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Drug testing discussion What can you do against drug testing & more...

 
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  #1  
Old 14-07-2010, 18:31
puhz puhz is offline
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Blood Work Worries

SWIM has an appointment with his doctor tomorrow to discuss a possible dosage increase for his Klonopin, but the last time he was there he wanted SWIM to have blood work taken just because its been a long time (nothing to do with the benzos). SWIM is a regular intravenous drug user and besides the obvious worries about track marks, SWIM is wondering if the following drugs: heroin, cocaine, xanex & valium would show up in the blood work. SWIM isn't sure if these substances would just automatically show up in the blood work or if the doctor would have to run a specific/separate blood test in order for these to show up. The point is that SWIM does not want his doctor to find out about the drug use in general, but especially IV usage because that would lead to his doctor taking away his Klonopin prescription (which he needs for his anxiety) and would prevent him from prescribing any opiates for pain in the event of a serious injury. SWIM needs to get this blood work done within the next 2 weeks regardless for his Suboxone doctor (they don't know about eachother ) but he's afraid that his primary doctor will want it sooner than that.

The main question is, will these substances show up in a normal blood work exam? And if so, how long does it take for these substances to be clear from the blood stream?
  #2  
Old 14-07-2010, 18:48
bubbly nubs bubbly nubs is offline
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Re: Blood Work Worries

No, they wont just "show up". Testing for drugs in a blood sample is a specific test - and unless your doctor asks for the test to be done, it wont be done.
  #3  
Old 14-07-2010, 20:27
Jasim Gold member Jasim is offline
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Re: Blood Work Worries

Porchy is correct. A specific "drug test" must be conducted. However, if they see track marks and suspect drug use, they may do a drug test. Usually they take plenty of blood and should have way more than enough to run additional tests. Since clonazepam (Klonopin) is a drug of abuse it's very possible that if drug abuse is suspected, swiy's doctor may choose not to increase dose or to stop prescribing it altogether.

Doctors will do what they can to protect themselves and their license to practice medicine. Prescribing a drug of abuse to a known drug abuser puts them at risk for review and loss of their license.
  #4  
Old 14-07-2010, 21:42
puhz puhz is offline
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Re: Blood Work Worries

This is a little off topic but SWIM was prescribed Klonopin for well over a year before SWIM went into counseling and started a Suboxone program. The counselor said in order to continue the counseling (which was needed to obtain Suboxone) SWIM would have to sign a release to exchange medical information and notify the doctor about the Suboxone treatment, so SWIM reluctantly signed the form and the counselor called SWIM's doctor's office and told them about the Suboxone and that they needed to stop prescribing SWIM the Klonopin and the receptionist must not have passed any of that information on (since the receptionist didn't really understand/care what the counselor was saying, which SWIM found hilarious because the counselor told SWIM about it). Nevertheless, SWIM assumed he was SOL and went on with life for the next 6 months without it until the doctor's office called him to schedule a check-up visit. SWIM was amazed to discover that the doctor had no idea about any of the other stuff and simply handed SWIM a fresh script of Klonopin and sent him on his way.

So anyway, that's a relief to know that they need to do a specific drug test. But that might have to be done for SWIM's other blood work that's needed for the Suboxone doctor, so if they were to do a drug test on the blood, is it the same amount of time in the blood as it would be in the urine for these substances?

Also, SWIM has had blood work taken before but it was years ago so do they usually take it from the arm? SWIM's vein's look fairly bad and even after a week or two the scar tissue is obviously still very noticeable.
  #5  
Old 15-07-2010, 15:41
Jasim Gold member Jasim is offline
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Re: Blood Work Worries

The urine will have detectable amounts of drugs for much longer than the blood. For most substances the blood only has a detection range of about 2-3 days. For more specific information regarding detection times in urine versus blood please see: Drug Testing - A Comprehensive Guide
Questions regarding drug testing may be posted there.

They will likely take the sample from the arm, but they don't really NEED to, that's just what is common practice. I suppose swiy could try to convince the nurse/phlebotomist to take it elsewhere. I'm not sure what kind of excuse a nurse/phlebotomist would find appropriate to take blood from elsewhere and suggesting it might arouse some suspicion.
  #6  
Old 15-07-2010, 19:26
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Re: Blood Work Worries

Thank you Jasim. SWIM thinks that he might just skip the primary physician's blood work request and do the blood work for the Suboxone doctor because SWIM will get the same results and if any problems are discovered (ie. hepatitis) he can decide what to do from there.

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clonazepam, diazepam, drug, drug test, drug testing, drug use, drug user, drugs, drugs-forum, hepatitis, heroin, klonopin, methoxetamine, opiates, suboxone, track marks, urine test, valium

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