Life Question about some lab results - Page 4

TLO · 09-26-2020, 05:08 PM

www.chiefsplanet.com is where I head to get all of my medical questions answered! (Seriously though I know we have some people here knowledgeable about this stuff)

Went in to do my yearly drug screening due to me taking a benzodiazepine on a regular basis about a week ago. Got the results a day later along with a call from my doctor saying that my test came back negative for benzos. They asked me if I had been taking the medication as prescribed, which I have. They said no big deal, we'll just redo the test.

Did the sample again yesterday, and again it was negative. The doctors office isn't open today so I'm not sure what the deal is.

Anyone know why I'd be coming up negative on the screening? Klonipon is the drug, if that helps any.

Otter · 09-22-2021, 02:57 PM

I suspect your girlfriend is involved. Urine or pills are tampered with.

TLO · 09-22-2021, 04:24 PM

People with knowledge of lab work.. I need your help. I followed up with the nurse, and was told I need to repeat the same test, and if it comes back negative, I will either

A. Be discharged as a patient
B. Be taken off the medication.

I drove out to their office and spoke with them in person and got the same nurse I talked to on the phone. I told her I would take any test they wanted to give me, but that I've been through this before, and that repeating the same test would very likely result in a false negative. I asked to speak to my psychiatrist. Not in office. Asked to speak to the clinic manager. Not in office. She's going to relay my concerns to the doc and the head of the lab department tomorrow though.

Is there ac specific test I should request to have done? I did verify through Quest that the test that finally gave me the right results last year is no longer offered in this area, though it's offered in other parts of the country.

TLO · 09-22-2021, 06:50 PM

Bump for the night crew

**TribalElder** · 09-22-2021, 07:12 PM

Not sure what to tell you but I would have killed for that skill in my younger years
(The ability to take drugs and piss clean that is)

Monitor your pills to make sure nobody is swapping them out for placebo. Try a different pharmacy. See if you can get on steve wilcos show, he can help get to the bottom of this.

I was able to quit taking alprazalam years back and I'm grateful for it, good luck!

Oh, you might try drinking less water the day you are going to be tested, have seen where if you drink a lot of water it can **** with results

TLO · 09-22-2021, 07:34 PM

dlphg9
Fat Elvis
Hammas

Any of you guys around?

SuperBowl4 · 09-22-2021, 07:43 PM

Are U a hypochondriac? I’ll let U in on a little secret. Nobody gets out of this alive.

IowaHawkeyeChief · 09-22-2021, 08:11 PM

Could you go to the office for a week each day and take the pill in front of them, then do the test to show them? Just a thought from a laymen that takes no drugs...

Fish · 09-22-2021, 09:44 PM

Pretty sure you're supposed to poop in the box and mail it back.

You're welcome.

TLO · 09-22-2021, 10:06 PM

Quote:

Originally Posted by IowaHawkeyeChief

Could you go to the office for a week each day and take the pill in front of them, then do the test to show them? Just a thought from a laymen that takes no drugs...

I actually thought about this.

TLO · 09-22-2021, 10:07 PM

Quote:

Originally Posted by SuperBowl4

Are U a hypochondriac? I’ll let U in on a little secret. Nobody gets out of this alive.

Panic disorder.

'Hamas' Jenkins · 09-22-2021, 10:08 PM

Quote:

Originally Posted by TLO

dlphg9
Fat Elvis
Hammas

Any of you guys around?

I don't have a ton of background in analytical chemistry (mainly plugging and chugging with samples from drug production), but what dlphg9 mentioned last year should still be applicable. Mass spectrometry should be able to pick up incredibly small concentrations of the analyte of interest in the sample.

If you were able to identify the issue last year and the same problem arises, then it is almost certainly the same issue given that you were redirected back to a problematic test.

Half-life of elimination is variable for clonazepam, anywhere from 17-60 hours. At the low end of the spectrum, a drug with a 17 hour half life would take 85 hours to clear roughly 95% from your body. At the high end, it would be 300 hours, so almost two weeks.

I'd also add that the office threatening to withhold your prescription for a benzo is a dangerous precedent given that acute withdrawal can precipitate a seizure.

TLO · 09-22-2021, 10:22 PM

Quote:

Originally Posted by TLO

They did this

DRUG MONITOR, BENZO, QN, URINE

AlphahydroxyalprazolamNEGATIVE
25 ng/mL
AlphahydroxymidazolamNEGATIVE
50 ng/mL
AlphahydroxytriazolamNEGATIVE
50 ng/mL
Aminoclonazepam710 H
25 ng/mL
HydroxyethylflurazepamNEGATIVE
50 ng/mL
LorazepamNEGATIVE
50 ng/mL
NordiazepamNEGATIVE
50 ng/mL
OxazepamNEGATIVE
50 ng/mL
TemazepamNEGATIVE
50 ng/mL

Quote:

Originally Posted by 'Hamas' Jenkins

I don't have a ton of background in analytical chemistry (mainly plugging and chugging with samples from drug production), but what dlphg9 mentioned last year should still be applicable. Mass spectrometry should be able to pick up incredibly small concentrations of the analyte of interest in the sample.

If you were able to identify the issue last year and the same problem arises, then it is almost certainly the same issue given that you were redirected back to a problematic test.

Half-life of elimination is variable for clonazepam, anywhere from 17-60 hours. At the low end of the spectrum, a drug with a 17 hour half life would take 85 hours to clear roughly 95% from your body. At the high end, it would be 300 hours, so almost two weeks.

