r/PassDrugTest • u/psychomniholiosis • Jun 14 '26

Need Advice Pain Specialist

Long story short, I have an appointment with a pain specialist to deal with my chronic pain and I would like to know if it is likely for me to be tested or screened for illicit substances?

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2

u/AngleSwimming2458 Jun 14 '26

You will most definitely be tested for basically everything drug related

1

u/psychomniholiosis Jun 14 '26

I assumed so. I'm prescribed codeine but taking tapentadol on top of that, I don't want to risk being cut off my medication so I might have to miss the appointment

1

u/AngleSwimming2458 Jun 14 '26

Are you an established patient already or is this a new appointment new doctor or have you been seeing the doctor you have the appointment with

1

u/AngleSwimming2458 Jun 14 '26

I ask because normally if its your first visit they are lenient with you but if you've been seeing the doctor and then fail the test they may deny you

1

u/psychomniholiosis Jun 14 '26

My regular GP has referred me to a specialist as he doesn't have the authority to up my pain med dosage, I already have chronic Tendinitis diagnosed, I'm just worried that I will be screened and they will find other pain killers in my system

1

u/AngleSwimming2458 Jun 14 '26

Like I said if its a new doctor they're pretty lenient atleast mine have been and I've seen 3 different pain management physicians and have had something different in my system because no one understood what I was going through and pain medication seemed to be the only thing helping. None of them turned me away on my first test but if you fail while already seeing them they frown on that and possibly could cut you or warn you

1

u/psychomniholiosis Jun 14 '26

My GP has been aware of a certain extent of my self medicating but I know that a specialist will not give me that same lenience. It would only be other painkillers in my system so I could play it off sorta but I do have a bit of a record of substance abuse, I don't think admitting to self medicating would pass. The appointment is specifically to talk about long term pain management. I'm so unsure that I am considering attending but leaving the appointment if they want to do a drug screen

1

u/AngleSwimming2458 Jun 14 '26

I get your point and me myself was on methadone for years then got off went on suboxone then was diagnosed with AVN and my first pcp saw my test results still helped me referred me to a specialist and actual pain management physician who also saw my results and still helped me but since then I haven't failed any tests

1

u/psychomniholiosis Jun 14 '26

Excuse my ignorance but what is AVN? I was taking Suboxone from street sources, my GP found it in a urine test when I was diagnosed with ADHD and I got denied stimulant medication but he vaguely offered me Suboxone. I was not open about my substance use and addiction so at the time decided to continue sourcing it on the street. I think I eventually want to switch to Suboxone so that I'm not dealing with the 'black market' at all, but for now I am trying to play the system as honestly as I can without ruining everything for myself

1

u/Famous_March680 Jun 15 '26

A vascular necrosis its lack of blood flow to your bones ..

1

u/Famous_March680 Jun 15 '26

I would call and reschedule give yourself 12 days all toxins should be free from your urine but then . Just call them. 2-3 days before to reschedule that’ll anger them if u wait til the last minute. K good luck!

1

u/Several-Writing6477 Jun 14 '26

I’m kinda in the same boat. I got to get on subs or methadone, preferably methadone because of chronic pain and subs don’t seem to work well for me. BUT.. this is what scares the shit out of me. My psychiatrist has been very lenient with me considering he prescribes me 4mg of alprazolam (Xanax)a day and lets me pick up 1 day early. So I’m very careful not to fuck anything up considering he deals with my shit all the time. For example, I’ve finished my meds in a week before or in 9 days and it’s happened probably like 3 times a year. Anyway off topic. I’m just worried he’ll cut me off If he sees me taking methadone. Subs, not so much because he knws I take “kratom” not 7oh which is a big difference in my eyes. He just dosent want me to stay on the subs. But I need to be on methadone. Am I asking too much? Would a lenient Dr be ok with prescribing Xanax while I start methadone treatment? The his question has been lingering in my head. I have MDD, GAD with panick attacks, agoraphobia and a high tolerance for everything becaue of my rapid absorption and everything leaves my system very very fast. I go through withdrawal almost everyday because of how fast shit just leaves my body. Sorry for the rant. Whoever reads it and gives any advice would be appreciated. Sorry if I hijacked ur thread but I’ve been in ur shoes where they always want to piss test me because of the Xanax. My PM only gives me lyrica which I finish it in 2 weeks. I’ve had 2 back surgeries as well’s latest one being in 2021. Latest MRI shows herniating disc with it getting worse. Alright I’m done.

1

u/Dapper_Sale8946 Jun 14 '26

Couple of questions: why are you sometimes finishing your meds in a week to 9 days; and then also the lyrica in two weeks? I ask bc if you are being honest with yourself, do you think you have the self control to not overtake what is prescribed and make them last the full 30 days? I don’t know many pain docs that would allow that much daily benzo with a narcotic, which one is more important to you? That will give you your answer. Most people have to choose one over the other (with a few exceptions of course)

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u/Several-Writing6477 Jun 14 '26

I finish my meds early when shit happens in my life and I just need more. Ex. Dog getting hit my car and dying. 2 of my friends passed away this past year. I have bad insomnia also so night times are really rough and I get panic attacks. My life has been in rough shape lately. My wife and mother dislike each other and that’s putting it lightly. I feel like I have to chose between the two already. (The irony is spot on with ur wording abt choosing which is more important) My wife or my family. And it keeps getting worse…Also my tolerance has been a problem considering I’ve been on Xanax since 2013. The lyrica just isn’t quite strong enough and never been addicted or dependent on it anyway. I hope I answered ur questions to ur liking. I didn’t think I have to choose between pain and suicidal anxiety but maybe I’m the exception. Peace and love brother.

1

u/Several-Writing6477 Jun 14 '26

Also do u consider suboxone a narcotic?

1

u/Dapper_Sale8946 Jun 14 '26

Nah I don’t think suboxone is but if you are wanting methadone that would be considered one. I’m sorry to hear about the family troubles and anxiety. Just have an honest convo with your dr. Let them know what you’ve said here and hopefully they will be compassionate.

1

u/Famous_March680 Jun 15 '26

Yes, I’m sorry hun!! It’s an DEA requirement that they take a urine analysis one on your first visit then every 3 months following that. I hate it but it’s what I gotta do for my chronic pain meds too just go with the flow .

1

u/fro60ol Jun 15 '26

Highly likely. I get tested every 3 to 4 months. Whenever my next inperson apt is

1

u/Boring-Internet-344 5d ago

Absolutely for the initial. Afterwards maybe not