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Doctor John MD
Doctor John MD, Board Certified MD
Category: Medical
Satisfied Customers: 358
Experience:  Medical Physician
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Tested positive for tramadol, but i didnt take any, urine, i

Customer Question

tested positive for tramadol, but i didnt take any
JA: Is there an upcoming drug test scheduled? What kind of samples are being tested?
Customer: urine
JA: Anything else in your medical history you think the doctor should know?
Customer: i have ptsd and take neurontin and paxil
Submitted: 1 month ago.
Category: Medical
Expert:  Doctor John MD replied 1 month ago.

Hello and welcome to JustAnswer.com

This is Dr. John and I will be helping you today.

I will be reviewing your question and will respond shortly.

I may need to ask a few more questions in order to best serve you.

Thank you for your patience.

Answers here are for education and information only.

Expert:  Doctor John MD replied 1 month ago.

you you take any over-the-counter or herbal supplements?

Customer: replied 1 month ago.
I take a bunch of herbals and vitamins
Expert:  Doctor John MD replied 1 month ago.

Ok, thanks for your response.

Some SSRI (antidepressants) can cause a false positive due to the breakdown products of the medication. This means that the test came back positive but you were not on the listed medication that the drug test was positive for.

Does that make sense?

Expert:  Doctor John MD replied 1 month ago.

The antidepressant that commonly causes a false-positive for tramadol is venlafaxine (Effexor)

Customer: replied 1 month ago.
Expert:  Doctor John MD replied 1 month ago.

You can check with the lab that did the drug test to see if they did a confirmatory test to check that test was done with gas chromography instead of the more common immunoassay tests.

Here's a link to a research article that talks about it here

https://www.ncbi.nlm.nih.gov/pubmed/16615670

Expert:  Doctor John MD replied 1 month ago.

Did my response fully answer your question?

If so, I would like to thank you for your question and I hope you found my answer informative and helpful.

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- Dr John.

Customer: replied 1 month ago.
I used to take Effexor a long time ago . I had Alieve in a pill container along with neurontin , Zoloft , Effexor and Paxil n may have taken it by accident . I'm having a confirmatory test . Will that differentiate between the 2 medications
Expert:  Doctor John MD replied 1 month ago.

it should. so only take the paxil and be sure not to keep any old prescriptions around if you are no longer taking those medicines to prevent any confusion in the future.

Expert:  Doctor John MD replied 1 month ago.

does that help?

Expert:  Doctor John MD replied 1 month ago.

do you have any further questions?

If not, I would like to thank you for your question and I hope you found my answer informative and helpful.

Please remember to leave a rating by clicking the series of 5 stars at the top of the screen.

The experts here at JustAnswer only get credit for the answer once you leave a rating for us.

You can also add a bonus if you were extremely happy with our service today.

You can always return and ask follow up questions if needed.

- Dr John.

Expert:  Doctor John MD replied 1 month ago.

do you have any further questions?

If not, please leave a rating for this question so I can close it out, thanks!