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I took a drug screen at my doctors office where i a,

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precribed fsrious meds as well...
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: 2 years ago.Category: Drug Testing
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Customer reply replied 2 years ago
sorry for the terrible typos!
Answered in 27 minutes by:
2/12/2016
Drug Testing Expert: Dr. D. Love, Doctor replied 2 years ago
Dr. D. Love
Dr. D. Love, Doctor
Category: Drug Testing
Satisfied Customers: 19,569
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
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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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Drug Testing Expert: Dr. D. Love, Doctor replied 2 years 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?

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Customer reply replied 2 years ago
He ordered a urine drug svreen. I. Have no idea if ordered a confirmatory on positives.
Drug Testing Expert: Dr. D. Love, Doctor replied 2 years 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.

Ask Your Own Drug Testing Question
Drug Testing Expert: Dr. D. Love, Doctor replied 2 years 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/

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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
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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
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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
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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
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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.

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