show up on a drug screen test??? … read more
Dr. Chip
Dr. Chip
M.D.
13,058 satisfied customers
Here's my question, I have a 10 panel "hair" drug test on
here's my question, I have a 10 panel "hair" drug test on monday which is 6 days from now, I have used ambien almost regularly without a prescription recently quit taking any drug forms for few days n… read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,940 satisfied customers
If i drug tested positive for codeine - could it be because
if i drug tested positive for codeine - could it be because I take trazadone?? … read more
Dr. Jon
Dr. Jon
Attending Physician
MD
148 satisfied customers
If a drug test is sent overnight to a lab, would this give
If a drug test is sent overnight to a lab, would this give the specimen more time to test clean? … read more
Dr. Jon
Dr. Jon
Attending Physician
MD
148 satisfied customers
Is it possible to fail a drug test for heroin but be
Is it possible to fail a drug test for heroin but be negative for opiates … read more
Dr. Mark
Dr. Mark
M.D. in Neurosurgery
Doctoral Degree
5,370 satisfied customers
Are the length of drug withdrawals correlated to drug
Are the length of drug withdrawals correlated to drug excretion? IE: If you have 5 days of withdrawals and day 6 the withdrawls cease, will the person be considered having cleaned the drug out of thei… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,776 satisfied customers
I am nervous about a drug test result. Well it's a dot drug
I am nervous about a drug test result JA: Is this a time sensitive issue? What type of specimen are they testing? Customer: Well it's a dot drug screen JA: Anything else in your medical history you th… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,793 satisfied customers
Does this drug show up positive for anything on a drug test.
Does this drug show up positive for anything on a drug test … read more
Dr. Chip
Dr. Chip
M.D.
13,058 satisfied customers
My gf Is in drug court, 2 days ago they make a drug test to
Hi my gf Is in drug court, 2 days ago they make a drug test to her, the first results was negative but still they sent it to another laboratory to make a deeper analysis and.the results were nanograms… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,793 satisfied customers
THC still showing in system after 40 days. How do iget
THC still showing in system after 40 days. How do iget clean?… read more
Family Physician
Family Physician
Board Certified MRO
12,816 satisfied customers
Can methylprednisolone cause a false positive on a drug
Can methylprednisolone cause a false positive on a drug test. I failed a pre employment Drug test and the only drugs I put into my body in the 30 days prior to the test were I had a lumbar ephiderial … read more
DrRussMD
DrRussMD
Board Certified Physician
51,786 satisfied customers
Adderall hair follicle test cut-off levels
JACustomer: How many mg of Adderall is considered the cut-off level for a hair follicle test? If taking Wellbutrin XL along with Adderall can that potentially put be over the cut-off level? If so, is … read more
Dr. Natasha
Dr. Natasha
7,913 satisfied customers
If I took half of a 7.5/325 Norco would it show up in a
If I took half of a 7.5/325 Norco would it show up in a urine drug screen 17 hours later? I know the half life is 3.8 hours, but what dose is detectable? I took about 3.75/165. I have never taken it b… read more
Family Physician
Family Physician
Board Certified MRO
12,816 satisfied customers
How long does cocaine stay in hair follicle?
Will one time cocaine use be detected in a hair sample? Please feel free to provide more info on this subject.… read more
Expert
Expert
Is there anything I can take to get rid of meth in my system
Is there anything I can take to get rid of meth in my system immeadeatley… read more
Family Physician
Family Physician
Board Certified MRO
12,816 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x