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What Causes False Negative Test Results For Ativan And Vyvanse?

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Posted on Tue, 14 Apr 2015
Question: I asked this same question on 3-16-15, to Dr XXXXXXX Romic. I take oxycodone + ativan plus vyvanse. I took them as directed. but drug test showed negative for ativan and vyvanse . Have been in pain management for 4 years. taking Ativan for 10 years vyvanse for 6 months. Pain management discharged me due to negative drug test for ativan and vyvanse. my concern is for my other doctors looking at my records and thanking I'm a drug addict or a drug abuser I'm sending pictures of my drug test can you please help me explain to my other doctors the reasoning behind this I am seeking no more drugs I'm happy with the outcome of pain management my head is clear not foged over I had no withdrawal symptoms thank you Jesus I'm just afraid of what my other doctors will thank can you please help me?
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Answered by Dr. Dr. Matt Wachsman (6 hours later)
Brief Answer:
not sure there is a way.....

Detailed Answer:
the cheap dipstick test is not very accurate. the better test is the CSI mass spect gas chromotography. BUT unless the sample is still available, then you can't rerun the test. Hair testing is very accurate but cannot say when the drug was in the system. It cannot say the drug wAS THERE at the time involved. It is not neceessarily going to be a problem if other doctors were prescfibing the vyvance and the ativan. They do not have much interaction iwth each other. Except that vyvance ... as an amphetamine... is likely to cause jitteriness or panic, or anxiety. Ativan works in the opposite direction and can cause difficulty concentrating and/or sedation. It is a bit odd to be on both since they do opposite things. Narcotics can interact with ativan and the two together are more likley to cause overdose, but, if the dose isn't increasing then that risk is not going to pop up out of the blue. Alcohol can interact with all of these drugs.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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What Causes False Negative Test Results For Ativan And Vyvanse?

Brief Answer: not sure there is a way..... Detailed Answer: the cheap dipstick test is not very accurate. the better test is the CSI mass spect gas chromotography. BUT unless the sample is still available, then you can't rerun the test. Hair testing is very accurate but cannot say when the drug was in the system. It cannot say the drug wAS THERE at the time involved. It is not neceessarily going to be a problem if other doctors were prescfibing the vyvance and the ativan. They do not have much interaction iwth each other. Except that vyvance ... as an amphetamine... is likely to cause jitteriness or panic, or anxiety. Ativan works in the opposite direction and can cause difficulty concentrating and/or sedation. It is a bit odd to be on both since they do opposite things. Narcotics can interact with ativan and the two together are more likley to cause overdose, but, if the dose isn't increasing then that risk is not going to pop up out of the blue. Alcohol can interact with all of these drugs.