I'd also add that the office threatening to withhold your prescription for a benzo is a dangerous precedent given that acute withdrawal can precipitate a seizure.

Thank you. Trying to explain this to the nurse at the office today made me feel like I was bashing my head against a brick wall. I was trying not to lose my patience with her, but she was treating me like some scumbag that was filling my script and then selling the pills.

Tomorrow hopefully I can talk to the doc, or someone else that will actually listen to what I have to say.

**Perineum Ripper** · 09-22-2021, 10:26 PM

After reading this thread and doing some Dr. Google research, I have come to this conclusion.

You haven't drank enough antifreeze, you for some reason seem to be avoiding AIDS trees, dumpster fires, Billay, and butt****ing morons. I suggest you up the dose on all the fore mentioned.

Also you are gay. Possibly pregnant

EPodolak · 09-22-2021, 10:32 PM

Could you request a different similar med that tends to show up like it's supposed to?

TLO · 09-22-2021, 10:43 PM

Quote:

Originally Posted by EPodolak

Could you request a different similar med that tends to show up like it's supposed to?

I mean, maybe? Or they could just order the test that will give them the results they are looking for.

09-26-2020, 05:08 PM
TLO Life is changing.. Join Date: Jul 2012 Location: NW Missouri Casino cash: $-2390000	Question about some lab results www.chiefsplanet.com is where I head to get all of my medical questions answered! (Seriously though I know we have some people here knowledgeable about this stuff) Went in to do my yearly drug screening due to me taking a benzodiazepine on a regular basis about a week ago. Got the results a day later along with a call from my doctor saying that my test came back negative for benzos. They asked me if I had been taking the medication as prescribed, which I have. They said no big deal, we'll just redo the test. Did the sample again yesterday, and again it was negative. The doctors office isn't open today so I'm not sure what the deal is. Anyone know why I'd be coming up negative on the screening? Klonipon is the drug, if that helps any.
Posts: 43,043

09-22-2021, 04:24 PM	#47
TLO Life is changing.. Join Date: Jul 2012 Location: NW Missouri Casino cash: $-2390000	People with knowledge of lab work.. I need your help. I followed up with the nurse, and was told I need to repeat the same test, and if it comes back negative, I will either A. Be discharged as a patient B. Be taken off the medication. I drove out to their office and spoke with them in person and got the same nurse I talked to on the phone. I told her I would take any test they wanted to give me, but that I've been through this before, and that repeating the same test would very likely result in a false negative. I asked to speak to my psychiatrist. Not in office. Asked to speak to the clinic manager. Not in office. She's going to relay my concerns to the doc and the head of the lab department tomorrow though. Is there ac specific test I should request to have done? I did verify through Quest that the test that finally gave me the right results last year is no longer offered in this area, though it's offered in other parts of the country.
Posts: 43,043

09-22-2021, 06:50 PM	#48
TLO Life is changing.. Join Date: Jul 2012 Location: NW Missouri Casino cash: $-2390000	Bump for the night crew
Posts: 43,043

09-22-2021, 07:12 PM	#49
TribalElder Arrowhead Trail of Tears Join Date: Oct 2012 Location: KansasCity Casino cash: $-489559	Not sure what to tell you but I would have killed for that skill in my younger years (The ability to take drugs and piss clean that is) Monitor your pills to make sure nobody is swapping them out for placebo. Try a different pharmacy. See if you can get on steve wilcos show, he can help get to the bottom of this. I was able to quit taking alprazalam years back and I'm grateful for it, good luck! Oh, you might try drinking less water the day you are going to be tested, have seen where if you drink a lot of water it can **** with results
Posts: 29,548

09-22-2021, 07:34 PM	#50
TLO Life is changing.. Join Date: Jul 2012 Location: NW Missouri Casino cash: $-2390000	dlphg9 Fat Elvis Hammas Any of you guys around?
Posts: 43,043

09-22-2021, 07:43 PM	#51
SuperBowl4 MVP Join Date: Oct 2012 Location: HERMOSA BEACH,CA Casino cash: $7074900	Are U a hypochondriac? I’ll let U in on a little secret. Nobody gets out of this alive.
Posts: 14,334

09-22-2021, 08:11 PM	#52
IowaHawkeyeChief In Search of a Life Join Date: Jan 2016 Casino cash: $-749600	Could you go to the office for a week each day and take the pill in front of them, then do the test to show them? Just a thought from a laymen that takes no drugs... __________________ Chiefs are my favorite football team of all time!
Posts: 29,359

09-22-2021, 09:44 PM	#53
Fish Ain't no relax! Join Date: Sep 2005 Casino cash: $-1251081	Pretty sure you're supposed to poop in the box and mail it back. You're welcome. __________________
Posts: 48,809	1 0

09-22-2021, 10:26 PM	#58
Perineum Ripper Supporter Join Date: Jan 2014 Location: Missouri Casino cash: $-950458	After reading this thread and doing some Dr. Google research, I have come to this conclusion. You haven't drank enough antifreeze, you for some reason seem to be avoiding AIDS trees, dumpster fires, Billay, and butt****ing morons. I suggest you up the dose on all the fore mentioned. Also you are gay. Possibly pregnant
Posts: 5,262	2 0

09-22-2021, 10:32 PM	#59
EPodolak Spooky Action Join Date: Dec 2003 Casino cash: $-987442	Could you request a different similar med that tends to show up like it's supposed to?
Posts: 6,707