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What Causes A False Negative For Burtrans In Urine Test Result?

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Posted on Thu, 22 Sep 2016
Question: I have been followed a pain management Dr. for 2.5 years now , I have 4 herniated discs and spinal stenosis , I have under went spinal injections every 2 to 4 months ever since and medication management , of a butrans patch of 10mcg Q weekly, Percocet 5mg 2 per day , lorzone 750mg three per day...I have been a model patient and NEVER...have not taken my medications as prescribed or asked to have them refilled before the due date, I have had an increase in my Percocet to 3 per day , due to an increase in pain, at which time the office urine drug tested tested me and today I received a phone call today that my urine tested negative for Butrans. The Doctor called me today to tell me that he is discharging me as a patient due to non compliance of the Burtrans....What do I do now??? I change the patch as directed and do everything the way I am directed....The Dr. told me he will not loose his DEA licensure over me and I told him I would like a repeat Urine test or a GC/ test or even a hair sample he told me it defeats the purpose and he will not and that I need to find another MD. Please Help...
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Answered by Dr. Dr. Ashok Kumar Choudhary (2 hours later)
Brief Answer:
It could be false negative

Detailed Answer:
Hello,
Thanks for using Health care magic.

I read tour query and understand your concerns.

There are multiple but simple reasons for getting false negative results for butrans and they should be considered before going putitive to a Model patient.

You need to request him with information that tests are never 100 % accurate and tests for butrans is no exception.

For example false negative can be caused by

dilute urine ( excesdive fluid intake)
elevated urinary lactate
variety of metabolic factors
quality of test kit used
fast metabolism

Requesthim to higher order but more sensiyive tests to prove your compliance.

I hope this helps you.
If you have more questions feel free to contact me.
Thanks and regards.
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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What Causes A False Negative For Burtrans In Urine Test Result?

Brief Answer: It could be false negative Detailed Answer: Hello, Thanks for using Health care magic. I read tour query and understand your concerns. There are multiple but simple reasons for getting false negative results for butrans and they should be considered before going putitive to a Model patient. You need to request him with information that tests are never 100 % accurate and tests for butrans is no exception. For example false negative can be caused by dilute urine ( excesdive fluid intake) elevated urinary lactate variety of metabolic factors quality of test kit used fast metabolism Requesthim to higher order but more sensiyive tests to prove your compliance. I hope this helps you. If you have more questions feel free to contact me. Thanks and regards.